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  1. Article ; Online: Bane or boon regarding urbanicity and psychotic spectrum disorders: a scoping review of current evidence.

    Chew, Qian Hui / Sim, Kang

    Current opinion in psychiatry

    2024  Volume 37, Issue 3, Page(s) 212–224

    Abstract: Purpose of review: This review aims to provide an update on the association between urbanization and psychotic spectrum disorders, focusing on specific aspects of the urban environment that could be a bane or boon for the risk of psychosis.: Recent ... ...

    Abstract Purpose of review: This review aims to provide an update on the association between urbanization and psychotic spectrum disorders, focusing on specific aspects of the urban environment that could be a bane or boon for the risk of psychosis.
    Recent findings: Majority of the included studies support previous evidence suggesting that urbanization is linked to a higher risk of psychotic experiences and psychotic spectrum disorders. A small minority, however, have also found specific factors in the urban environment that could give rise to positive outcomes, such as better social functioning and lower mortality rates in psychotic spectrum disorders, or mitigate the risks associated with urbanization. The perception of the urban environment was also an important factor that increased or mitigated stress levels in patients with psychosis, which in turn affected their susceptibility to psychotic symptoms.
    Summary: Specific aspects of the urban environment such as the availability and density of greenspaces are crucial for mitigating the effect of urbanization on risk of psychotic spectrum disorders, and should be incorporated into urban planning. At the same time, there is a need to further explore how modifiable risk factors of the urban environment such as air and noise pollution can be minimized to allow for more liveable cities in the context of psychotic spectrum conditions.
    MeSH term(s) Humans ; Psychotic Disorders/etiology ; Urbanization ; Cities ; Risk Factors
    Language English
    Publishing date 2024-01-31
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 645162-7
    ISSN 1473-6578 ; 0951-7367
    ISSN (online) 1473-6578
    ISSN 0951-7367
    DOI 10.1097/YCO.0000000000000928
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Inter-Professional Education Interventions, and Practice Outcomes Related to Healthcare Setting and Patients Within Mental Healthcare: A Scoping Review.

    Chew, Qian Hui / Maniam, Ethan Jian-Hui / Sim, Kang

    Perspectives on medical education

    2024  Volume 13, Issue 1, Page(s) 108–118

    Abstract: Introduction: This scoping review aimed to examine 1) types of inter-professional (IPE) interventions using Strosahl's typology framework, 2) practice outcomes related to healthcare setting and patients using Kirkpatrick's model of training evaluation, ... ...

    Abstract Introduction: This scoping review aimed to examine 1) types of inter-professional (IPE) interventions using Strosahl's typology framework, 2) practice outcomes related to healthcare setting and patients using Kirkpatrick's model of training evaluation, and 3) enablers and challenges related to the effectiveness of IPE interventions specific to the mental healthcare setting in order to guide the development of such future programs.
    Methods: This scoping review was conducted in accordance with the methodology of the Joanna Briggs Institute for scoping reviews. Several databases were searched for relevant studies from database inception until December 2023. Articles were included if it 1) involved IPE interventions within mental healthcare, 2) reported practice outcomes related to healthcare setting and patients, and 3) was published in English. Variables of interest included the mode of IPE intervention using Strosahl's typology, enablers, and challenges related to IPE interventions.
    Results: Overall, 16 studies were included. IPE intervention outcomes within healthcare setting related to shifts in practice culture, engagement with family members, and increased collaborations with other inter-professional groups. Reported patient outcomes included clinical improvements (e.g., reduced depression and anxiety, psychotropic drug use, better psychosocial functioning), patient empowerment, satisfaction, and confidence in treatment. The enablers and challenges included resource limitations, inter-professional group and individual participation, and pedagogy.
    Discussion: Future efforts in IPE mental healthcare practice can focus on garnering sustained institutional support, identifying and investing in committed faculty, encouraging greater learner participation, and making iterative changes to the IPE program structure to facilitate involvement of inter-professional disciplines for better patient care.
    MeSH term(s) Humans ; Education, Professional ; Patient Care Team ; Delivery of Health Care ; Mental Health Services
    Language English
    Publishing date 2024-02-20
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2670231-9
    ISSN 2212-277X ; 2212-277X
    ISSN (online) 2212-277X
    ISSN 2212-277X
    DOI 10.5334/pme.1084
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: International Trends in Lithium Use for Pharmacotherapy and Clinical Correlates in Bipolar Disorder: A Scoping Review.

