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  1. Article ; Online: Impact of urbanization on mental health and well being.

    Halbreich, Uriel

    Current opinion in psychiatry

    2023  Volume 36, Issue 3, Page(s) 200–205

    Abstract: Purpose of review: It is predicted that by mid-21st century, over two-thirds of the world population will be urban. The shift from rural to urban living causes a major shift in priorities of public health. The current article aims at illuminating the ... ...

    Abstract Purpose of review: It is predicted that by mid-21st century, over two-thirds of the world population will be urban. The shift from rural to urban living causes a major shift in priorities of public health. The current article aims at illuminating the urbanization process, its challenges and ramifications for mental health and well being of urban dwellers.
    Recent findings: Currently, 55% of world population resides in urban areas. By 2050, that percentage will be at least 68%, mostly in developing and emerging economies. Adequate mental health and socioeconomic support services for the new urban migrants are almost nonexistent.
    Summary: Adequate psychosocial clinics are an absolute urgent necessity in the neighborhoods where new migrants reside. Governments' policies and funding should be re-prioritized. For effective advocacy, descriptive comprehensive interdisciplinary epidemiological data should be an initial step of research. This should be followed by investigations of the biopsychosocial-economic causes and processes, which would point to adequate culturally sensitive practical solutions.
    MeSH term(s) Humans ; Urbanization ; Mental Health ; Urban Population ; Demography ; Developing Countries ; Socioeconomic Factors
    Language English
    Publishing date 2023-03-14
    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.0000000000000864
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2532: Show issues Location:
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  2. Article ; Online: Well-being: Diversified perspectives in search of operational definitions.

    Halbreich, Uriel

    The International journal of social psychiatry

    2021  Volume 68, Issue 4, Page(s) 705–707

    Abstract: well-being is a multi-faceted concept that should be an operational domain. The territory is claimed by many disciplines and professionals who usually emphasize their own unique perspective. Economists and politicians focus on finance, prosperity, per- ... ...

    Abstract well-being is a multi-faceted concept that should be an operational domain. The territory is claimed by many disciplines and professionals who usually emphasize their own unique perspective. Economists and politicians focus on finance, prosperity, per-capita product and jobs. Socially-minded activists focus on poverty, education, personal safety, quality of life, equality and disparities. Law-enforcement focuses on crime. Many health and Medical professionals see their patients mostly through the stethoscope, lab tests and imaging. Psychologists stress stressors, crises and their consequences. Psychiatrists see mental, emotional and cognitive disorders. clergy and philosophers emphasize spirituality, beliefs and cultural values.All are correct! Their outlooks are intertwined with each other and should be integrated into a single well-rounded comprehensive operational entity.
    MeSH term(s) Cognition Disorders ; Crime ; Humans ; Psychiatry ; Quality of Life ; Spirituality
    Language English
    Publishing date 2021-08-02
    Publishing country England
    Document type Editorial
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/00207640211036176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Micro-migration: Global domestic intergenerational cultural conflict.

    Halbreich, Uriel

    The International journal of social psychiatry

    2018  Volume 64, Issue 6, Page(s) 519–520

    MeSH term(s) Acculturation ; Communications Media/trends ; Conflict (Psychology) ; Cultural Diversity ; Family Relations/psychology ; Humans ; Intergenerational Relations
    Language English
    Publishing date 2018-08-07
    Publishing country England
    Document type Editorial
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/0020764018792587
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  4. Article ; Online: Pursuit of Happiness, Prosperity and Health (P-HPH).

    Halbreich, Uriel

    The International journal of social psychiatry

    2018  Volume 64, Issue 4, Page(s) 307–308

    MeSH term(s) Happiness ; Human Rights ; Humans ; Mental Health ; Socioeconomic Factors
    Language English
    Publishing date 2018-03-21
    Publishing country England
    Document type Editorial
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/0020764018765033
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  5. Article ; Online: Reports of my death from a brain cancer have not been evidence-based (at least so far).

    Halbreich, Uriel

    World psychiatry : official journal of the World Psychiatric Association (WPA)

    2010  Volume 9, Issue 1, Page(s) 61

    Language English
    Publishing date 2010-01-14
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2236130-3
    ISSN 2051-5545 ; 1723-8617
    ISSN (online) 2051-5545
    ISSN 1723-8617
    DOI 10.1002/j.2051-5545.2010.tb00271.x
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  6. Article ; Online: Women's reproductive related disorders (RRDs).

