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Adjunctive Brexpiprazole for Patient Life Engagement in Major Depressive Disorder: A Canadian, Phase 4, Open-Label, Interventional Study Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-03-01 François Therrien, Caroline Ward, Pratap Chokka, Jeffrey Habert, Zahinoor Ismail, Roger S. McIntyre, Erin M. MacKenzie
ObjectivesTo characterize the effects of adjunctive brexpiprazole on patient life engagement and depressive symptoms in patients with major depressive disorder (MDD) using patient-reported outcomes.MethodsAn 8-week, Phase 4, open-label, interventional study was conducted at 15 Canadian trial sites between April 2021 and May 2022. Adult outpatients with MDD (at least moderately severe) and inadequate
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Racial/Ethnic Disparities in Psychiatric Traits and Diagnoses within a Community-based Sample of Children and Youth Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-03-01 Andrew Dissanayake, Annie Dupuis, Christie L. Burton, Noam Soreni, Paul Peters, Amy Gajaria, Paul D. Arnold, Russell Schachar, Jennifer Crosbie
ObjectiveRacial/ethnic disparities in the prevalence of psychiatric disorders have been reported, but have not accounted for the prevalence of the traits that underlie these disorders. Examining rates of diagnoses in relation to traits may yield a clearer understanding of the degree to which racial/ethnic minority youth in Canada differ in their access to care. We sought to examine differences in
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Patient Perceptions of Microbiome-Based Therapies as Novel Treatments for Mood Disorders: A Mixed Methods Study Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-02-28 Dina Moinul, Chenhui Hao, Gina Dimitropoulos, Valerie H. Taylor
ObjectiveMedications are critical for treating major depressive disorder (MDD) and bipolar disorder (BD). Unfortunately, 30% to 40% of individuals do not respond well to current pharmacotherapy. Given the compelling growing body of research on the gut-brain axis, this study aims to assess patient perspectives regarding microbiome-based therapies (MBT) such as probiotics, prebiotics, dietary changes
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Effect of Cannabis Legalization in Canada on the Incidence of Psychosis Consultations in Quebec City's Psychiatric Emergency Services Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-02-21 Sophie L’Heureux, Maxime Huot-Lavoie, Audrey Bergeron, Christina Bergeron, Bruno-Pier Blouin, Marc-André Roy
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The Mental Health of First Nations Children in Manitoba: A Population-Based Retrospective Cohort Study Using Linked Administrative Data Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-02-12 Mariette J Chartier, Marni Brownell, Leona Star, Nora Murdock, Rhonda Campbell, Wanda Phillips-Beck, Mabel Horton, Chelsey Meade, Wendy Au, Jennifer Schultz, John-Michael Bowes, Brooke Cochrane
ObjectiveFirst Nations children face a greater risk of experiencing mental disorders than other children from the general population because of family and societal factors, yet there is little research examining their mental health. This study compares diagnosed mental disorders and suicidal behaviours of First Nations children living on-reserve and off-reserve to all other children living in Manitoba
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Évaluation de la structure factorielle et des qualités psychométriques de l'Échelle de Fatigue Pandémique parmi la population adulte québécoise Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-01-09 Jacques D. Marleau, Elsa Landaverde, Mélissa Généreux
AbrégéObjectifL’objectif de l’étude est d’évaluer la structure factorielle et les qualités psychométriques de l’Échelle de Fatigue Pandémique parmi la population adulte québécoise.MéthodeLes données analysées proviennent d’une enquête Web réalisée en octobre 2021 auprès de 10 368 adultes résidant au Québec. La structure factorielle de l’échelle et l’invariance selon le sexe, l’âge et la langue utilisée
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A Retrospective Cohort Analysis of Mental Health-Related Emergency Department Visits Among Veterans and Non-Veterans Residing in Ontario, Canada Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-01-05 Kate St. Cyr, Peter Smith, Paul Kurdyak, Heidi Cramm, Alice B. Aiken, Alyson Mahar
ObjectivesEmergency departments (EDs) are a vital part of healthcare systems, at times acting as a gateway to community-based mental health (MH) services. This may be particularly true for veterans of the Royal Canadian Mounted Police who were released prior to 2013 and the Canadian Armed Forces, as these individuals transition from federal to provincial healthcare coverage on release and may use EDs