    Shuy, Yao Kang / Santharan, Sanjana / Chew, Qian Hui / Sim, Kang

    Brain sciences

    2024  Volume 14, Issue 1

    Abstract: Lithium remains an effective option in the treatment of bipolar disorder (BD). Thus, we aim to characterize the pharmaco-epidemiological patterns of lithium use internationally over time and elucidate clinical correlates associated with BD using a ... ...

    Abstract Lithium remains an effective option in the treatment of bipolar disorder (BD). Thus, we aim to characterize the pharmaco-epidemiological patterns of lithium use internationally over time and elucidate clinical correlates associated with BD using a scoping review, which was conducted using the methodological framework by Arksey and O'Malley (2005). We searched several databases for studies that examined the prescriptions for lithium and clinical associations in BD from inception until December 2023. This review included 55 articles from 1967 to 2023, which collected data from North America (
    Language English
    Publishing date 2024-01-20
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci14010102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Resilience in Bipolar Disorder and Interrelationships With Psychopathology, Clinical Features, Psychosocial Functioning, and Mediational Roles: A Systematic Review.

    Chan, Min Kai / Chew, Qian Hui / Sim, Kang

    The Journal of clinical psychiatry

    2023  Volume 84, Issue 2

    Abstract: Objective:: Data Sources:: Study Selection:: Data Extraction:: Results:: Conclusions: ...

    Abstract Objective:
    Data Sources:
    Study Selection:
    Data Extraction:
    Results:
    Conclusions:
    MeSH term(s) Humans ; Bipolar Disorder/psychology ; Quality of Life ; Psychosocial Functioning ; Psychotic Disorders/psychology ; Impulsive Behavior
    Language English
    Publishing date 2023-02-22
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 716287-x
    ISSN 1555-2101 ; 0160-6689
    ISSN (online) 1555-2101
    ISSN 0160-6689
    DOI 10.4088/JCP.22r14431
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Understanding Resilience: No Place to Rest on Our Laurels-Reply to Modesto-Lowe et al.

    Sim, Kang / Chew, Qian Hui

    The Journal of clinical psychiatry

    2021  Volume 82, Issue 5

    Language English
    Publishing date 2021-07-27
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 716287-x
    ISSN 1555-2101 ; 0160-6689
    ISSN (online) 1555-2101
    ISSN 0160-6689
    DOI 10.4088/JCP.21lr14035a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Moral injury and associated context, contributors and consequences within mental healthcare professionals: a scoping review.

    Chew, Qian Hui / Lee, Tih-Shih / Sim, Kang

    Postgraduate medicine

    2023  Volume 135, Issue 7, Page(s) 646–668

    Abstract: Objectives: We sought to examine the contributory factors as well as consequences of moral injury amongst healthcare workers within mental healthcare settings.: Methods: Several databases were searched for relevant studies from database inception ... ...

