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Surís X, Pueyo-Sánchez MJ, Ricart A, Naranjo A, Casanova T, Gómez-Vaquero C, Duaso E, Cancio-Trujillo JM, Sánchez-Martín J, Pérez-Mitru A. [Cost-effectiveness analysis of fracture liaison services in Catalonia]. J Healthc Qual Res 2024:S2603-6479(24)00023-X. [PMID: 38614935 DOI: 10.1016/j.jhqr.2024.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 12/13/2023] [Accepted: 03/15/2024] [Indexed: 04/15/2024]
Abstract
OBJECTIVE To assess the cost-effectiveness of Fracture Liaison Service (FLS) compared to the standard of care for secondary prevention of fragility fractures form the perspective of the Catalan Health Service. METHODS Cost-utility assessment through a Markov model that simulated disease progression of a patients' cohort candidates to initiate antiosteoporotic treatment after a fragility fracture. A time horizon of 10 years and a 6-month duration per cycle was established. Clinical, economics and quality of life parameters were obtained from the literature and derived from four Catalan FLS. The Catalan Health Service perspective was adopted, considering direct health costs expressed in 2022 euros. A 3% discount rate was applied on costs and outcomes. Uncertainty was assessed through multiple sensitivity analyses. RESULTS Compared to the standard of care, FLS would promote antiosteoporotic initiation and persistence, reducing the incidence and mortality associated with subsequent fragility fractures. This incremental clinical benefit was estimated at 0.055 years and 0.112 quality-adjusted life years (QALYs) per patient. A higher cost (€1,073.79 per patient) was estimated, resulting into an incremental cost-utility ratio of €9,602.72 per QALYs gained. The sensitivity analyses performed were consistent, corroborating the robustness and conservative approach of the base-case. CONCLUSIONS The introduction of FLS for the secondary prevention of FF would represent a cost-effective strategy from the Catalan Health Service perspective.
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Affiliation(s)
- X Surís
- Departament de Salut, Pla director de les malalties reumàtiques i de l'aparell locomotor, Barcelona, España; Servicio de Reumatología, Hospital General de Granollers, Barcelona, España; Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España; Gerència de Processos Integrats en Salut, Àrea Assistencial, Servei Català de la Salut, Barcelona, España.
| | - M J Pueyo-Sánchez
- Àrea Integral de Salut Barcelona Esquerra, Consorci Sanitari de Barcelona, Regió Sanitària Barcelona, Servei Català de la Salut, Barcelona, España
| | - A Ricart
- Gerència de Processos Integrats en Salut, Àrea Assistencial, Servei Català de la Salut, Barcelona, España
| | - A Naranjo
- Servicio de Reumatología, Hospital Universitario de Gran Canaria Dr. Negrin, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
| | - T Casanova
- Servicio de Medicina Interna, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Barcelona, España
| | - C Gómez-Vaquero
- Servicio de Reumatología, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL)-Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España
| | - E Duaso
- Servicio de Geriatría, Atención Paliativa, Dependencia y Discapacidad, Hospital Universitari d'Igualada (Consorci Sanitari de l'Anoia), Barcelona, España
| | - J M Cancio-Trujillo
- Servicio de Geriatría y Cuidados Paliativos de Badalona Serveis Assistencials (BSA), Barcelona, España; Escuela Superior de Salud de Tecnocampus, Universidad Pompeu Fabra, Barcelona, España
| | | | - A Pérez-Mitru
- Market Access Area, Pharmalex Spain, Barcelona, España
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Coughlin SS, Stepleman L, Casanova T. Hematology and Oncology Fellow Education About Sexual and Reproductive Health. JCO Oncol Pract 2024:OP2400130. [PMID: 38608207 DOI: 10.1200/op.24.00130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 02/29/2024] [Accepted: 03/04/2024] [Indexed: 04/14/2024] Open
Affiliation(s)
- Steven S Coughlin
- Steven S. Coughlin, PhD, Department of Biostatistics, Data Science and Epidemiology, Augusta University, Augusta, GA; Lara Stepleman, PhD, Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA; and Tracy Casanova, PhD, Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA, Georgia Cancer Center, Augusta University, Augusta, GA
| | - Lara Stepleman
- Steven S. Coughlin, PhD, Department of Biostatistics, Data Science and Epidemiology, Augusta University, Augusta, GA; Lara Stepleman, PhD, Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA; and Tracy Casanova, PhD, Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA, Georgia Cancer Center, Augusta University, Augusta, GA
| | - Tracy Casanova
- Steven S. Coughlin, PhD, Department of Biostatistics, Data Science and Epidemiology, Augusta University, Augusta, GA; Lara Stepleman, PhD, Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA; and Tracy Casanova, PhD, Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA, Georgia Cancer Center, Augusta University, Augusta, GA
