Relevant bibliographies by topics / Mental health diagnosis

Academic literature on the topic 'Mental health diagnosis'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Mental health diagnosis"

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Lavoie-Tremblay, Melanie, Jean-Pierre Bonin, Alain Lesage, Lambert Farand, Geneviève L. Lavigne, and Julie Trudel. "Implementation of Diagnosis-Related Mental Health Programs." Health Care Manager 30, no. 1 (January 2011): 4–14. http://dx.doi.org/10.1097/hcm.0b013e3182078a95.

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Yang, Kun, Guang Ming Yang, Yong Huang, and Pan De Jing. "Hydraulic Mental Structure Health Diagnosis Weighting Method." Applied Mechanics and Materials 494-495 (February 2014): 925–31. http://dx.doi.org/10.4028/www.scientific.net/amm.494-495.925.

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By means of inductive analysis the health diagnosis weighting methods in engineering, this paper discusses the basic principle, advantages, disadvantages and applicable scope of weighting methods. On the basis, combining with multi-level, multi-standard and multi-factor characteristic of hydraulic metal structures health diagnosis, the methods of AHP, information gain, information diffusion and improved entropy are studied, which are applicable to hydraulic metal structures health diagnosis weighting. Based on fuzzy theory, the fuzzy multi-level comprehensive weighting method is put forward and studied, which combined both subjective and objective method advantages and its complementary. In addition, it provides the necessary theory foundation and new ideas for the development of hydraulic metal structure health diagnosis technology.
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Stein, Steven J. "Computer-assisted Diagnosis in Children's Mental Health." Applied Psychology 36, no. 3-4 (July 1987): 343–55. http://dx.doi.org/10.1111/j.1464-0597.1987.tb01196.x.

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Stone, Louise, Elizabeth Waldron, and Heather Nowak. "Making a good mental health diagnosis: Science, art and ethics." Australian Journal of General Practice 49, no. 12 (December 1, 2020): 797–802. http://dx.doi.org/10.31128/ajgp-08-20-5606.

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Background There are limitations to psychiatric classification, which affects the utility of diagnosis in general practice. Objective The aim of this article is to explore the principles of science, art and ethics to create clinically useful psychiatric diagnoses in general practice. Discussion Psychiatric classification systems provide useful constructs for clinical practice and research. Evidence-based treatments are based on the classification of mental illnesses. However, while classification is necessary, it is not sufficient to provide a full understanding of ‘what is going on’. A good psychiatric diagnosis will also include a formulation, which provides an understanding of the psychosocial factors that provide a context for illness. Experiences such as trauma and marginalisation will change the illness experience but also provide other forms of evidence that shape therapy. Diagnoses also carry ethical implications, including stigma and changes in self‑concept. The science, art and ethics of diagnosis need to be integrated to provide a complete assessment.
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Mlambo, Kupukai. "Does mental health matter? Commentary on the provision of mental health services in Mozambique." International Psychiatry 9, no. 2 (May 2012): 36–38. http://dx.doi.org/10.1192/s1749367600003064.

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Despite attempts made in recent years to address the diagnosis and treatment of mental illness in Mozambique, service provision remains deficient. The present paper focuses on the attitudes to mental illness and its diagnosis and treatment in Mozambique. This paper is based on both a thorough literature search and on the results of qualitative interviews carried out with six individuals of Mozambican origin now living in the UK.
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McKinnon, Caroline R., and Jane T. Garvin. "Weight Reduction Goal Achievement Among Veterans With Mental Health Diagnoses." Journal of the American Psychiatric Nurses Association 25, no. 4 (September 21, 2018): 257–65. http://dx.doi.org/10.1177/1078390318800594.

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BACKGROUND: Despite the use of weight management programs among veterans, the impact of mental health diagnoses on weight reduction goal achievement is unknown. AIMS: We aimed to describe the prevalence and association of mental health diagnoses with a 5% weight reduction goal achievement. METHODS: Logistic regression was used to describe the association between mental health diagnoses and weight reduction goal achievement at 6, 12, and 24 months among 402 veterans enrolled in a weight management program. RESULTS: More than 43% of veterans had a mental health diagnoses, with depressive disorders, posttraumatic stress disorder (PTSD), and substance use disorders being the most prevalent. At all three times, simply having a mental health diagnosis was not associated with weight reduction goal achievement. Specific diagnoses were associated with a greater likelihood of achieving weight reduction goals at 12 months (PTSD and Drug Use Disorder) and 24 months (Anxiety Disorder and Other Mental Health Diagnosis). CONCLUSION: The findings suggest that unhealthy weight is quite common for individuals with mental health diagnoses; however, weight reduction goal achievement may be equally likely for those with and without mental health diagnoses. The prevalence of mental health diagnoses among veterans seeking weight reduction suggests that psychiatric nurses should be aware of this common comorbidity.
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Trevithick, Liam, Jon Painter, and Patrick Keown. "Mental health clustering and diagnosis in psychiatric in-patients." BJPsych Bulletin 39, no. 3 (June 2015): 119–23. http://dx.doi.org/10.1192/pb.bp.114.047043.

