research

Surgical patients addicted to cannabis face greater post-op risks

Surgical patients with cannabis use disorder were linked with higher odds of a 30-day hospital readmission, compared to patients who did not use cannabis, according to a first-of-its-kind study led by anesthesiologists at Harvard-affiliated Beth Israel Deaconess Medical Center. Researchers found that patients with a diagnosed cannabis use disorder more often required advanced postprocedural health

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A laugh a day keeps the doctor away?

The former director of psychology at Brigham and Women’s Hospital says laughter has a lot going for it. It makes us feel good, brings people closer together, lightens a workplace, and even, Dattilo has found in her practice, helps those with depression manage their condition. “Health care is expensive,” said Dattilo, an instructor of psychology

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Patients with Long COVID May Have Lower Levels of Brain Oxygen

Source: United Press International – Health News People who have long COVID—lingering symptoms after a COVID-19 infection—may also have lower oxygen levels in the brain, cognitive problems, and psychiatric troubles such as anxiety and depression, according to a pair of new studies. The results on brain oxygen are important, said lead author Dr. Peter Hall,

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Patients’ experiences of being “ghosted” by their psychotherapists.

Psychotherapy, Vol 59(4), Dec 2022, 545-553; doi:10.1037/pst0000454 Psychotherapist ghosting is a type of inappropriate, therapist-initiated termination of treatment in which the therapist ceases communication with their patient without prior notice. A total of 77 patients (M age = 34) who reported being ghosted by their therapist completed a web-based therapist ghosting survey (TGS) that assessed

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Talking about climate change and eco-anxiety in psychotherapy: A qualitative analysis of patients’ experiences.

Psychotherapy, Vol 59(4), Dec 2022, 606-615; doi:10.1037/pst0000449 Citizens’ worries about climate change are often realistic and legitimate. Simultaneously, these worries can also become a source of distress so severe as to impair everyday functioning and prompt someone to seek psychotherapy. These emergent phenomena are often referred to as “climate anxiety” or “climate depression” by the

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Disaggregating between- and within-patient effects of ruptures and resolutions on the therapeutic alliance and symptom severity.

Psychotherapy, Vol 59(4), Dec 2022, 567-571; doi:10.1037/pst0000457 The therapeutic alliance is considered a robust predictor of psychotherapy outcome. Ruptures and resolutions in the alliance have been the focus of recent alliance literature. Most previous studies investigated their between-patient effects. We used hierarchical linear models to disaggregate the between- and within-patient effects of ruptures on the

Disaggregating between- and within-patient effects of ruptures and resolutions on the therapeutic alliance and symptom severity. Read More »

Dementia-Related Behaviors Before, During, and After the Pandemic

Behavioral and psychological symptoms of dementia (BPSD), including depression, anxiety, and psychosis, are ubiquitous among people living with dementia and agnostic to the etiology and stage of illness. Behavioral and psychological symptoms of dementia are associated with poor outcomes for people living with dementia, including reduced quality of life, increased health care use, and nursing home placement as well as worsened caregiver outcomes, including loss of income and employment, increased time providing care, and heightened risk for depression and stress.

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Improved lifestyle is associated with improved depression, anxiety and well-being over time in UK healthcare professionals during the COVID-19 pandemic: insights from the CoPE-HCP cohort study

Background
One potential modifiable factor to improve the mental health of healthcare professionals (HCPs) during the pandemic is lifestyle.

Aims
This study aimed to assess whether an improved lifestyle during the pandemic is associated with improved mental health symptoms and mental well-being in HCPs over time.

Methods
This was a cohort study involving an online survey distributed at two separate time points during the pandemic (baseline (July–September 2020) and follow-up (December 2020–March 2021)) to HCPs working in primary or secondary care in the UK. Both surveys assessed for major depressive disorder (MDD) (Patient Health Questionnaire-9 (PHQ-9)), generalised anxiety disorder (GAD) (Generalised Anxiety Disorder-7 (GAD-7)), mental well-being (Short Warwick-Edinburgh Mental Well-being Score (SWEMWBS)) and self-reported lifestyle change (compared with the start of the pandemic) on multiple domains. Cumulative scores were calculated to estimate overall lifestyle change compared with that before the pandemic (at both baseline and follow-up). At each time point, separate logistic regression models were constructed to relate the lifestyle change score with the presence of MDD, GAD and low mental well-being. Linear regression models were also developed relating the change in lifestyle scores from baseline to follow-up to changes in PHQ-9, GAD-7 and SWEMWBS scores.

Results
613 HCPs completed both baseline assessment and follow-up assessment. Consistent significant cross-sectional associations between increased lifestyle change scores and a reduced risk of MDD, GAD and low mental well-being were observed at both baseline and follow-up. Over the study period, a whole unit increase in the change in novel scores (ie, improved overall lifestyle) over 4 months was inversely associated with changes in PHQ-9 (adjusted coefficient: –0.51, 95% confidence interval (CI): –0.73 to –0.30, p

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