The International Journal of Psychiatry in Medicine Impact Factor & Information

Publisher: Baywood Publishing

Journal description

The goal of the International Journal of Psychiatry in Medicine is to address the complex relationships among biological, psychological, social, religious and cultural factors in patient care. The aim of the Journal is to provide a forum where researchers and clinicians in psychiatry, medicine, and surgery from around the world can educate each other and advance knowledge concerning biological, psychological, and social theory, methods, and treatment as they apply to patient care. Topics of interest include, but are not limited to: psychobiological, psychological, social, religious, and cultural modifiers of illness; the minor and moderate mental disorders seen and treated in medical practice; doctor-patient interactions; ethical issues in medicine; biomedical etiologies of mental symptoms; research from successful collaborative, multidisciplinary models such as geriatrics; and, health services research. The Journal will publish original research, review articles, innovative educational programs, and illustrative case reports.

Current impact factor: 0.89

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 0.887
2013 Impact Factor 0.805
2012 Impact Factor 1.154
2011 Impact Factor 1.029
2010 Impact Factor 1.055
2009 Impact Factor 0.909
2008 Impact Factor 0.882
2007 Impact Factor 0.733
2006 Impact Factor 0.694
2005 Impact Factor 0.693
2004 Impact Factor 0.581
2003 Impact Factor 0.534
2002 Impact Factor 0.794
2001 Impact Factor 0.714
2000 Impact Factor 1.033
1999 Impact Factor 1.207
1998 Impact Factor 0.63
1997 Impact Factor 0.944
1996 Impact Factor 1.082
1995 Impact Factor 0.918
1994 Impact Factor 0.741
1993 Impact Factor 0.552
1992 Impact Factor 0.797

Impact factor over time

Impact factor

Additional details

5-year impact 1.28
Cited half-life >10.0
Immediacy index 0.05
Eigenfactor 0.00
Article influence 0.41
Website International Journal of Psychiatry in Medicine, The website
Other titles International journal of psychiatry in medicine
ISSN 0091-2174
OCLC 1778043
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

Baywood Publishing

  • Pre-print
    • Archiving status unclear
  • Post-print
    • Author cannot archive a post-print version
  • Conditions
    • Publisher's version/PDF cannot be deposited in open access repositories
    • Can be deposited in password protected repositories only, subject to permission, 12 month embargo and restrictions
    • Password protected repositories must use the publisher's version/PDF
    • Publisher last contacted on 03/06/2014
  • Classification
    ​ white