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Aims and methodThis paper investigates the relationship between cluster (Mental Health Clustering Tool, MHCT) and diagnosis in an in-patient population. We analysed the diagnostic make-up of each cluster and the clinical utility of the diagnostic advice in the Department of Health's Mental Health Clustering Booklet. In-patients discharged from working-age adult and older people's services of a National Health Service trust over 1 year were included. Cluster on admission was compared with primary diagnosis on discharge.ResultsOrganic, schizophreniform, anxiety disorder and personality disorders aligned to one superclass cluster. Alcohol and substance misuse, and mood disorders distributed evenly across psychosis and non-psychosis superclass clusters. Two-thirds of diagnoses fell within the MHCT ‘likely’ group and a tenth into the ‘unlikely’ group.Clinical implicationsCluster and diagnosis are best viewed as complimentary systems to describe an individual's needs. Improvements are suggested to the MHCT diagnostic advice in in-patient settings. Substance misuse and affective disorders have a more complex distribution between superclass clusters than all other broad diagnostic groups.
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Boxell, Oliver. "Social context affects mental health stigma." Open Health 1, no. 1 (December 31, 2020): 29–36. http://dx.doi.org/10.1515/openhe-2020-0003.

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AbstractPrior research shows mental health stigma is context-dependent and blocks help-seeking behaviors. Any applied solutions will require basic research to understand these contextual nuances. The present paper presents two timed Likert-type rating studies in which participants scored photographs of individuals with mental health diagnoses and other control condition labels in different social contexts. In the first study (N = 99), participants rated the individuals in a professional context and in a non-professional context. The second study (N = 99) systematically manipulated the attractiveness of the individuals depicted. Professional context moderated mental health stigma, indicating that, relative to control label conditions, participants were less accepting of an individual with a mental health diagnosis label as a medical clinician than as a next-door neighbor. Attractiveness had a uniform effect across all the label conditions, which produced a compounding additive effect in which a mental health diagnosis and low attractiveness negatively impacted the ratings simultaneously. The study used timed implicit judgments to demonstrate empirically how previously unstudied social contexts can affect mental health stigma. Understanding how such contextual effects affect stigma is a prerequisite for the development of interventions to overcome the barriers stigma creates for access to treatment and prevention.
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Sellman, J. Douglas, Alexander R. Wootton, David B. Stoner, Daryle E. Deering, and Brian J. Craig. "Increasing Diagnosis of Nicotine Dependence in Adolescent Mental Health Patients." Australian & New Zealand Journal of Psychiatry 33, no. 6 (December 1999): 869–73. http://dx.doi.org/10.1046/j.1440-1614.1999.00619.x.

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Objective: The aim of this study was to investigate the routine recording patterns of patients' smoking by clinical staff of an adolescent mental health service over a 3-year period. Method: A systematic examination of the clinical files of all patients who underwent an initial assessment or reassessment at the Youth Specialty Service (Mental Health; YSS) over a 2-month period (1 April-31 May) was carried out in 1996, 1997 and 1998. A range of data were collected including: demographics; diagnoses; amount of total information recorded and history of nicotine dependence. Results: A stable historical record of cigarette smoking in the region of 30–40% across the 3 years sampled was found, but the rate of formal diagnosis of nicotine dependence rose from 3.6% in 1996 to 26.3% in 1998. This rise was in the context of relative stability over this time period of: size of reports and relevant sections (alcohol and drug history, cigarette smoking history); three other key diagnoses, major depression, conduct disorder and alcohol dependence; and demographic data. The rise in rate of diagnosis proceeded specific discussion within the clinical team about nicotine dependence. Conclusions: Adolescent mental health settings are a key venue to address heavy and potentially chronic cigarette smoking, but nicotine dependence has been traditionally a neglected diagnosis in mental health patients. The rate of diagnosis is likely to rise when specific discussion is undertaken within clinical teams.
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Schwartz, Robert, Jonathan Lent, and Jonathan Geihsler. "Gender and Diagnosis of Mental Disorders: Implications for Mental Health Counseling." Journal of Mental Health Counseling 33, no. 4 (September 29, 2011): 347–58. http://dx.doi.org/10.17744/mehc.33.4.914g2n123u771316.

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The DSM-IV-TR and epidemiological studies have documented disproportionate gender-related prevalence rates for various mental disorders. However, mental health counselors have largely been omitted from the research base. This study investigated whether gender-specific prevalence rates differ in terms of counselor diagnoses of certain mood, psychotic, adjustment, childhood, and substance-related disorders, and whether these diagnoses exhibit the same gender-related differences as those reported in the DSM-IV-TR and by researchers who are not counselors (N =1,583). Chi square analyses revealed that all disorders studied were disproportionately diagnosed at rates consistent with previously published gender-specific statistics. Clinical and research implications are discussed as they relate to mental health counseling.
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Dissertations / Theses on the topic "Mental health diagnosis"

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Sanchez, Phyllis Nancy. "Psychiatric diagnosis vs medical diagnosis: Are mental health professionals aware?" Diss., The University of Arizona, 1989. http://hdl.handle.net/10150/184826.

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For years research has demonstrated a varying incidence of medical disorders manifesting with psychiatric symptoms. A relatively conservative estimate of such so called "medical masquerades" is around 10%. It is important to ascertain whether health care professionals are aware of possible medical masquerades perhaps most especially in a mental health center outpatient setting where non-medically trained clinicians are the first line therapists for treatment in the majority of cases. This study set about to find out how aware three types of health care clinicians (psychiatrists, nonpsychiatrically trained medical doctors, and non-medically trained mental health psychotherapists) are of the prevalence of medical masquerades, and whether these three types of clinicians perform differently on three types of clinical vignettes (psychiatric, somatoform, and medical masquerades). Results revealed that all health care professionals surveyed are aware that there are a percentage of medical masquerades in the clinical population. Results also revealed that the three types of clinicians performed differently on the case vignettes.
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McKeown, Margaret Mary Olive. "Dual diagnosis : a challenge for acute mental health nursing." Thesis, University of Kent, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.420833.