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Wilson LC, Newins AR, Kassing F, Casanova T. Gender Minority Stress and Resilience Measure: A Meta-Analysis of the Associations with Mental Health in Transgender and Gender Diverse Individuals. Trauma Violence Abuse 2023:15248380231218288. [PMID: 38160246 DOI: 10.1177/15248380231218288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
Transgender and gender diverse (TGD) individuals are more likely to experience mental health difficulties than cisgender individuals due to unique stressors related to their stigmatized gender identity and/or expression. This meta-analysis examined the associations between gender minority stressors and resilience factors, as measured by the Gender Minority Stress and Resilience Measure (GMSR; Testa et al., 2015), and two types of mental health symptoms (i.e., depression and anxiety). A comprehensive literature search and study inclusion process following PRISMA guidelines identified 69 sources, representing 47 unique samples. Mean effect sizes revealed significant positive associations between all GMSR minority stress subscales and anxiety and depression symptoms (rs = .22 to .40) with larger correlations for proximal stressors compared to distal stressors. The GMSR resilience subscales were significantly negatively correlated with anxiety and depression symptoms (rs = -.07 to -.16). These findings highlight the robust relationship between gender minority stressors and mental health symptoms among TGD individuals and indicate a need for addressing these stressors both by reducing exposure to external stressors and by addressing the internalization of those stressors in clinical settings. The small effects for the resilience subscales suggest a need to examine additional resilience factors that may be more pertinent to mental health among TGD individuals.
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Britt-Thomas JY, Kridel M, Velez J, Kouame G, Tharrington S, Barrett T, Casanova T. A scoping review of institutional policies and recommendations for trans inpatient mental health care. J Psychiatr Ment Health Nurs 2023; 30:1043-1053. [PMID: 37202857 DOI: 10.1111/jpm.12933] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 03/30/2023] [Accepted: 05/03/2023] [Indexed: 05/20/2023]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: International guidelines for trans-and-gender-non-conforming (TGNC) exists in outpatient settings. Compared to cisgender and heterosexual people, TGNC individuals are at a higher risk of mental health difficulties and have higher rates of inpatient mental health treatment. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: An international scoping review identifying the lack of guidelines existing for TGNC individuals in inpatient mental health settings. Compared to psychiatrists and psychologists, mental health nursing has the most contact with patients admitted for inpatient psychiatric treatment. The study identifies unaddressed needs in gender affirming policies and outlines preliminary policy recommendations to assist mental health staff in improving TGNC patient quality of care within the United States. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Reforming existing guidelines or creating new guidelines based on the identified themes and gaps to improve the well-being and treatment outcomes of TGNC individuals in inpatient psychiatric settings within the United States. ABSTRACT INTRODUCTION: Access to culturally sensitive care is critical for addressing known mental health disparities among trans-and gender-non-conforming (TGNC) individuals. Although there has been a proliferation of TGNC healthcare guidelines from accrediting bodies, policies have failed to address the needs of TGNC patients in inpatient psychiatric settings. AIM To identify unaddressed needs in policies and policy recommendations for the care of TGNC patients to inform recommendations for change. METHOD A scoping review protocol was developed following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 850 articles were reduced to seven relevant articles with six themes identified via thematic analysis. RESULTS Six themes were identified: lack of consistency in preferred and pronoun use, lack of communication among providers, lack of training in TGNC healthcare, personal bias, lack of formal policies, and housing segregation by sex rather than gender. DISCUSSION The creation of new guidelines or bolstering of existing guidelines to specifically address identified themes and gaps may improve the well-being and treatment outcomes of TGNC individuals in inpatient psychiatric settings. IMPLICATIONS FOR PRACTICE To provide a foundation for future studies to integrate these identified gaps and inform the future development of comprehensive formal policies that generalize TGNC care in inpatient settings.
