Developing an efficient clinical information system for a comprehensive psychiatric institute: I. Principles,design, and organization

The principles, design considerations, and components of a clinical information system intended to support and enhance the patient care, educational, and research missions of a comprehensive psychiatric institute are presented. Major characteristics of the system are its emphases on efficiency, simplicity, and intensive user involvement throughout the development of the system.     

Meta-analysis of psychological interventions for chronic low back pain.

The purpose of this meta-analysis of randomized controlled trials was to evaluate the efficacy of psychological interventions for adults with noncancerous chronic low back pain (CLBP). The authors updated and expanded upon prior meta-analyses by using broad definitions of CLBP and psychological intervention, a broad data search strategy, and state-of-the-art data analysis techniques. All relevant controlled clinical trials meeting the inclusion criteria were identified primarily through a computer-aided literature search. Two independent reviewers screened abstracts and articles for inclusion criteria and extracted relevant data. Cohen's d effect sizes were calculated by using a random effects model. Outcomes included pain intensity, emotional functioning, physical functioning (pain interference or pain-specific disability, health-related quality of life), participant ratings of global improvement, health care utilization, health care provider visits, pain medications, and employment/disability compensation status. A total of 205 effect sizes from 22 studies were pooled in 34 analyses. Positive effects of psychological interventions, contrasted with various control groups, were noted for pain intensity, pain-related interference, health-related quality of life, and depression. Cognitive-behavioral and self-regulatory treatments were specifically found to be efficacious. Multidisciplinary approaches that included a psychological component, when compared with active control conditions, were also noted to have positive short-term effects on pain interference and positive long-term effects on return to work. The results demonstrated positive effects of psychological interventions for CLBP. The rigor of the methods used, as well as the results that reflect mild to moderate heterogeneity and minimal publication bias, suggest confidence in the conclusions of this review.     

To know where the bodies are buried: The use of the cognitive interview in an environmental scale spatial memory retrieval task

Missing body homicide cases have gained public interest globally due to some high-profile cases. In many of these cases, the task of locating the victim's remains relies on the information investigators can gain through the interviewing of willing suspects. To date, investigative interviewing research has largely focused on the retrieval of episodic memory (events) without focusing on spatial memory, a prominent cognitive task required in locating a victim's remains. The current experiment tests the enhanced cognitive interview (ECI) against a free recall strategy in a mock homicide scenario where participants are required to hide and retrieve an object in a natural bushland setting. The results showed that those in the ECI condition produced more coarse- and fine-grained details of landmarks and their actions at and journeying to the deposition site. This demonstrates the value of using the ECI in generating more valuable information to assist in successive search attempts.