No abstract

As women undergoing hysterectomy risk psychiatric morbidity, gynecologists should consider less invasive interventions to treat benign conditions.

BackgroundMultifamily group psychoeducation (MFG) has been shown to reduce relapse rates among individuals with first-episode psychosis. However, given the cognitive demands associated with participating in this intervention (e.g., learning and applying a structured problem-solving activity), the cognitive deficits that accompany psychotic disorders may limit the ability of certain individuals to benefit from this intervention. Thus, the goal of this study is to examine whether individuals with first-episode psychosis who participate simultaneously in MFG and cognitive remediation--an intervention shown to improve cognitive functioning among individuals with psychotic disorders--will be less likely to experience a relapse than individuals who participate in MFG alone.Methods/DesignForty individuals with first-episode psychosis and their caregiving relative will be recruited to participate in this study. Individuals with first-episode psychosis will be randomized to one of two conditions: (i) MFG with concurrent participation in cognitive remediation or (ii) MFG alone. The primary outcome for this study is relapse of psychotic symptoms. We will also examine secondary outcomes among both individuals with first-episode psychosis (i.e., social and vocational functioning, health-related quality of life, service utilization, independent living status, and cognitive functioning) and their caregiving relatives (i.e., caregiver burden, anxiety, and depression)DiscussionCognitive remediation offers the possibility of ameliorating a specific deficit (i.e., deficits in cognitive functioning) that often accompanies psychotic symptoms and may restrict the magnitude of the clinical benefits derived from MFG.Trial RegistrationClinicalTrials (NCT): NCT01196286

We use data from the National Longitudinal Survey of Adolescent Health (13,186 respondents in 30 states) to develop a unique state-level measure of the gendered context, in order to examine the influence of gender normative attitudes and behaviors on state rates of suicidal ideation and individual-level suicidal ideation for female and male youth (aged 13 to 22). The findings demonstrate the negative consequences for youth, especially females who report feminine-typical traits, who live in contexts defined by restrictive gender norms at both the ecological and individual levels. This study points to the importance of fatalistic suicide for female youth and suggests possible mechanisms to explain this association.