Background: The prevalence of suicide among U.S. Army soldiers has risen dramatically in recent years. Prior studies suggest that most soldiers with suicidal behaviors (i.e., ideation, plans, and attempts) had first onsets prior to enlistment. However, those data are based on retrospective self-reports of soldiers later in their Army careers. Unbiased examination of this issue requires investigation of suicidality among new soldiers.

Objective: The development of posttraumatic stress disorder (PTSD) is influenced by preexisting vulnerability factors. The authors aimed at identifying a preexisting biomarker representing a vulnerability factor for the development of PTSD. To that end, they determined whether the dexamethasone binding capacity of leukocytes, as a measure of glucocorticoidreceptor (GR) number, before exposure to trauma was a predictor of development of PTSD symptoms.

IMPORTANCE: The US Army experienced a sharp increase in soldier suicides beginning in 2004. Administrative data reveal that among those at highest risk are soldiers in the 12 months after inpatient treatment of a psychiatric disorder. OBJECTIVE: To develop an actuarial risk algorithm predicting suicide in the 12 months after US Army soldier inpatient treatment of a psychiatricdisorder to target expanded posthospitalization care.

The purpose of this study was to develop an expertise-based prognostic model for the treatment of complex posttraumatic stress disorder (PTSD) and dissociative identity disorder (DID). We developed a survey in 2 rounds: In the first round we surveyed 42 experienced therapists (22 DID and 20 complex PTSD therapists), and in the second round we surveyed a subset of 22 of the 42 therapists (13 DID and 9 complex PTSD therapists). First, we drew on therapists' knowledge of prognostic factors for stabilization-oriented treatment of complex PTSD and DID.

AbstractA substantial minority of individuals exposed to severe or traumatic stress subsequently develops long-lasting mental or physical health problems, which may severely impair daily functioning. These stress-related conditions include posttraumatic stress disorder (PTSD), major depressive disorder (MDD) and severe fatigue. Military personnel deployed to combat zones are particularly at risk for the development of these conditions.

Deployed soldiers are at risk of developing stress-related conditions, including posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and severe fatigue. We previously observed condition- and cell-specific differences in sensitivity of immune cells for regulation by glucocorticoids (GCs) pre-deployment between male soldiers with and without subsequent development of high levels of these stress-related symptoms. Here we investigated whether these pre-deployment dysregulations in GC-sensitivity of immune cells persisted after return from military deployment.

The objective of this study was to determine whether perceived health status of Iraqi immigrants and refugees residing in the United States was related to pre-migration environmental stress, current unemployment, and if they had emigrated before or after the 1991 Gulf War. A random sample of Iraqis residing in Southeast Michigan, US, was interviewed using an Arab language structured survey. The main outcome measure was self-rated health (SRH). Major predictors included socioeconomics, employment status, pre-migration environmental stress, and health disorders.

Dit boek beschrijft de toepassing van ROM voor de behandeling van patiënten. In het eerste hoofdstuk wordt aandacht besteed aan de beleving van patiënten over ROM. Aansluitend gaat het om uiteenlopende patiëntengroepen: ouderen, kinderen, patiënten in de verslavingszorg, de ziekenhuispsychiatrie en de forensische psychiatrie en om speciale doelgroepen zoals patiënten met autisme, een auditieve of een verstandelijke beperking. Ook komen enkele nieuwe ontwikkelingen aan de orde: de Vlaamse methode met procesmetingen, nieuwe inzichten in het meten van veranderingen bij ROM.

We staan in Nederland aan de vooravond van een grote verandering in de ggz, namelijk een poging tot het transparant maken van de uitkomsten van ons werk door middel van ROM (routine outcome monitoring). Het primaire doel van ROM is het kwantitatief evalueren van de behandeling van een patiënt, waardoor we de behandeling bij kunnen stellen of af kunnen sluiten. Secundaire doelen zijn: gegevensverzameling voor beleid, onderzoek en benchmarking. Het dienen van al deze doelen maakt ROM belangrijk, maar ook ingewikkeld.

The purpose of this guideline is to assist the psychiatrist in caring for a patient with dementia. In particular, it seeks to summarize data to inform the care of patients with dementia of the Alzheimer’s type (referred to here as Alzheimer’s disease) and other dementias, including vascular dementia, Parkinson’s disease, dementia with Lewy bodies, and the frontotemporal dementia spectrum disorders.