Clinical Psychiatry News

Clinical Psychiatry News is a monthly medical and psychiatry tabloid published since 1973 by the International Medical News Group. Subjects for Clinical Psychiatry News include psychology and psychiatry. The executive editor is Denise Fulton, and Gina Henderson is a senior editor.

Articles from Vol. 37, No. 10, October

AACAP Offers Guide on Psychotropics for Children
Although strides have been made in use of psychotropic medications in children and adolescents, concerns remain over whether these medications are always being prescribed appropriately. That's one reason that the American Academy of Child &...
Antipsychotics May Protect against Switching in Bipolar
Switching from mania to depression occurs in only 5% of bipolar patients during the 12 weeks after a manic episode, and atypical antipsychotics appear to be protective, according to a large prospective, observational European study. EMBLEM (European...
Anxiety and Depression Prevail after 'Coiling'
BOCA RATON, FLA -- A group of researchers is looking at how patients who undergo en-dovascular coiling for aneurysmal subarachnoid hemorrhage fare psychologically in the years after the procedure. The findings indicate that although the aneurysms...
Anxiety Often Undertreated in Bipolar Disorder Patients
CHICAGO -- Patients with bipolar disorder are at high risk for suicide and should be carefully and continuously assessed for acute and chronic risk factors, Dr. Frederick Goodwin said at the annual meeting of the American Academy of Clinical Psychiatrists....
Borderline Personality Disorder: Go Easy on SSRIs
It's been said that psychiatrists are the stepchildren of medicine, and personality disorders are the stepchildren of psychiatry. Not so long ago, patients with personality disorders were considered beyond professional help. Their symptoms were...
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Study Examines Psychotropic Rx Most antidepressants are prescribed by general practice physicians, including general practitioners, ob.gyns, and pediatricians, according to a study by sponsored by the Substance Abuse and Mental Health Services Administration....
Depression Unaffected by ECT Configuration
HOLLYWOOD, FLA. -- Placement configuration of the electrodes for electroconvulsive therapy does not make a significant difference in outcomes for older adults with major depression, according to preliminary findings from a study sponsored by the National...
Disturbances in Sleep Linked to Adverse Perinatal Outcomes
SEATTLE -- Sleep disturbances during pregnancy increase the risk of adverse perinatal outcomes such as gestational diabetes and cesarean delivery, according to an overview of research presented at the annual meeting of the Associated Professional Sleep...
Early Adverse Events Tied to Substance Abuse
SAN DIEGO -- Adults who as preteens had traumatic experiences--such as witnessing or being a victim of a violent crime or being sexually abused--or who lived in substance-using or even regular smoking households are more likely to be diagnosed with...
Early Linguistic Ability May Stall Later Dementia
VIENNA -- Good linguistic ability in early life seems to stave off the dementia of Alzheimer's disease, even when neuritic plaques and tangles are present in the brain. The finding supports the theory that adequate cognitive reserve can delay or...
Early U.S. Flu Rates Pegged at Double Normal Level
Outpatient flu visits across the United States were running more than twice as high as usual during the first 2 weeks of September. "It's very strange to see this kind of activity at this time of year," said Dr. Daniel Jernigan, deputy director...
Ethnicity May Influence Schizophrenia Outcomes
HOLLYWOOD, FLA. -- Schizophrenia prevalence rates are similar among different ethnic groups, but a retrospective study of 466 patients shows some significant differences in treatment outcomes between Hispanic and white patients. Outcomes were not...
Expedited Partner Treatment Merits Expansion
MONTREAL -- Expedited partner treatment, also known as patient-delivered partner therapy, could substantially reduce costs and morbidity from sexually transmitted diseases if it were allowed in all states, according to Dr. Margaret Villers. The...
Failed Alzheimer's Trials Shift Focus to Prevention
VIENNA -- Alzheimer's drug researchers served up a string of bad news at the International Conference on Alzheimer's Disease, presenting one failed trial after another. None of these strategies tested--blocking amyloid, improving insulin sensitivity...