    Halbreich, Uriel

    Journal of affective disorders

    2010  Volume 122, Issue 1-2, Page(s) 10–13

    Abstract: Background: In some but not all women, periods of hormonal change may be associated with diversified physical, mental and cognitive symptoms that may be severe enough to warrant treatment. These reproductive-life periods include pregnancy, post-partum, ... ...

    Abstract Background: In some but not all women, periods of hormonal change may be associated with diversified physical, mental and cognitive symptoms that may be severe enough to warrant treatment. These reproductive-life periods include pregnancy, post-partum, the premenstrual and perimenopausal periods.
    Conclusions: Disorders during these periods are quite prevalent and may be grouped together as Reproductive Related Disorders (RRDs). They are characterized by their timing, epidemiologic associations and shared vulnerabilities, but not necessarily by their descriptive phenomenology that often times is diversified among women but consistent within each individual woman. The pathophysiology of RRDs is suggested to be maladaptation of vulnerable women to normal hormonal changes. As such, RRDs provide for an interdisciplinary diagnostic model of mostly-affective disorders that differ from the current descriptive-based entities.
    Clinical relevance: Treatment options may be aimed at the trigger-the hormonal changes or instability; or may be symptomatic-in cases of depression or anxiety they are mostly SSRIs.
    MeSH term(s) Brain/physiopathology ; Climacteric/physiology ; Climacteric/psychology ; Cognition Disorders/diagnosis ; Cognition Disorders/epidemiology ; Cognition Disorders/physiopathology ; Cognition Disorders/psychology ; Cross-Sectional Studies ; Depression, Postpartum/diagnosis ; Depression, Postpartum/epidemiology ; Depression, Postpartum/physiopathology ; Depression, Postpartum/psychology ; Female ; Gonadal Steroid Hormones/blood ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/epidemiology ; Mental Disorders/physiopathology ; Mental Disorders/psychology ; Mood Disorders/diagnosis ; Mood Disorders/epidemiology ; Mood Disorders/physiopathology ; Mood Disorders/psychology ; Patient Care Team ; Pregnancy ; Pregnancy Complications/diagnosis ; Pregnancy Complications/epidemiology ; Pregnancy Complications/physiopathology ; Pregnancy Complications/psychology ; Risk Factors
    Chemical Substances Gonadal Steroid Hormones
    Language English
    Publishing date 2010-04
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2009.05.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1485: Show issues Location:
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  7. Article: Non-Western therapies for affective disorders: in pursuit of open-minded considerations of concepts and applications.

    Halbreich, Uriel

    CNS spectrums

    2009  Volume 14, Issue 5, Page(s) 243–246

    Abstract: Introduction: Complementary and alternative medicine (CAM) modalities are gaining popularity among patients in Western countries. They are especially popular among patients seeking treatment for mental and mood symptoms. Some CAMs are according to ... ...

    Abstract Introduction: Complementary and alternative medicine (CAM) modalities are gaining popularity among patients in Western countries. They are especially popular among patients seeking treatment for mental and mood symptoms. Some CAMs are according to current Western approaches but have not achieved approval by regulatory agencies. Some other modalities are according to non-Western concepts of mental order and disorder. This installment of "The Well-Rounded Brain" will illuminate some non-Western concepts with an example of treatment modality for affective disorders, and compare them to conventional Western approach.
    Methods: Principles of the Chinese concept of affective disorders and acupuncture modalities for their treatments are briefly described from a culturally sensitive perspective.
    Results: Traditional Chinese medicine and current conventional Western medicine substantially differ in underlying concepts, development of treatment modalities, as well as their goals and implementation.
    Conclusion: Some non-Western concepts and treatment modalities have been meticulously and rigorously developed through trial and error, though the evidence for their efficacy and efficiency is not necessarily according to current Western standards. The consistent epidemiological demonstrations of the demand for CAM among patients suffering from mental disorders call for an open-minded, unbiased assessment of efficacy of non-Western treatment modalities for specific clusters of affective symptoms.
    MeSH term(s) Acupuncture Therapy/methods ; Humans ; Medicine, Chinese Traditional/methods ; Mood Disorders/therapy ; Treatment Outcome
    Language English
    Publishing date 2009-04-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2008418-3
    ISSN 2165-6509 ; 1092-8529
    ISSN (online) 2165-6509
    ISSN 1092-8529
    DOI 10.1017/s1092852900025396
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    Zs.MO 340: Show issues

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  8. Article: Development of junior faculty in resource-poor departments of psychiatry.

    Bakhai, Y / Halbreich, U

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2014  Volume 17, Issue 2, Page(s) 84–90

    Abstract: Junior faculty are required to develop steady, productive academic and research programs in order to stay on an academic track and be promoted. In departments that are not research centers, quite often new, aspiring faculty do not have the time, skills, ... ...