    Abstract Objectives: We sought to examine the contributory factors as well as consequences of moral injury amongst healthcare workers within mental healthcare settings.
    Methods: Several databases were searched for relevant studies from database inception until May 2023. Keywords and concepts included moral injury and distress in mental healthcare and psychiatry. We identified 961 studies, of which 48 were assessed for eligibility. Eventually, 35 studies were included in the review. Papers were selected for inclusion if 1) they included mental healthcare professionals (MHP) regardless of practice setting, 2) moral injury as experienced by MHP was one of their main variables of interest, 3) were written in English. Year of publication, location of study, participant characteristics, study design, settings in which injury occur (context), factors contributing to moral injury (contributors), and its effects on MHP (consequences) were extracted from the studies.
    Results: The majority of studies were conducted in the West (
    Conclusions: Seen through the moral habitability framework, interventions must include an acknowledgment of the influence of various factors on the ability of MHP to enact their moral agency, and seek to establish safe moral communities within a supportive moral climate.
    Language English
    Publishing date 2023-10-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 410138-8
    ISSN 1941-9260 ; 0032-5481
    ISSN (online) 1941-9260
    ISSN 0032-5481
    DOI 10.1080/00325481.2023.2266007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cerebellar Dysfunction and Relationship With Psychopathology, Cognitive Functioning, Resilience, and Coping in Schizophrenia.

    Chew, Qian Hui / Jia, Shuhong / Sim, Kang

    The Journal of nervous and mental disease

    2023  Volume 211, Issue 11, Page(s) 876–880

    Abstract: Abstract: In this study, we examined the cerebellar dysfunction in schizophrenia by evaluating the clinical, cognitive, resilience, and coping correlates of cerebellar signs (CSs) in 162 subjects (63 patients with schizophrenia and 99 healthy controls). ...

    Abstract Abstract: In this study, we examined the cerebellar dysfunction in schizophrenia by evaluating the clinical, cognitive, resilience, and coping correlates of cerebellar signs (CSs) in 162 subjects (63 patients with schizophrenia and 99 healthy controls). The presence of CS was evaluated based on six clinical tests. Measures to assess the severity of psychopathology, cognitive functioning, resilience, and frequency of coping strategies used were included. Patients had more CS than controls. Patients with more CS were older, had more severe psychopathology, had poorer performance on Brief Assessment of Cognition for Schizophrenia token motor task, and used less self-distraction as a coping strategy than those with fewer CS. Patients without CS used less self-blame coping at higher level of resilience. The association of less self-distraction with more CS may be related to cognitive inflexibility as a result of cerebellar dysfunction. Greater attentiveness to the presence of CS in schizophrenia patients may aid in better management of their psychotic condition.
    MeSH term(s) Humans ; Schizophrenia/diagnosis ; Neuropsychological Tests ; Cognition Disorders/psychology ; Cognition ; Adaptation, Psychological ; Cerebellar Diseases/complications ; Cognitive Dysfunction/complications
    Language English
    Publishing date 2023-10-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3020-x
    ISSN 1539-736X ; 0022-3018
    ISSN (online) 1539-736X
    ISSN 0022-3018
    DOI 10.1097/NMD.0000000000001706
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Medical Humanities in Undergraduate Psychiatry Teaching: Learner Assessment and Mediators of Better Learning Outcomes.

    Rajagopalan, Arvind / Chew, Qian Hui / Sim, Kang

    Journal of medical education and curricular development

    2023  Volume 10, Page(s) 23821205231214393

    Abstract: Objectives: Previous studies have found that the inclusion of medical humanities in medical education was associated with improvements in learner reflectivity and empathy. There is less data, however, on the impact of medical humanities on perceived ... ...