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Flores, Guadalupe Leon Gomez. "Dually diagnosed mental health clients: A comparative study of those receiving treatment in a dual diagnosis program and those receiving only mental health treatment." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1297.

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Platt, Suzanne. "How do people with a mental health diagnosis construct an identity?" Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/14909/.

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Psychiatric diagnosis is used to categorise and treat mental health problems in the UK yet is widely criticised for struggling to convincingly categorise the experience of distress and that it is socially constructed from the culmination of historical and cultural interactions. Service-user accounts are varied and there is a paucity of qualitative research that considers the positive and negative effects of labelling. To understand identity construction in the context of a psychiatric diagnosis, the present study recruited 16 participants from a service-user research group and five focus groups were conducted. Transcripts were studied using Foucauldian Discourse Analysis. Two major identities were detected ‘illness identity’ and ‘recovery identity’. Participants drew on multiple and competing discourses and which placed them in the position of patient and/or survivor. Medical discourses were dominant throughout the focus groups and were used in a way to convey the fluidity of the identity and how they related to their diagnosis. The study’s limitations are discussed, together with implications for clinical practice and future research.
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Montoro, Richard. "The diagnosis of depression in advanced HIV disease /." Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31274.

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Background. Diagnosing major depression in the medically ill is difficult because of the overlap of somatic symptoms between the two entities. No studies have examined this issue in advanced HIV disease. Methods. Male subjects with a CD4 count ≤200 were recruited from a specialised outpatient HIV treatment centre. They completed a 30 minute questionnaire and then participated in a diagnostic interview with an HIV psychiatrist. Results. Eight (19.0%) of 42 subjects were diagnosed with major depression. Both inclusive and exclusive approaches to the diagnosis increased the prevalence to 21.4%. Predictive items on the self-report depression scales were inserted in a logistic regression. Four items pertaining to self-worth, discouragement, crying and irritability were left in the model. All somatic items were excluded. Conclusion. This study is an important first step in devising a self-report instrument that would be useful in detecting clinical depression in patients with advanced HIV disease.
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Soar, Rod. ""Drugs on the mind" : dual diagnosis : the experience of mental health professionals." University of Ballarat, 2003. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/15384.

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Recent publicity has focused on the problems created by the usage of illicit drugs in the community. The growing use of illicit drugs throughout the Grampians region and the lack of resources and professional services available to regional and rural areas raise many questions as to treatment options and the accessibility and appropriateness of drug and alcohol and mental health services. Despite the fact that mental health professionals in rural/regional areas are expected to deliver the most appropriate care to individuals with a comorbid drug and alcohol and psychiatric disorder, a number of these rural/regional mental health professionals have limited preparation and experience in dealing with dual diagnosis issues. This phenomenological study focuses on the area of dual diagnosis, specifically the experiences of health professionals who care for clients diagnosed with a serious mental illness and a coexisting drug and alcohol disorder. Results are described in the form of four themes, which emerged from data collected during in-depth interviews with 13 mental health professionals who care for clients with a dual diagnosis. The themes captured in this research will be described using metaphors as headings. The first theme Sink or swim represents mental health professionals’ initial preparation to care for this group of complex clientele. Treading water symbolises mental health professionals’ endeavours to keep their head above water and reflects on their feelings while endeavouring to do so. Rowing against the tide describes mental health professionals’ understanding of clients’ drug misuse, which impacts greatly on the level of care.
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Riley, Pamela G. "DSM-5, Asperger's Syndrome Diagnosis, and Mothers' Experiences with Mental Health Services." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6657.

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Mothers who have children with a previous Asperger's syndrome diagnosis had to go through a process to maintain or obtain services for their child when the fifth edition of the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5) removed the diagnosis. Prior to and since the release of the DSM-5 in 2013, there has been an expression of concern in the literature about how this diagnostic change would affect services for children with a previous Asperger's syndrome diagnosis. Current research has not sufficiently explored the experiences mothers have had with this process. The purpose of this hermeneutical phenomenological study was to explore the experiences of mothers since this diagnostic change. Data were collected and saturation was reached at 6 participants using semistructured interviews. Interpretive phenomenological analysis was used to interpret the experiences of these mothers which produced 3 main themes related to the process of obtaining a new diagnosis, insurance-funded services, and educationally-funded services. The results included both subthemes and superordinate themes that highlighted the need for more stakeholder education, difficulty navigating systems, the need for advocacy, concerns about new diagnoses and loss of services, and the public's perception and the stigma associated with the Asperger's syndrome diagnosis both before and after this diagnostic change. Study results may assist with improving counselors and other stakeholder's knowledge about the importance of the mothers' experiences when there is a diagnostic change of this nature. Also, counselor educators can instill the importance of diagnostic accuracy and supporting all stakeholders when teaching new counselors.
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Winter, Zuzana. "Impact of the diagnosis of borderline personality disorder and its diagnostic process." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/14396/.

