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Journal Cover Canadian Journal of Psychiatry
  [SJR: 1.631]   [H-I: 87]   [17 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0706-7437 - ISSN (Online) 1497-0015
   Published by Sage Publications Homepage  [852 journals]
  • Making Evidence-Based Psychotherapy More Accessible in Canada
    • Authors: Gratzer, D; Goldbloom, D.
      Pages: 618 - 623
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716642416
      Issue No: Vol. 61, No. 10 (2016)
  • National Prevalence of Mental Disorders among Incoming Canadian Male
    • Authors: Beaudette, J. N; Stewart, L. A.
      Pages: 624 - 632
      Abstract: Objective:A current estimate of prevalence rates of mental disorder among Canadian federal offenders is required to facilitate treatment delivery and service planning.Method:The study determined prevalence rates of major mental disorders among newly admitted male offenders entering the federal correctional system in Canada. Data were collected at each regional reception site on consecutive admissions for a 6-month period (N = 1110). Lifetime and current prevalence rates were estimated using the Structured Clinical Interview for DSM Axis I Disorders (SCID-I) and the SCID Axis II Disorders (SCID-II). Degree of impairment was estimated using the Global Assessment of Functioning (GAF) scale. Results were disaggregated by Aboriginal ancestry.Results:The national prevalence rate for any current mental disorder was 73%. The highest rates were for alcohol and substance use disorders; however, over half of participants met the lifetime criteria for a major mental disorder other than alcohol or substance use disorders or antisocial personality disorder. Thirty-eight percent met the criteria for both a current mental disorder and one of the substance use disorders. Fifty-seven percent of offenders with a current Axis I mental disorder were rated as experiencing minimal to moderate functional impairment based on the GAF, indicating that most participants do not require intensive psychiatric services.Conclusions:These results underscore the challenge posed to Canadian federal corrections in providing the necessary mental health services to assist in the management and rehabilitation of a significant percentage of the offender population with mental health needs.
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716639929
      Issue No: Vol. 61, No. 10 (2016)
  • Socio-demographic and Clinical Correlates of Facial Expression Recognition
           Disorder in the Euthymic Phase of Bipolar Patients
    • Authors: Iakimova, G; Moriano, C, Farruggio, L, Jover, F.
      Pages: 633 - 642
      Abstract: Objective:Bipolar patients show social cognitive disorders. The objective of this study is to review facial expression recognition (FER) disorders in bipolar patients (BP) and explore clinical heterogeneity factors that could affect them in the euthymic phase: socio-demographic level, clinical and changing characteristics of the disorder, history of suicide attempt, and abuse.Method:Thirty-four euthymic bipolar patients and 29 control subjects completed a computer task of explicit facial expression recognition and were clinically evaluated.Results:Compared with control subjects, BP patients show: a decrease in fear, anger, and disgust recognition; an extended reaction time for disgust, surprise and neutrality recognition; confusion between fear and surprise, anger and disgust, disgust and sadness, sadness and neutrality. In BP patients, age negatively affects anger and neutrality recognition, as opposed to education level which positively affects recognizing these emotions. The history of patient abuse negatively affects surprise and disgust recognition, and the number of suicide attempts negatively affects disgust and anger recognition.Conclusions:Cognitive heterogeneity in euthymic phase BP patients is affected by several factors inherent to bipolar disorder complexity that should be considered in social cognition study.
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716639927
      Issue No: Vol. 61, No. 10 (2016)
  • Smoking Cessation and the Risk of Hyperactive Delirium in Hospitalized
           Patients: A Retrospective Study
    • Authors: Park, H; Kim, K. W, Yoon, I.-Y.
      Pages: 643 - 651
      Abstract: Objectives:The acute cessation of smoking often induces symptoms that are similar to those associated with delirium. We aimed to evaluate effects of sudden nicotine abstinence on the development of delirium and its motoric subtypes in hospitalized patients.Methods:The present study included patients who were referred to psychiatrists by ward physicians due to confusion. The presence of delirium was defined using the Confusion Assessment Method and the Delirium Rating Scale Revised–98, which was also used to assess the severity of delirium. Outcome variables, including the length of hospital stay and 3-month mortality rate, were collected by a retrospective chart review.Results:Delirium was confirmed in 210 of the 293 referred patients. Of the motoric subtypes of delirium, the hyperactive subtype was more common (68.1%) and was related to higher 3-month mortality (odds ratio [OR], 2.189; 95% confidence interval [CI], 1.07 to 4.49; P = 0.033) compared with hypoactive delirium. Patients undergoing sudden cessation of smoking (n = 55) were more likely to exhibit hyperactive delirium than were nonsmokers (P = 0.001). A multivariate analysis revealed that smoking cessation was an independent risk factor for hyperactive delirium (OR, 10.33; 95% CI, 2.31 to 46.09; P = 0.002). In addition, the amount of smoking was positively correlated with the severity of hyperactivity (r = 0.421, P = 0.003). Smoking status did not significantly influence overall delirium incidence.Conclusions:The present findings demonstrated that nicotine withdrawal was associated with hyperactive delirium, which suggests that they share common pathophysiologies that involve the dopamine, opioid, and cholinergic systems.