First Guidelines Are Issued for Treating Transsexuals
WASHINGTON -- Endocrinologists who are caring for transsexuals must confirm that their patients have met diagnostic criteria for gender identity disorder before beginning cross-sex hormonal treatment or delaying pubertal development, according to a...
Gabapentin Shows Promise for Cannabis Dependence
HOLLYWOOD, FLA. -- Gabapentin significantly decreases weekly cannabis use while significantly improving craving, depression, and sleep quality symptoms, compared with placebo, the results of a phase II, double-blind, randomized study show. Cannabis...
Gardasil Gets Nod from Panel as Genital Wart TX in Boys, Men
SILVER SPRING, MD. -- In nearly unanimous votes, a Food and Drug Administration advisory panel agreed that data on Gardasil supported the efficacy and safety of the vaccine, for use in preventing genital warts caused by human papillomavirus types 6...
Group Calls for Mandatory Flu Vaccine for Health Care Workers
Hospitals should require all health care workers with direct patient contact to be vaccinated against both seasonal influenza and the pandemic A(H1N1) flu, the Association for Professionals in Infection Control and Epidemiology has said. If workers...
Health Reform and the Uninsured Mentally Ill
As the war over health care reform rages on in Congress, more desperate battles are being fought daily by uninsured Americans with mental illness or addiction disorders. Almost 50% of the people who received their most recent substance abuse treatment...
Inhaled Migraine Drug Brings Quick Pain Relief: In Addition to Relief of Pain, Significantly More of the Patients Who Took the Drug Were Free of Pain
PHILADELPHIA -- An inhaled form of dihydroergotamine provided significant relief of migraine pain, with sustained pain reduction and few adverse events, according to a phase III, placebo-controlled trial. The drug conferred 4 hours of pain relief...
Integrating Mental Health into Primary Care
Each year, the month of October brings the World Federation for Mental Health's World Mental Health Day, and this year's theme emphasizes enhancing treatment and promoting mental health by collaborating with primary care. We know that few of those...
Lunar Cycles and Human Behavior
The Problem Your partner hands you the on-call pager and wishes you good luck. You wonder what he means until you realize that the night sky will be illuminated by a full moon. You wonder whether Shakespeare was right and whether you are in for...
Methamphetamine Use in U.S. Continues Slide
WASHINGTON--The past-month methamphetamine use dipped sharply from 529,000 in 2007 to 314,000 in 2008 in people aged 12 years and older, according to data from the 2008 National Survey on Drug Use and Health. That represents a decline of past-month...
Migraine with Aura Increases Risk of Cardiovascular Death
PHILADELPHIA -- Men and women who experience migraine with aura were significantly more likely to die from cardiovascular disease and than were those without headache. Women with nonmigraine headache were also significantly more likely to die from...
Mindfulness Program Eases Physician Burnout
An educational program in "mindful" communication produced striking improvements in physicians' symptoms of burnout, according to a recent report. By enhancing physicians' attention to their own feelings and experiences, the 52-hour program not...
Mitochondria Key in Mood Disorders
SANTA FE, N.M.--Mitochondrial dysfunction plays a role in recurring mood disorders, and might help explain why most treated patients eventually have relapses or recurrences, according to a leading investigator in psychiatry and pharmacology. Unipolar...
Naltrexone Promising for Treating Urges and Behavior in Kleptomania
HOLLYWOOD, FLA. -- The opioid antagonist naltrexone significantly reduced stealing urges and behaviors associated with kleptomania, compared with placebo in a small, randomized, double-blind study. Brian Odlaug and his associates at the University...
Onset of Memory Loss in Alzheimer's Tied to APOE Status
A divergence in the age-related memory performance of individuals according to their apolipoprotein e4 allele status begins around the age of 55-60 years in neuropsychologic testing, according to a longitudinal analysis of 815 individuals. The divergence...