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Contrary to the long-held assumptions, borderline personality disorder (BPD) is now considered a treatable disorder. Timely assessment has been recognised as one of the key treatment enablers and basic assessment standards have been stipulated by the UK’s National Institute for Health and Clinical Excellence (NICE). The current study was the first to have specifically investigated the quality of the diagnostic process in light of the government recommendations. Interpretative phenomenological analysis was used to analyse semi-structured interviews with eight adult female service users about their lived experiences with the original diagnostic disclosure of BPD. Five master themes and several subthemes featured in the majority of the participants’ experience: a) answer with a question mark; b) if only…; c) BPD like a star sign; d) star signs are not enough; it’s what happens afterwards!; e) being at the mercy of the system. Most participants’ experiences suggested that the original diagnostic process was largely negative and did not follow the national guidelines. Nevertheless, a minority of positive views also emerged. The findings are discussed with reference to the existing literature, whilst also detailing the study’s limitations, clinical and research implications.
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Malchy, Leslie. "Dual diagnosis, the effects of substance abuse on patients with schizophrenia." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33426.

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Comorbidity between Axis I mental disorders and substance use disorders range from 5%--60% (Farrell, 1998; Fowler, 1998). It has been suggested that dually diagnosed patients are inadequately treated for both disorders and that they are problematic from a diagnostic, clinical management and economic perspective. Dual Diagnosis (DD) maybe associated with a number of issues including increased aggression, increased non-compliance with medication (Swartz, 1998), and exacerbated psychopathology (Tomasson, 1997). However, contradictory evidence has also been found (Leon, 1998), which suggests that patients with DD may be a higher functioning population of mentally ill patients. The objectives of the present study were to determine the prevalence and clinical characteristics of dual diagnosis patients in a chronic psychiatric population. A sample of 217 patients with schizophrenia spectrum disorders was randomly sampled from the psychiatric facilities of the Montreal General Hospital. Almost half of the sample presented with comorbid addictive disorders; the most common drugs abused were alcohol, cannabis and cocaine. Those patients who had a lifetime diagnosis of substance abuse or dependence were more likely to be male, had a more severe course of psychiatric illness, higher rates of psychiatric symptomology, were more likely to be tobacco smokers and had higher rates of non-compliance with psychiatric medications. Further analyses revealed lower levels of social support and more legal problems in patients with DD, all of which may negatively impact on the quality of care for dual diagnosis patients in the clinical setting.
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Ward, Max O. "Exploring 'dual diagnosis' treatment motivation." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10459/.

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Section A reviews the clinical and risk implications of dual diagnosis along with the treatment context. The value of gathering firsthand accounts of service users to inform the planning and delivery of healthcare is touched on. The second part of the paper centres on theories of motivation and how they might be applied to help explain low rates of dual diagnosis treatment uptake and engagement. Finally, gaps in the literature are highlighted with recommendations for further research. Section B There is an emerging evidence base to support the use of integrated approaches that treat co-existing mental health and substance use disorders simultaneously. However, low rates of treatment uptake and engagement remain a concern. To address this, it would seem important to understand dual diagnosis treatment motivation and engagement, an area that has received little attention from the research community. The aim of this study was to explore service users’ and clinicians' understandings of how treatment motivation and its relationship with treatment engagement relate specifically to people with dual diagnosis. Transcripts from semi-structured interviews with four service users and four clinicians were analysed using narrative methodology. The study suggests that the factors underpinning treatment motivation and engagement among people viewed as having dual diagnosis are similar to those thought to be associated with addictions and mental health disorders generally although their relative influence and interaction effect might be different. It is suggested that negative perceptions of services, difficulties with trust, and therapeutic relationship are particularly important issues among dual diagnosis populations. Clinical and theoretical implications of the study are discussed in relation to the literature as well as recommendations for future research. Section C: Critical Appraisal. This paper provides a general overview of narrative research, including strengths and limitations as they relate to this study. With reference to the literature, clinical and theoretical implications are elaborated along with recommendations for future research. The author’s critical self-reflections regarding the process of initiating, carrying out and completing the study are highlighted. Following this, there is a section on the ethical considerations of the study. Finally, the measures taken to ensure the quality of the study and maximise internal consistency are presented.
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Books on the topic "Mental health diagnosis"

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Cox, Helen C. Clinical applications of nursing diagnosis: Adult health, child health, women's health, mental health, home health. 2nd ed. Philadelphia: F.A. Davis, 1993.

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John, Birtwistle, ed. Mental health. Oxford: Oxford University Press, 2006.

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Flagging the problem: A new approach to mental health. Dublin: Liberties Press, 2007.

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Minden, Sarah L. Mental health assessment and diagnosis of substancce abusers. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Institute on Drug Abuse, Office of Science Policy, Education and Legislation, Community and Professional Education Branch, 1994.

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Newnes, Craig. Inscription, Diagnosis, Deception and the Mental Health Industry. London: Palgrave Macmillan UK, 2016. http://dx.doi.org/10.1057/9781137312969.

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B, Payne Dorris, ed. Psychiatric-mental health nursing. 4th ed. [New Hyde Park, N.Y.]: Medical Examination Pub. Co., 1986.

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Thomas, Grisso, and Goldstein Alan M, eds. Foundations of forensic mental health assessment. New York: Oxford University Press, 2008.

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Mental health assessments. London: Jessica Kingsley Publishers, 1999.

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W, Jacobson John, Holburn Steve, and Mulick James A. 1948-, eds. Contemporary dual diagnosis MH/MR service models. New York: NADD, 2002.

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McFarland, Gertrude K. Nursing diagnosis and process in psychiatric mental health nursing. Philadelphia, PA: Lippincott, 1986.

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Book chapters on the topic "Mental health diagnosis"

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Fernando, Suman. "Afterthoughts: Power, Diagnosis and the Majority World." In Mental Health Worldwide, 170–73. London: Palgrave Macmillan UK, 2014. http://dx.doi.org/10.1057/9781137329608_12.