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Changes in Media Reporting Quality and Suicides Following National Media Engagement on Responsible Reporting of Suicide in Canada Can. J. Psychiatr. (IF 4.0) Pub Date : 2024-01-04 Mark Sinyor, Daniella Ekstein, Nivetha Prabaharan, Lisa Fiksenbaum, Caroline Vandermeer, Ayal Schaffer, Jane Pirkis, Marnin J. Heisel, Benjamin I. Goldstein, Donald A. Redelmeier, Paul Taylor, Thomas Niederkrotenthaler
ObjectiveResponsible media reporting is an accepted strategy for preventing suicide. In 2015, suicide prevention experts launched a media engagement initiative aimed at improving suicide-related reporting in Canada; its impact on media reporting quality and suicide deaths is unknown.MethodThis pre–post observational study examined changes in reporting characteristics in a random sample of suicide-related
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The Influence of Personality Disorder Symptoms on Treatment Outcomes in Bipolar Disorder: A Secondary Analysis of a Randomised Controlled Trial. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-11-15 Alessandra Sarmiento,Olivia M Dean,Bianca E Kavanagh,Mohammadreza Mohebbi,Michael Berk,Seetal Dodd,Sue M Cotton,Gin S Malhi,Chee H Ng,Alyna Turner
OBJECTIVES Many people who are diagnosed with bipolar disorder also have comorbid personality disorder. Few studies have explored how personality disorder may influence pharmacological treatment outcomes. The aim of this study was to conduct a secondary analysis of data from a clinical trial of adjunctive nutraceutical treatments for bipolar depression, to determine whether maladaptive personality
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Prevalence and Incidence Trends of Attention Deficit/Hyperactivity Disorder in Children and Youth Aged 1-24 Years in Ontario, Canada: A Validation Study of Health Administrative Data Algorithms. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-11-13 Debra A Butt,Liisa Jaakkimainen,Karen Tu
OBJECTIVE To estimate prevalence and incidence rates over time in children and youth with attention deficit/hyperactivity disorder from the validation of population-based administrative data algorithms using family physicians' electronic medical records as a reference standard. METHODS A retrospective cohort study was conducted in Ontario, Canada to identify attention deficit/hyperactivity disorder
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Components of Outpatient Child and Youth Concurrent Disorders Programs: A Critical Interpretive Synthesis. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-11-09 Tea Rosic,Elizabeth Lovell,Harriet MacMillan,Zainab Samaan,Rebecca L Morgan
OBJECTIVE Co-occurring mental health and substance use disorders (concurrent disorders) lead to significant morbidity in children and youth. Programs for integrated treatment of concurrent disorders have been developed; however, there exists little guidance outlining their structure and activities. Our objective was to synthesize available information on outpatient child and youth concurrent disorders
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Cannabidiol as an Adjunctive Treatment for Acute Bipolar Depression: A Pilot Study. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-11-03 Jairo Vinícius Pinto,José Alexandre S Crippa,Keila Maria Ceresér,Miréia Fortes Vianna-Sulzbach,Érico de Moura Silveira Júnior,Gabriel Santana da Rosa,Manoella Guatimuzim Testa da Silva,Gabriel Henrique Hizo,Leonardo Simão Medeiros,Carlos Eduardo Santana de Oliveira,Giovana Bristot,Alline Cristina Campos,Francisco Silveira Guimarães,Jaime E C Hallak,Antonio W Zuardi,Lakshmi N Yatham,Flávio Kapczinski
OBJECTIVE The treatment of bipolar depression remains challenging due to the limited effective and safe therapeutic options available; thus, developing newer treatments that are effective and well tolerable is an urgent unmet need. The objective of the present trial was to test 150 to 300 mg/day of cannabidiol as an adjunctive treatment for bipolar depression. METHOD A randomized, double-blind, placebo-controlled
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Prediction of Early Antidepressant Efficacy in Patients with Major Depressive Disorder Based on Multidimensional Features of rs-fMRI and P11 Gene DNA Methylation. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-11-03 Tianyu Wang,Chenjie Gao,Jiaxing Li,Lei Li,Yingying Yue,Xiaoyun Liu,Suzhen Chen,Zhenghua Hou,Yingying Yin,Wenhao Jiang,Zhi Xu,Youyong Kong,Yonggui Yuan
OBJECTIVE This study established a machine learning model based on the multidimensional data of resting-state functional activity of the brain and P11 gene DNA methylation to predict the early efficacy of antidepressant treatment in patients with major depressive disorder (MDD). METHODS A total of 98 Han Chinese MDD were analysed in this study. Patients were divided into 51 responders and 47 nonresponders
