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  1. Book ; Online ; E-Book: Goodwin and Guze's psychiatric diagnosis

    North, Carol S. / Yutzy, Sean H.

    2019  

    Title variant Psychiatric diagnosis
    Author's details Carol S. North, Sean H. Yutzy
    Keywords Mental Disorders / diagnosis
    Subject code 616.89075
    Language English
    Size 1 Online-Ressource (xxvii, 390 Seiten), 24 cm
    Edition Seventh edition
    Publisher Oxford University Press
    Publishing place New York
    Publishing country United States
    Document type Book ; Online ; E-Book
    Note Includes bibliographical references and index
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT020133810
    ISBN 978-0-19-021547-7 ; 9780190215460 ; 0-19-021547-X ; 0190215461
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Burnout Education: Are We Playing with Fire?

    Adams, Traci N / North, Carol S

    American journal of respiratory and critical care medicine

    2023  Volume 209, Issue 2, Page(s) 134–136

    MeSH term(s) Humans ; Burnout, Professional ; Burnout, Psychological ; Educational Status ; Surveys and Questionnaires
    Language English
    Publishing date 2023-10-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.202308-1460VP
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Tobacco and Illicit Drug Use and Drug Use Disorders Among Employees of Businesses Affected by the 9/11 Attacks on the World Trade Center in New York City.

    North, Carol S / Pfefferbaum, Betty

    Journal of dual diagnosis

    2023  Volume 19, Issue 4, Page(s) 180–188

    Abstract: Objective: To study the New York City area population after the September 11, 2001, 9/11 attacks, focusing on tobacco and drug use and drug use disorders. An abundance of research has identified the important mental health sequelae stemming from ... ...

    Abstract Objective: To study the New York City area population after the September 11, 2001, 9/11 attacks, focusing on tobacco and drug use and drug use disorders. An abundance of research has identified the important mental health sequelae stemming from exposure to disasters, especially vulnerability to the development of posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). There also is a body of literature on the association of disaster exposure with alcohol use/misuse, but far less research on tobacco and other drug use/disorders.
    Methods: A terrorism-affected sample (
    Results: Tobacco use did not increase significantly, and no predictors of increased tobacco use could be found for any subgroups, including disaster trauma exposures. Drug use (largely cannabis) increased initially but decreased by 3 years after the attacks. Drug use disorders, which were associated with other psychiatric disorders, were rare and primarily began prior to 9/11.
    Conclusions: The overall lack of increase of tobacco use or predictors of increased use found after the disaster and the low rates of new drug use disorders suggest that universal screening for increased tobacco use and new drug use disorders by clinicians may have very low yield. Regardless, postdisaster settings provide suitable circumstances for general discussions about self-care including concern for increased tobacco use, avoiding drug use, and guidance on healthier means of managing stress than through substances. Additionally, because existing tobacco and drug use are endemic in populations, the postdisaster setting can serve as a reminder for clinicians to assess these problems generally and provide appropriate referrals when needed. Postdisaster circumstances offer opportunities to disseminate and promote public health messages and address issues of substance use and misuse.
    MeSH term(s) Humans ; Depressive Disorder, Major/epidemiology ; New York City/epidemiology ; September 11 Terrorist Attacks/psychology ; Stress Disorders, Post-Traumatic/psychology ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/complications ; Illicit Drugs
    Chemical Substances Illicit Drugs
    Language English
    Publishing date 2023-11-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2179549-6
    ISSN 1550-4271 ; 1550-4263
    ISSN (online) 1550-4271
    ISSN 1550-4263
    DOI 10.1080/15504263.2023.2260328
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The need to clarify professional terminology in psychiatry.

    North, Carol S / Pfefferbaum, Betty

    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists

    2022  Volume 34, Issue 3, Page(s) 149–151

    MeSH term(s) Humans ; Mental Disorders ; Psychiatry
    Language English
    Publishing date 2022-07-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025337-3
    ISSN 1547-3325 ; 1040-1237
    ISSN (online) 1547-3325
    ISSN 1040-1237
    DOI 10.12788/acp.0079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Recovery 101: A Community Psychoeducation Program on Mental Health Recovery and Peer Support Services Created by an Academic Psychiatrist and Delivered by Peers.

    Guillory, Joseph / North, Carol S

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

    2022  Volume 46, Issue 6, Page(s) 735–739

    Abstract: Objective: Despite the ongoing growing interest and established benefits of mental health recovery and peer support services, little is known about the effects of mental health recovery and peer support services specifically in community education ... ...