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Affiliation(s)
- Jessica Y Britt-Thomas
- Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Matthew Kridel
- Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Janina Velez
- Clinical Psychology, The Chicago School of Professional Psychology, Washington, DC, USA
| | - Gail Kouame
- Charles M. Baugh Biomedical Library, University of South Alabama, Mobile, Alabama, USA
| | - Shafer Tharrington
- Robert B. Greenblatt, M.D. Library, Augusta University, Augusta, Georgia, USA
| | - Thomas Barrett
- Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Tracy Casanova
- Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia, USA
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Moore JX, Andrzejak SE, Casanova T, Langston ME, Estvold S, Adsul P. Investigating the Joint Effect of Allostatic Load among Lesbian, Gay, and Bisexual Adults with Risk of Cancer Mortality. Int J Environ Res Public Health 2023; 20:6120. [PMID: 37372707 DOI: 10.3390/ijerph20126120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 05/31/2023] [Accepted: 06/08/2023] [Indexed: 06/29/2023]
Abstract
Sexual minorities (SM) have higher chronic physiologic stress as indicated by allostatic load (AL), which may be explained in part by consistent experiences of discriminatory practices. This is one of the first studies to examine the joint effects of SM status and AL on the association with long-term risk for cancer death. Retrospective analyses were conducted on 12,470 participants using National Health and Nutrition Examination Survey (NHANES) from years 2001 through 2010 linked with the National Death Index through December 31, 2019. Cox proportional hazards models estimated adjusted hazard ratios (aHRs) of cancer deaths between groups of SM (those reporting as gay, lesbian, bisexual, or having same-sex sexual partners) status and AL. SM adults living with high AL (n = 326) had a 2-fold increased risk of cancer death (aHR: 2.55, 95% CI: 1.40-4.65) when compared to straight/heterosexual adults living with low AL (n = 6674). Among those living with high AL, SM (n = 326) had a 2-fold increased risk of cancer death (aHR: 2.26, 95% CI: 1.33-3.84) when compared to straight/heterosexual adults with high AL (n = 4957). SM with high AL have an increased risk of cancer mortality. These findings highlight important implications for promoting a focused agenda on cancer prevention with strategies that reduce chronic stress for SM adults.
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Affiliation(s)
- Justin Xavier Moore
- Cancer Prevention, Control & Population Health Program, Department of Medicine, Augusta University, Augusta, GA 30912, USA
- Institute of Preventive and Public Health, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
| | - Sydney Elizabeth Andrzejak
- Cancer Prevention, Control & Population Health Program, Department of Medicine, Augusta University, Augusta, GA 30912, USA
| | - Tracy Casanova
- Department of Psychiatry and Health Behavior, Georgia Cancer Center, Augusta University, Augusta, GA 30912, USA
| | - Marvin E Langston
- Department of Epidemiology and Population Health, Stanford University, Stanford, CA 49305, USA
| | - Søren Estvold
- Department of Family Medicine, Augusta University, Augusta, GA 20912, USA
| | - Prajakta Adsul
- Division of Epidemiology, Biostatistics and Preventive Medicine, University of New Mexico, Albuquerque, NM 87131, USA
- Cancer Control and Population Sciences Research Program, Comprehensive Cancer Center, University of New Mexico, Albuquerque, NM 87131, USA
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Holt NR, Eldridge-Smith ED, Griffin JA, Stepleman LM, Drescher CF, Casanova T. Differences in Health Care Access, Utilization, and Experiences Among LGBTQ+ Subgroups in the Southern United States. Fam Community Health 2023; 46:58-68. [PMID: 35943219 DOI: 10.1097/fch.0000000000000340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) individuals experience health inequities and barriers to accessing appropriate, affirming care. Little is known about differing health care experiences within the LGBTQ+ population, particularly among individuals living in underserved areas. This study explored health care experiences and utilization among LGBTQ+ subgroups: lesbian and gay cisgender individuals (n = 258), bisexual+ cisgender individuals (n = 71), and transgender and gender-diverse individuals (n = 80). Participants were recruited from a geographic region in South Carolina and Georgia and completed an online survey regarding negative health care experiences, barriers to care, and utilization of different health care venues and services. Results revealed significant differences between LGBTQ+ subgroups, with transgender and gender-diverse participants reporting more discriminatory experiences and greater barriers to care. Bisexual+ cisgender individuals also experienced some disparities compared with lesbian and gay cisgender individuals. Most participants endorsed a need for more competent providers. Findings and recommendations are considered within the context of the Southeastern United States for addressing access and utilization disparities among LGBTQ+ communities.