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives: Several studies suggest that androgens are involved in the etiology of Attention Deficit-Hyperactivity Disorder (ADHD). In this study, we investigated the ADHD symptoms in women with Polycystic Ovary Syndrome (PCOS), a complex endocrine, hormonal, and metabolic condition associated with hyperandrogenism. Methods: Forty women between the ages of 18-35 years with PCOS were recruited for the study group. For comparison, 40 healthy women who had regular menses were included. Current and childhood ADHD symptoms were assessed by using the Adult ADHD Self-Report Scale (ASRS) and Wender-Utah Rating Scale (WURS), respectively. Results: Women with PCOS had higher total ASRS and total WURS scores than controls. According to the WURS, the frequency of childhood ADHD was significantly higher in PCOS group than the control. ASRS: Hyperactivity-Impulsivity and WURS: Behavioral Problems/Impulsivity scores were significantly higher in women with PCOS. However there were no significant differences between groups in both current and childhood inattention scores. We found no correlations between ADHD symptoms and serum hormone levels including testosterone in women with PCOS. Conclusions: These results suggest that women with PCOS have higher ADHD symptoms. Further studies are needed to investigate the association between PCOS and ADHD.
    The International Journal of Psychiatry in Medicine 11/2015;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives: The aim of the study was to estimate the prevalence and associated correlates of major depressive disorder and generalized anxiety disorder in hepatitis C virus patients before and after treatment and to investigate the relationship between major depressive disorder and generalized anxiety disorder and treatment response. Methods: A total of 116 consecutive hepatitis C virus patients from hepatitis C virus treatment center in Zagazig city, Egypt, were included in the study and divided into treated group (N = 58) and untreated group (N = 58). All hepatitis C virus patients were screened for major depressive disorder and generalized anxiety disorder using hospital anxiety and depression scale, and those who screened positive were interviewed to confirm the diagnosis of major depressive disorder and generalized anxiety disorder using DSM-IV-TR diagnostic criteria. These measures were done at baseline and after 12 weeks of treatment or observation. Results: At baseline, 3.5% and 12.1% of hepatitis C virus patients (treated group) had major depressive disorder and generalized anxiety disorder, respectively. After 12 weeks of treatment 37.9% of hepatitis C virus patients (treated group) had major depressive disorder and 46.6% had generalized anxiety disorder. There was a significant statistical difference between hospital anxiety and depression scale scores for depression (3.3 ± 2.3 vs. 6.4 ± 3.2, t = 9.6, p = 0.001) and for anxiety (4.6 ± 2.4 vs. 7.3 ± 3.0, t = 10.2, p = 0.001) before and after treatment. There was also significant statistical difference between treated group and untreated group regarding hospital anxiety and depression scale scores after treatment and observation (depression, treated group 6.4 ± 3.2 vs. untreated group 4.0 ± 2.4, t = 3.7, p = 0.001; anxiety, treated group 7.3 ± 3.0 vs. untreated group 4.5 ± 2.3, t = 4.4, p = 0.001). There was no association between major depressive disorder and generalized anxiety disorder and treatment response. Conclusions: Major depressive disorder and generalized anxiety disorder are common in hepatitis C virus patients after treatment with interferon and ribavirin and were not related to treatment response.
    The International Journal of Psychiatry in Medicine 09/2015; DOI:10.1177/0091217415605029
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: Attention-deficit/hyperactivity disorder (ADHD) is a common childhood-oneset psychiatric disease, characterized by excessive overactivity, inattention, and impulsiveness. In recent studies, it is emphasized that inflammation may have a role in ADHD. In this study, we aimed to investigate whether there are associations between ADHD and serum levels of soluble intercellular adhesion molecules (s-ICAMs) which have important role in inflammatory diseases. We also measured the levels of these molecules after treatment with oros-methylphenidate. Methods: Twenty-five patients diagnosed with ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV-TR criteria and 18 healthy volunteer controls were included in this study. The levels of sICAMs were measured in the serum of the patients and healthy volunteers by ELISA kit as described. Results: The levels of sICAM-1 and sICAM-2 were significantly higher in patients compared with controls. The level of sICAM-2 was decreased significantly in group treated with oros-methylphenidate. Conclusions: This is the first study pointing out the relationship between sICAMs and ADHD. The changes in sICAM-2 level may have a role in the effect mechanism of oros-methylphenidate, used for the treatment of ADHD.
    The International Journal of Psychiatry in Medicine 09/2015; DOI:10.1177/0091217415605040