    Abstract Objectives: Previous studies have found that the inclusion of medical humanities in medical education was associated with improvements in learner reflectivity and empathy. There is less data, however, on the impact of medical humanities on perceived patient care and mediators of learner outcomes. Our study aimed to determine the impact of medical humanities on perceived learner well-being and patient care, and the mediators of these outcomes in medical undergraduates undergoing psychiatric training.
    Methods: This cross-sectional study was conducted from August 2021 to December 2022 within undergraduate medical students undergoing psychiatry rotations and who attended sessions entitled "Humanities in Psychiatry." Both quantitative and qualitative data were obtained through anonymized online feedback forms. Path analysis was performed to examine the relationship between learners' perception of the medical humanities writing activity and its potential to improve their well-being, patient care, as well as mediators of these outcomes.
    Results: Overall, 97 medical undergraduates (response rate 67.4%) participated in the study and more than four-fifths reported improvements in listening, reflection, empathy, personal well-being, and perceived patient care. Males showed more interest in additional medical humanities sessions (mean rank 57.9 vs 42.5,
    Conclusions: Our study found that the majority of learners responded positively to the medical humanities sessions, which suggests that its use could be beneficial in fostering empathy, reflection, learner well-being, and improved patient care. Using the PRISM model, we present practical implications for educators to consider when using medical humanities in relation to psychiatry training.
    Language English
    Publishing date 2023-11-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2798123-X
    ISSN 2382-1205
    ISSN 2382-1205
    DOI 10.1177/23821205231214393
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Relationship between volume reductions of hippocampal subfields and thalamus and duration of untreated psychosis in schizophrenia.

    Balamurugan, Vishnu Priya / Chew, Qian Hui / Sim, Kang

    Asian journal of psychiatry

    2022  Volume 71, Page(s) 103082

    MeSH term(s) Hippocampus/diagnostic imaging ; Humans ; Magnetic Resonance Imaging ; Psychotic Disorders ; Schizophrenia ; Thalamus/diagnostic imaging
    Language English
    Publishing date 2022-03-11
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2456678-0
    ISSN 1876-2026 ; 1876-2018
    ISSN (online) 1876-2026
    ISSN 1876-2018
    DOI 10.1016/j.ajp.2022.103082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Medical Humanities in Undergraduate Psychiatry Teaching

    Arvind Rajagopalan / Qian Hui Chew / Kang Sim

    Journal of Medical Education and Curricular Development, Vol

    Learner Assessment and Mediators of Better Learning Outcomes

    2023  Volume 10

    Abstract: OBJECTIVES Previous studies have found that the inclusion of medical humanities in medical education was associated with improvements in learner reflectivity and empathy. There is less data, however, on the impact of medical humanities on perceived ... ...

    Abstract OBJECTIVES Previous studies have found that the inclusion of medical humanities in medical education was associated with improvements in learner reflectivity and empathy. There is less data, however, on the impact of medical humanities on perceived patient care and mediators of learner outcomes. Our study aimed to determine the impact of medical humanities on perceived learner well-being and patient care, and the mediators of these outcomes in medical undergraduates undergoing psychiatric training. METHODS This cross-sectional study was conducted from August 2021 to December 2022 within undergraduate medical students undergoing psychiatry rotations and who attended sessions entitled “Humanities in Psychiatry.” Both quantitative and qualitative data were obtained through anonymized online feedback forms. Path analysis was performed to examine the relationship between learners’ perception of the medical humanities writing activity and its potential to improve their well-being, patient care, as well as mediators of these outcomes. RESULTS Overall, 97 medical undergraduates (response rate 67.4%) participated in the study and more than four-fifths reported improvements in listening, reflection, empathy, personal well-being, and perceived patient care. Males showed more interest in additional medical humanities sessions (mean rank 57.9 vs 42.5, P = .005) and greater improvements in personal well-being (mean rank 55.1 vs 44.5, P = .044). Path analysis showed that reflective capacity of learners mediated the relationship between reflective writing and perceived improvements in learner well-being (β = 0.596, 95% CI = 0.409-0.737) and patient care (β = 0.557, 95% CI = 0.379-0.702). CONCLUSIONS Our study found that the majority of learners responded positively to the medical humanities sessions, which suggests that its use could be beneficial in fostering empathy, reflection, learner well-being, and improved patient care. Using the PRISM model, we present practical implications for educators to consider when using medical ...
    Keywords Special aspects of education ; LC8-6691 ; Medicine (General) ; R5-920
    Subject code 420
    Language English
    Publishing date 2023-11-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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