American Journal of Psychiatry Audio

In this special episode of AJP Audio, AJP Editor-in-Chief Dr. Ned Kalin is joined by Dr. María Oquendo (Perelman School of Medicine at the University of Pennsylvania, Philadelphia), chair of APA's Future DSM Strategic Committee to discuss a series of commentaries published in the May issue of the Journal discussing the strategic vision for the future of DSM. 00:39 Oquendo interview 03:07 Size of the response 04:18 Feedback 06:04 Incorporating the feedback 07:57 Emphasizing science with a title change for DSM 10:18 A living document 12:35 Changes from previous versions of DSM 16:08 Changes in documentation and coding 18:51 Lived experience 20:02 Working with AJP Links to the commentaries: Initial Strategy for the Future of DSMMaría A. Oquendo, M.D., Ph.D., et al. The Future of DSM: A Report From the Structure and Dimensions SubcommitteeDost Öngür, M.D., Ph.D., et al. The Future of DSM: Are Functioning and Quality of Life Essential Elements of a Complete Psychiatric Diagnosis?Karen Drexler, M.D., et al. The Future of DSM: Role of Candidate Biomarkers and Biological FactorsBruce Cuthbert, Ph.D., et al. The Future of DSM: A Strategic Vision for Incorporating Socioeconomic, Cultural, and Environmental Determinants and IntersectionalityMilton L. Wainberg, M.D., 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

Yang Lu, M.S., and Catharine E. Fairbairn, Ph.D. (University of Illinois, Urbana-Champaign) join AJP Audio to discuss the longitudinal effects of the use of personal alcohol breathalyzers in a natural setting on alcohol usage. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin joins the podcast to discuss the rest of the April issue, which focuses on subjects related to substance use disorders. 00:57 What did you discover about the long term effects of using a personal blood alcohol monitor? 03:12 Do health monitoring devices actually change behaviors? 04:10 What did your cohort look like? 08:49 Disparate impact of monitoring on heavy drinkers and light drinkers 11:36 Clinical implications 14:34 Limitations 15:46 Avenues for further research 18:39 Kalin interview 18:46 Lu et al. 24:00 Wittekind et al. 29:50 Nicholson 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. Ian Kelleher (University of Edinburgh, Scotland) joins AJP Audio to discuss an emulated target trial looking at the prophylactic qualities of doxycycline, an antibiotic, in an adolescent population at risk to develop schizophrenia spectrum disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin joins the podcast to put the rest of the issue into context. 00:53 Doxycycline and the risk of developing schizophrenia 04:03 Emulated target trials versus randomized control trials 06:43 Methods of action 09:24 Dosage and exposure levels for doxycycline 10:15 Immediate clinical applications 10:56 Limitations of the study 11:33 Future research 12:43 Kalin interview 13:00 Lång et al. 19:43 Zhao et al. 25:20 Metrik 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. Julia Linke (University of Mainz, Germany) joins AJP Audio to discuss the use of neural efficiency, a measure of brain activity, as a potential biomarker in the treatment of children with anxiety disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin joins the podcast to put the rest of the issue into context. 00:31 Linke interview 02:15 State or a trait? 04:15 Neural efficiency and CBT 05:22 Potential as a biomarker 07:08 Patient-rated and parent-rated measures of anxiety 08:16 Immediate clinical implications 09:50 Limitations 10:43 Future directions of research 11:44 Kalin interview 11:50 Linke et al. 15:16 Mallard et al. 18:11 Naples et al. 21:44 Mac Giollabhui 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. Lara Coughlin (University of Michigan, Ann Arbor) joins AJP Audio to discuss a study looking the impact of contingency management on all cause mortality in patients with stimulant use disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the November issue of the Journal. 01:09 Coughlin interview 02:05 Stimulant use disorder and contingency management 04:37 Mortality 05:12 Contingency management and "moral hazard" 08:30 Clinical uptake of contingency management 09:28 Broader applicability to psychiatric conditions 10:31 Limitations 11:39 Further research 12:32 Kalin interview 12:49 Coughlin et al. 16:41 Yalcinbas et al. 22:22 Na 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. Deidre Anglin (City College, CUNY, New York) joins AJP Audio to discuss the disparate impact of schizophrenia spectrum disorder diagnosis on racial and ethnic minorities in the United States based on localized neighborhood data. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the September issue of the Journal. 00:31 Anglin interview 04:40 Zip code sizes 05:18 The long legacy of redlining 07:17 Socially vulnerable neighborhoods 09:43 Structural racism, clinicians, and working with individuals 13:45 Limitations 15:56 Further research 18:08 Kalin interview 18:13 Anglin et al. 25:19 Vano et al. 29:40 Moussa-Tooks et al. 33:34 Zhang 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. Tanner Bommersbach (University of Wisconsin School of Medicine and Public Health) and Dr. Greg Rhee (University of Connecticut and Yale University School of Medicine) join AJP Audio to discuss estimating national trends in suicidal ideation and attempts in high school students with and without accompanying high-risk behaviors. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the July issue of the Journal. 00:07 Bommersbach and Rhee interview 00:36 Trends in suicide among high school students in the US 02:49 Variation in rates based on gender, racial identity, and sexuality 03:50 Did the rates increase during the COVID-19 pandemic? 04:14 Lessons to be learned from COVID? 05:23 Behavior risk factors 06:33 Clinical implications 08:19 Inflections in risk factors due to the pandemic? 08:52 Limitations 09:32 Future research 10:16 Kalin interview 10:31 Bommersbach et al. 14:20 Müller et al. 18:54 Ahn et al. 21:47 McCabe et al. 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. Kenneth Ruggiero (Medical University of South Carolina, Charleston) joins AJP Audio to discuss the the effectiveness of an app-based intervention at reducing the symptoms of sleeplessness and posttraumatic stress in a broad cohort in the wake of a natural disaster. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin puts the rest of the May issue into context. 00:38 Ruggiero interview 03:13 Bounce Back Now app 05:03 Natural disasters and other sources of trauma 07:31 Low cost and broad-based intervention 08:49 Limitations 10:19 Changes in how the intervention was designed 11:17 Uptake and interactions with the app 13:15 Future directions 14:36 Kalin interview 14:50 Ruggiero et al. 19:26 Norman et al. 23:29 Conrod et al. 27:53 Olfson et al. 31:44 Olfson 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. William Horan (Bristol Myers Squibb) joins AJP Audio to discuss a newly approved, novel treatment for schizophrenia spectrum disorder, which has potential impacts for cognition in patients. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin puts the rest of the March issue into context. 00:45 Horan interview 03:15 Novel mechanism of action in the treatment of schizophrenia 05:39 Side effect profiles 07:20 Clinical impacts 08:31 The need for further investigation 09:58 Limitations 11:05 Further research 13:08 Kalin interview 13:21 Horan et al. 17:34 Levenstein et al. 19:00 Fountoulakis et al. 20:57 Couture et al. 23:18 Stern et al. 27:35 McGirr 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. Charles Nemeroff (University of Texas at Austin) joins AJP Editor-in-Chief Dr. Ned Kalin to discuss the January issue of the American Journal of Psychiatry. Dr. Nemeroff is a guest editor of the special issue, which takes a close look at the potential, pitfalls, and clinicial implications of psychedelics in mental health treatment. 00:38 Nemeroff interview 02:27 McIntyre et al. 04:06 Ramaekers et al. 05:44 Ghaznavi et al. 08:01 Fonzo et al. 09:17 Wolfgang et al. 10:45 Psychedelics and psychotherapies 12:31 Aaronson et al. 14:17 Pagni et al. 15:31 Kirlić et al. 17:06 Olson 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. Phuc Le (Cleveland Clinic, Case Western Reserve University, Cleveland) joins AJP Audio to discuss racial, ethnic, and sociodemographic disparities in treatment in alcohol use disorder among participants of the All of Us cohort. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin joins to discuss the rest of the November issue, which takes a close look at issues surrounding substance use disorders. 00:41 Le interview 01:52 Disparities in treatment of AUDs in the US 03:43 What is the VA system doing right? 05:25 All of Us 06:39 Immediate clinical implications 08:15 Limitations 09:38 Further research 10:55 Kalin interview 11:07 Le et al. 13:44 Imperio et al. 14:43 McClure et al. 17:23 Perlman et al. 20:57 Savage et al. 24:17 Compton 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. Jessica Salvatore (Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey) joins AJP Audio to discuss peer social genetic effects and their impact on alcohol and substance use, anxiety, and major depressive disorders in adolescents. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin takes us through the rest of the September issue of the American Journal of Psychiatry. 00:52 Salvatore interview 02:49 Can the genetic makeup of other people impact your risk for psychiatric conditions? 04:12 Impact on genetic predisposition 05:12 Why look at these effects through a genetic lens? 07:17 Limitations 10:05 Clinical implications 12:40 Further research 13:32 Kalin interview 13:47 Salvatore et al. 15:54 Dalhuisen et al. 19:23 Hess et al. 24:14 Larsen et al. 26:43 Schwippel 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. Lina Jonsson (Sahlgrenska Academy at University of Gothenburg, Sweden) joins AJP Audio to discuss the association of occupational dysfunction and hospital admissions with polygenic profiles in patients with bipolar disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the July issue of AJP. 00:45 Jonsson interview 04:35 Occupational dysfunction and hospitalization in bipolar disorder 05:29 Crossover between groups in patients with schizophrenia spectrum disorder 06:37 Clinical implications for working with patients with bipolar disorder 07:46 Limitations 09:03 Future research 10:14 Kalin interview 10:31 Jonsson et al. 13:43 Baum et al. 15:00 Kang et al. 18:10 Rohde et al. 22:06 Ironside et al. 26:30 Chen 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