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Associations Between Buprenorphine\Naloxone and Methadone Treatment and non-Opioid Substance Use in Prescription-Type Opioid Use Disorder: Secondary Analyses From the OPTIMA Study. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-10-30 Hamzah Bakouni,Heidar Sharafi,Sarah Drouin,Raphaelle Fortin,Stéphanie Marsan,Suzanne Brissette,Maria Eugenia Socias,Bernard Le Foll,Ron Lim,Didier Jutras-Aswad
OBJECTIVES There is limited evidence on how opioid agonist treatment (OAT) may affect psychoactive non-opioid substance use in prescription-type opioid use disorder (POUD) and whether this effect might explain OAT outcomes. We aimed to assess the effect of methadone on non-opioid substance use compared to buprenorphine/naloxone (BUP/NX), to explore whether non-opioid substance use is associated with
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Medical Assistance in Dying for Mental Illness as a Sole Underlying Medical Condition and Its Relationship to Suicide: A Qualitative Lived Experience-Engaged Study. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-10-26 Lisa D Hawke,Hamer Bastidas-Bilbao,Vivien Cappe,Mary Rose van Kesteren,Donna E Stewart,Mona Gupta,Alexander I F Simpson,Bartholemew H Campbell,David Castle,Vicky Stergiopoulos,
OBJECTIVE This lived experience-engaged study aims to understand patient and family perspectives on the relationship between suicidality and medical assistance in dying when the sole underlying medical condition is mental illness (MAiD MI-SUMC). METHOD Thirty individuals with mental illness (age M = 41.8 years, SD = 14.2) and 25 family members (age M = 47.5 years, SD = 16.0) participated in qualitative
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Influence of CYP2C19, CYP2D6, and ABCB1 Gene Variants and Serum Levels of Escitalopram and Aripiprazole on Treatment-Emergent Sexual Dysfunction: A Canadian Biomarker Integration Network in Depression 1 (CAN-BIND 1) Study. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-10-05 Farhana Islam,Leen Magarbeh,Samar S M Elsheikh,Stefan Kloiber,Caroline W Espinola,Venkat Bhat,Benicio N Frey,Roumen Milev,Claudio N Soares,Sagar V Parikh,Franca Placenza,Stefanie Hassel,Valerie H Taylor,Francesco Leri,Pierre Blier,Rudolf Uher,Faranak Farzan,Raymond W Lam,Gustavo Turecki,Jane A Foster,Susan Rotzinger,Sidney H Kennedy,Daniel J Müller
OBJECTIVES Treatment-emergent sexual dysfunction is frequently reported by individuals with major depressive disorder (MDD) on antidepressants, which negatively impacts treatment adherence and efficacy. We investigated the association of polymorphisms in pharmacokinetic genes encoding cytochrome-P450 drug-metabolizing enzymes, CYP2C19 and CYP2D6, and the transmembrane efflux pump, P-glycoprotein (i
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[Obstacles and practical perspectives of the consultation in general medicine of migrants with psychological disorders. Qualitative study among French general practitioners]. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-09-24 Marie Lerigoleur,Aurélie Urena-Dores,Bourrel Gérard,Cyril Jaume,Mathilde Minet,Élodie Million,Bernard Clary,Agnès Oude Engberink,Béatrice Lognos Folco
OBJECTIVE The aim of this study is to understand the problems of managing psychological disorders in migrant populations, based on the experience of general practitioners. METHOD A qualitative study was carried out with general practitioners interviewed in a semi-directive mode. We chose the continuous comparison method and Peirce's pragmatic phenomenological approach to explore the lived experience
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Shifting Mindsets: The Impact of a Patient Portal on Functioning and Recovery in a Mental Health Setting. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-30 Brian Lo,Hwayeon Danielle Shin,Jessica Kemp,Mikayla Munnery,Sheng Chen,Clement Ma,Damian Jankowicz,Rohan Mehta,Alexandra Harris,Moshe Sakal,Ryan Pundit,Kevin Chung,Craig Kuziemsky,Sarah Rossetti,Gillian Strudwick
OBJECTIVE This study aims to understand whether higher use of a patient portal can have an impact on mental health functioning and recovery. METHOD A mixed methods approach was used for this study. In 2019-2021, patients with mental health diagnoses at outpatient clinics in an academic centre were invited to complete World Health Organization Disability Assessment Scale 12 (WHODAS-12) and Mental Health
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The Burden of Psychosis in Black Communities in Canada: More than a Feeling, a Black Family Experience. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-27 Jude Mary Cénat,Myrna Lashley,G Eric Jarvis,Monnica T Williams,Emmanuelle Bernheim,Daniel Derivois,Cécile Rousseau
