Patients who begin and continue an uninterrupted maintenance dosing regimen had a lower incidence of hospitalization and surgery than those who received an irregular or interrupted regimen prior to beginning an SM regimen.
The results of this large prospective study suggest that elevated plasma concentrations of choline and vitamin B2 may be associated with an increased risk of prostate cancer. These novel findings support a role of one-carbon metabolism in prostate cancer etiology and warrant further investigation.
Read moreThese data suggest a relatively high prevalence of IED in South Africa. By reducing violence and trauma, and by providing appropriate psychological support to trauma survivors, we may be able to reduce rates of IED.
Read moreThe study examined changes in ego functions and mental distress among eating disorder (ED) adolescent inpatients following integrative treatment. Participants included 31 restricting anorexia nervosa and 25 bingeing/purging spectrum ED inpatients. Rorschach Comprehensive System (CS; Exner, 2003) and self-report measures were administered on admission and discharge. We found that improvement in ego functions, mental distress and ED symptomatology occurred in both ED groups at discharge. Nevertheless, the two ED subgroups exhibited different configurations of change as well as varying patterns of relations between changes in mental distress and ego functions and improvement in ED symptoms. These data further indicate that the restricting and bingeing/purging patients may require different treatment approaches.
Read moreThis study aimed to estimate the prevalence and correlates of non-affective psychosis among adult Nigerians. It was part of the Nigerian Survey of Mental Health and Wellbeing and was conducted in 8 out of the 22 states in Nigeria, representing about 22% of the national population. Face-to-face interviews with adults aged 18 years and over were administered using the WHO Composite International Diagnostic Interview, version 3 (CIDI.3). Clinical reappraisal was conducted by clinicians on a subsample of respondents. The CIDI.3 was found to have acceptable agreement with clinician-administered assessments, with kappa values ranging between 0.52 to 0.72, respectively, for narrowly-defined and broad categories of non-affective psychosis. The lifetime prevalence of non-affective psychosis was 2.1%, with visual hallucinations being the most commonly reported symptom and delusions of reference the least. Non-affective psy-chosis was significantly more common among urban dwellers. Persons with non-affective psychosis were at elevated risk to report both lifetime and 12-month comorbid DSM-IV disorders as well as to experience impairment in basic and instrumental role functioning. Only a minority had received any treatment.
Read moreThe association between traumatic events and psychopathology has long been recognized, and the literature on posttraumatic stress disorder (PTSD) has burgeoned since this entity was introduced into the diagnostic nomenclature. This literature has been characterized by a range of clinical controversies about the optimal diagnosis and treatment of PTSD. In response, several systematic reviews of treatment, clinical guidelines, and consensus statements about PTSD have been generated, but their conclusions are not always consistent. Our aim here is to provide a concise overview of the literature on PTSD, focusing in particular on recent investigations and publications, with the objective of summarizing practical clinical implications and suggesting future research opportunities. We consider, in turn, the diagnosis and evaluation, psychobiology, pharmacotherapy, psychotherapy, and prevention of PTSD.
Read moreThese findings suggest that some putative OCSDs may be related to OCD, while some may have a closer relationship to other anxiety disorders. From a nosological perspective, it may be useful to include OCD and certain OCSDs under the rubric of an enlarged category of anxiety and OCSDs.
Read moreThe study highlights the inadequacy of current community mental health services in providing for the needs of people with severe mental illness. In South Africa, as in many other middle-income countries, there is an urgent need to develop community-based care.
Read moreFindings of the present study tend to weaken the evidence that folate plays an important role in CRC carcinogenesis. However, larger sample sizes are needed to adequately address potential gene-environment interactions.
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