Articles in the Psychiatric Quarterly Category
Sleepwalking, A Possible Side Effect of Antipsychotic Medication
Abstract Two case examples and a review of the sleep literature illustrate the potential of antipsychotic medication to trigger sleepwalking
episodes in the context of schizophrenia. Causative hypotheses are briefly reviewed, as well as risk factors, differential
diagnosis, and management. Sleepwalking may contribute to delusions, aggression, and accidental suicide. It is important to
investigate sleep disorders in schizophrenia. They are not rare and may contribute to behavior that increases the stigma and
isolation of individua [...]
EMDR Treatment in People with Mild ID and PTSD: 4 Cases
Abstract Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to be more susceptible to
the development of posttraumatic stress disorder (PTSD) than persons in the general population, until now only eight case
reports on the treatment of people with ID suffering from PTSD symptoms have been published. In an effort to enrich the literature
on this subject, the aim was to investigate the applicability of an evidence-based treatment for PTSD (i.e., EMDR) in four
people with mild ID, suffer [...]
Evidence-Based Recommendations for the Treatment of Aggression in Pediatric Patients with Attention Deficit Hyperactivity Disorder
Abstract An evidence-based practice project was completed to develop best practice recommendations for the treatment of aggression
in children and adolescents with attention deficit hyperactivity disorder (ADHD). Ovid Medline, PsychInfo, the National Guidelines
Clearinghouse, and the Cochrane Database of Systematic Reviews were searched with limits set for English language, years 1996
to January 2010. A search of the pediatric literature was conducted for synthesized evidence in the form of meta-analyses,
systematic reviews, or p [...]
The Relationship Between the Medical Director and the Executive Director: Guidelines for Success
Abstract The positional leadership of mental health care organizations commonly is in the hands of an executive director who has had
administrative experience, but who may or may not have had clinical experience. The medical director of the mental health
organization is a psychiatrist who reports to the executive director despite their different backgrounds and areas of expertise.
The relationship between these two leaders is the responsibility of both, and is crucial to the success of the organization.
This paper is concerned sp [...]
North Carolina Resident Psychiatrists Knowledge of the Commitment Statutes: Do They Stray from the Legal Standard in the Hypothetical Application of Involuntary Commitment Criteria?
Abstract Objectives are to examine North Carolina (NC) resident psychiatrists knowledge of commitment statutes and their willingness
to involuntarily admit hypothetical patients who do not meet statutory criteria. It is hypothesized that the need for transportation
may be a salient factor. In one vignette the patient had schizophrenia and the other alcohol dependence. The respondents were
asked to make a decision about commitment and to rate how 9 specified factors affected their decision. Sixty-one residents
responded. Thirty pe [...]
Beliefs About Causes of Schizophrenia Among Urban African American Community Members
Abstract The public’s causal attributions of schizophrenia have far-reaching effects on the community and affected individuals. This
study investigated causal beliefs within a community of predominantly Protestant, low-income, urban, African Americans in
the southeastern United States. Two hundred eighty-two patrons of an inner-city food court/farmers’ market participated in
a self-administered survey assessing causal beliefs through a 30-item survey and self-reported causal opinions. Associations
were assessed between causal [...]
Recovery-Oriented Training and Staff Attitudes over Time in Two State Hospitals
Abstract Recovery attitudes and concepts are often promoted to community mental health staff through educational and in-service trainings,
but no study found has examined this in state hospitals. The current observational study aimed to examine the types of recovery-oriented
trainings that occurred at two state hospitals over 1 year and subsequent changes in staff recovery attitudes. A total of
184 state hospital staff completed questionnaires assessing their personal optimism, consumer optimism, and agency recovery
orientat [...]
A Biosocial Interaction Between Prenatal Exposure to Cigarette Smoke and Family Structure in the Prediction of Psychopathy in Adolescence
Abstract Although a great deal of empirical research has examined the association between psychopathic personality traits and antisocial
phenotypes, comparatively less empirical research has examined the factors that might contribute to the development of psychopathy.
In an attempt to shed some light on this gap in the literature, the current study explored the biosocial correlates to adolescent
psychopathy in a sample of youths. Analysis of data drawn from the National Institute of Child Health and Human Development
Study of Ear [...]
Factor Structure and Risk Factors for the Health Status of Homeless Veterans
Abstract Homeless veterans have numerous health problems that have been previously characterized as falling into four major subgroups;
addiction, psychosis, vascular disorders, and generalized medical and psychiatric illness. Comorbid conditions are common,
often involving a combination of psychiatric and medical disorders. Using data from the same survey of homeless veterans that
was used to establish these subgroups with cluster analysis, the present study examined the structure of these subgroup patterns
through the use of fac [...]
Long-Term Use of Pramipexole in Bipolar Depression: A Naturalistic Retrospective Chart Review
Abstract A naturalistic retrospective chart review of all patients given pramipexole for bipolar depression in addition to their mood
stabilizers was undertaken. Sixteen patients were followed for an average of 6.7 ± SD 9.0 months. Half of the patients stopped
the pramipexole an average of 2 months after starting it. For all patients, depressed mood, and the total profile of depressive
symptoms improved significantly within 4 weeks and remained significantly improved for as long as 36 weeks. Both glo [...]