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: The goal of this study was to investigate depression and anxiety levels of mothers whose child (7-11 years) and adolescent (12-18 years) offspring had obesity, as well as those mothers' attitudes toward their children and their family relationships. Method: This is a cross-sectional, case-control study of 100 dyads. All mothers completed the Beck Depression Inventory, the State-Trait Anxiety Inventory, the Parental Attitude Research Instrument, and the Family Assessment Device. Results: Maternal state anxiety in the group with obesity was significantly higher than controls (p = 0.03). As measured by Family Assessment Device, affective involvement (p = 0.05) and behavior control (p = 0.00) scores were significantly higher for those with obesity. Obesity and adolescence have independent effects on maternal state anxiety; affective involvement domain of family function is affected by both obesity and its interaction with adolescence, while behavior control domain is singularly affected by obesity. Conclusions: Our results may demonstrate that, for the mothers of children who have obesity, this condition may have an adverse effect on their lives and their family relationships. Pediatric obesity and developmental stage of offspring may have different effects on maternally reported psychometric variables. Cross-sectional design may hinder causal explanations. Further studies with longitudinal designs are needed.
    The International Journal of Psychiatry in Medicine 09/2015; DOI:10.1177/0091217415605032
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives: Depression and diabetes are closely biologically and behaviorally intertwined. We examined the impact of comorbid diabetes mellitus on the incidence of serious psychiatric outcomes among patients with depression. Methods: We used claims data from the Korean Health Insurance Review & Assessment Service database of patients who were diagnosed with depression within one year of an index prescription for antidepressants between January 2007 and June 2008. We investigated the association between the comorbidity of diabetes mellitus and serious psychiatric outcomes of depression, such as psychiatric hospitalization, psychiatric emergency room visits, and suicide attempts. Results: Among 200,936 patients with depression, 74,160 (36.9%) had diabetes mellitus, including 57,418 (28.6%) with complications. The incidence of serious psychiatric outcomes was 3.3% in patients with depression without diabetes and 6.7% in patients with depression and diabetes mellitus. Patients with depression and diabetes mellitus complications showed higher rates of serious outcomes than that did those without diabetes mellitus complications (odds ratio, 1.19; 95% confidence interval, 1.11-1.13). Similarly, depressed patients with micro and macrovascular diabetic complications were more likely to experience serious outcomes than those without diabetes mellitus complications (odds ratio, 2.2; 95% confidence interval, 2.07-2.34). Conclusions: Our results showed that comorbid diabetes mellitus can increase the risk of serious outcomes of depression, such as suicide and hospitalization, and thus may alter the antidepressants prescription patterns and healthcare service use among patients with depressive disorders.
    The International Journal of Psychiatry in Medicine 09/2015; DOI:10.1177/0091217415605024
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: Patients with major depression frequently complain of pain, but conflicting data exist concerning their changes in pain sensitivity. This study aimed at comparing the sensitivity to moderate controlled pain between subjects presenting a major depressive episode (isolated and recurrent depressive episodes or a bipolar disorder), controls, and subjects with schizophrenia from a previous study. Method: Pain sensitivity was assessed obtaining the visual analog scale (VAS) rating for the application of a 160 kPa pre-fixed pressure (fpVAS), the pressure corresponding to a VAS score of 3, and the time required to achieve a VAS score of 3 during ischemia induction. The effects of depression intensity, alexithymia, current and past general pain, and of six weeks of antidepressant treatment on fpVAS were investigated. Results: The results did not differ significantly between the depressed groups and the controls, without any effect of depression intensity. Presence of long-lasting pain and current pain felt on the day of testing correlated with fpVAS. The subjects of the depressed group were less sensitive than subjects with schizophrenia. FpVAS was significantly lower before and after antidepressant treatment in the subjects presenting clinical improvement. Conclusions: No difference in experimental pain sensitivity and expression between major depressive episode subjects and controls, in opposite to pain complaints, is to be detected. The changes in the sensation of pain routinely attributed to subjects presenting depression may result from changes in a differential processing of pain signals, not in relation with the depression intensity, or the kind of depressive disorder.
    The International Journal of Psychiatry in Medicine 09/2015; DOI:10.1177/0091217415605039
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study characterized symptoms of acute stress and depression in caregivers present during the hospitalization of a loved one with delirium. This is an observational, cross-sectional analysis of caregivers of patients hospitalized with delirium. Standardized questionnaires were used in caregiver interviews to assess psychological reactions to traumatic situations and understanding of medical care. Of the 40 caregivers recruited, half had significant symptoms of acute stress and 12.5% of caregivers were highly symptomatic across all domains related to trauma. Elevated acute stress was positively correlated with both past or current depression and prior mental health treatment (p < 0.028). The caregivers who ranked witnessing delirium as having a negative impact on their lives were also at elevated risk (p < 0.05). Caregivers witnessing delirium are at elevated risk for experiencing severe acute traumatic and depressive symptoms, and this response might place them at risk for developing traumatic disorders. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 09/2015; DOI:10.1177/0091217415605033
