Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity,
Год журнала:
2024,
Номер
29(1)
Опубликована: Дек. 27, 2024
Eating
disorders
(EDs)
are
among
the
least
studied
mental
in
individuals
at
clinical
high
risk
for
psychosis
(CHR-P).
The
primary
aim
(a)
of
this
systematic
review
and
meta-analysis
was
to
identify
factors
predicting
ED
diagnoses
CHR-P
individuals.
secondary
(b)
providing
a
comprehensive
description
with
both
EDs/ED-related
symptoms.
Preferred
Reporting
Items
Systematic
reviews
Meta-Analyses
(PRISMA)
2020-compliant
meta-analysis,
searching
PubMed/(EBSCO)PsycINFO/Web
Science
studies
published
between
01/01/2018
30/05/2023,
including
EDs/ED
symptoms
(PROSPERO
CRD42023488792).
Quality
assessment
performed
using
Newcastle–Ottawa
Scale
(NOS).
We
meta-regression
model
on
proportion
EDs
(primary
aim)
conducted
narrative
synthesis
(secondary
aim).
included
26
articles,
reporting
2,060
589
subjects
study
(b),
respectively
(mean
NOS
score
=
6.38).
prevalence
0.05
(95%
CI
0.3–0.8).
No
factor
had
significant
effect
This
result
is
limited
by
inability
include
ED-related
antipsychotic
prescriptions
model,
due
an
insufficient
number
these
variables.
offers
characterization
ED/ED-related
symptoms;
however,
support
definitive
conclusions.
predictor
found
Transdiagnostic,
prospective
cohort
warranted
examine
long-term
outcomes
EDs,
beyond
diagnostic
silos.
I.
Abstract
Predicting
outcomes
in
individuals
at
clinical
high
risk
(CHR)
of
developing
psychosis
remains
challenging
using
metrics
alone.
The
PSYSCAN
project
aimed
to
enhance
predictive
value
by
integrating
data
across
clinical,
environmental,
neuroimaging,
cognitive,
and
peripheral
blood
biomarkers.
employed
a
naturalistic,
prospective
design
12
sites
(Europe,
Australia,
Asia,
Americas).
Assessments
were
conducted
baseline,
3,
6,
months,
with
follow-ups
18
24
months
evaluate
functional
outcomes.
study
included
238
CHR
134
healthy
controls
(HC).
At
HC
groups
differed
significantly
age,
education,
IQ,
vocational
relationship
status.
Cannabis
tobacco
use
did
not
differ
between
groups,
however
had
higher
proportion
moderate
abuse.
A
substantial
portion
the
sample
met
DSM
criteria
for
anxiety
(53.4%)
and/or
mood
disorders
(52.9%),
some
prescribed
antidepressants
(38.7%),
antipsychotics
(13.9%),
or
benzodiazepines
(16.4%).
Over
follow-up
period,
25
(10.5%)
transitioned
psychosis.
However,
group
as
whole
showed
improvements
functioning
attenuated
psychotic
symptoms.
Similar
other
recent
multi-centre
studies,
cohort
exhibits
comorbidity
rates
relatively
low
transition
rates.
These
findings
highlight
heterogeneity
within
populations
suggest
that
extend
beyond
onset,
reinforcing
need
broader
prognostic
models
consider
transdiagnostic
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 15, 2024
Abstract
People
with
psychosis
exhibit
thalamo-cortical
hyperconnectivity
and
cortico-cortical
hypoconnectivity
sensory
networks,
however,
it
remains
unclear
if
this
applies
to
all
whether
arises
from
other
illness
factors,
or
such
differences
could
form
the
basis
of
a
viable
biomarker.
To
address
foregoing,
we
harnessed
data
Human
Connectome
Early
Psychosis
Project
computed
resting-state
functional
connectivity
(RSFC)
matrices
for
54
healthy
controls
105
patients.
Primary
visual,
secondary
visual
(“visual2”),
auditory,
somatomotor
networks
were
defined
via
recent
brain
network
partition.
RSFC
was
determined
718
regions
regularized
partial
correlation.
patients—
both
affective
non-affective—exhibited
in
visual2
but
not
auditory
primary
networks.
When
averaged
connections
subtracted
values,
robust
biomarker
emerged
(p=2e-10,
Hedges’
g=1.05).
This
“somato-visual”
present
antipsychotic-naive
patients
did
depend
on
confounds
as
psychiatric
comorbidities,
substance/nicotine
use,
stress,
anxiety.
