10 principais mentalhealthjournal.org concorrentes

mentalhealth.bmj.com

Background To drive improvement in clinical services, an important innovation will be to regularly assess patients’ psychotic experiences in order to guide, monitor and, when needed, alter treatment provision. The great heterogeneity in presentations of psychosis means that a comprehensive assessment battery is impractical. A plausible solution is computerised adaptive testing (CAT), which uses real-time computation to present the most informative questions to an individual. Fewer questions are needed to reach similar precision as a full questionnaire.Objective We tested the potential of a CAT for paranoia to halve the number of items that need to be presented.Methods We used the established item response theory psychometric properties of the 10-item Revised Green et al Paranoid Thoughts Scale (Persecution) to run CAT simulations in four datasets in which participants had completed the full scale: a representative survey of 10 382 UK adults; a clinical trial with 319 patients with psychosis; a cohort study of 836 National Health Service (NHS) male patients with psychosis; and a clinical trial with 89 patients with persecutory delusions. The CAT algorithm used the graded response model and the test was concluded when the SE of estimation dropped below 0.3 or five items had been answered.Findings On average, the CAT administered 4.2, 4.0, 4.2 and 4.0 items to each person in the four datasets. The correlations between the CAT score and the full-scale paranoia score were 0.95, 0.94, 0.94 and 0.87. Minimal systematic error in paranoia estimation occurred (mean bias scores=−0.01, –0.06, −0.07 to –0.10). Estimation was the least precise for people at the boundary of normal and elevated levels of paranoia.Conclusions In datasets with people across the whole paranoia continuum, accurate estimates of paranoia can be provided by a CAT with fewer than half the items of the full scale. Tailored testing may work well with people with psychosis.Clinical implications CAT may be a w

ijpp.com

Evaluation of acute and subacute anti-inflammatory activity of Crocus sativus ethanolic extract water fraction in rats

journal.einstein.br

einstein (São Paulo) is the official scientific publication of the Instituto Israelita de Ensino e Pesquisa Albert Einstein

biographs.org

on our website you will find biographies of famous people from all over the world. learn about the life path, career achievements and personal interests of your favorite actors, musicians, athletes, writers and other outstanding personalities. read success stories and be inspired by examples of perseverance, talent and determination!..

jrd.or.kr

Hyoun-Ah Kim, M.D., Ph.D., So Young Park, M.S., Kichul Shin, M.D., Ph.D.. J Rheum Dis 2022;29:215-22. https://doi.org/10.4078/jrd.22.0005

feynman.com

richard feynman, scientist, teacher, raconteur, and drummer. he assisted in the development of the atomic bomb, expanded the understanding of quantumelectrodynamics, translated mayan hieroglyphics, and cut to the heart of the challenger disaster.