  • The International Journal of Psychiatry in Medicine 07/2015; DOI:10.1177/0091217415592349
  • [Show abstract] [Hide abstract]
    ABSTRACT: Individuals with severe and persistent mental illness have increased morbidity and mortality and significant barriers to accessing health care. Although primary care providers deliver most health care for this population, residency training programs generally lack specialized training in this area. This article describes the approaches of two family medicine residency programs in addressing this educational gap. Each program collaborated with external organizations to create service models that would enhance patient access, while immersing residents in the care of patients with severe and persistent mental illness. Residents educated in these programs gain experience with an underserved population, practice advanced skills in managing complex medical and psychiatric illness, and increase knowledge from collaborative work in unique care settings. Further implementation of programs like these, and rigorous study of such programs, could have significant benefits for family medicine education and the care of patients with severe and persistent mental illness. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 07/2015; 50(1). DOI:10.1177/0091217415592353
  • [Show abstract] [Hide abstract]
    ABSTRACT: Integrating behavioral health care into the family medicine residency has had a dramatic impact on patient care, resident training, and physician effectiveness. With a cursory glance, it may seem that integrated behavioral health providers spend their days exclusively having 30-min office visits with patients. A full exploration, however, reveals that well-integrated behavioral health offers not only brief and effective visits with patients but also increased collaboration, better patient comanagement, and multiple opportunities for resident learning. Behavioral health integration transforms the way in which medical providers at all levels of training work, teach, and conceptualize their future practice. In an internal survey of 33 medical providers in an integrated family medicine residency, 97% of respondents report they value behavioral health integration to such a degree that they are more likely to accept a job in a setting that offers integrated behavioral health. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 07/2015; 50(1). DOI:10.1177/0091217415592357
  • [Show abstract] [Hide abstract]
    ABSTRACT: Primary care providers are increasingly responsible for providing mental health care in the United States. For those patients who do receive specialty mental health services, the primary care provider functions as the main entry point into the mental health system. Given the persistent racial and ethnic health disparities in the United States, it is not surprising that mental health disparities also present a difficult challenge for both the U.S. health system and for frontline practitioners. Physicians-in-training require tools for rapid psychiatric assessment that will quickly identify pertinent symptom clusters and distinguish between major psychological disorders. It is incumbent on residency faculty to teach resident physicians how to provide culturally responsive mental health assessment and intervention/referral knowledge and skills toward the elimination of these disparities and toward patient-centered care. This article begins with an overview of health disparities and barriers to health and mental health care access, followed by a discussion of culturally responsive care including an example of a culturally responsive educational program in the United States that is directly targeting the problem of access in that geographic region. It concludes with a review of educational strategies for enhancing culturally responsive behavioral and mental health care by physicians in training. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 07/2015; 50(1). DOI:10.1177/0091217415592368
  • [Show abstract] [Hide abstract]
    ABSTRACT: Primary care is the setting where the majority of patients seek assistance for their mental health problems. To assist family medicine residents in providing effective care to patients for mental health problems during residency and after graduation, it is essential they receive training in the assessment, diagnosis, and treatment of common mental health conditions. While there is some limited education time with a psychiatrist in our department, residents need tools and resources that provide education during their continuity clinics even when the psychiatrist is not available. Information on two tools that were developed is provided. These tools include teaching residents a brief method for conducting a psychiatric interview as well as a means to access evidence-based information on diagnosis and treatment of mental health conditions through templates available within our electronic medical record. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 07/2015; 50(1). DOI:10.1177/0091217415592350
  • [Show abstract] [Hide abstract]