It
had
moderate
test-retest
reliability
(ICC=.61)
be
recovered
five-minute
scans.
The
marker
discriminate
groups
leave-one-site-out
cross-validation
(AUC=.79)
improve
group
classification
upon
being
added
well-known
neurocognition
task.
Finally,
differentiate
later-stage
ADHD
two
independent
sets.
These
results
introduce
simple
that
can
distinguish
by
early
stages.
International Review of Psychiatry,
Год журнала:
2024,
Номер
unknown, С. 1 - 15
Опубликована: Апрель 2, 2024
Migration
process
is
a
well-known
risk
factor
for
number
of
mental
disorders,
particularly
psychotic,
trauma-related
and
major
mood
disorders.
However,
refugees
asylum
seekers
(RAS)
often
face
several
challenges
in
accessing
health
facilities,
leading
to
treatment
delays,
resulting
worse
prognosis
increased
referral
the
emergency
departments
or
receiving
coercive
measures,
including
involuntary
hospitalizations
psychiatric
settings.
This
review
aims
delineate
prevalence
measures
within
RAS
population
identify
potential
predictors
such
interventions,
order
highlight
possible
preventive
strategies.
The
relevant
PubMed,
Scopus
Web
Science
databases
were
searched
papers.
Twenty-three
articles
included
review.
Our
findings
that
at
higher
being
coerced
compared
native
due
clinical
factors,
cultural
differences
many
barriers
access
services.
Since
are
harmful
lead
outcome
(re)traumatization
patients,
specific
strategies
prevent
this
phenomenon
urgently
needed.
Schizophrenia Bulletin Open,
Год журнала:
2024,
Номер
5(1)
Опубликована: Янв. 1, 2024
The
Accelerating
Medicines
Partnership
Schizophrenia
(AMP
SCZ)
funds
a
longitudinal
study
of
43
research
sites
across
5
continents
to
develop
tools
stratify
developmental
trajectories
youth
at
clinical
high
risk
for
psychosis
(CHR)
and
identify
homogenous
targets
future
trials.
However,
there
are
no
in
Africa,
leaving
critical
gap
our
knowledge
biological
outcomes
among
CHR
individuals.
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Сен. 10, 2024
Prescription
Digital
Therapeutics
(PDTs)
are
emerging
as
promising
tools
for
treating
and
managing
mental
brain
health
conditions
within
the
context
of
daily
life.
This
commentary
distinguishes
PDTs
from
other
Software
Medical
Devices
(SaMD)
explores
their
integration
into
treatments.
We
focus
on
research
programs
support
National
Institutes
Health
(NIH),
discussing
PDT
supported
by
NIH's
Institute
Child
Development
(NICHD),
Mental
(NIMH),
Aging
(NIA).
present
a
hierarchical
natural
language
processing
topic
analysis
NIH-funded
digital
therapeutics
projects.
delineate
landscape
across
different
disorders
while
highlighting
opportunities
challenges.
Additionally,
we
discuss
foundation
PDTs,
unique
therapeutic
approaches
they
employ,
potential
strategies
to
improve
validity,
reliability,
safety,
effectiveness.
Finally,
address
collaborations
necessary
propel
field
forward,
ultimately
enhancing
patient
care
through
innovative
solutions.
NPP—Digital Psychiatry and Neuroscience,
Год журнала:
2024,
Номер
2(1)
Опубликована: Окт. 18, 2024
Abstract
Many
individuals
with
psychotic
symptoms
have
less
complex
language
than
healthy
individuals.
Word
etymology
is
a
lexical
feature
that
has
not
yet
been
studied
in
clinical
populations,
but
among
individuals,
words
of
Old
French
origin
are
chosen
over
Germanic-origin
to
convey
formality
(e.g.
“inquire”
vs.
“ask”).
Differences
complexity
may
relate
differences
etymological
content
speech.
Here,
we
determined
the
proportion
word
use
and
Old-French-origin
large
cohort
recent-onset
psychosis
or
at
clinically
high
risk
for
psychosis,
hypothesizing
recent
onset
would
increased
decreased
words.
This
hypothesis
was
borne
out,
even
after
adjusting
sex,
age,
recruitment
site,
education,
racial
identity,
subset,
IQ.
Etymology
proportions
were
associated
role
social
functioning
symptoms,
consistent
premise
they
reflect
speech
formality.
Understanding
spectrum
through
lens
lead
new
interventions
improve
functioning.