SMJ // Psychiatry

SMJ Article | Review Article

Cardiovascular Consequences of Anorexia Nervosa: QT Prolongation, Bradycardia, and Structural Cardiac Changes

Anorexia nervosa (AN) is a severe psychiatric disorder with profound cardiovascular consequences, including QT interval prolongation and bradycardia. These abnormalities contribute to an increased risk of life-threatening arrhythmias, sudden cardiac death, and long-term cardiac dysfunction. Although electrolyte imbalances and malnutrition are also recognized as key contributors, the precise mechanisms underlying...

Posted in: Psychiatry9 Eating Disorders (Not Including Obesity)3

SMJ Article | Original Article

Primary Care Clinicians’ Knowledge and Perspectives about Sexual Dysfunction

Objectives: Female sexual dysfunction (FSD) refers to problems with desire, arousal, orgasm, or pain, affecting approximately 12% of US women. Although FSD can be managed in primary care, most primary care clinicians do not regularly treat it. This survey of primary care clinicians practicing at a large US health system...

Posted in: Menopause: Management, Risks, & Benefits of Therapy2 Sexual Disorders And Gender Dysphoria1

SMJ Article | Review Article

Autism Spectrum Disorder in Child and Adolescent Inpatient Psychiatric Settings: Presentation, Clinical Strategies, and Application of the Double Empathy Problem

Children and adolescents with autism spectrum disorder (ASD) have presentations and clinical needs in the inpatient psychiatric (IP) setting that are distinct from those of their neurotypical peers. This narrative review describes the clinical presentations and IP environmental management strategies for youth with ASD. Evidence suggests that traditional IP care...

Posted in: Psychiatry9

SMJ Article | Review Article

Updates in the Management of Patients with Obstructive Sleep Apnea

Obstructive sleep apnea (OSA), a condition with high prevalence, is characterized by reduced dilatory function of pharyngeal muscles, which can be influenced by upper airway narrowing, dilator muscle dysfunction, respiratory dysfunction, and genetics. Three of the most clinically important phenotypes of OSA include disturbed sleep, excessive sleepiness, and minimal symptoms,...

Posted in: Sleep Disorders1

SMJ Article | Original Article

Utilization of Mental Health Services Within 1 Year of Delivery among Different Language Groups

Objectives: Cultural differences can affect postpartum mental health disorders and the utilization of mental health services. We compared women speaking English, Spanish, Russian, and Urdu/Bengali/Punjabi from postpartum through 1 year after delivery. Methods: This was a retrospective study of 3478 pregnant women from a public hospital in New York City....

Posted in: Psychiatry9

SMJ Article | Original Article

Characteristics of a Southern Intensive Trauma- and Psychiatric-Focused Recovery Program

Objectives: Treatment of substance use disorders (SUDs) is complex, involving biological, psychological, and social factors to be considered when designing effective programs. Trauma-informed psychiatric care integrated with a developmentally appropriate intensive 12-step approach is being used at A Reprieve for Women (Reprieve), a long-term intensive residential recovery program for female...

Posted in: Psychiatry9

SMJ Article | Original Article

Association between Body Composition Parameters and Heart Rate in a Sample of Adolescents with Anorexia Nervosa

Objectives: Eating disorders affect the physical and mental health of millions of Americans. Body composition trends in relation to heart rate in adolescents with eating disorders remain understudied. The aim of the present study was to determine whether body composition parameters (percent body fat, percent skeletal muscle mass) are correlated...

Posted in: Eating Disorders (Not Including Obesity)3

SMJ Article | Original Article

Primary Care Clinicians’ Perceived Role in Addressing Childhood Obesity in the Southern United States

Objectives: Primary care is an opportune setting to promote healthy behaviors for children and families. In 2007, an expert committee recommended that pediatric primary care clinicians assess nutrition and physical activity at wellness visits and offer recommendations; however, little is known about what pediatric primary care clinicians perceive their role...

Posted in: Eating Disorders (Not Including Obesity)3

SMJ Article | Original Article

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy

Objectives: Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the relations between procedural anxiety, catastrophizing thoughts, and pain, using a prospective design and multimodal...

Posted in: Gastroenterology48 Psychiatry9
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