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. 38, No. 12, December

ADHD Diagnoses 'Extremely Transient' over 1-Year Period
NEW YORK -- A diagnosis of attention-deficit/hyperactivity disorder might not be forever. In fact, it can be pretty fleeting. Analysis of serial assessments of more than 8,000 U.S. children and adolescents for attention-deficit/hyperactivity disorder...
Agency Adds New Pain Indication for Duloxetine
The Food and Drug Administration has approved the antidepressant duloxetine for the management of chronic musculoskeletal pain in adults, the agency announced. The approval marks the fifth of duloxetine's U.S. licensed indications to date and its...
Alcohol Tax Boost Touted to Yield Public Health Benefits
DENVER -- Doubling the currently low alcohol tax would result in roughly a 35% reduction in direct alcohol-related mortality as well as substantial benefits across a range of other important public health outcomes, a meta-analysis has shown. "We...
Amygdala, sACC Involved in Pathological Worry
SAVANNAH, GA. -- Functional MRIs reveal neuroanatomical differences between normal worry and pathological worry in the elderly and those differences might help explain why late-life anxiety often proves difficult to treat. The amygdala and the subgenual...
Anxiety Disorders Program Bests Usual Care
A program aimed at treating the most common anxiety disorders in primary care clinics proved more effective than usual care, according to the findings of a randomized controlled trial reported in JAMA. The Coordinated Anxiety Learning and Management...
Behavioral Intervention Benefits Severely Obese
SAN DIEGO -- Obese patients with a body mass index of 40 kg/[m.sup.2] or greater who were enrolled in a behavioral weight loss program achieved similar levels of weight loss and reductions in cardiovascular disease risk factors, compared with their...
CBT, Exercise Reduce Fibromyalgia Symptoms
ROME -- A tailored combination of cognitive-behavioral therapy and physical exercise training has achieved the largest treatment benefit ever reported for fibromyalgia in a randomized, placebo-controlled trial. The durability of the results was...
CBT, Hypnosis Can Change Processing of Pain
MONTREAL -- Psychological interventions such as cognitive-behavioral therapy and hypnosis can alter how the brain processes pain, thereby reducing patients' perception of pain, judging from findings from brain-imaging studies reported recently. ...
CDC: One in Four Adults Uninsured Last Year
An estimated 59.1 million Americans, including one in four adults aged 18-64 years, went without health insurance for at least part of the previous year, based on interviews done January-March 2010, the Centers for Disease Control and Prevention reported....
Chronic Headache, Pain Disorders in Girls Linked
LOS ANGELES -- Three-fourths of 82 adolescent girls with chronic daily headache also fulfilled diagnostic criteria for fibromyalgia, and other pain-related disorders and comorbidities were common in a screening study. Although adults with chronic...
D-Cycloserine for PTSD Proves Underwhelming
MONTREAL -- The addition of D-cycloserine to cognitive-behavioral therapy for the treatment of posttraumatic stress disorder showed little or no benefit over placebo, based on several studies presented at the meeting. The presentations sparked some...
Depressed Med Students Concerned about Stigma
A survey of more than 700 medical students found that 14% were moderately or severely depressed. Those depressed students were significantly more likely than students who were not depressed to express concern about stigmas associated with depression,...
Depressed Mood Is Related to High Intake of Chocolate
Depressed mood was significantly related to higher consumption of chocolate in a cross-sectional study of 931 men and women. A cross-sectional design precludes drawing conclusions as to causality or even directionality of the association, so this...
Depression Is Common in Mothers of Kids with Epilepsy
CHICAGO -- Depressive symptoms are common in mothers of children with newly diagnosed epilepsy, and they follow four distinct trajectories, new data suggest. Researchers in Ontario evaluated 339 mothers of children aged 4-12 years with new-onset...
Device That Measures Reaction Times Might Identify Concussion in Athletes
An extremely simple device that tests an athlete's reaction time is showing promise in diagnosing concussions, according to a study announced in advance of its scheduled presentation at the meeting in Toronto. Seven of eight Division I athletes...
Direct Genetic Links to ADHD Identified
Attention-deficit/hyperactivity disorder is a neurodevelopmental disorder, rather than a purely social construct, according to British researchers who have found that a type of genetic variation associated with brain disorders such as schizophrenia...
