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Issue 6 – 2019

This is the sixth issue of the International Journal of Clinical Neurosciences and Mental Health. The journal aims to provide high-quality publications in the areas of Psychiatry and Mental Health, Neurology, Neurosurgery, and Medical Psychology. This publication is intended to provide a forum for experts from all around the world to share their knowledge, expertise, and research efforts. The journal operates under an Open Access model, and therefore everyone is invited to join this initiative.

Issue Nr:


|    Issue date: 2019-01-29

Review Article

Relevance of obsessive-compulsive psychopathology in anorexia nervosa: a brief narrative review - read full article

By: Francisco Coutinho and Isabel Brandão

It has been suggested that anorexia nervosa (AN) may be related to obsessive-compulsive disorder (OCD). There is also the idea that certain obsessive personality traits are frequent in patients with AN. In this paper we aimed to organize the literature concerning the nature of the relationship between AN and obsessive pathology, both as OCD and as obsessive personality traits and to suggest new research topics in the future, as well as pointing the main methodological difficulties in previous studies. According to the analyzed data obsessive-compulsive psychopathology in AN occurs in several forms. One of those is related to the obsessive personality traits, which may be found before the onset of the eating disorder (ED) and are also found after recovering a healthy weight. However, obsessive-compulsive (OC) symptoms also increase during periods of worsening of the ED. There are different approaches concerning the study of the relationship between OC psychopathology and AN, including based on neurobiological factors, on the study of psychiatric symptoms and personality factors. In future studies, it would be important to have a better differentiation between obsessive personality traits and obsessive-compulsive symptoms, a clearer individualization of ED syndromes in patient samples and continue the neurobiological study of these conditions, further characterizing their putative link.

Keywords: Anorexia nervosa, Obsessive, Compulsive, Obsessive-compulsive disorder, Eating disorders.

International Journal of Clinical Neurosciences and Mental Health 2019; 6:1
DOI: https://doi.org/10.21035/ijcnmh.2019.6.1

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Review Article

Stress factors in parents of children on the autism spectrum: an integrative model approach - read full article

By: Joana Prata, Wenn Lawson and Rui Coelho

Autism is a neurodevelopmental condition with biological, genetic, environmental and developmental causes whose prevalence has suffered substantial increase over the last decades. Children on the autism spectrum (AS) face unique challenges that arise from their difficulty in understanding social behavior and interaction, difficulty in understanding and effectively using communication, and difficulty with having reduced flexibility of thought and behavior. A large number of studies have reported that parents of children on the AS experience higher levels of stress when compared to parents of typically developing children and children with other developmental disabilities. Such stress levels are dependent on a number of factors which seem to be interrelated and complex. In this review we divided these factors into parent characteristics, child characteristics, family support system, social support/socioeconomic status and professional support, proposing an integrative model for understanding parental stress.

Keywords: Autism spectrum, Parent stress, Stress factors.

International Journal of Clinical Neurosciences and Mental Health 2019; 6:2
DOI: https://doi.org/10.21035/ijcnmh.2019.6.2

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Letter to the Editor

Severe and enduring Anorexia Nervosa: a brief narrative review about the concept and its therapeutic options - read full article

By: Francisco Coutinho and Isabel Brandão

Anorexia Nervosa (AN) is a severe psychiatric disorder that can present in a chronic and durable form, often named severe and enduring AN (SE-AN), with little available literature considering therapeutic options in this subgroup of patients. We aimed to perform a bibliographic review considering articles about severe or chronic forms of AN published in the last ten years. According to the analyzed data, there are different definitions in the studies concerning SE-AN, however, many authors consider 7-years of disease as a threshold for diagnosing SE-AN. In the future, it will be important to have a standardized definition of SE-AN in order to characterize its preferential approach in large scale studies. Regarding therapeutic options, cognitive-behavior therapy remains a valuable option in these patients, despite the need of some adaptations considering the high probability of past failed psychotherapeutic approaches. Regarding biological therapies, there is now exploration of new possibilities such as the use of transcranial magnetic stimulation and deep brain stimulation in these patients. However, research towards these approaches is still in its beginnings, with need for further studies to characterize their possible role.

Keywords: Anorexia nervosa, Severe, Enduring, Chronic, Resistant.

International Journal of Clinical Neurosciences and Mental Health 2019; 6:3
DOI: https://doi.org/10.21035/ijcnmh.2019.6.3

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