rss_2.0Global Psychiatry FeedSciendo RSS Feed for Global Psychiatry Psychiatry 's Cover drugs for older patients on polypharmacy: a systematic review reveals best evidence for sertraline<abstract><title style='display:none'>Abstract</title><sec id="j_gp-2018-0005_s_006_w2aab3b7b4b1b6b1aab1c16b1Aa"><title style='display:none' id="d40019945e226_w2aab3b7b4b1b6b1aab1c16b1aAa">Objectives</title><p>There is almost no data on antidepressant prescribing in older adults treated with polypharmacy, although this population represents approximately 50% of older patients. These patients are frequently excluded from double-blind randomized controlled trials, meta-analyses and existing treatment guidelines. The main aim of this paper was to identify data on antidepressant prescribing in depressed older adults on polypharmacy using a systematic review.</p></sec><sec id="j_gp-2018-0005_s_007_w2aab3b7b4b1b6b1aab1c16b2Aa"><title style='display:none' id="d40019945e234_w2aab3b7b4b1b6b1aab1c16b2aAa">Methods</title><p>Randomized controlled clinical trials (RCTs) and other clinical trials in Medline/PubMed without language limitation (-2017) were searched to identify those with older depressed patients on polypharmacy. Only elderly patients (&gt;65 years as mean) were included. Only approved antidepressants were included.</p></sec><sec id="j_gp-2018-0005_s_008_w2aab3b7b4b1b6b1aab1c16b3Aa"><title style='display:none' id="d40019945e242_w2aab3b7b4b1b6b1aab1c16b3aAa">Results</title><p>The systematic search identified 26 different clinical trials, although only one clinical open label trial with sertraline met the final inclusion criteria. This sertraline trial indicated the absence of clinically important drug-drug interactions and confirmed the effectiveness and safety of sertraline in routine clinical practice. Heterogeneity in this trial was high in almost all the categories except attrition and reporting bias.</p></sec><sec id="j_gp-2018-0005_s_009_w2aab3b7b4b1b6b1aab1c16b4Aa"><title style='display:none' id="d40019945e250_w2aab3b7b4b1b6b1aab1c16b4aAa">Conclusions</title><p>Sertraline has the highest evidence level in older adults with depression on polypharmacy. According to the results of this review and due to a low number of appropriate trials, a basic understanding of psychopharmacology is the possible approach to avoid serious problematic drug combinations in these patients. Newer RCTs are also urgently needed. This is the first systematic review including patients treated with polypharmacy, and therefore, its results are important in the field of evidence-based medicine.</p></sec></abstract>ARTICLE2018-06-01T00:00:00.000+00:00A systematic review on the effect of Ramadan on mental health: minor effects and no harm in general, but increased risk of relapse in schizophrenia and bipolar disorder<abstract><title style='display:none'>Abstract</title><sec id="j_gp-2018-0002_s_007_w2aab3b7b1b1b6b1aab1c16b1Aa"><title style='display:none' id="d40019945e2457_w2aab3b7b1b1b6b1aab1c16b1aAa">Objectives</title><p>Globally, Moslems are the second largest religious group. During the month of Ramadan from dawn to sundown, healthy Moslems are required to refrain from eating, drinking, smoking, sexual activity and harmful behaviour towards others and themselves. Thus Ramadan may change individual physical states and social interactions. Both might affect mental health within society. Consequently, this systematic review looks at the various effects of Ramadan on mental health.</p></sec><sec id="j_gp-2018-0002_s_008_w2aab3b7b1b1b6b1aab1c16b2Aa"><title style='display:none' id="d40019945e2465_w2aab3b7b1b1b6b1aab1c16b2aAa">Methods</title><p>A literature search on Ramadan and mental health initially identified 294 papers. We finally selected all 22 relevant papers covering Ramadan and mental health from which study data were extracted.</p></sec><sec id="j_gp-2018-0002_s_009_w2aab3b7b1b1b6b1aab1c16b3Aa"><title style='display:none' id="d40019945e2473_w2aab3b7b1b1b6b1aab1c16b3aAa">Results</title><p>Relevant papers focussed on the general population and healthy volunteers, on subjects practising sports, on subjects with severe physical disorders, on subjects at risk of eating disorders and on subjects with mental health disorders. The effects of Ramadan on mental well-being were mixed. Positive and negative effects were usually minor, except in subjects with schizophrenia and metabolic syndrome, and in subjects with bipolar disorder who suffered a substantial increase of relapses.