Panel Backs Second HPV Vaccine for Girls, Women
SILVER SPRING, MD. -- The majority of a federal advisory panel agreed that the data on a recombinant bivalent human papillomavirus vaccine indicate that the vaccine is safe and effective in preventing cervical cancer and certain precancerous or dysplastic...
Physicians Aren't Ready for DTC Genetic Tests
WASHINGTON -- Few physicians feel prepared to interpret the findings from direct-to-consumer genetic tests and incorporate the results into clinical practice, according to speakers at a National Academy of Sciences workshop on DTC genetic testing....
Psychiatric Illness Associated with Nonadherence to Antiepileptics
SEATTLG -- Epileptic children are less likely to take antiepileptic drugs as prescribed if they also have psychiatric illnesses, according to a review of an administrative claims database. "It's well established that nonadherence to prescribed antiepileptic...
Psychotherapy and the Cancer Patient
Cancer is an alienating and existential disease. As psychiatrists, we can help cancer patients process many of the emotions they are bound to experience throughout the course of this illness. I should know. I was diagnosed with lymphoma about a...
Quetiapine Shows Efficacy for PTSD in Short-Term Trial
ISTANBUL, TURKEY -- Quetiapine monotherapy showed a strong signal of efficacy along with a favorably mild side-effect profile in patients with chronic posttraumatic stress disorder in a randomized, double-blind, placebo-controlled trial. This 80-patient,...
Rasagiline May Slow Progression of Parkinson's
Rasagiline appears to slow the progression of Parkinson's disease, not just ameliorate its symptoms in the short term, according to a report in the New England Journal of Medicine. A complex study design that incorporates several complicated statistical...
Savings, Quality Edge Up in Medicare Group Demo
CHICAGO -- The Medicare Physician Group Practice Demonstration achieved modest cost savings and quality enhancements in the project's first 2 performance years, researchers reported at the annual research meeting of AcademyHealth. Data released in...
Sleep Aid Suppresses Reflux-Related Awakening
Zolpidem, a frequently prescribed sleep aid, suppresses nocturnal awakenings that are an important CNS response to acid reflux events. By enabling users to sleep through reflux events, the drug has the unintended effect of increasing esophageal,...
Smoking Cessation Strategies Now Numerous: Try Nicotine Replacement Therapy Plus Bupropion or High-Dose NRT Plus Nicotine Gum or Lozenges
ESTEs PARK, COLO. -- Three major drug classes with diverse mechanisms of action are now approved for smoking cessation, providing an unprecedented array of options in terms of sequential and combination therapies. Trying different agents, recycling...
Stimulants Fend off Comorbidities in Boys with ADHD: Treated Patients Less Likely to Repeat Grade
ISTANBUL, TURKEY--Stimulant therapy for boys with attention-deficit/hyperactivity disorder protected them into young adulthood against development of depression, anxiety disorders, and disruptive behavior disorders in a landmark 10-year prospective...
Target Complications Associated with Migraine
PHILADELPHIA -- Migraine with or without aura is associated with a significant increase in the risk of cardiovascular disease, including stroke and heart attack. Numerous studies have hinted at the association between migraine with aura and cardiovascular...
Teens, Parents OK Psychiatric Screening in ED
SAN FRANCISCO -- Teenagers and their parents favor the idea of routine mental health screening for adolescents who come to emergency departments, but don't think it necessarily applies to them, a survey of 604 people found. The 299 patients aged...
Will the U.S. Army's New Resiliency Training Prevent Mental Distress? Origins of Mental Disorders Must Be Understood
Congratulations to Gen. George W. Casey Jr. and to the Army for offering its members resiliency training. Recognition on the part of the Army's top brass that steps can be taken to avoid PTSD, anxiety disorders, and depression represents a huge step...
Will the U.S. Army's New Resiliency Training Prevent Mental Distress? Outcomes Will Need to Be Closely Monitored
The U.S. Army's basic psychoeducational training program, called master resilience training, or MRT, is to be delivered to about 1.1 million military personnel, press reports show. The goals are to increase resiliency--defined especially as resistance...