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Johnstone, Lucy. "Diagnosis and Formulation." In Psychology, Mental Health and Distress, 101–17. London: Macmillan Education UK, 2013. http://dx.doi.org/10.1007/978-1-137-29589-7_5.

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Moore, Kim. "Dual Diagnosis." In Psychosocial Interventions in Mental Health Nursing, 125–46. 1 Oliver's Yard, 55 City Road London EC1Y 1SP: SAGE Publications, Inc., 2015. http://dx.doi.org/10.4135/9781473909892.n8.

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Spandler, Helen. "The Problem of Psychiatric Diagnosis." In Approved Mental Health Practice, 66–85. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-00014-9_6.

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Ellis, James W. "Residential Placement of “Dual Diagnosis” Clients: Emerging Legal Issues." In Mental Retardation and Mental Health, 326–37. New York, NY: Springer New York, 1988. http://dx.doi.org/10.1007/978-1-4612-3758-7_29.

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Asai, Kunihiko. "Psychiatric Diagnosis and Mental Health Services in Japan." In Psychiatric Diagnosis, 228–40. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4612-0857-0_24.

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Rhi, Bou-Yong. "Psychiatric Diagnosis and Mental Health Care in Korea." In Psychiatric Diagnosis, 241–49. New York, NY: Springer New York, 1994. http://dx.doi.org/10.1007/978-1-4612-0857-0_25.

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Gintner, Gary. "Diagnosis." In Clinical Mental Health Counseling: Elements of Effective Practice, 135–64. 2455 Teller Road, Thousand Oaks California 91320: SAGE Publications, Inc., 2017. http://dx.doi.org/10.4135/9781071801253.n8.

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Szymanski, Ludwik S. "Integrative Approach to Diagnosis of Mental Disorders in Retarded Persons." In Mental Retardation and Mental Health, 124–39. New York, NY: Springer New York, 1988. http://dx.doi.org/10.1007/978-1-4612-3758-7_11.

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Fawcett, Barbara, Zita Weber, and Sheila Wilson. "The Case of Dual Diagnosis." In International Perspectives on Mental Health, 117–28. London: Macmillan Education UK, 2012. http://dx.doi.org/10.1007/978-0-230-36540-7_9.

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Conference papers on the topic "Mental health diagnosis"

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Parimala, G., R. Kayalvizhi, and S. Nithiya. "Mental Health: Detection & Diagnosis." In 2022 International Conference on Computer Communication and Informatics (ICCCI). IEEE, 2022. http://dx.doi.org/10.1109/iccci54379.2022.9740834.

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Darie, Cristina, Mihai Terpan, Alexia Balta, Alexandru Paul Baciu, Carmen Gavrila, Ana Fulga, and Anamaria Ciubara. "DUAL DIAGNOSIS. ALCOHOL CONSUMPTION ASSOCIATED WITH DEPRESSIVE SPECTRUM DISORDERS." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.20.

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Introduction: According to the studies, a quarter of people who drink alcohol suffer at least one depressive episode in their lifetime. It has also been found that one-third of people who suffer from depression, abusively consume psychoactive substances, such as alcohol, as a form of self-healing. Aim: In this retrospective study, we propose to statistically quantify the relationship between alcohol-related mental and behavioural illnesses and depression spectrum disorders. Method: The retrospective study was conducted on a group of hospitalized patients, between January 1st and June 30th, 2018, at "Elisabeta Doamna" Psychiatric Hospital, in Galati, Romania. For diagnosis we used the ICD-10 (The ICD-10 Classification of Mental and Behavioral Disorders. (Clinical description, diagnostic guidelines and psychometric tests, such as HAM-D (Hamilton Depression Rating Scale)), AUDIT (Alcohol Use Disorders Identification Test). Patients were selected among those who had a combination of mental and behavioural disorders due to alcohol and depressive spectrum disorders. Results: Between January 1st and June 30th, 2018, a quarter of total 6316 hospitalized patients, or 24.79% (1566 patients) were diagnosed with alcohol-related disorders, and 5.4% (341 cases) had a dual diagnosis, with alcohol-related disorders associated with depressive elements. During this 6-month period, of all cases of alcohol-related disorders, it was found that approximately 22% had a dual diagnosis, respectively, the combination of alcohol-related disorders with depressive spectrum disorders or depressive elements. Conclusions: Unfortunately, it is estimated that depression will become a secondary cause of disability worldwide after cardiovascular disease. According to the WHO (World Health Organization), this disease affects more than 320 million people worldwide, and its combination with alcohol abuse is alarming. Therefore, patients with dual diagnosis require a multidisciplinary therapeutic approach to reduce or even neutralize the adverse consequences that may occur in the psycho-social, medical, family, economic, or behavioural context.
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Metelski, Fernanda K., Betina H. S. Meirelles, Letícia L. Trindade, and Wilson J. C. P. Abreu. "Disclosure of HIV Diagnosis." In International Meeting on Literacy and Positive Mental Health. Basel Switzerland: MDPI, 2022. http://dx.doi.org/10.3390/msf2022016001.

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Rosu, Ioana, Alina Ioana Voinea, and Petronela Nechita. "FACTITIOUS DISORDERS – CHALLENGES IN PSYCHIATRIC DIAGNOSIS." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.23.