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Factors Associated with Transition to Serious Mental Illness. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-22 Sara Jalali,Lu Liu,JianLi Wang,Sidney H Kennedy,Glenda MacQueen,Catherine Lebel,Benjamin L Goldstein,Signe Bray,Jean Addington
OBJECTIVE There is increasing interest in early intervention and detection strategies for youth at-risk of developing a serious mental illness (SMI). Little is known about early factors that may be related to the later development of a SMI; thus, the aim of this study was to determine what clinical factors might relate to the development of in this study psychosis, bipolar disorder and severe or recurrent
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The Mental Health of Royal Canadian Mounted Police Recruits: A Comment on Past and Present Attitudes and Evidence. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-21 Alexandra Heber
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A History of Suicide Attempt Is Associated with Increased Sympathetic Activation in Bipolar Disorder. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-16 Abigail Ortiz,Yunkyung Park,Stephane MacLean,M Ishrat Husain,Marcos Sanches,Arun Ravindran,Benoit H Mulsant
OBJECTIVE Suicide risk in bipolar disorder (BD) is estimated to be up to 20 times higher than in the general population. While there is a large body of evidence suggesting that increased sympathetic activation is associated with disease and death, there is a paucity of research on the role of autonomic nervous system (ANS) dysfunction in patients with BD who have attempted suicide. METHODS Fifty-three
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Child Maltreatment History, Deployment-Related Traumatic Events, and Past 12-Month Cannabis Use Among Veterans in Canada. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-11 Tracie O Afifi,Tamara Taillieu,Samantha Salmon,Ashley Stewart-Tufescu,Jitender Sareen,Murray W Enns,Natalie Mota,Shay-Lee Bolton,R Nicholas Carleton,Alexandra Heber,Linda VanTil
OBJECTIVE Cannabis use among veterans in Canada is an understudied public health priority. The current study examined cannabis use prevalence and the relationships between child maltreatment histories and deployment-related traumatic events (DRTEs) with past 12-month cannabis use including sex differences among Canadian veterans. METHOD Data were drawn from the 2018 Canadian Armed Forces Members and
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Mortality Rate and Causes of Death in a Canadian Tertiary Schizophrenia Program. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-08-03 Makenna J Timm,Carrie L Robertson,Naista Zhand
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Chronic Psychotic Disorders and Correctional Involvement: A Population-Based Matched Case-Control Study in Ontario, Canada. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-28 Ruchi Vijh,Fiona G Kouyoumdjian,Tomisin Iwajomo,Alexander I F Simpson,Roland Jones,Claire de Oliveira,Paul Kurdyak
OBJECTIVE Individuals with chronic psychotic disorders are overrepresented in correctional facilities, but little is known about factors that increase the risk of correctional involvement. The objective of this study was to compare individuals with chronic psychotic disorders who were released from correctional facilities in Ontario to individuals with chronic psychotic disorders but no correctional
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Cost-Effectiveness of Group Transdiagnostic Cognitive Behavioural Therapy for Anxiety Disorders in Primary Care Settings: Economic Evaluation From the Healthcare System Perspective Over a 1-Year Time Horizon. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-18 Helen-Maria Vasiliadis,Catherine Lamoureux-Lamarche,Alexandra Chapdelaine,Martin D Provencher,Peter J Norton,Djamal Berbiche,Pasquale Roberge
AIM To assess the incremental cost-effectiveness ratio (ICER) of group transdiagnostic cognitive-behavioural therapy (tCBT) added to treatment as usual (TAU) for anxiety disorders compared to TAU only from the healthcare system perspective over a 1-year time horizon. METHODS Data from a pragmatic multisite randomized controlled trial where adults (18-65 years) with an anxiety disorder were randomized
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A Rapid Access Brief Psychotherapy Intervention to Respond to Healthcare Workers in Ontario Whose Mental Health was Negatively Impacted During the COVID-19 Pandemic. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-14 Judith M Laposa,Duncan Cameron,Kim Corace,Natalie Quick,Karen Rowa,Cary Kogan,Stephanie Carter,Irena Milosevic,Sara de la Salle,Vicky Stergiopoulos,Joseph Pellizzari,Erika Haber,Paul Kurdyak,Randi E McCabe
OBJECTIVE Although the coronavirus disease 2019 (COVID-19) pandemic has had widespread negative impacts on the mental health of healthcare workers (HCWs), there has been little research on psychological interventions during the pandemic for this population. The current study examines whether a brief coping-focused treatment intervention delivered in a virtual individual format would be associated with