    Abstract Objective: Despite the ongoing growing interest and established benefits of mental health recovery and peer support services, little is known about the effects of mental health recovery and peer support services specifically in community education programs. Seeking to further expand this scope, this article details the development, implementation, and evaluation of a recovery and peer services community psychoeducation program created by an academic psychiatrist and delivered by trained mental health peers.
    Methods: A community psychoeducation intervention on recovery and peer services was provided in 2 different series: 5-session and 1-session series. Participants in the intervention were recruited from 2 local nonprofit recovery-oriented organizations and a public mental health service agency. Surveys were administered before and after each presentation session and analyzed both quantitatively and qualitatively.
    Results: Quantitative survey items covering knowledge, awareness, interest, and likelihood of involvement in peer services for recovery all showed statistically significant gains from before to after the sessions. The qualitative data provided information about the participants' interests in the program in terms of knowledge of recovery, self-improvement, advocacy, resources, support, and nonspecific positive comments.
    Conclusions: An essential contribution of the program was to introduce participants to recovery and peer services. It also provided them with foundational knowledge that placed participants in a position to begin to practice the concepts of recovery. According to the participants' comments in the surveys, the program imbued a sense of hope and motivation; support and fellowship; and, importantly, role modeling and wisdom from the presenters.
    MeSH term(s) Humans ; Mental Health Recovery ; Peer Group ; Counseling ; Mental Health Services ; Psychiatry ; Mental Disorders/therapy
    Language English
    Publishing date 2022-05-27
    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/s40596-022-01652-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A longitudinal follow-up study of Oklahoma City bombing survivors in the first quarter century after the disaster.

    North, Carol S / McDonald, Katy / Pollio, David E

    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists

    2023  Volume 35, Issue 2, Page(s) 93–100

    Abstract: Background: This study is one of the longest postdisaster prospective longitudinal studies of disaster-related psychopathology, completed nearly a quarter century after a terrorist bombing, and the longest follow-up study ever conducted using full ... ...

    Abstract Background: This study is one of the longest postdisaster prospective longitudinal studies of disaster-related psychopathology, completed nearly a quarter century after a terrorist bombing, and the longest follow-up study ever conducted using full diagnostic assessment in highly exposed disaster survivors.
    Methods: Oklahoma City bombing survivors (87% injured) were randomly selected from a state survivor registry and interviewed approximately 6 months postdisaster (N = 182; 71% participation) and again nearly 25 years later (N = 103; 72% participation). Interviews were conducted using the Diagnostic Interview Schedule (a structured interview assessing full diagnostic criteria) for panic disorder, generalized anxiety disorder, and substance use disorder at baseline and also for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) at follow-up. The Disaster Supplement assessed disaster trauma exposure and subjective experience.
    Results: At follow-up, 37% of participants exhibited bombing-related PTSD (34% at baseline) and 36% had MDD (23% at baseline). More new cases of PTSD than MDD developed over time. Nonremission rates were 51% for bombing-related PTSD and 33% for MDD. One-third of participants reported long-term nonemployability.
    Conclusions: The presence of long-term medical problems among survivors parallels the persistence of psychopathology. Ongoing medical problems might have contributed to psychiatric morbidity. Because no major variables predicted remission from bombing-related PTSD and MDD, all survivors with postdisaster psychopathology likely need access to long-term evaluation and care.
    MeSH term(s) Humans ; Follow-Up Studies ; Depressive Disorder, Major/complications ; Oklahoma/epidemiology ; Prospective Studies ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/diagnosis ; Disasters ; Survivors/psychology
    Language English
    Publishing date 2023-04-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 1025337-3
    ISSN 1547-3325 ; 1040-1237
    ISSN (online) 1547-3325
    ISSN 1040-1237
    DOI 10.12788/acp.0095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Prospective Post-disaster Longitudinal Follow-up Study of Emotional and Psychosocial Outcomes of the Oklahoma City Bombing Rescue and Recovery Workers During the First Quarter Century Afterward.

    North, Carol S / McDonald, Katy

    Disaster medicine and public health preparedness

    2023  Volume 17, Page(s) e331

    Abstract: Objective: Little prospectively assessed post-disaster longitudinal research has been done on mental health (MH) outcomes of disaster rescue and recovery workers. This longitudinal prospective study, which is examining first responders to a terrorist ... ...

    Abstract Objective: Little prospectively assessed post-disaster longitudinal research has been done on mental health (MH) outcomes of disaster rescue and recovery workers. This longitudinal prospective study, which is examining first responders to a terrorist bombing in Oklahoma City after nearly a quarter century, was conducted to investigate their long-term MH outcomes using full diagnostic assessments. This will most accurately inform planning for longitudinal MH care needs.
    Methods: Longitudinal follow-up interviews of 124 rescue and recovery workers, from an original volunteer sample of 181 volunteer workers, were completed 3 years after the bombing, and reassessed 23 years after using consistent research methods. Structured diagnostic interviews were conducted at both assessments, but these were limited to posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) with additional questions about alcohol use, problems, and major psychosocial problems of life at follow up.
    Results: Initially, the rescue and recovery workers had a lower prevalence of post-disaster PTSD and MDD than directly exposed survivors. They also showed higher rates of PTSD than MDD. However, over time, PTSD increased a little while MDD increased 4-fold though fewer than 50% of the cases were remitted.
    Conclusion: Low remission and increasing MDD provide incentives for surveillance and availability of treatment for decades after disaster, regardless of whether they were pre-existing conditions or disaster related.
    MeSH term(s) Humans ; Follow-Up Studies ; Prospective Studies ; Depressive Disorder, Major ; Oklahoma/epidemiology ; Disasters ; Stress Disorders, Post-Traumatic/epidemiology
    Language English
    Publishing date 2023-02-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2022.296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Addressing Mental Health Needs Among Frontline Health Care Workers During the COVID-19 Pandemic.