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Affiliation(s)
- Natalie R Holt
- Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia (Drs Holt, Stepleman, Drescher, and Casanova); and Department of Medicine, National Jewish Health, Denver, Colorado (Dr Eldridge-Smith); Center for LGBTQ Health Equity, Chase Brexton Health Care, Baltimore, Maryland (Dr Griffin). Dr Holt is now at VA Tennessee Valley Healthcare System, Nashville, Tennessee
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Martins J, Vaz R, Costa A, Brás J, Sousa R, Abreu J, Almeida E, Casanova T. Anorexia Nervosa and Gender Dysphoria: A Clinical Case. Eur Psychiatry 2022. [PMCID: PMC9566740 DOI: 10.1192/j.eurpsy.2022.1496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Eating disorders (ED) and gender dysphoria (GD) are associated with a change in body perception. Therefore, body dissatisfaction plays a common and central role in these disorders. In GD, body image concerns are related to the features of the biological sex. In ED, body dissatisfaction comes from a distorted perception of weight and body shape and plays an important role in the development and maintenance of the psychopathology.
Objectives
To present and discuss the clinical case of a patient with a previous diagnosis of GD who presented with a clinical condition suggesting a restrictive anorexia nervosa (AN).
Methods
Patient´s clinical files consultation and literature review using Pubmed and the keywords: eating disorders and gender dysphoria.
Results
We present the case of a 25-year-old patient who was living in a shelter for victims of domestic violence and was admitted for severe restrictive AN. The patient was discharged after 40 days and medicated with sertraline, diazepam and olanzapine, as well as her previous medication (hormonal therapy): cyproterone, finasteride, estradiol, oxybutynin.
Conclusions
Although studies on this subject are still scarce, there has been some progress and the literature recognizes the coexistence of these conditions. However ED symptoms in patients with GD could have a different meaning: they may represent a dysfunctional coping strategy adopted to block features of the biological sex. Therefore health professionals may take a more holistic approach to body image. Additional studies will be necessary, allowing the establishment of cause-consequence interactions between weight loss and psychopathology related to GD.
Disclosure
No significant relationships.
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Cancio JM, Capdevila-Reniu A, Casanova T, Cuadra L, Ivanov A, Llopis A, Santiago JM, Sopena E. Perfil asistencial del paciente con osteoporosis tributario de visita de telemedicina en la era post-COVID-19. Rev Osteoporos Metab Miner 2021. [DOI: 10.4321/s1889-836x2021000100008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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9
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Kassing F, Casanova T, Griffin JA, Wood E, Stepleman LM. The Effects of Polyvictimization on Mental and Physical Health Outcomes in an LGBTQ Sample. J Trauma Stress 2021; 34:161-171. [PMID: 33269807 DOI: 10.1002/jts.22579] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 06/08/2020] [Accepted: 06/09/2020] [Indexed: 11/08/2022]
Abstract
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) individuals are at elevated risk for violent victimization and often experience increased health disparities compared to their non-LGBTQ counterparts. The present study examined associations between polyvictimization and mental and physical health in an LGBTQ sample. Participants included 385 LGBTQ individuals involved in a larger health-needs assessment of LGBTQ individuals living in the southeastern United States. The sample primarily identified as gay/lesbian (63.4%), cisgender (78.7%), and White (66.5%), and the mean participant age was 34.82 years (SD = 13.45). A latent class analysis (LCA) was conducted on seven items assessing different types of violence exposure. The LCA identified a three-class model, with classes characterized by low trauma exposure (71.4%), nondiscriminatory violence (15.1%), and high trauma exposure (13.5%). Differences in demographic characteristics, perceptions of mental and physical health, and diagnoses of specific health conditions were assessed across classes. The high-trauma class reported poorer perceived physical and mental health compared to the other two classes, with mean differences in past-month poor health days ranging from 11.38 to 17.37. There were no differences between the classes regarding specific physical health conditions; however, the high-trauma and nondiscriminatory violence classes had significantly higher rates of anxiety, depression, drug abuse, and suicidality than the low-trauma class, ORs = 2.39-23.83. The present findings suggest that polyvictimization is an important risk factor for poor health among LGBTQ individuals. These results have implications for addressing health disparities among the broader LGBTQ community.