Don't Miss Underlying Adoption-Related Grief
NEW YORK -- Adoption is founded on loss, and a child's reaction to being adopted often can be best understood with a grief model. The unresolved, uncommunicated, and unvalidated grief that some adopted children may feel often goes unrecognized as...
ED Intervention Modestly Alters Teens' Behaviors
A brief intervention in the emergency department resulted in modest reductions in violence and alcohol use, according to a randomized, controlled trial involving 726 adolescents. The teenagers, all of whom reported violence and alcohol abuse during...
Fink! Still at Large: Exposure to Violent Media Results in Brain Changes That Might Desensitize Teen Boys to Aggression. Should We Advise Patients in Therapy to Stay Away from Violent Media?
Research tends to narrow a question to a researchable conclusion. The question above is not only of concern to those of us in psychiatry; it worries parents and teachers alike. The question refers to an article published last month ("On-Screen Violence...
Gentle Yoga Poses Ease Pain in Women with Fibromyalgia
Women with fibromyalgia who participated in an 8-week yoga program reported significant improvements on measures of fibromyalgia symptoms and function, based on data from a pilot study of 53 women. The positive findings have become the basis of...
Global Rate of Paternal Depression Surpasses 10%
A significant number of men experience prenatal and postpartum depression, and the rate is marginally higher in the United States than in other countries, according to a meta-analysis of 43 studies. The overall rate of paternal depression was 10.4%,...
GOP Takeover of House Will Roil Reform Progress
WASHINGTON -- The historic midterm election victory by Republicans does not signal the end of the Affordable Care Act. But now the law will probably undergo the scrutiny that many in the GOP say it did not get as it made its way through Congress. ...
Heart Rate Changes after Stimulants Negligible
BOCA RATON, FLA. -- The use of methylphenidate or mixed amphetamine salts for attention-deficit/hyperactivity disorder can increase heart rate, blood pressure, and the QT interval in children, adolescents, and adults, according to a review of placebo-controlled...
Latest Findings on Fish Oil, Cognition Disappointing
Consumption of omega-3 polyunsaturated fatty acid supplements has no measurable effect on cognition in older adults, according to U.K. researchers who sought to detect whether daily use of the supplements could prevent cognitive decline. For their...
Light Marijuana Use Appears Protective against Diabetes
DENVER -- Marijuana use may be associated with a markedly decreased risk of diabetes. A provocative new analysis of data from the Third National Health and Nutrition Examination Survey (NHANES III) indicates marijuana users had 66% lower odds of...
Mental Illness May Compromise Cancer Care
BOSTON -- Older adults with mental illness are less likely to undergo chemotherapy after a cancer diagnosis than those without mental illness, a study has shown. The findings are consistent with those from previous studies suggesting disparities in...
New MDD Treatment Guidelines Fall Short
The American Psychiatric Association recently released new treatment guidelines for patients with major depressive disorder. The guidelines were developed by prominent qualified experts (most of whom had pharmaceutical industry relationships), an...
New Methods, Funding Propel Neurogenetics
Within the last 2 years, new DNA sequencing technologies, dubbed NextGen ("next generation"), have been introduced that are revolutionizing the field of neurogenetics. As these advances gain recognition within and outside the medical community, the...
New Pediatric Diagnoses Proposed for DSM-5
NEW YORK -- The still-in-development DSM-5 contains two new child psychiatric diagnoses. The Childhood and Adolescent Disorders Work Group designed one of the new diagnoses, temper dysregulation disorder with dysphoria (TDD), to include many children...
Nursing Home Residents Who Reject Care Require Screening
LONG BEACH, CALIF. -- Rejection of care by nursing home residents was associated with four potentially modifiable factors in an analysis of data on 3,230 residents. Clinicians should screen for the conditions - delusion, delirium, minor or major...
Prevalence of ADHD in U.S. Reached 9.5% in 2007-2008
NEW YORK -- The U.S. prevalence of attention-deficit/hyperactivity disorder among children and adolescents rose to its highest level in 2007-2008, with 9.5% of children and adolescents ever diagnosed, according to a federally sponsored national telephone...
Previous Findings on Epilepsy, Psych Comorbidities Confirmed
CHICAGO -- A past psychiatric history, depressive disorder diagnosis, and current use of psychotropic medications were significantly associated with a higher potential for suicidal behavior. "Suicide risk in patients with epilepsy reflects the higher...