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Introduction: Factitious disorders is a group of psychiatric pathologies in which a person acts as if he has an illness by deliberately producing or exaggerating symptoms on them, or sometimes they use a “victim” in order to catch the attention of the others. Usually, the real causes for this kind of behavior are emotional impairments and personality disorders. Munchausen syndrome and Munchausen by proxy syndrome are the most known of these disorders. Aim: The aim of this paper is to raise awareness for this kind of disorder because they are an extensive problem for the medical system and in many cases, they are hard to diagnose and manage. Method: We started by observing and documenting an unusual case of Munchausen syndrome at a patient from Infantile Neuropsychiatric Clinic of Psychiatry Institute “Socola”, Iasi and her mother with Munchausen by proxy syndrome. We compered this pair of cases with data reviews on the subject to see what are the challenges that are common for this kind of pathologies and how we can manage them. Conclusions: We concluded that factitious disorders are more common that is thought they are. Doctors tend to let this diagnose on the last place because the priority is to resolve the somatic symptoms of the patient. That is why we must acknowledge and understand how to manage this kind of mental disorder.
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Darie, Cristina, Diana Bulgaru Iliescu, Sorin Ungurianu, and Anamaria Ciubara. "THE ONSET OF DEMENTIA THROUGH THE COTARD SYNDROME - THE DELIRIUM OF NEGATION." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.21.

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ICD-10 (The ICD-10 Classification of Mental and Behavioral Disorders. Clinical description and diagnostic guidelines) Introduction. Cotard syndrome is a neuropsychiatric pathology that is uncommon in medical practice but has a significant impact on public awareness of the importance of mental health. This mental disorder is also known as negation delirium, living dead syndrome, nihilistic delirium, or walking corpse syndrome. Objectives. A clinical case of a patient diagnosed with dementia due to late-onset Alzheimer's disease is presented; dementia also includes symptoms of Cotard's syndrome. Over time, the transmission of knowledge and data about Cotard Syndrome, despite its very low frequency, has become a pathology that intrigues and inspires curiosity among individuals. Consciousness of the existence of this delirious illness and the accurate definition of the symptoms of a dual diagnosis are required in a number of psychiatric pathologies. Method. This document was created using the "Elisabeta Doamna" psychiatry hospital Database from Galati, Romania, where patient data was acquired and admitted to the Psychiatry Clinic Section II. In addition, a variety of bibliographical references and diagnostic criteria were utilized, including the ICD-10 (the Classification of Mental and Behavioral Disorders, Clinical Description, and Diagnostic Guidelines), the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders), and the psychometric tests: the MMSE (the Mini Mental Status Test) and the GAFS (the Global Functioning Assessment Scale). Results and Conclusions Despite having no psychiatric history, the patient arrived at the psychiatric hospital after experiencing psychiatric symptoms caused by both Alzheimer's disease and Cotard's syndrome, symptoms that were ignored and gradually deteriorated, resulting in full-blown delirium, rapid dementia degradation, and a not-very-favorable outlook.
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"Methods of Diagnosis and Treatment of Somatic Symptom Disorder." In Congress on mental health meeting the needs of the XXI century. Gorodets, 2016. http://dx.doi.org/10.22343/mental-health-congress-compendium254-257.

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"Limitations to mental health diagnosis in Jordan: ADHD among Jordanian medical students." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/ngen7567.

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Background: Being a medical student is associated with a higher prevalence of ADHD and little efforts have been made to understand the limitations of mental health diagnosis in Jordan. Objective: The purpose of this descriptive study is aimed at estimating the prevalence of medical students seeking professional help regarding their mental health. Method: An online questionnaire was conducted among medical students and data was obtained and analyzed using google forms. 100 Medical students were involved in the study. The Survey included questions related to the student's awareness about ADHD, their experience seeking care from mental services, and barriers to seeking support. Results: The Results of the present study showed that 67% of responders think that they have some form of ADHD. 78.3% of them have never tried seeking mental health services. When asked about the barriers to getting a professional diagnosis, 40.6% of the participants had limited access to mental healthcare services as their first concern. 24.6% of participants were concerned about privacy and trust in medical services and only 2.9% had barriers related to religion, making it the least effector in the equation. Conclusion: These trends suggest that efforts should be directed toward making mental health services more accessible, and reliable. The trustworthiness of the system is a crucial factor affecting the decision of seeking help. Keywords: ADHD, Students, Mental health in Jordan
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Damian, Maria-Cristina, Mihai Terpan, Doina Carina Voinescu, Alexandru Paul Baciu, Carmen Gavrila, Alexia Balta, and Anamaria Ciubara. "EATING DISORDERS ASSOCIATED WITH MOOD [AFFECTIVE] DISORDERS." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.27.

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Introduction: Eating disorders are mental illnesses characterised by abnormal eating habits that have a negative impact on a person's physical or mental health. In the last decade hospitalizations which included eating disorders increased among all age groups. The assessment of eating disorders associated with affective disorders has important clinical implications, but the standard psychiatric classification DSM-5 (American Psychiatry Association, 2013) and ICD-10 (World Health Organization, 1993) are limited. Objectives: The current study aims to broaden the evaluation of this association and better understand its clinical implications. In addition, the study's goal is to comprehend the implications of eating disorders in Galaţi County. Method: We conducted a retrospective study on 147 patients with eating disorders and mood [affective] disorders who were admitted to the Psychiatry Hospital "Elisabeta Doamna" Galati between January 1 and February 1, 2019.We used ICD-10 (Classification of Mental and Behavioral Disorders) and DSM-5 criteria for diagnosis (Diagnostic and Statistical Manual of Mental Disorders). Results: In the period from 1 January 2019 - 1 February 2019 a total of 1131 patients was admitted in the Psychiatry Hospital, Of these, 147 were diagnosed with mood (affective) disorders, of whom 17 patients (12%) associated disorder and food as well as the independent disorder. Among these patients, the percentage of women with eating disorders associated with the affective disorder was 82 % and the percentage of men was 18 %. Conclusions: According to the findings, women are more likely to associate eating disorders with mood [affective] disorders. We also found a poor relationship between eating disorders and affective disorders, with eating disorders being associated with a high percentage of other psychiatric disorders, which is represented by alcohol and substance use, but also by high-impact diseases like Alzheimer's disease and schizophrenia.
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"Differential Diagnosis of Speech and Mental Disturbance of Children of Preschool Age." In Congress on mental health meeting the needs of the XXI century. Gorodets, 2016. http://dx.doi.org/10.22343/mental-health-congress-compendium234-237.