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Experiences of Sexual and Reproductive Health Care Access for Women and Nonbinary People With Early Psychosis: Towards an Integrated Perspective of Service Users and Clinicians. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-14 Lucy C Barker,Juveria Zaheer,Zakia Hussain,Julia France,Ananka Rodriguez,Shakked Lubotzky-Gete,Suze Berkhout,Robert Dmytryshyn,Sheila Dunn,Renu Gupta,Fardous Hosseiny,Frank Sirotich,Sophie Soklaridis,Aristotle N Voineskos,Simone N Vigod
OBJECTIVE Individuals with psychosis are at elevated risk of adverse sexual and reproductive health (SRH) outcomes, and not receiving adequate SRH care. SRH is important for youth, yet little is known about SRH care access and experiences among those with early psychosis. This study explored SRH care experiences among women and nonbinary individuals with early psychosis. METHOD We conducted semistructured
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A Call for an Evidence-Based Strategy Against the Overdose Crisis. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-12 R Michael Krausz,Jean N Westenberg,Andy M Y Tai,Hasti Fadakar,Vijay Seethapathy,Nick Mathew,Pouya Azar,Anthony Phillips,Christian G Schütz,Fiona Choi,Marc Vogel,Maurice Cabanis,Maximilian Meyer,Kerry Jang,Martha Ignaszewski
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Happy Birthday "One Flew Over the Cuckoo's Nest": A Momentous Tale in the Quest for an Effective and Ethical Approach to Psychosurgery. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-09 E Stip,S F Javaid,K Abdel Aziz,D Arnone
The anniversary of the publication of 'One Flew Over the Cuckoo's Nest' by Ken Kesey offers an opportunity for reflection on the use of neurosurgery in psychiatry. We used a narrative, historical and dialectical method to deliver an account of the controversial subject. A balanced representation of the negative and positive aspects, acknowledging some of the questionable ethical practices while describing
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University Student Mental Health: An Important Window of Opportunity for Prevention and Early Intervention. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-07-02 Anne Duffy
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Cannabidiol as a Harm Reduction Strategy for People Who Use Drugs: A Rapid Review. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-27 Lindsay A Lo,Caroline A MacCallum,Kate Nanson,Michael Koehn,Ian Mitchell,Michael-John Milloy,Zach Walsh,Florriann Fehr
OBJECTIVE The drug poisoning crisis throughout North America necessitates novel harm reduction approaches. Emerging evidence suggests that cannabidiol (CBD) may have some utility as a harm reduction modality for those with problematic substance use. This rapid review aimed to synthesize available evidence on CBD as a potential harm reduction tool for people who use drugs while providing clinical and
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Culturally Adapted Cognitive Behaviour Therapy (CaCBT) to Improve Community Mental Health Services for Canadians of South Asian Origin: A Qualitative Study. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-27 Farooq Naeem,Nagina Khan,Nazia Sohani,Farhana Safa,Mehreen Masud,Sarah Ahmed,Gary Thandi,Baldev Mutta,Azaad Kasaam,Kamlesh Tello,Muhammad Ishrat Husain,Muhammad Omair Husain,Sean A Kidd,Kwame McKenzie
BACKGROUND South Asian (SA) Canadians are disproportionately affected by higher rates of mood and anxiety disorders. SA Canadians with depression report significant barriers to accessing mental health care and the highest proportion of unmet mental health needs. The Mental Health Commission of Canada (MHCC) advocates for culturally and linguistically relevant services for SA Canadians. Culturally adapted
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Predictors of Physician Follow-Up Care Among Patients Affected by an Incident Mental Disorder Episode in Quebec (Canada). Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-26 Marie-Josée Fleury,Louis Rochette,Lia Gentil,Guy Grenier,Alain Lesage
OBJECTIVES This study identified predictors of prompt (1+ outpatient physician consultations/within 30 days), adequate (3+/90 days) and continuous (5+/365 days) follow-up care from general practitioners (GPs) or psychiatrists among patients with an incident mental disorder (MD) episode. METHODS Study data were extracted from the Quebec Integrated Chronic Disease Surveillance System (QICDSS), which
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Surveillance of Child and Youth Mental Disorders and Associated Service Use in Canada. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-26 Jordan Edwards,Paul Kurdyak,Charlotte Waddell,Scott B Patten,Graham J Reid,Leslie Anne Campbell,Katholiki Georgiades