</p></sec><sec id="j_gp-2018-0002_s_010_w2aab3b7b1b1b6b1aab1c16b4Aa"><title style='display:none' id="d40019945e2481_w2aab3b7b1b1b6b1aab1c16b4aAa">Conclusion</title><p>Ramadan fasting is safe in most conditions and disorders, but caution is required in subjects with schizophrenia and bipolar disorder. The research on mental health and Ramadan would profit from larger studies with more representative samples to help understand the intra-individual and social factors that affect the mental health and well-being in patients and in society. The scientific potential of such studies may have been overlooked in the psychiatric community.</p></sec></abstract>ARTICLE2018-02-11T00:00:00.000+00:00Scientific publishing: a developmental role for the World Psychiatric Association does not improve mental health: a systematic review on football and mental health disorders<abstract><title style='display:none'>Abstract</title><sec id="j_gp-2018-0001_s_006_w2aab3b7ab1b6b1aab1c16b1Aa"><title style='display:none' id="d40019945e6655_w2aab3b7ab1b6b1aab1c16b1aAa">Objective</title><p>Both football (also called association football or soccer) and mental health disorders have a global impact on the lives of billions of people. Football has been used to approach and support subjects with or at risk of mental health disorders. However, it is not clear if football itself has any beneficial effect on the mental health of players, fans or spectators. Consequently, the aim of the current systematic review was to examine if playing or watching football impacts on the frequency of mental health problems in people who are involved in playing or watching the game.</p></sec><sec id="j_gp-2018-0001_s_007_w2aab3b7ab1b6b1aab1c16b2Aa"><title style='display:none' id="d40019945e6663_w2aab3b7ab1b6b1aab1c16b2aAa">Methods</title><p>We performed a systematic review on the relationship between football and mental health disorders. A total of 662 abstracts were screened initially. We identified 17 relevant papers assessing the prevalence of mental health disorders in current and previous football players, referees or spectators.</p></sec><sec id="j_gp-2018-0001_s_008_w2aab3b7ab1b6b1aab1c16b3Aa"><title style='display:none' id="d40019945e6671_w2aab3b7ab1b6b1aab1c16b3aAa">Results</title><p>The prevalence and 12 months incidence of mental health problems in active and retired professional players and referees were similar to or higher than those found in the general population, possibly as response to osteoarthritis, severe injuries, career dissatisfaction, low social support and poor employment status after retirement. Studies in adolescent amateurs and spectators indicate that playing and watching football games may negatively affect subjective mental health, even though qualitative studies indicate mental health benefits of playing or watching football.</p></sec><sec id="j_gp-2018-0001_s_009_w2aab3b7ab1b6b1aab1c16b4Aa"><title style='display:none' id="d40019945e6679_w2aab3b7ab1b6b1aab1c16b4aAa">Discussion</title><p>Players, referees and spectators are unlikely to present with fewer mental health problems than other members of society as a result of their involvement with football. It appears that some of the infrastructure that supports resilience in mental health such as a sense of inclusion, shared purpose and positive peer identification might be developed by playing in or supporting a team. Strategies that may use the assumed positive aspects of football need to be validated before implementation of large projects.</p></sec></abstract>ARTICLE2018-02-26T00:00:00.000+00:00How to write a scientific paper: A hypothesis-based approach<abstract><title style='display:none'>Abstract</title><p>Many books and other published recommendations provide a large, sometimes excessive amount of information to be included, and of mistakes to be avoided in research papers for academic journals. However, there is a lack of simple and clear recommendations on how to write such scientific articles. To make life easier for new authors, we propose a simple hypothesis-based approach, which consistently follows the study hypothesis, section by section throughout the manuscript: The introduction section should develop the study hypothesis, by introducing and explaining the relevant concepts, connecting these concepts and by stating the study hypotheses to be tested at the end. The material and methods section must describe