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Affiliation(s)
- Francesca Kassing
- Department of Pediatrics, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA
| | - Tracy Casanova
- Department of Psychiatry and Health Behavior, Augusta University/Medical College of Georgia, Augusta, Georgia, USA
| | - James A Griffin
- LGBT Health Resource Center, Chase Brexton Health Services, Baltimore, Maryland, USA
| | - Elizabeth Wood
- Department of Psychiatry and Health Behavior, Augusta University/Medical College of Georgia, Augusta, Georgia, USA
| | - Lara M Stepleman
- Department of Psychiatry and Health Behavior, Augusta University/Medical College of Georgia, Augusta, Georgia, USA
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Drescher CF, Griffin JA, Casanova T, Kassing F, Wood E, Brands S, Stepleman LM. Associations of physical and sexual violence victimisation, homelessness, and perceptions of safety with suicidality in a community sample of transgender individuals. Psychology & Sexuality 2021. [DOI: 10.1080/19419899.2019.1690032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
| | - James A. Griffin
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA
| | - Tracy Casanova
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA
| | - Francesca Kassing
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA
| | - Elizabeth Wood
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA
| | - Susan Brands
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA
| | - Lara M. Stepleman
- Department of Psychiatry and Health Behavior, Augusta University, Augusta, GA, USA
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Abstract
IntroductionSeveral reviews have reported the incidence of schizophrenia in patients with eating disorders (ED) to be between 3–10% and the incidence of transient psychotic episodes to be 10–15%. On the other hand, anorexia nervosa appears to affect 1 to 4% of schizophrenia patients. Reports of psychosis and ED occurring in the same patient have led to various views as to the nature of the relationship between the two.ObjectiveAnalysis of the literature illustrated by different clinical cases in which appears to be a relationship between ED and psychosis.AimsCritical reflection about the hypothesis that could underlie the comorbidity of psychotic illness and ED.MethodsNon-systematic review of a literature search using the keywords: eating disorders; psychosis; comorbidity.ResultsThere is no consistent sequence in the co-occurrence of the two conditions – ED sometimes precede and sometimes follows the onset of psychosis. ED patients can develop psychotic symptoms, most frequently transient in the course of the disorder, while others are subsequently diagnosed with a chronic psychotic disorder. On the other hand, patients with a primary psychotic illness can develop an eating disorder. The connection between the two, however, remains speculative, considering the hypothesis that ED and psychosis can be entirely separate disorders that can, by chance, occur in the same person.ConclusionsThe area of comorbidity and overlapping symptoms in psychiatry requires more deep research. Despite evidence from case series, the comorbidity between ED and psychosis is poorly understood, and firm conclusions cannot be drawn from this analysis.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Fabricant R, Casanova T, Kaufman HE. Adhesions to manufacturer's trademark on the surface of a posterior chamber lens. J Am Intraocul Implant Soc 1981; 7:169-70. [PMID: 7263491 DOI: 10.1016/s0146-2776(81)80079-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
A case is reported in which posterior synechiae to the manufacturer's trademark on the surface of a Shearing intraocular lens were noted ten days after the implantation of the lens. After a short course of low-concentration miotic therapy, the adhesions were broken. We concluded that irregularities on the surface of the lens, such as a manufacturer's trademark, provide a focus for synechiae. We suggest that intraocular lens manufacturers refrain from providing such identification on their products.
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