American Journal of Psychiatry Audio

Sara Tramazzo, a specialist from Stony Brook University, discusses the long-term outcomes for patients with psychotic disorders, revealing lower recovery rates compared to other studies. She highlights challenges in tracking patients over 25 years and the importance of differentiating between recovery and remission. Dr. Ned Kalin joins later to explore innovative treatment approaches and the potential use of neuromelanin as a biomarker in first-episode schizophrenia. Together, they shed light on the complex landscape of long-term psychiatric care.

Dr. ReJoyce Green, a substance use specialist from the Medical University of South Carolina, discusses key predictors of substance use initiation in early adolescents, highlighting the protective role of religious participation and sociodemographic factors. Dr. Ned Kalin and Dr. Kathleen Brady delve into the latest developments in understanding and treating substance use disorders, emphasizing the need for personalized interventions and the importance of demographic influences in effective prevention strategies.

Neuroscientist Dr. Soonjo Hwang discusses intranasal oxytocin in youths with severe irritability. They explore oxytocin effects, delivery methods, imaging, and clinical implications. The podcast highlights preliminary investigations, limitations, and the need for further research.

Dr. Drew Rothenberg (Duke University, Durham, NC) joins AJP Audio to discuss the long term, intergenerational impacts of the Fast Track program, and whether the mental health intervention lead to lasting improvements in mental health, including in the participants own children.   00:49     Rothenberg interview 04:36     A null result? 07:13     At risk children from high risk neighborhoods 08:00     Limitations 09:17     Demand for childhood mental health services and clinical implications 11:10     Further research 13:59     Kalin interview 14:12     Rothenberg et al. 16:12     Haller et al. 18:49     Poirot et al. 20:55     Ainsworth et al. 23:20     Rosenqvist et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Dr. Ofir Livne from Columbia University discusses trends in cannabis use disorder among US veterans with psychiatric disorders, exploring legal changes, the complex link between cannabis and mental health, clinical implications, and future research directions. The podcast also touches on the impact of legislation on cannabis use disorder rates, the relationship between cannabis use disorder and psychiatric conditions in veterans, mindfulness training in chronic pain patients, and the relationship between heroin and cannabis use over time.

Authors discuss the impact of the menstrual cycle on suicidal ideation and planning in psychiatric patients. They explore sex differences in suicidal thoughts and behavior, highlighting the need for gun control. The podcast also covers body weight and treatment of depression in older patients.

Dr. Aaron Samuel Breslow from Montefiore Medical Center and Albert Einstein College of Medicine discusses racial and ethnic disparities in COVID-19 stressors and mental health outcomes among Bronx healthcare workers. Topics include pandemic stressors, adverse mental health outcomes, limitations, policy considerations, and the need for further research.

Dr. Winston Chung discusses the inequalities in diagnosing psychotic disorders among racial and ethnic groups. Topics include structural racism, effective and non-effective psychosis, rates of treatment, and policy implications. Other chapters explore genetic factors linking schizophrenia and cardiovascular disease, predicting treatment response in first episode psychosis, and machine learning techniques for predicting conversion to psychosis.

Dr. Luis Farhat and Dr. Guilherme V. Polanczyk discuss how socioenvironmental factors and emotional dysregulation impact neurodevelopment in children. They explore associations in UK cohorts, comorbidities, and clinical implications. The podcast also covers gene alterations in major depression, the impact of maternal stress on infant development, and the importance of early intervention.

Dr. Antony Chum (York University, Toronto) joins AJP Audio to discuss disparities in suicide-related behaviors between sexual orientations by gender in a large cohort from the province of Ontario. Afterwards, we’ll once again be joined by American Journal of Psychiatry Editor-in-Chief, Dr. Ned Kalin, to discuss the rest of the September issue of AJP and what brings it together. Transcript Chum interview [00:34] Results [02:14] Using a large data set [03:21] Correcting the limitations of previous research [04:40] Taking changing societal circumstances into account [06:11] Immediate clinical implications [07:57] What’s next for your research? [09:47] Kalin interview [11:23] Chum et al. [11:34] Widge et al. [13:15] Russell et al. [15:06] Deligiannidis et al. [15:34] Clayton et al. [18:41] Kumar et al. [19:59] Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Stitcher, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org