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Pâslaru, Ana-Maria, Ana Fulga, Elena Niculet, Laura Florentina Rebegea, Iuliu Fulga, and Anamaria Ciubara. "SUPRACLAVICULAR AND CERVICAL LYMPH NODE METASTASES HAVING CERVICAL CANCER AS STARTING POINT. CASE PRESENTATION." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.10.

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Introduction: Cervical cancer is the fourth most frequently found cancer among women worldwide. Numerous studies have underlined that persistent infection with human papilloma virus is the most important risk factor, two strains of the same virus – 16 and 18 being responsible for approximately 70% of the cases. Cervical cancer rarely metastasizes in the cervical lymph nodes and this indicates a poor prognosis. Literature data reports an incidence for left supraclavicular M1LYm of 0.1-1.5%. Material and Method: We bring attention to the case of a 44-year-old patient from the rural area who was diagnosed in January 2019 with stage IIIB cervical cancer, represented morphologically by a poorly differentiated squamous cell carcinoma. When admitted, the patient presented clinically with vaginal hemorrhage, intense abdominal and pelvic pain, fatigue, a dynamic, significant weight loss. The physiological personal history revealed nine pregnancies, the first one when she was 16. After pretherapeutic evaluation, the multidisciplinary committee decides performing simultaneous radio-chemotherapy with platinum salts. During the second week of treatment clinical examination revealed left cervical and supraclavicular adenopathy, both documented through imaging evaluation. Lymph node biopsy is done and its histopathological aspect, correlated with the immunohistochemistry profile supports the diagnosis of poorly differentiated squamous cell carcinoma lymph node metastasis. The initial treatment scheme is maintained, the patient being discharged with clinical remission of cervical and supraclavicular lymph node metastasis. Conclusions: The peculiarity of the case is determined by the distant metastases in the left cervical and supraclavicular lymph nodes, a rare finding during treatment, which was associated with a poor prognosis; in this case treatment was done for palliative purposes. Rapid diagnosis is the main factor that conditions the therapeutic results and chances for healing.
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Reports on the topic "Mental health diagnosis"

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Novak, Sova. Diagnosis of Mental Illness Today and Tomorrow: A Literary Review of the Current Methods, Drawbacks, and Sociological Components of Mental Health with Regard to the Diagnosis of Mental Illness. Portland State University Library, January 2015. http://dx.doi.org/10.15760/honors.208.

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Freedman, Seth, Kelli Marquardt, Dario Salcedo, and Coady Wing. Societal Disruptions and Child Mental Health: Evidence from ADHD Diagnosis During the Covid-19 Pandemic. Federal Reserve Bank of Chicago, 2023. http://dx.doi.org/10.21033/wp-2023-04.

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Robin Lynn Treptow, Robin Lynn Treptow. Does bias about medical diagnosis link to expectations of mental health problems for infants and their parents? Experiment, December 2016. http://dx.doi.org/10.18258/8721.

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Madu, Laura, Jacqueline Sharp, and Bobby Bellflower. Efficacy of Integrating CBT for Mental Health Care into Substance Abuse Treatment in Patients with Comorbid Disorders of Substance Abuse and Mental Illness. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0004.

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Abstract: Multiple studies have found that psychiatric disorders, like mood disorders and substance use disorders, are highly comorbid among adults with either disorder. Integrated treatment refers to the treatment of two or more conditions and the use of multiple therapies such as the combination of psychotherapy and pharmacotherapy. Integrated therapy for comorbidity per numerous studies has consistently been superior to the treatment of individual disorders separately. The purpose of this QI project was to identify the effectiveness of Cognitive Behavioral Therapy (CBT) instead of current treatment as usual for treating Substance Use Disorder (SUD) or mental health diagnosis independently. It is a retrospective chart review. The review examines CBT's efficacy for engaging individuals with co-occurring mood and substance u se disorders in treatment by enhancing adherence and preventing disengagement and relapse. Methods: Forty adults aged 26-55 with a DSM-IV diagnosis of a mood disorder of Major Depressive Disorder and/or anxiety and concurrent substance use disorder (at least weekly use in the past month). Participants received 12 sessions of individual integrated CBT treatment delivered with case management over a 12-week period. Results: The intervention was associated with significant improvements in mood disorder, substance use, and coping skills at 4, 8, and 12 weeks post-treatment. Conclusions: These results provide some evidence for the effectiveness of the integrated CBT intervention in individuals with co-occurring disorders. Of note, all psychotherapies are efficacious; however, it would be more advantageous to develop a standardized CBT that identifies variables that facilitate treatment outcomes specifically to comorbid disorders of substance use and mood disorders. It is concluded that there is potentially more to be gained from further studies using randomized controlled designs to determine its efficacy.
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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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Squiers, Linda, Mariam Siddiqui, Ishu Kataria, Preet K. Dhillon, Aastha Aggarwal, Carla Bann, Molly Lynch, and Laura Nyblade. Perceived, Experienced, and Internalized Cancer Stigma: Perspectives of Cancer Patients and Caregivers in India. RTI Press, April 2021. http://dx.doi.org/10.3768/rtipress.2021.rr.0044.2104.