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Predatory Marriage: An Emerging Medicolegal Issue. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-13 Julia G Kirkham,Albert H Oosterhoff,Kim A Whaley,Freshta Akbary,Kenneth I Shulman
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The Time Has Come to Repeal Section 43 of the Criminal Code. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-08 Jean-Francois Carmel,Stan Kutcher
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Mental Health and the Climate Crisis: A Call to Action for Canadian Psychiatrists. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-05 Daniel Rosenbaum,Sarah Levitt
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Incidence, Racial Disparities and Factors Related to Psychosis among Black Individuals in Canada: A Scoping Review. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-06-02 Jude Mary Cénat,Élisabeth Dromer,Wina Paul Darius,Rose Darly Dalexis,Sarah Elizabeth Furyk,Hannah Poisson,Farid Mansoub Bekarkhanech,David Guangyu Diao,Andi Phaelle Gedeon,Muhammad S Shah,Patrick R Labelle,Emmanuelle Bernheim,Cary S Kogan
OBJECTIVE Black communities are increasingly concerned about psychosis, a worry echoed by provincial health-care systems across Canada. Responding to the lack of evidence on psychosis in Black communities, this scoping review examined the incidence and prevalence of psychosis, access to care (pathways to care, coercive referrals, interventions, etc.), treatments received, and stigma faced by individuals
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Effects of Anticholinergic Burden on Verbal Memory Performance in First-Episode Psychosis. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-30 Agnès Belkacem,Katie M Lavigne,Carolina Makowski,Mallar Chakravarty,Ridha Joober,Ashok Malla,Jai Shah,Martin Lepage
OBJECTIVES Antipsychotics are widely used to treat first-episode psychosis but may have an anticholinergic burden, that is, a cumulative effect of medications that block the cholinergic system. Studies suggest that a high anticholinergic burden negatively affects memory in psychosis, where cognitive deficits, particularly those in verbal memory, are a core feature of the disease. The present study
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Ten-Year Trends in Lithium Prescribing in Alberta, Canada. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-24 Samreen Shafiq,Paul Everett Ronksley,Tayler Dawn Scory,Meghan Jessica Elliott,Andrew Gabriel McKay Bulloch,Scott Burton Patten
AIMS Despite lithium's clinical efficacy, it is commonly thought that its use is declining. The objective of this study is to describe the new and prevalent lithium users as well as rates of discontinuation of lithium use over a 10-year period. METHODS This study used provincial administrative health data from Alberta, Canada between January 1, 2009 and December 31, 2018. Lithium prescriptions were
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Taking Action on Racism and Structural Violence in Psychiatric Training and Clinical Practice. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-17 G Eric Jarvis,Lisa Andermann,Oyedeji A Ayonrinde,Michaela Beder,Jude Mary Cénat,Imen Ben-Cheikh,Kenneth Fung,Amy Gajaria,Ana Gómez-Carrillo,Jaswant Guzder,Sarah Hanafi,Azaad Kassam,Rachel Kronick,Myrna Lashley,Roberto Lewis-Fernández,Audrey McMahon,Toby Measham,Lucie Nadeau,Cécile Rousseau,Joseph Sadek,Meryam Schouler-Ocak,Cornelia Wieman,Laurence J Kirmayer
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Do Anxiety Symptoms Mediate the Association Between Cannabis Use Frequency and Psychotic-Like Experiences in Emerging Adult Undergraduates? Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-17 Haley C R Bernusky,Philip G Tibbo,Patricia J Conrod,Fakir Md Yunus,Matthew T Keough,Kara D Thompson,Marvin D Krank,Allyson F Hadwin,Sherry H Stewart
OBJECTIVE Cannabis is commonly used by Canadian emerging adults (ages 18-25 years), many of whom attend post-secondary institutions. Frequent cannabis use is linked with psychotic-like experiences (PLEs); however, the exact nature of this association remains unclear. Anxiety symptoms may mediate this association, as they are prevalent in emerging adults and have been independently linked with both
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Exploring Mediators of Mental Health Service Use Among Transgender Individuals in Ontario, Canada Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-10 Alex Abramovich, W. Ariel Gould, Nelson Pang, Claire de Oliveira, Tomisin Iwajomo, Myriam Vigny-Pau, Kinnon MacKinnon, June Sing Hong Lam, Paul Kurdyak
ObjectivesTo determine if and to what degree neighbourhood-level marginalization mediates mental health service use among transgender individuals.MethodsThis retrospective cohort study identified 2...