    ABSTRACT: Beginning behavioral science faculty, who are critical residency program contributors, face significant immediate challenges that often diminish their effectiveness and increase the time it takes to translate and reformat their expertise into relevant and meaningful educational presentations. Residency program culture and competency-based learning are quite different from the educational objectives and teaching environments found in most behavioral health training programs. The goal of this article is to provide beginning behavior science faculty, who are typically on their own and learning on the job, with a guide to the core educational perspectives and skills required as well as key resources that are available to them. Since a significant portion of behavioral science faculty's teaching time revolves around small and large group presentations, our guide focuses on how to incorporate key strategies and resources into relevant, evidenced-based and, most importantly, effective behavioral health presentations for the program's resident physicians. Specifically, our recommendations include selection of content, methods of content organization, techniques for actively engaging resident physicians in discussing the significance of the topics, and descriptions of numerous Internet resources for the primary mental health topics that concern family medicine trainees. Finally, it is emphasized that the relevant and effective use of these recommendations is dependent upon the behavioral science faculty educator's first understanding and appreciating how physicians' think, speak, and prioritize information while caring for their patients. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 07/2015; 50(1). DOI:10.1177/0091217415592370
  • [Show abstract] [Hide abstract]
    ABSTRACT: Family medicine residents are at risk for burnout due to extended work hours, lack of control over their work schedule, and challenging work situations and environments. Building resiliency can prevent burnout and may improve a resident's quality of life and health behavior. This report describes a program designed to build resiliency, the ability to bounce back from stress, in family medicine residents in a medium sized U.S. residency training program. Interactive sessions emphasized building self-awareness, coping skills, strengths and meaning in work, time management, self-care, and connections in and outside of medicine to support resident well-being. System changes which fostered wellness were also implemented. These changes included increasing the availability of fresh fruits in the conference and call room, purchasing an elliptical exercise machine for the on call room, and offering a few minutes of mindfulness meditation daily to the inpatient residents. Results to date show excellent acceptance of the program by trainees, increased consumption of nutritious foods, more personal exercise, and self-reported decreased overreactions to stress. Resiliency programs can effectively serve to meet accreditation requirements while fostering residents' abilities to balance personal and professional demands. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 50(1). DOI:10.1177/0091217415592369
  • [Show abstract] [Hide abstract]
    ABSTRACT: Suicide is a significant issue in the United States and worldwide, and its prevention is a public health imperative. Primary care practices are an important setting for suicide prevention, as primary care providers have more frequent contact with patients at risk for suicide than any other type of health-care provider. The Western Interstate Commission for Higher Education, in partnership with the Suicide Prevention Resource Center, has developed a Suicide Prevention Toolkit and an associated training curriculum. These resources support the education of primary care providers in evidence-based strategies for identifying and treating patients at risk for suicide. The application of this curriculum to post-graduate medical training is presented here. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 50(1). DOI:10.1177/0091217415592362
  • [Show abstract] [Hide abstract]
    ABSTRACT: The Mood Disorder Clinic was started at the Cone Family Medicine Residency in 2004 with the threefold purpose of providing a patient care service to a largely uninsured or underinsured population; teaching Family Medicine resident physicians how to more accurately identify, diagnose, and treat mood disorders in their patients; and modeling a team-based approach to addressing mental stress, distress, and dysfunction in the primary care setting. The authors present the logistics of the clinic and the standard approach to mood issues that is taught to resident physicians. Formal feedback suggests that the resident physicians find the experience useful in developing psychiatric knowledge and skills. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 50(1). DOI:10.1177/0091217415592352
  • [Show abstract] [Hide abstract]
    ABSTRACT: Across the lifespan, alcohol misuse affects a large percentage of patients seen in primary care clinics. It can lead to alcohol use disorders, ranging from risky use to alcohol dependence. Alcohol use disorders frequently complicate acute and chronic illnesses of patients seen in FM clinics. Screening patients for alcohol and substance use has become a standard of practice in most primary care settings. This report describes how a family medicine residency program solidified a residency curriculum in substance abuse screening, assessment, and brief intervention by merging three presentation-style didactics into a blended approach. The curriculum combines didactic teaching, motivational interviewing, and behavioral rehearsal of clinical practice skills. Qualitative feedback suggests that the curriculum has been successful in exposing residents to a variety of practical assessment methods and, through rehearsal, has improved resident confidence in addressing alcohol use and misuse in a primary care population. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 50(1). DOI:10.1177/0091217415592363