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Cancer stigma may lead to delayed diagnosis and treatment, especially in low- and middle-income countries. This exploratory, pilot study was conducted in India to explore the degree to which cancer stigma is perceived, experienced, and internalized among adults living with cancer and their primary caregivers. We conducted a survey of cancer patients and their caregivers in two Indian cities. The survey assessed perceived, experienced, and internalized stigma; demographic characteristics; patient cancer history; mental health; and social support. A purposive sample of 20 cancer survivor and caregiver dyads was drawn from an ongoing population-based cohort study. Overall, 85 percent of patients and 75 percent of caregivers reported experiencing some level (i.e., yes response to at least one of the items) of perceived, experienced, or internalized stigma. Both patients (85 percent) and caregivers (65 percent) perceived that community members hold at least one stigmatizing belief or attitude toward people with cancer. About 60 percent of patients reported experiencing stigma, and over one-third of patients and caregivers had internalized stigma. The findings indicate that fatalistic beliefs about cancer are prevalent, and basic education about cancer for the general public, patients, and caregivers is required. Cancer-related stigma in India should continue to be studied to determine and address its prevalence, root causes, and influence on achieving physical and mental health-related outcomes.
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Gratzke, Michael. ‘Confessions of a MILF (I chose being an artist over being a wife)’. Love and relationships in Viv Albertine’s memoirs. University of Dundee, February 2022. http://dx.doi.org/10.20933/100001240.

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The memoirs of (post-) punk musician Viv Albertine address the issue of choice or lack thereof in romantic and family relationships. They depict a world in which choice of romantic partners appears normal if often unsuccessful, whereas choice within family relationships is restricted. It is self-evident that one cannot choose one’s blood relatives. However, amplified by Albertine’s scepticism towards any social relationships, her two memoirs represent ‘negative choice’ (Eva Illouz) in heterosexual romantic relationships and the complex ways in which negative choice can change family dynamics. In her memoirs, Albertine presents loneliness as the opposite of love which aligns with her model of choice, as it is preferable to live a lonely life over being bound up in love relationships, romantic or familial, which are harmful to one’s wellbeing. This article demonstrates how the ethos of early punk is translated into an uncompromising process of life writing which presents itself as faithfulness towards the individual’s core need for self-realisation and self-expression against the backdrop of failing romantic and familial relationships, severe physical and mental health problems, a self-diagnosis of autism and a patriarchal society.
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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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Brown, Amy, Donielle White, Nikki Adams, Adaeze O’Jiaku-Okorie, Rihem Badwe, Salah Shaikh, and Adewumi Adegboye. Identifying Co-occurring Disorders Among Patients With an Opioid-involved Hospital Encounter Using National Hospital Care Survey Data. National Center for Health Statistics (U.S.), September 2022. http://dx.doi.org/10.15620/cdc:119155.

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This report documents the development of the 2016 National Hospital Care Survey Co-occurring Disorders Algorithm, which can be used to identify patients with an opioid-involved hospital encounter who had lifetime diagnoses of both a substance use disorderand a selected mental health issue.
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Travis, Amanda, Margaret Harvey, and Michelle Rickard. Adverse Childhood Experiences and Urinary Incontinence in Elementary School Aged Children. University of Tennessee Health Science Center, October 2021. http://dx.doi.org/10.21007/con.dnp.2021.0012.

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Purpose/Background: Adverse Childhood Experiences (ACEs) have an impact on health throughout the lifespan (Filletti et al., 1999; Hughes et al., 2017). These experiences range from physical and mental abuse, substance abuse in the home, parental separation or loss, financial instability, acute illness or injury, witnessing violence in the home or community, and incarceration of family members (Hughes et al., 2017). Understanding and screening for ACEs in children with urinary incontinence can help practitioners identify psychological stress as a potentially modifiable risk factor. Methods: A 5-month chart review was performed identifying English speaking patients ages 6-11 years presenting to the outpatient urology office for an initial visit with a primary diagnosis of urinary incontinence. Charts were reviewed for documentation of individual or family risk factors for ACEs exposure, community risk factors for ACEs exposures, and records where no related documentation was included. Results: For the thirty-nine patients identified, no community risk factors were noted in the charts. Seventy-nine percent of patients had one or more individual or family risk factors documented. Implications for Nursing Practice This chart review indicates that a significant percentage of pediatric, school-aged patients presenting with urinary incontinence have exposure to ACEs. A formal assessment for ACEs at the time of initial presentation would be helpful to identify those at highest risk. References: Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14:245–258 Hughes, K., Bellis, M.A., Hardcastle, K.A., Sethi, D., Butchart, D., Mikton, C., Jones, L., Dunne, M.P. (2017) The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health, 2(8): e356–e366. Published online 2017 Jul 31.doi: 10.1016/S2468-2667(17)30118-4 Lai, H., Gardner, V., Vetter, J., & Andriole, G. L. (2015). Correlation between psychological stress levels and the severity of overactive bladder symptoms. BMC urology, 15, 14. doi:10.1186/s12894-015-0009-6
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