Articles in the Psychiatric Quarterly Category
“I Really Don’t Know Whether it is Still There”: Ambivalent Acceptance of a Diagnosis of Bipolar Disorder
Abstract Questioning a diagnosis of bipolar disorder is not surprising given the chronic and fluctuating nature of the illness. Qualitative
research using thematic analysis was used to derive an understanding of the process patients used to make sense of their diagnosis
of bipolar disorder. The findings suggested that receiving a diagnosis was an active process. Factors such as fluctuating
moods, changing diagnoses or misdiagnosis, difficulties patients have differentiating self from illness, mistrust in mental
health services, a [...]
Tarasoff Duties in Prisons: Community Standards With Certain Twists
Abstract Because inmates’ actions are restricted by incarceration, Tarasoff duties in prisons have certain unique aspects. There are two broad situations: (1) when the potential victim is located within
the prison community; and (2) when the potential victim is located outside of prison. Although responsibilities vary widely
from state to state, this paper discusses general principles of exercising Tarasoff duties in prison settings. In addition to duties to protect potential victims, correctional mental-health professionals have [...]
Adapting Evidence-Based Interventions to Fit Usual Practice: Staff Roles and Consumer Choice in Psychiatric Rehabilitation
Abstract This proof-of-concept study tested the viability of adapting a specialized practice to fit multi-service programs by switching
from specialist to generalist staff roles. The intervention under study was supported employment, an evidence-based practice
for adults with severe mental illness. Program data on participant characteristics, attendance, staff contact, and employment
were retrieved for the 2007 calendar year (N = 99). Two hierarchical regression analyses compared (1) participants with any versus no mains [...]
Psychiatric Correlates of Bullying in the United States: Findings from a National Sample
Abstract The aim of this study was to examine the psychiatric correlates of bullying behavior in the United States. Data were derived
from the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative sample of US adults.
Structured psychiatric interviews (N = 43,093) were completed by trained lay interviewers between 2001 and 2002. Six percent of US adults reported a lifetime
history of bullying others. Respondents who were men, 18 to 34, Asian/Native American, earned ≤$35,000 annual [...]
Collaborative Problem Solving (CPS) as a Primary Method of Addressing Acute Pediatric Pathological Aggression Along with Other Modalities
Abstract The answer for treating pathologic aggression (PA) in children on inpatient psychiatry units (based on various factors like
severity of aggression and co-morbidities) is less likely to be restrictive interventions or sedating the patient. Using seclusion
and restraints or medications to calm down the aggression is not free of adverse consequences. A protocol is needed to safely
and effectively address aggressive and violent children and adolescents seen very commonly in psychiatry inpatient units.
Content Type Journa [...]
Determinants of Barriers to Treatment for Anxiety Disorders
Abstract The objectives of this study were to evaluate perceived unmet need for mental healthcare, determinants of unmet need, and
barriers to care in individuals with social anxiety (SA) or panic disorder with agoraphobia (PDA) in Quebec. Data from 206
participants diagnosed with SA or PDA were collected using an online questionnaire. Correlational analyses and binary stepwise
logistic regressions were conducted to explore determinants of perceived unmet need. Of the 206 participants, 144 (69.9%)
reported instances of unmet need [...]
Inpatients’ and Providers’ Experiences with User Involvement in Inpatient Care
Abstract A qualitative study of inpatients’ perspectives on what it means to be involved in their own care, and providers’ experiences
with encouraging user involvement in care planning and service provision is reported. Twenty semi-structured interviews with
inpatients, fourteen log reports from providers and sixteen sets of written minutes from staff meetings constitute the study
data. Differences were found between inpatient and provider perspectives. Inpatients reported few opportunities to have meaningful
input in the de [...]
The Link Between Psychosis and Aggression in Persons with Dementia: A Systematic Review
Abstract The purpose of this study was to systematically review the literature to determine whether aggression is linked to psychosis
in persons with dementia. An electronic search using PubMed for articles in English focusing on psychosis and aggression or
agitation in adults aged 65+ with dementia. Cross-sectional, longitudinal, and randomized controlled treatment studies examining
the outcomes of aggression and psychosis were eligible for inclusion. Eighteen articles were selected for final analysis.
Of the seven cross-section [...]
Revisiting the Psychiatric Day Hospital Experience 6 Months After Discharge: How Was the Transition and What Have Clients Retained?
Abstract Psychiatric day hospitals offer intensive short-term multidisciplinary treatment. No study has examined in more depth the
impact of this therapeutic experience in the life of participants and what they retained from their participation after discharge.
A qualitative design using semi-structured individual interviews was completed with 18 participants of different gender, age
and diagnosis, treated in a day hospital, 6 months after discharge. Interview themes addressed events and changes since discharge,
learnings re [...]
Completed Suicide and Marital Status According to the Italian Region of Origin
Abstract Completed suicide is associated with marital status; being unmarried is associated with a higher suicide rate as compared
with being married or living with a partner. Moreover, the region of origin may be particularly important when trying to explain
major inequalities in suicide rates across a country. Data were obtained from the Italian Database on Mortality, collected
by the Italian Census Bureau (ISTAT) and processed by the Italian National Institute of Health-Statistics Unit. The Italian
population in the last Itali [...]
