Environmental Barriers and Functional Outcomes in Patients with Schizophrenia in Taiwan: The Capacity-Performance Discrepancy

Lien, Wei‐Chih; Wang, Weiming; Wang, Hui‐Min David; Lin, Feng Huei; Yao, Fen-Zhi

doi:10.3390/ijerph19010315

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…Some of the potential challenges are: Patients' cognitive deficits may cause a limitation in ability to purchase and set up equipment: although some studies have quoted the use of assistive technology in patients with schizophrenia [36,37], the cognitive deficits caused by the disease may provide an impediment in the likelihood of adoption of technology. In patients with significant deficits, accessibility and purchase power may be a limiting factor [38,39], impeding the applicability of cognitive remediation in real-world settings.…”

Section: Challengesmentioning

confidence: 99%

Are remote psychotherapy/remediation efforts accessible and feasible in patients with schizophrenia? A narrative review

Datta

Vishwanath

Shenoy

2022

Egypt J Neurol Psychiatry Neurosurg

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Background Cognitive remediation (CR) therapy provides an effective way to improve cognitive impairments in schizophrenia. With the advent of telehealth services, especially during COVID 19 pandemic, a suitable alternative can be found in computer and cell phone-based mental health interventions. Previous studies have proven that remote mental health interventions have by and large been successful. Remote psychotherapy/CR services can now be accessed through smartphone apps, iPads, laptops and wearable devices. This has the advantage of reaching a wider population in resource-limited settings. The lack of access to technology, difficulty in using these online interventions and lack of privacy provide impediments to the delivery of care through these online platforms. Further, as some previous studies have shown, there may be a high rate of dropout in people using remote mental health resources. We aim to look at the factors, which influence the accessibility of remote mental health interventions in schizophrenia. Additionally, we test the feasibility of these interventions and look at how they compare and the potential they hold for implementation in future clinical settings. Results We found remote cognitive remediation to be both accessible and feasible. Concerning features, however, are the high attrition rates and the concentration of the studies in Western populations. Conclusions Remote interventions are a viable alternative to in-person psychotherapy when in-person resources may not always be present. They are efficacious in improving health outcomes among patients with schizophrenia. Further research into the widespread implementation of remote CR will be beneficial in informing clinical decision-making.

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Section: Challengesmentioning

confidence: 99%

Are remote psychotherapy/remediation efforts accessible and feasible in patients with schizophrenia? A narrative review

Datta

Vishwanath

Shenoy

2022

Egypt J Neurol Psychiatry Neurosurg

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“…Even before the accumulation of beta-amyloid, subjects with high risk exhibit changes in cerebral blood flow [ 8 ]. In addition to clinical manifestations, rCBF SPECT, such as voxel-as-features, has frequently been used by physicians as a diagnostic tool [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Convolutional Neural Networks to Classify Alzheimer’s Disease Severity Based on SPECT Images: A Comparative Study

Lien

Yeh

Chang

et al. 2023

JCM

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Image recognition and neuroimaging are increasingly being used to understand the progression of Alzheimer’s disease (AD). However, image data from single-photon emission computed tomography (SPECT) are limited. Medical image analysis requires large, labeled training datasets. Therefore, studies have focused on overcoming this problem. In this study, the detection performance of five convolutional neural network (CNN) models (MobileNet V2 and NASNetMobile (lightweight models); VGG16, Inception V3, and ResNet (heavier weight models)) on medical images was compared to establish a classification model for epidemiological research. Brain scan image data were collected from 99 subjects, and 4711 images were used. Demographic data were compared using the chi-squared test and one-way analysis of variance with Bonferroni’s post hoc test. Accuracy and loss functions were used to evaluate the performance of CNN models. The cognitive abilities screening instrument and mini mental state exam scores of subjects with a clinical dementia rating (CDR) of 2 were considerably lower than those of subjects with a CDR of 1 or 0.5. This study analyzed the classification performance of various CNN models for medical images and proved the effectiveness of transfer learning in identifying the mild cognitive impairment, mild AD, and moderate AD scoring based on SPECT images.

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Comparison of Serum Folate between Schizophrenic Patients and Healthy Controls in Chinese Han Adult Population: A Systematic Review and Meta-Analysis

Wang

Zhai

Liu

2023

CCHTS

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Aim and Objective: To assess the relationship between serum folate and schizophrenia (SZ) risk in Chinese Han adult population in different papers, the systematic review and meta-analysis was conducted. Materials and Methods: We searched for this meta-analysis on three English databases (PubMed, Embase, and Web of science) and four Chinese databases (CNKI, SinoMed, Wanfang, and CQVIP) in March 27, 2021. Inclusion criteria: studies provided folate levels in serum of cases and controls as mean and standard deviation. Exclusion criteria: subjects were not Chinese Han adult population. The Newcastle-Ottawa Scale score was done to assess risk of bias in the included studies. Standard mean difference was used to measure the difference between SZ patients and healthy controls. Subgroup analyses by measurement time, duration, and age were performed, respectively. Results: This meta-analysis was included 19 publications involving 1571 SZ cases and 1283 healthy controls. In total studies, the pooled result showed that SZ patients had the decreased serum folate levels compared with healthy controls (SMD [95%CI] = -1.37[-1.83,-0.90], PSMD<0.001), and most of the subgroups, the associations were also reached decreased significant; while in the subgroup of drug using, the association was not reached significantly. Conclusion: Dose-response analysis and subgroup analyses by gender were not performed for the lack of the data. Folate deficiency is associated with the patients, and antipsychotic drugs might have positive effects on improving serum folate levels in Chinese Han adult SZ.

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Environmental Barriers and Functional Outcomes in Patients with Schizophrenia in Taiwan: The Capacity-Performance Discrepancy

Cited by 4 publications

References 31 publications

Are remote psychotherapy/remediation efforts accessible and feasible in patients with schizophrenia? A narrative review

Are remote psychotherapy/remediation efforts accessible and feasible in patients with schizophrenia? A narrative review

Convolutional Neural Networks to Classify Alzheimer’s Disease Severity Based on SPECT Images: A Comparative Study

Comparison of Serum Folate between Schizophrenic Patients and Healthy Controls in Chinese Han Adult Population: A Systematic Review and Meta-Analysis

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