Yager J.a · Dubovsky S.L.b · Roy-Byrne P.P.c
doi : 10.1159/000517867
Psychother Psychosom 2021;90:359–364
Benasi G.a · Fava G.A.b · Guidi J.a
doi : 10.1159/000517953
Psychother Psychosom 2021;90:365–372
Appraisal of prodromal symptoms of unipolar depression may complement the traditional cross-sectional approach and provide a longitudinal perspective, according to a staging model of the illness.
Cohen B.M.a,b · Öngür D.a,b · Babb S.M.a,b
doi : 10.1159/000517027
Psychother Psychosom 2021;90:373–385
Standard diagnostic systems, the predominantly categorical DSM-5 and ICD-11, have limitations in validity, utility, and predictive and descriptive power. For psychotic disorders, these issues were partly addressed in current versions, but additional modifications are thought to be needed. Changes should be evidence based. We reviewed categorical, modified-categorical, and continuum-based models versus factor-based models of psychosis. Factors are clusters of symptoms or single prominent aspects of illness. Consistent evidence from studies of the genetics, pathobiology, and clinical presentation of psychotic disorders all support an underlying structure of factors, not categories, as best characterizing psychoses. Factors are not only the best fit but also comprehensive, as they can encompass any key feature of illness, including symptoms and course, as well as determinants of risk or response. Factors are inherently dimensional, even multidimensional, as are the psychoses themselves, and they provide the detail needed for either grouping or distinguishing patients for treatment decisions. The tools for making factor-based diagnoses are available, reliable, and concordant with actual practices used for clinical assessments. If needed, factors can be employed to create categories similar to those in current use. In addition, they can be used to define unique groupings of patients relevant to specific treatments or studies of the psychoses. Lastly, factor-based classifications are concordant with other comprehensive approaches to psychiatric nosology, including personalized (precision treatment) models and hierarchical models, both of which are currently being explored. Factors might be considered as the right primary structural choice for future versions of standard diagnostic systems, both DSM and ICD.
Woud M.L.a · Blackwell S.E.a · Shkreli L.b · Würtz F.a · Cwik J.C.c · Margraf J.a · Holmes E.A.d,e · Steudte-Schmiedgen S.f · Herpertz S.g · Kessler H.g
doi : 10.1159/000514166
Psychother Psychosom 2021;90:386–402
Dysfunctional appraisals about traumatic events and their sequelae are a key mechanism in posttraumatic stress disorder (PTSD). Experimental studies have shown that a computerized cognitive training, cognitive bias modification for appraisals (CBM-APP), can modify dysfunctional appraisals and reduce analogue trauma symptoms amongst healthy and subclinical volunteers.
Purgato M.a,b · Carswell K.c · Tedeschi F.a · Acarturk C.d · Anttila M.e · Au T.c · Bajbouj M.f · Baumgartner J.g · Biondi M.h · Churchill R.i · Cuijpers P.j,m · Koesters M.k · Gastaldon C.a,b · Ilkkursun Z.d · Lantta T.e · Nosè M.a,b · Ostuzzi G.a,b · Papola D.a,b · Popa M.l · Roselli V.h · Sijbrandij M.j,m · Tarsitani L.h · Turrini G.a,b · Välimäki M.e · Walker L.n · Wancata J.g · Zanini E.a · White R.l · van Ommeren M.c · Barbui C.a,b
doi : 10.1159/000517504
Psychother Psychosom 2021;90:403–414
Self-Help Plus (SH+) is a group-based psychological intervention developed by the World Health Organization for managing stress.
Zhu B.a,b · Kohn R.c · Patel A.d · Koo B.B.d · Louis E.D.e,f · de Figueiredo J.M.g
doi : 10.1159/000514270
Psychother Psychosom 2021;90:415–421
Demoralization is quite prevalent in patients with Parkinson disease (PD). Unrecognized or untreated, demoralization may progress, at times, to demands for euthanasia and the desire for suicide. Typically, patients with PD do not complain of being “demoralized”; rather, they report disruptions in the quality of their lives. Hence, early identification of disruptions in health-related quality of life (HRQoL) specifically associated with demoralization may prompt earlier recognition and treatment. Published data on such associations, however, could not be found. Alleviation of demoralization in PD is likely to improve treatment outcomes.
Schaefer M. · Kühnel A. · Enge S.
doi : 10.1159/000518803
Psychother Psychosom 2021;90:422–423
Shah S.M.a · Ahmad T.b · Chen S.a · Yuting G.a · Liu X.a · Yuan Y.a
doi : 10.1159/000516185
Psychother Psychosom 2021;90:425–430
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