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article describes the workshop "Teaching Child Psychiatric Assessment Skills: Using Mental Health Screening Instruments," presented at the 35th Forum for Behavioral Sciences in Family Medicine on 20 September 2014. The goals of the presentation were (1) to teach family medicine behavioral health educators to use both general and problem-specific mental health screening tools (MHSTs) in their work with trainees to help satisfy the Accreditation Council for Graduate Medical Education (ACGME) mandate for behavioral and mental health experience during family medicine residency, (2) to reflect on how MHSTs might be integrated into the flow of family medicine teaching practices, and (3) to exemplify how evidence-based methods of adult education might be used in teaching such content. One general MHST, the Pediatric Symptom Checklist-17 and one problem-specific MHST for each of the four commonest pediatric mental health issues: for attention-deficit hyperactivity disorder, the Vanderbilt; for Anxiety, the Screen for Childhood Anxiety-Related Emotional Disorders; for Depression, the Patient Health Questionnaire-9 for teens; and for Aggression, the Retrospective-Modified Overt Aggression Scale, were practiced at least twice in the context of a clinical vignette. All of the selected MHSTs are free in the public domain and available for download from the website: Participants were asked to reflect on their own office practice characteristics and consider how MHSTs might be integrated into their systems of care. This workshop could be replicated by others wishing to teach the use of MHSTs in primary care settings or teaching programs. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 50(1). DOI:10.1177/0091217415592358
  • [Show abstract] [Hide abstract]
    ABSTRACT: Family physicians provide care for about one-third of the children and adolescents in the United States, many of whom present with psychological concerns. Family physicians often do not recognize these psychological disorders and therefore do not diagnose or treat them. This report describes the implementation of a curriculum designed to increase family medicine trainees' level of awareness that children/adolescents experience psychiatric conditions. This goal is achieved through the addition of a clinical child/adolescent psychologist faculty member, resident self-assessment of training needs and subsequent development of didactic presentations to address these needs. The curriculum relies on the acquisition of child/adolescent psychiatric screeners, development of child/adolescent-focused bibliotherapy materials, and the development of a longitudinal behavioral sciences curriculum. To facilitate the screening of child/adolescent psychiatric disorders, a comprehensive collection of age-appropriate psychiatric screeners were compiled and made readily available in all precepting areas. To assist with the identification of specific child/adolescent psychiatric deficit areas, family medicine resident physicians were presented with an inventory of child/adolescent psychiatric, psychosocial, and behavioral topics, based upon American Academy of Family Practice guidelines and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition psychiatric disorders, and self-selected training deficiencies. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 50(1). DOI:10.1177/0091217415592360
  • [Show abstract] [Hide abstract]
    ABSTRACT: Judicious selection of potential liver transplant candidates and close monitoring of progress are essential to successful outcomes. Pretransplant psychosocial evaluations are the norm, but the relationship between psychosocial (and neurocognitive status) and longer term medical outcomes is understudied. This exploratory study sought to examine the relationship between objective measures of pretransplant psychosocial and neurocognitive status and service utilization, transplant status, and all-cause mortality. This retrospective chart review examined outcomes among 108 psychiatric, high-risk liver transplant candidates up to four years following initial evaluation. Predictor variables of outcomes included demographic, medical, neurocognitive, psychological, and mental health treatment variables. Transplant status and neurocognitive functioning were independently associated with all-cause mortality. None of the other variables were associated with outcomes. Better neurocognitive functioning in high-risk liver transplant candidates may allow for greater involvement in medical care and/or compliance with treatment recommendations. More aggressive assessment and management of neurocognitive dysfunction may improve outcomes. Objective measures identified significant psychopathology typical of liver transplant candidates but were not associated with outcomes; engagement in specialized mental health care may have attenuated this relationship. Further study is needed to better understand the relationship between psychosocial functioning and outcomes. © The Author(s) 2015.
    The International Journal of Psychiatry in Medicine 06/2015; 49(4). DOI:10.1177/0091217415589304