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Neznanov NG, Vasilyeva AV, Salagay OO. The role of psychotherapy as a medical specialty in public health. Public Health 2022. [DOI: 10.21045/2782-1676-2022-2-2-40-57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
I n t r o d u c t i o n . Non-psychotic mental disorders are most prevalent mental disorders with the high relapse rate and onset in the early adulthood the most active period of life, psychosocial factors play essential role in their ethiopathogenesis. Psychotherapy as method influencing one’s mind and through the mind affecting ones organism is considered to play an essential role in the treatment system of this patients group as well as in medico-psychological support of the patients with somatic illnesses.Obj e c t i v e definition of the modern psychotherapy content as independent medical specialty based on the modern data base of its efficacy research systematization, evaluation of its further perspectives development for the provision of the healthcare for the targeted population of the patients with non-psychotic mental disorders as well as organization of the medico-psychological support for the patients with somatic illnesses, taking into account the possibilities offered by digital technologiesМ e t h o d s . WHO, PubMed, Scopus, Pubmed, Medline, Web of Science, Russian Science citation index Science Citation Index search was conducted on non-psychotic mental disorders epidemiology, COVID-19 pandemic impact on mental health, psychotherapy efficacy and psychotherapeutic treatment settings, possibilities of digital technologies implementation in modern psychotherapy.R e s u l t s . The prevalence of non-psychotic mental disorders is constantly growing in the las years, they make a serious impact in the non-communicable diseases burden, with the increase of the treatment costs. The COVID-19 pandemic is characterized by decrease of mental health well-being, growth of the anxiety and depressive disturbances, also because of the somatogenic disorders included in the post-covid syndrome.The recent studies persuasively demonstrated the efficacy of psychotherapy in the non-psychotic mental disorders treatment, combination of psycho- and pharmacotherapy is defined as the golden standard treatment, the ratio of them should be determined personalized in each individual case. Digital technologies active development, computerized psychotherapeutic programs implementation open new possibilities for the research of the psychotherapeutic treatment mechanisms as well as make psychotherapy more available for the different population groups and can substantially decrease treatment costs in the future.Mental health care provision optimization should be aimed at the greater psychotherapists involvement as the main specialists for diagnostic and complex treatment of non-psychotic mental disorders treatment, development of psychotherapeutic offices network, they could be a center of this patient group healthcare system, as well as for patients recovering from novel coronavirus infection with psychoneurological complains, and can be used for the medico-psychological support of the patients with somatic illnesses.Conclusion. Psychotherapy today is recognized as an effective non-psychotic mental disorders treatment method, in the future it can be used as an epigenetic modulator in the personalized medicine framework, it can be considered as an essential part of the medical-psychological support of the patients with somatic illnesses.
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Affiliation(s)
- N. G. Neznanov
- Federal State Budgetary Institution “V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology” of the Ministry of Health of Russia; First St. Petersburg State Medical University named after Academician I. P. Pavlov, Ministry of Health of Russia
| | - A. V. Vasilyeva
- Federal State Budgetary Institution “V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology” of the Ministry of Health of Russia; Northwestern State Medical University named after I. I. Mechnikov of the Ministry of Health of Russia
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Singer RB, Crooks N, Singer R, Green N, Stamps J, Patil C, Matthews A. Ballroom Icons and the Power to Promote COVID-19 Vaccination Among Black and Brown LGBTQ + Individuals. Am J Public Health 2022; 112:17-20. [PMID: 34936395 PMCID: PMC8713606 DOI: 10.2105/ajph.2021.306581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Randi Beth Singer
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
| | - Natasha Crooks
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
| | - Rebecca Singer
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
| | - Noel Green
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
| | - Jahari Stamps
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
| | - Crystal Patil
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
| | - Alicia Matthews
- Randi Beth Singer, Natasha Crooks, Rebecca Singer, Crystal Patil, and Alicia Matthews are with the College of Nursing, University of Illinois Chicago. Noel Green is with the Chicago Center for HIV Elimination, University of Chicago. Jahari Stamps is with the House of Ferre, Chicago
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Abstract
Current guidelines for the treatment of patients with schizophrenia advocate that patients receive treatment with a long-acting injectable (LAI) antipsychotic medication if they prefer such treatment or if they have a history of poor or uncertain adherence. Available LAI formulations in the United States include first-generation antipsychotics (fluphenazine decanoate and haloperidol decanoate), risperidone/paliperidone containing products (risperidone microspheres, paliperidone palmitate, and risperidone subcutaneous), aripiprazole containing products (aripiprazole monohydrate and aripiprazole lauroxil), and olanzapine pamoate. LAI antipsychotics can address the guesswork about adherence status and patients may prefer them if they are offered this as a choice, including individuals early in their disease course. Additional approved indications in the United States for LAI antipsychotics include bipolar I disorder maintenance treatment for risperidone microspheres and aripiprazole monohydrate, and schizoaffective disorder for paliperidone palmitate once monthly. Differences and similarities among the different products are discussed, including guidance regarding optimal treatment selection. Tips are provided to enhance effective patient communication to maximize the likelihood of acceptance of this treatment modality.
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