It is important that nurses who work with individuals experiencing Serious Mental Illness (SMI) understand the assessment and management of specific communication, speech and language needs. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
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Neighbourhood social context might play a role in modifying mortality outcomes in severe mental illness, but has received little attention to date. Therefore, we aimed to assess in an ethnically diverse and urban location the association of neighbourhood-level characteristics and individual-level factors for all-cause, natural-cause, and unnatural-cause mortality in those with severe mental illness.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
The status and differentiation of comorbid borderline personality disorder and bipolar disorder is worthy of clarification. Aims: To determine whether comorbid borderline personality disorder and bipolar disorder are interdependent or independent conditions. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Both borderline personality disorder and broadly defined bipolar disorder are common (prevalence: 1-6%). Comorbidity occurs in approximately 1 in 5 (Fornaro et al, 2016) with a high symptom overlap; impulsivity, suicidal behaviour and affective instability.
This commonly leads to misdiagnosis in outpatient settings:
25% of patients diagnosed with bipolar disorder were, in fact, borderline personality disorder patients
44% of borderline personality disorder patients had their diagnosis corrected to bipolar disorder.
The problem of misdiagnosis spans psychiatry as this occurs in other conditions (Vöhringer, et al 2016; OConghaile et al, 2015; Zbozinek et al, 2012).
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Psychiatric evaluations of patients' diagnoses and symptoms largely rely on their autobiographical memory, ability to reflect and verbalise their inner experience and behaviour, and the interviewers' ability to conceptualise these communications. Reliable biomarkers for purposes of diagnosis and follow-up of illness course and treatment effectiveness are constantly sought. Both clinical experience and longitudinal research on mood variability among patients with mood disorders indicate a need for improved methods for patient monitoring. To read the full article, log in using your NHS OpenAthens details.
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The relationship between borderline personality disorder (BPD) and bipolar II disorder (BIP‐II) is disputed but understudied. Here, we investigated brain glucose metabolism in these patient groups and healthy control subjects (HCs).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Commentary. People with severe mental illness have higher mortality rates, culminating in about 20 years of lost life compared with that of the general population, and momentum is growing to reduce this inequality.1, 2 In the general population, neighbourhood social context is related to mortality, but whether such patterns also exist for people with severe mental illness has received little attention. Understanding this relationship could allow us to tailor social interventions for this distinctive population. The study by Jayati Das-Munshi and colleagues3 in The Lancet Psychiatry represents a welcome step in that direction, linking higher neighbourhood ethnic density to lower mortality rates among people with severe mental illness from ethnic minority backgrounds. These results raise the intriguing possibility that factors associated with ethnic density might promote longevity among people with severe mental illness.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
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Heart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic nervous system regulation. However, the clinical interpretation of HRV features remain widely debated or unknown. Standardisation within studies of HRV in psychiatric disorders is poor, making it difficult to reproduce or build on previous work. Recently, a Guidelines for Reporting Articles on Psychiatry and Heart rate variability checklist has been proposed to address this issue. Here we assess studies of HRV in bipolar disorder and borderline personality disorder against this checklist and discuss the implication for ongoing research in this area.. To read the full article, log in using your NHS OpenAthens details.
Heart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic nervous system regulation. However, the clinical interpretation of HRV features remain widely debated or unknown. Standardisation within studies of HRV in psychiatric disorders is poor, making it difficult to reproduce or build on previous work. Recently, a Guidelines for Reporting Articles on Psychiatry and Heart rate variability checklist has been proposed to address this issue. Here we assess studies of HRV in bipolar disorder and borderline personality disorder against this checklist and discuss the implication for ongoing research in this area . To read the full article, log in using your NHS OpenAthens details.