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716652401
      Issue No: Vol. 61, No. 10 (2016)
  • Psychometric properties of the French version of a scale measuring
           perceived emotional intelligence : the Trait Meta-Mood Scale (TMMS)
    • Authors: Maria, A.-S; Bourdier, L, Duclos, J, Ringuenet, D, Berthoz, S.
      Pages: 652 - 662
      Abstract: Objective:The Trait Meta-Mood Scale (TMMS), a 30-item self-assessment questionnaire, has been developed to measure perceived emotional intelligence (EI) level in 3 dimensions: Attention, Clarity and Repair. This study aimed to explore the psychometric properties of the French version of this instrument.Method:The instrument factor structure, normality, internal consistency, stability and concurrent validity were assessed in a sample of 824 young adults (456 female). Besides TMMS, participants completed self-assessment questionnaires for affectivity (Shortened Beck Depression Inventory, State and Trait Anxiety Inventory, Positive and Negative emotion scale), alexithymia (Bermond-Vorst Alexithymia Questionnaire-B) and interpersonal functioning (Empathy Quotient). Discriminant validity was tested in 64 female patients with anorexia nervosa, identified in literature as having difficulties with introspection, expression and emotional regulation.Results:Confirmatory factor analysis results replicate the 3-factor structure. Internal consistency and reliability indices are adequate. Direction and degree of correlation coefficients between TMMS dimensions and other questionnaires support the instrument concurrent validity. TMMS allows to highlight differences in perceived EI levels between men and women (Attention: p < 0.001 ; Clarity: p < 0.05) as well as between patients with anorexia nervosa and control subjects (p < 0.001 for all 3 dimensions).Conclusion:This first validation study shows satisfying psychometric properties for TMMS French version.
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716639936
      Issue No: Vol. 61, No. 10 (2016)
  • Gender Difference in Internet Use and Internet Problems among Quebec High
           School Students
    • Authors: Dufour, M; Brunelle, N, Tremblay, J, Leclerc, D, Cousineau, M.-M, Khazaal, Y, Legare, A.-A, Rousseau, M, Berbiche, D.
      Pages: 663 - 668
      Abstract: Objectives:There are presently no data available concerning Internet addiction (IA) problems among adolescents in Canada and the province of Quebec. The goal of this study is thus to document and compare the influence of gender on Internet use and addiction.Method:The study data were collected from a larger research project on gambling among adolescents. Activities conducted online (applications used and time spent) as well as answers to the Internet Addiction Test (IAT) were collected from 3938 adolescents from grades 9 to 11. The two most often employed cut-off points for the IAT in the literature were documented: (40-69 and 70+) and (50+).Results:Boys spent significantly more time on the Internet than did girls. A greater proportion of the girls made intense use of social networks, whereas a greater proportion of the boys made intense use of massively multiplayer online role-playing games, online games, and adult sites. The proportion of adolescents with a potential IA problem varied according to the cut-off employed. When the cut-off was set at 70+, 1.3% of the adolescents were considered to have an IA, while 41.7% were seen to be at risk. At a 50+ cut-off, 18% of the adolescents were considered to have a problem. There was no significant difference between the genders concerning the proportion of adolescents considered to be at risk or presenting IA problems. Finally, analysis of the percentile ranks would seem to show that a cut-off of 50+ better describes the category of young people at risk.Conclusions:The results of this study make it possible to document Internet use and IA in a large number of Quebec adolescents.
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716640755
      Issue No: Vol. 61, No. 10 (2016)
  • Book Review: Cinquante ans de psychiatrie a lUniversite de Montreal
    • Authors: Tempier; R.
      Pages: 669 - 670
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716658455
      Issue No: Vol. 61, No. 10 (2016)
  • Corrigendum
    • Pages: 671 - 671
      PubDate: 2016-09-22T11:15:03-07:00
      DOI: 10.1177/0706743716668541
      Issue No: Vol. 61, No. 10 (2016)
  • Erratum
    • Pages: 672 - 672
      Abstract: Patten SB, Williams JVA, Lavorato DH, et al. Perceived stigma among recipients of mental health care in the general Canadian population. Can J Psychiatry. 2016;61(8): 480-488. (Original
      DOI : 10.1177/0706743716639928)The published French translation of the above article’s abstract was incorrect. The original English abstract for the above article and the correct French translation are provided below:Objectives:The Mental Health Experiences Scale is a measure of perceived stigma, the perception of negative attitudes and behaviours by people with mental disorders. A recent Canadian survey (Canadian Community Health Survey–Mental Health) included this scale, providing an opportunity to describe perceived stigma in relation to diagnosis for the first time in the Canadian general population.Methods:The survey interview began with an assessment of whether respondents had utilised services for an "emotional or mental health problem" in the preceding 12 months. The subset reporting service utilisation were asked whether others "held negative opinions" about them or "treated them unfairly" for reasons related to their mental health. The analysis reported here used frequencies, means, cross-tabulation, and logistic regression, all incorporating recommended replicate sampling weights and bootstrap variance estimation procedures.Results:Stigma was perceived by 24.4% of respondents accessing mental health services. The frequency was higher among younger respondents (
      PubDate: 2016-09-22T11:15:03-07:00
      Issue No: Vol. 61, No. 10 (2016)
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