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Tijdschrift Voor Psychiatrie 2021Most substance use disorders (SUD) emerge in adolescence and early adulthood. Early interventions in young people may reduce the risk and severity of SUD and other... (Review)
Review
Most substance use disorders (SUD) emerge in adolescence and early adulthood. Early interventions in young people may reduce the risk and severity of SUD and other psychiatric disorders.
AIM: To provide suggestions for proactive psychiatry in addiction.
METHOD: Literature review.
RESULTS: Comorbidity, cumulative risks and self-regulation skills each play an important role in proactive psychiatry. Early universal prevention and intervention targeted at improving self-regulation reduces the risk of a broad array of psychiatric and social problems, including addiction.
CONCLUSION: In terms of broad prevention, much can be gained by widespread, consistent implementation and normalization of universal prevention at the pre- and elementary school level. Tijdschrift voor Psychiatrie 63(2021)2, 125-128.Topics: Adolescent; Adult; Behavior, Addictive; Comorbidity; Humans; Psychiatry; Substance-Related Disorders
PubMed: 33620724
DOI: No ID Found -
Missouri Medicine 2024Technologies in the 21st century provide increasingly detailed and accurate maps of brain structure and function. So why don't psychiatrists order brain imaging on all... (Review)
Review
Technologies in the 21st century provide increasingly detailed and accurate maps of brain structure and function. So why don't psychiatrists order brain imaging on all our patients? Here we briefly review major neuroimaging methods and some of their findings in psychiatry. As clinicians and neuroimaging researchers, we are eager to bring brain imaging into daily clinical practice. However, to be clinically useful, any test in medicine must demonstrate adequate test statistics, and show proven benefits that outweigh its risks and costs. In 2024, beyond certain limited circumstances, we have no imaging tests that can meet those standards to provide diagnosis or guide treatment. This cold fact explains why for most psychiatric patients, neuroimaging is not currently recommended by professional organizations or the National Institute of Mental Health.
Topics: Humans; Mental Disorders; Brain; Neuroimaging; Psychiatry; Psychiatrists
PubMed: 38404436
DOI: No ID Found -
The British Journal of Psychiatry : the... Aug 2020COVID-19 presents new challenges for psychiatry as clinical management, ethical dilemmas and administrative complications need to be addressed. The psychiatrist should...
COVID-19 presents new challenges for psychiatry as clinical management, ethical dilemmas and administrative complications need to be addressed. The psychiatrist should protect the needs and rights of the mentally ill while maximising population health and ensuring solidarity, reciprocity and community well-being for all.
Topics: COVID-19; Coronavirus Infections; Humans; Infection Control; Mental Health Services; Mentally Ill Persons; Pandemics; Pneumonia, Viral; Psychiatry
PubMed: 32362295
DOI: 10.1192/bjp.2020.90 -
L'Encephale Jun 2020
Topics: Attitude; Betacoronavirus; COVID-19; Comorbidity; Coronavirus Infections; France; Humans; Mental Disorders; Mental Health Services; Pandemics; Pneumonia, Viral; Psychiatry; SARS-CoV-2; Social Change
PubMed: 32620194
DOI: 10.1016/j.encep.2020.06.001 -
Current Opinion in Neurobiology Jun 2024Studying the intricacies of individual subjects' moods and cognitive processing over extended periods of time presents a formidable challenge in medicine. While much of... (Review)
Review
Studying the intricacies of individual subjects' moods and cognitive processing over extended periods of time presents a formidable challenge in medicine. While much of systems neuroscience appropriately focuses on the link between neural circuit functions and well-constrained behaviors over short timescales (e.g., trials, hours), many mental health conditions involve complex interactions of mood and cognition that are non-stationary across behavioral contexts and evolve over extended timescales. Here, we discuss opportunities, challenges, and possible future directions in computational psychiatry to quantify non-stationary continuously monitored behaviors. We suggest that this exploratory effort may contribute to a more precision-based approach to treating mental disorders and facilitate a more robust reverse translation across animal species. We conclude with ethical considerations for any field that aims to bridge artificial intelligence and patient monitoring.
Topics: Humans; Animals; Psychiatry; Ethology; Mental Disorders; Artificial Intelligence
PubMed: 38696972
DOI: 10.1016/j.conb.2024.102881 -
European Child & Adolescent Psychiatry Jun 2023
Topics: Adolescent; Child; Humans; Adolescent Psychiatry; COVID-19; Child Psychiatry; Forecasting
PubMed: 37095372
DOI: 10.1007/s00787-023-02208-6 -
Canadian Journal of Psychiatry. Revue... Mar 2024
Review
Topics: Humans; Forensic Psychiatry; Canada; Psychiatry; Writing
PubMed: 37769295
DOI: 10.1177/07067437231200843 -
Dialogues in Clinical Neuroscience Mar 2020Ever since psychiatry emerged as a clinical discipline and field of scientific inquiry in the late 18th century, debates about diagnosis have been at its very heart.... (Review)
Review
Ever since psychiatry emerged as a clinical discipline and field of scientific inquiry in the late 18th century, debates about diagnosis have been at its very heart. Considered by many a requirement for clinical communication as well as for systematic study, others have critiqued psychiatric diagnosis for being modeled on a medical conception of disease that is ill-suited to the specific nature of mental disorders. Based on a review of seminal positions in the conceptual history of psychiatry and an examination of their epistemological underpinnings, we propose to consider diagnosis as dialogue. Such understanding, we argue, can serve as a meta-framework that provides a conceptual and practical umbrella to encourage open-minded conversation across the diverse conceptual and experiential frameworks that are characteristic of psychiatry. In this perspective psychopathology will also reinforce the interpersonal realm as a necessary element of any clinical encounter, be it diagnostic in purpose or otherwise. Current challenges to traditional diagnostic systems like Research Domain Criteria (RDoC) and Hierarchical Taxonomy of Psychopathology (HiTOP) are discussed in light of these considerations. .
Topics: Diagnostic and Statistical Manual of Mental Disorders; History, 18th Century; History, 19th Century; History, 20th Century; History, 21st Century; Humans; Mental Disorders; Psychiatry
PubMed: 32699503
DOI: 10.31887/DCNS.2020.22.1/phoff -
Tijdschrift Voor Psychiatrie 2020
Topics: COVID-19; Coronavirus Infections; Humans; Pandemics; Pneumonia, Viral; Psychiatry; Social Stigma; Telemedicine
PubMed: 32388843
DOI: No ID Found -
Revue Medicale de Liege Nov 2020Forensic psychiatry is a medical (sub-) speciality covering a variety of different fields, such as general psychiatry, criminology, law, anthropology and sociology.... (Review)
Review
Forensic psychiatry is a medical (sub-) speciality covering a variety of different fields, such as general psychiatry, criminology, law, anthropology and sociology. Experts in forensic psychiatry are required to have a base of specific training, eclectic knowledge and correct ethical and professional practice. The cross-disciplinary nature of forensic psychiatry means that it demands flexibility, procedural rigour and a continuous dialogue between the medical field and the legal profession. The aim of this article is to provide an overview of the evolution in this field, which is very specific and also essential to today's democracy. Indeed, forensic psychiatry can be traced all the way back to Antiquity, but it has undergone profound changes in the last few years, with the field gaining recognition and its practices becoming increasingly professionalised. This is indeed excellent news.
Topics: Belgium; Forensic Psychiatry; Humans
PubMed: 33155449
DOI: No ID Found