the sample or material, the tools, instruments, procedures and analyses used to test the study hypothesis. The results section must describe the study sample, the data collected and the data analyses that lead to the confirmation or rejection of the hypothesis. The discussion must state if the study hypothesis has been confirmed or rejected, if the study result is comparable to, and compatible with other research. It should evaluate the reliability and validity of the study outcome, clarify the limitations of the study and explore the relevance of the supported or rejected hypothesis for clinical practice and future research. If needed, an abstract at the beginning of the manuscript, usually structured in objectives, material and methods, results and conclusions, should provide summaries in two to three sentences for each section. Acknowledgements, declarations of ethical approval, of informed consent by study subjects, of interests by authors and a reference list will be needed in most scientific journals.</p></abstract>ARTICLE2018-02-11T00:00:00.000+00:00The Main Gaps for Randomized-controlled Trials in Psychiatry: A Bibliometric Study effects of Rhodiola Rosea supplementation on depression, anxiety and mood – A Systematic Review Education in Psychiatry in India<p>Medical education curricula, from around the world, have often neglected psychiatry as a subject of importance in undergraduate medical training.</p>ARTICLE2020-05-21T00:00:00.000+00:00Strategies for mitigating burnout among early career doctors in Nigeria: lessons learnt from the qualitative CHARTING study a psychosocial intervention DIALOG+ for patients with psychotic disorders in low and middle income countries in South Eastern Europe: protocol for a hybrid effectiveness-implementation cluster randomized clinical trial (IMPULSE) of Association between Academic Achievement and Social Phobia among High School Students of Kathmandu of dance movements on stereotype and repetitive behaviours of cases with autism spectrum disorder in adolescents exposed to war trauma Risk factors for development of depression in adolescents exposed to war trauma: does PTSD matter? and Associated Factors among International Students in a Private University of Bangladesh structure of the Albanian version of the Clinical Assessment Interview for Negative Symptoms (CAINS): Associations with the Brief Symptoms Inventory (BSI) portrayal of panic buying: A content analysis of online news portals to measure the impact of the COVID-19 pandemic on quality of life: COV19-QoL – the development, reliability and validity of a new scale Sulaiman Younis: A personal history of psychiatry in Iraq through war and conflict<p>Across four decades of war and violence in Iraq between 1981 and 2003, I undertook my medical training in psychiatry. I chose this specialty in response to the suffering of the bereaved women in Iraq across these rough times. This article details a personal history of my journey specialising in psychiatry through this period in Iraq and the experience of being the first female psychiatrist who accomplished her training through the Iraqi Board of Psychiatry in a programme established in 1988. I reflect on how psychiatry was not the specialisation of choice for female doctors, which created a shortage in the field. This most acutely impacted female trauma victims, who preferred to be treated by female psychiatrists. From the 1950s to 1988, the ratio of psychiatrists in the country increased from 0.2 to 0.5 per 100,000 population. However, this saw a dramatic decrease because of two waves of migration in 1991 and 2003, as of 1998, the ratio of psychiatrists in the country had dropped to 0.1 per 100,000 of the population. The pursuit and development of this specialisation were disrupted by war, invasion and comprehensive sanctions. I also consider the socio-economic impact of these aforementioned events on society as a whole and, in particular, on the medical profession. This account tells the story of my lived experience during those difficult times and my efforts to become an example of a new generation of women psychiatrists.</p>ARTICLE2020-07-09T00:00:00.000+00:00A Multinational Pilot Study on the Lived Experiences and Mental Health Impacts from the COVID-19 Pandemic variability of the current mental health practices around the globe: Twenty days in the lives of psychiatrists and other mental health care professionals from all over the world