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Erratum in Lesage A, Courteau J, Brodeur S, et al. Urbanicity, Schizophrenia and Equitable Specialist Services Allocation. Can J Psychiatry. 2022;67(2):160-161. doi: 10.1177/07067437211040606. Epub 2021 Sep 6. PMID: 34482764; PMCID: PMC8892047. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-10 Alain Lesage,Josiane Courteau,Alain Vanasse
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Exploring the Tensions Between Judicial Transparency and Respect for Privacy at Ontario's Consent and Capacity Board: An Examination of Findings in 2015 and 2019. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-07 Shawn Baldeo,Janooshsheya Balasundaram,Maria McDonald,Abel Ickowicz,Kathleen A Sheehan
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Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-02 R. Nicholas Carleton, Laleh Jamshidi, Kirby Q. Maguire, Lisa M. Lix, Sherry H. Stewart, Tracie O. Afifi, Jitender Sareen, Katie L. Andrews, Nicholas A. Jones, Jolan Nisbet, Shannon Sauer-Zavala, J. Patrick Neary, Alain Brunet, Gregory P. Krätzig, Amber J. Fletcher, Taylor A. Teckchandani, Terence M. Keane, Gordon J.G. Asmundson
ObjectiveServing Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental healt...
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Sex Differences in Suicide Trends Among Adolescents Aged 10 to 14 Years in Canada. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-02 Rachel H B Mitchell,Nicole Kozloff,Marcos Sanches,Benjamin I Goldstein,Jasmine Amini,Jeffrey A Bridge,Mark Sinyor
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In Response to "Clinical Characteristics Associated With Early Phase Psychosis and Comorbid Substance Use": Methodological Concerns-Authors' Reply. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-05-02 Jacob Cookey,Jacob McGavin,Candice E Crocker,Sherry H Stewart,Philip G Tibbo
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Heterogeneity in the Course of Suicidal Ideation and its Relation to Suicide Attempts in First-Episode Psychosis: A 5-Year Prospective Study Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-04-18 Roxanne Sicotte, Srividya N. Iyer, Éric Lacourse, Jean R. Séguin, Amal Abdel-Baki
ObjectivesAlthough the risk of suicide is high in first-episode psychosis (FEP), little is known about the course of suicidal ideation and its relation to suicide attempts. Therefore, we aimed to i...
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Experiential Psychotherapy Training is Essential for Residents. Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-04-12 Renata M Villela,Jordan Bawks,Heather Weir,Doug Weir,Angela O Ho,Diana Kljenak,Yusra Ahmad,Shabbir Amanullah,Kenneth Fung,Lyndal Petit
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Suicide and Self-Harm Among Immigrant Youth to Ontario, Canada From Muslim Majority Countries: A Population-Based Study Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-04-10 Natasha Saunders, Rachel Strauss, Sarah Swayze, Alex Kopp, Paul Kurdyak, Zainab Furqan, Arfeen Malick, Muhammad Ishrat Husain, Mark Sinyor, Juveria Zaheer
ObjectiveTo examine the association between Muslim religious affiliation and suicide and self-harm presentations among first- and second-generation immigrant youth.MethodsWe performed a population-...
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Impact of a Publicly-Funded Pharmacare Program on Prescription Stimulant use Among Children and Youth: A Population-Based Observational Natural Experiment Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-04-05 Tony Antoniou, Daniel McCormack, Sophie Kitchen, Kathleen Pajer, William Gardner, Yona Lunsky, Melanie Penner, Mina Tadrous, Muhammad Mamdani, David N. Juurlink, Tara Gomes
ObjectiveStimulants are first-line pharmacotherapy for individuals with attention-deficit hyperactivity disorder. However, disparities in drug coverage may contribute to inequitable treatment acces...