    Abstract Junior faculty are required to develop steady, productive academic and research programs in order to stay on an academic track and be promoted. In departments that are not research centers, quite often new, aspiring faculty do not have the time, skills, training, and the encouraging environment necessary to meet these demands. Quantitatively, research-poor departments provide clinical services to the majority of patients in the United States and psychiatric training to a large number of medical students and residents. It is quite widely accepted that enhancement of academic education in these departments is needed. Currently, however, most suggestions to increase research in such departments have been initiated from the research center's perspective. In this study, the problem is illuminated from the faculty's perspective in resource-poor departments. Solutions are discussed and new approaches are suggested.
    Language English
    Publishing date 2014-01-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1007/BF03341859
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  9. Article: The diagnosis of premenstrual syndromes and premenstrual dysphoric disorder--clinical procedures and research perspectives.

    Halbreich, U

    Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology

    2005  Volume 19, Issue 6, Page(s) 320–334

    Abstract: Premenstrual syndromes (PMS) are quite prevalent among women of reproductive age. In up to 20% of women they are severe enough to warrant treatment, which is available and marketed as such. The impact of the cumulative burden of PMS is substantial and is ...

    Abstract Premenstrual syndromes (PMS) are quite prevalent among women of reproductive age. In up to 20% of women they are severe enough to warrant treatment, which is available and marketed as such. The impact of the cumulative burden of PMS is substantial and is in the same magnitude as affective disorders. Nevertheless, the definitions and diagnoses of PMS are still fragmented, not widely accepted and, if accepted, not always applied in day-to-day clinical practice. In the present paper, the current diagnostic entities are critically reviewed, problems with the current definitions are delineated and a unified definition is proposed. For clinical purposes, the recommended dinical practical diagnostic process and differential diagnosis are described. For clinical trials of medications for treatment of PMS/premenstrual dysphoric disorder, research diagnostic criteria, inclusion and exclusion criteria, as well as well-defined outcome measures, are of utmost importance; they are described here. The gaps of knowledge in the description and diagnosis of PMS are described, with suggestions for future directions for research.
    MeSH term(s) Adolescent ; Adult ; Clinical Trials as Topic ; Diagnosis, Differential ; Female ; Humans ; Middle Aged ; Premenstrual Syndrome/diagnosis ; Premenstrual Syndrome/drug therapy ; Premenstrual Syndrome/epidemiology ; Research/trends ; Time Factors ; Treatment Outcome ; World Health Organization
    Language English
    Publishing date 2005-02-11
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 639237-4
    ISSN 1473-0766 ; 0951-3590
    ISSN (online) 1473-0766
    ISSN 0951-3590
    DOI 10.1080/0951590400018215
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    Zs.MO 608: Show issues

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  10. Article: Psychosocial stress and immunosuppression in cancer: what can we learn from new research?

    Singh, Anurag K / Chatterjee, Udit / MacDonald, Cameron R / Repasky, Elizabeth A / Halbreich, Uriel

    BJPsych advances

    2021  Volume 27, Issue 3, Page(s) 187–197

    Abstract: It is generally believed that the physiological consequences of stress could contribute to poor outcomes for patients being treated for cancer. However, despite preclinical and clinical evidence suggesting that stress promotes increased cancer-related ... ...

    Abstract It is generally believed that the physiological consequences of stress could contribute to poor outcomes for patients being treated for cancer. However, despite preclinical and clinical evidence suggesting that stress promotes increased cancer-related mortality, a comprehensive understanding of the mechanisms involved in mediating these effects does not yet exist. We reviewed 47 clinical studies published between 2007 and 2020 to determine whether psychosocial stress affects clinical outcomes in cancer: 6.4% of studies showed a protective effect; 44.6% showed a harmful effect; 48.9% showed no association. These data suggest that psychosocial stress could affect cancer incidence and/or mortality, but the association is unclear. To shed light on this potentially important relationship, objective biomarkers of stress are needed to more accurately evaluate levels of stress and its downstream effects. As a potential candidate, the neuroendocrine signalling pathways initiated by stress are known to affect anti-tumour immune cells, and here we summarise how this may promote an immunosuppressive, pro-tumour microenvironment. Further research must be done to understand the relationships between stress and immunity to more accurately measure how stress affects cancer progression and outcome.
    Language English
    Publishing date 2021-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2807907-3
    ISSN 2056-4686 ; 2056-4678
    ISSN (online) 2056-4686
    ISSN 2056-4678
    DOI 10.1192/bja.2021.9
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