<![CDATA[The Journal of Nervous and Mental Disease - Featured Articles - Editor's Picks]]> http://journals.lww.com/jonmd/ en-us Sat, 27 Dec 2014 01:41:42 -0600 Wolters Kluwer Health RSS Generator http://images.journals.lww.com/jonmd/XLargeThumb.00005053-201412000-00000.CV.jpeg <![CDATA[The Journal of Nervous and Mental Disease - Featured Articles - Editor's Picks]]> http://journals.lww.com/jonmd/ http://journals.lww.com/jonmd/Fulltext/2014/12000/Anger_Expression_Styles_in_Schizophrenia_Spectrum.3.aspx <![CDATA[Anger Expression Styles in Schizophrenia Spectrum Disorders: Associations With Anxiety, Paranoia, Emotion Recognition, and Trauma History]]> imageAbstractHeightened levels of anger and dysregulated expression of anger have been associated with poorer outcomes and treatment response for persons with schizophrenia spectrum disorders. Less is known, however, about the psychological processes that determine the extent to which anger is expressed in a more versus less adaptive manner. To explore this issue, this study gathered reports of anger expression style in 88 persons with schizophrenia or schizoaffective disorder using the State-Trait Anger Expression Inventory, Second Edition. The authors additionally assessed anxiety, suspiciousness, emotion recognition, self-esteem, and cumulative trauma history. Correlations and multiple regression analyses showed that outward anger control, that is, the suppression of anger, was predicted by lower levels of suspiciousness, poorer emotion recognition, and reduced anxiety. Participants who endorsed greater anxiety and had experienced more traumatic events reported a heightened tendency to express anger both inwardly and outwardly.]]> Wed, 10 Dec 2014 20:45:39 GMT-06:00 00005053-201412000-00003 http://journals.lww.com/jonmd/Fulltext/2014/12000/How_Do_Clinicians_Actually_Use_the_Diagnostic_and.1.aspx <![CDATA[How Do Clinicians Actually Use the Diagnostic and Statistical Manual of Mental Disorders in Clinical Practice and Why We Need to Know More]]> AbstractThe clinical use of the Diagnostic and Statistical Manual of Mental Disorders (DSM) is explicitly stated as a goal for both the DSM Fourth Edition and DSM Fifth Edition (DSM-5) revisions. Many uses assume a relatively faithful application of the DSM diagnostic definitions. However, studies demonstrate significant discrepancies between clinical psychiatric diagnoses with those made using structured interviews suggesting that clinicians do not systematically apply the diagnostic criteria. The limited information regarding how clinicians actually use the DSM raises important questions: a) How can the clinical use be improved without first having a baseline assessment? b) How can potentially significant shifts in practice patterns based on wording changes be assessed without knowing the extent to which the criteria are used as written? Given the American Psychiatric Association’s plans for interim revisions to the DSM-5, the value of a detailed exploration of its actual use in clinical practice remains a significant ongoing concern and deserves further study including a number of survey and in vivo studies.]]> Wed, 10 Dec 2014 20:44:39 GMT-06:00 00005053-201412000-00001 http://journals.lww.com/jonmd/Fulltext/2014/12000/Physical_Activity_and_Psychiatric_Symptoms_in.2.aspx <![CDATA[Physical Activity and Psychiatric Symptoms in Adults With Schizophrenia Spectrum Disorders]]> imageAbstractPeople diagnosed with schizophrenia spectrum disorders (SSDs) experience significant health disparity due to cardiovascular disease. One key to cardiovascular health is physical activity (PA). In addition, sedentary behavior is recognized as a health threat, independent of PA levels. The current study sought to identify the relationship of psychiatric symptoms of SSD to measured PA and sedentary behavior. Findings indicated that less than half of the sample obtained the recommended minutes of moderate-to-vigorous PA (MVPA) per week. Subjects who were younger and had greater cognitive disorganization engaged in more minutes of MVPA. In contrast, sedentary behavior was only associated with aspects of metacognitive functioning, such that subjects who had greater ability for forming integrated representations of themselves and the related capacity to use knowledge of themselves spent less time in sedentary behaviors. This study expands upon the limited literature available on individuals with SSD and PA levels.]]> Wed, 10 Dec 2014 20:45:12 GMT-06:00 00005053-201412000-00002