Propranolol Shows Early Promise for PTSD
MONTREAL -- Treatment of posttraumatic stress disorder with the beta-blocker propranolol might interrupt memory reconsolidation by inhibiting protein synthesis in the brain, reported researchers at the International Society for Traumatic Stress Studies....
Recurrent Headache in Young May Be Tied to Vitamin D Deficiency
LOS ANGELES -- Vitamin D deficiency was detected in 37% of 497 children and adolescents presenting to a tertiary care center for recurrent headache that required preventive treatment. Vitamin D insufficiency was found in 87%. These results of routinely...
Role of Combat Trauma in PTSD Is Reinforced
MONTREAL. -- Predisposition is an important factor, but a traumatic event remains the necessary trigger in the development of posttraumatic stress disorder, a new study of identical twins indicates. "Embedded within the diagnostic criteria of PTSD...
Serotonin Synthesis Inhibitor Improves IBS Symptoms
BOSTON -- LX1031, a novel, orally administered serotonin synthesis inhibitor, significantly improved overall irritable bowel syndrome symptoms in patients with nonconstipating IBS during a 4-week treatment period. LX1031 is an investigational agent....
Sleep Problems, PTSD, Obesity 'Related, but to What Degree?'
MONTREAL -- Sleep problems are common among individuals exposed to terrorist attacks, and new evidence suggests that sleep deficits are contributing to obesity in this traumatized population, researchers reported at the meeting. Disturbed sleep...
Sodium Oxybate Nixed for Treatment of Fibromyalgia
The Food and Drug Administration has decided that the sedative-hypnotic drug sodium oxybate cannot be approved for treatment of fibromyalgia, based on the information currently included in the approval application, the manufacturer has announced. ...
Suicide Risk Tied to Acne Severity, Not Treatment: Study on Association between Isotretinoin Use, Suicidal Behavior Focuses on Timing of Treatment
A large, retrospective cohort study is the latest to look at the association between isotretinoin and attempted suicide. Concerns about a link between isotretinoin and suicidal behavior have abounded for years, although previous studies have failed...
Systolic BP, Gait Linked to Cognitive Deficits in Type 2
High systolic blood pressure, gait-balance deficiencies, and low self-reported health scores are linked to cognitive deficits in older adults with type 2 diabetes, a report shows. The three health-related covariates were associated with deficits...
The Best 'Psych Flicks' of 2010
"Everyone Is Entitled to My Opinion" - decal on coffee mug, Father's Day gift from two of my sons. As we poise to exit 2010, here's a list of the best films I saw this year that have prominent psychiatric, psychotherapeutic, or broader mental health...
Three-Meal-a-Day Pattern Still Strong among U.S. Adults
SAN DIEGO - More than half of American men and women report a pattern of consuming breakfast, lunch, and dinner daily, according to results from a large survey. However, obese adults are less likely than are normal-weight adults to report a three-meal...
Tobacco Control Strategy Includes Graphic Warnings
The Department of Health and Human Services issued a sweeping new tobacco control strategy that would require cigarette makers to place photographs and graphic depictions of the harms of smoking prominently on the packages or in advertising. The...
Treatment Options May Broaden Access to Care
The recent headway of two treatments for addiction to heroin and other opiates represents a major advancement and has the potential to put opioid addiction therapy within the purview of primary care providers, according to several experts. The approval...
Video Analysis Prompts Shift in Thinking on Causes of Falls
WASHINGTON -- More often than not, elderly patients who fall in long-term care facilities do not trip or stumble while walking, but are instead transitioning from standing still or initiating a new activity at the time of their fall, according to an...
Watch for Vascular, Other Risks in PTSD Patients
MONTREAL -- The physical burden of psychological trauma remains largely un-derrecognized from both a public health and clinical perspective, a panel of experts explained at the meeting. The interplay of mental and physical health should be a central...
Web Program Connects Players in AD Trials
An interactive telephone- and Web-based service now lets Alzheimer's patients, caregivers, and their physicians connect more easily with ongoing clinical trials. The service - Alzheimer's Association TrialMatch - has the potential to greatly enrich...
We Need Mental Health Days
People need a mental break from the anxieties and stresses inherent in daily living. In light of this, I would like to see businesses incorporate two or three "mental health days" a year into their benefits packages in addition to the usual sick days....