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Adult Psychiatric Hospitalizations in Ontario, Canada Before and During the COVID-19 Pandemic Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-04-03 Bryan Tanner, Paul Kurdyak, Claire de Oliveira
ObjectiveThe impacts of the COVID-19 pandemic on psychiatric hospitalizations in Ontario are unknown. The purpose of this study was to identify changes to volumes and characteristics of psychiatric...
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Competencies for Repetitive Transcranial Magnetic Stimulation in Postgraduate Medical Education: Expert Consensus Using a Modified Delphi Process Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-03-23 Ka Sing Paris Lai, Robyn Waxman, Daniel M. Blumberger, Peter Giacobbe, Gary Hasey, Lisa McMurray, Roumen Milev, Lena Palaniyappan, Rajamannar Ramasubbu, Yuri E. Rybak, Tegan Sacevich, Fidel Vila-Rodriguez, Amer M. Burhan
BackgroundRepetitive transcranial magnetic stimulation (rTMS) is recommended in Canadian guidelines as a first-line treatment for major depressive disorder. With the shift towards competency-based ...
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Benefits of the PRISM Shelter-Based Program for Attainment of Stable Housing and Functional Outcomes by People Experiencing Homelessness and Mental Illness: A Quantitative Analysis Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-03-20 Ghassen Soufi, Brigitte Voisard, Eric A. Latimer, Lavina Matai, Erica E. M. Moodie, Vincent Laliberté
ObjectiveTo explore the housing trajectory, personal recovery, functional level, and quality of life of clients at discharge and 1 year after completing Projet Réaffiliation Itinérance Santé Mental...
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Amphetamine-Related Emergency Department Visits in Ontario, Canada, 2003-2020 Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-03-08 James A.G. Crispo, Lisa Liu, Paxton Bach, Dominique R. Ansell, Branavan Sivapathasundaram, Francis Nguyen, Paul Kurdyak, Dallas P. Seitz, Michael Conlon, Jacquelyn J. Cragg
ObjectivesDespite unregulated amphetamine use increasing, there are limited data on related emergency department (ED) visits in Canada. Our primary objective was to examine trends in amphetamine-re...
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A Collaborative-Care Telephone-Based Intervention for Depression, Anxiety, and at-Risk Drinking in Primary Care: The PARTNERs Randomized Clinical Trial Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-02-28 M. Ishrat Husain, David J. Rodie, Athina Perivolaris, Marcos Sanches, Allison Crawford, Kyle P. Fitzgibbon, Andrea Levinson, Rose Geist, Paul Kurdyak, Brian Mitchell, David Oslin, Nadiya Sunderji, Benoit H. Mulsant, for the PARTNERs Study Group
BackgroundCollaborative care (CC) could improve outcomes in primary care patients with common mental conditions. We assessed the effectiveness of a transdiagnostic model of telephone-based CC (tCC)...
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The Health and Psychosocial Profiles of Adults Who Sought Mental Health and Addiction Specialty Services Through a Centralized Intake Process in Nova Scotia in 2020 and 2021 Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-02-28 JianLi Wang, Lu Yang, Phil Tibbo, Patryk Simon, Michele Bullerwell
Objectives(1) To calculate the proportions of people who sought mental health and addiction (MHA) specialty services in Nova Scotia, overall and by sex and age. (2) To describe the health and psych...
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Sociodemographic Differences in Physician-Based Mental Health and Virtual Care Utilization and Uptake of Virtual Care Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada: A Population-Based Study Can. J. Psychiatr. (IF 4.0) Pub Date : 2023-02-28 Alene Toulany, Paul Kurdyak, Therese A. Stukel, Rachel Strauss, Longdi Fu, Jun Guan, Lisa Fiksenbaum, Eyal Cohen, Astrid Guttmann, Simone Vigod, Maria Chiu, Charlotte Moore Hepburn, Kimberly Moran, William Gardner, Mario Cappelli, Purnima Sundar, Natasha Saunders
ObjectiveWe sought to evaluate the relationship between social determinants of health and physician-based mental healthcare utilization and virtual care use among children and adolescents in Ontari...