    Adams, Traci N / Ruggiero, Rosechelle M / North, Carol S

    Chest

    2023  Volume 164, Issue 4, Page(s) 975–980

    Abstract: Frontline workers experienced inordinate stress levels during the COVID-19 pandemic, as historically high volume and acuity in our hospitals was accompanied by concerns about our safety. We suggest that supporting frontline workers is an essential part ... ...

    Abstract Frontline workers experienced inordinate stress levels during the COVID-19 pandemic, as historically high volume and acuity in our hospitals was accompanied by concerns about our safety. We suggest that supporting frontline workers is an essential part of the pandemic response plan. We propose strategies to address the emotional and mental health (MH) needs of frontline health care workers during and after a pandemic that integrates knowledge from the disaster MH literature with the lessons learned during the COVID-19 pandemic. The disaster MH literature emphasizes distinguishing development of defined psychiatric disorders from emotional distress representing normative responses to disaster trauma and stress. Differentiating psychopathology from distress requires diagnostic assessment by a trained clinician. Where shortages of psychiatrists exist, primary care physicians may be trained to assist with disaster-related psychiatric assessment and initiation of treatment for psychopathologic features. The first component of a pandemic MH plan for critical frontline workers is to distinguish psychiatric illness from normative distress and to provide adequate treatment of psychopathologic symptoms. A second component of the comprehensive pandemic MH response is the provision of supportive care interventions and resources for normative distress. These interventions may include psychological first aid, individual or group counseling, broadening the pool of frontline workers, and buddy systems. Although these interventions were unknown or difficult to put in place at the beginning of the COVID-19 pandemic, we now have an opportunity to implement postpandemic MH response plans and to create response planning for subsequent COVID-19 surges integrating MH care into the front lines.
    Language English
    Publishing date 2023-07-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2023.07.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Outcomes and Correlates of Major Depression in 11 Disaster Studies Using Consistent Methods.

    North, Carol S / Baron, David

    Behavioral sciences (Basel, Switzerland)

    2021  Volume 11, Issue 1

    Abstract: This study investigated psychosocial functioning and employment status in association with postdisaster major depression and its course in survivors of 11 different disasters in a sample of 808 directly-exposed survivors of 10 disasters and 373 survivors ...

    Abstract This study investigated psychosocial functioning and employment status in association with postdisaster major depression and its course in survivors of 11 different disasters in a sample of 808 directly-exposed survivors of 10 disasters and 373 survivors of the 11 September 2001 (9/11), terrorist attacks on New York City's World Trade Center (total
    Language English
    Publishing date 2021-01-01
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2076-328X
    ISSN 2076-328X
    DOI 10.3390/bs11010004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: The Symptom Structure of Postdisaster Major Depression: Convergence of Evidence from 11 Disaster Studies Using Consistent Methods.

    North, Carol S / Baron, David

    Behavioral sciences (Basel, Switzerland)

    2021  Volume 11, Issue 1

    Abstract: Agreement has not been achieved across symptom factor studies of major depressive disorder, and no studies have identified characteristic postdisaster depressive symptom structures. This study examined the symptom structure of major depression across two ...

    Abstract Agreement has not been achieved across symptom factor studies of major depressive disorder, and no studies have identified characteristic postdisaster depressive symptom structures. This study examined the symptom structure of major depression across two databases of 1181 survivors of 11 disasters studied using consistent research methods and full diagnostic assessment, addressing limitations of prior self-report symptom-scale studies. The sample included 808 directly-exposed survivors of 10 disasters assessed 1-6 months post disaster and 373 employees of 8 organizations affected by the September 11, 2001 terrorist attacks assessed nearly 3 years after the attacks. Consistent symptom patterns identifying postdisaster major depression were not found across the 2 databases, and database factor analyses suggested a cohesive grouping of depression symptoms. In conclusion, this study did not find symptom clusters identifying postdisaster major depression to guide the construction and validation of screeners for this disorder. A full diagnostic assessment for identification of postdisaster major depressive disorder remains necessary.
    Language English
    Publishing date 2021-01-13
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2076-328X
    ISSN 2076-328X
    DOI 10.3390/bs11010008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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