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. 12, December

Addiction Therapy Takes on Cognitive Deficits
Istanbul, Turkey -- Remediation of the cognitive deficits often present in chronic substance abusers offers an exciting new opportunity to treat addictive disorders. Two approaches are under investigation: computer-assisted cognitive rehabilitation...
ADHD Work Group Weighing Options
HONOLULU--The publication of DSM-V will likely include substantial changes in the diagnostic criteria of attention-deficit /hyperactivity disorder. However, the nature of many of those changes has not yet been finalized, according to three members...
Aripiprazole Approved for Autism-Related Irritability
The Food and Drug Administration's approval of the atypical antipsychotic aripiprazole for the treatment of irritability associated with autistic disorder in children and adolescents aged 6-17 years provides physicians with one more option for this...
Can't Get Enough Policy & Practice? Check out Our New Podcast Each Monday
CMS Adds Geriatric Code The Centers for Medicare and Medicaid Services has established a new physician specialty code for geriatric psychiatry. The code, 27, will go into effect April 1, 2010, the agency announced in late October. CMS directed all...
CBT Can Yield Lasting Improvements in Anxiety
HONOLULU -- Anxious children who participated in a 9-week course of cognitive-behavioral therapy maintained improvements for at least 4 years, especially if their parents also received training, according to a randomized, placebo-controlled trial....
Chronic Pain Called a Public Health Problem
Chronic pain is a significant public health problem that must be viewed as a distinct chronic illness, according to a report by a multi-disciplinary panel of pain experts. "It is a chronic illness with the same level of import as any other common,...
College Students Cite Stress as Key Factor in Academic Performance
HONOLULU -- Stress was the most frequently cited psychological factor adversely affecting the academic performance of college students, according to a survey conducted in spring 2008 by the American College Health Association. Almost 34% of students...
Death of Parent Associated with Separation Anxiety, Conduct Disorder
HONOLULU -- Children who experience bereavement, especially the loss of a parent, are significantly more likely to exhibit symptoms of separation anxiety and conduct disorder than those who have not experienced such a loss, a large longitudinal study...
Dementia Continues to Rise among Even the Oldest Old
VIENNA -- Dementia does not appear to spare the oldest old, contrary to findings of prior studies suggesting that the incidence tapers off after age 85. Studies presented at the International Conference on Alzheimer's Disease suggest that dementia...
Disparities Cited as Argument for Reform
A continued wide disparity in access to and quality of care across the United States argues strongly for a national health reform plan, according to executives at the Commonwealth Fund, who released a state-by-state survey of 38 health indicators....
DSM-V Work on Paraphilias Begins in Earnest
BALTIMORE--The work group developing definitions of various paraphilic disorders for the fifth edition of the Diagnostic and Statistical Manual has its job cut out for it. "Distinguishing normal from abnormal sexual behaviors and fantasies is a...
Economic Woes Are Taking Toll on Addiction Services
BETHESDA, M D. -- The current economic downturn has had a substantial impact on the prevalence and treatment of addiction in the United States, according to preliminary findings of data gathered from treatment program administrators. Stress as a...
FDA Seeks Ways to Guide Health Info on Web
At a meeting convened by the Food and Drug Administration, pharmaceutical and medical device manufacturers, advertisers, medical Web site owners, search engine companies, and consumer advocates all argued for greater regulation of health-specific content...
Fink! Still at Large: The Case Involving the Colorado Family and the Balloon Hoax Raises Questions about Adults Who Exploit Children. How Would You Help a Child Traumatized by Such an Incident?
The incident involving the boy in the balloon is sure to have triggered a lot of concern among psychiatrists who watched the drama unfold. In my view, the Heene family's misuse of their child is not so different from the drug pusher who recruits...
Get to Root of Disparities, CDC Official Says
WASHINGTON -- The definition of "health disparities" should be broadened to include the conditions that caused the affected groups to have poor health in the first place, according to Dr. Camara Jones of the Centers for Disease Control and Prevention....
Health Quality Measures Have Plateaued, Report Finds
WASHINGTON--After more than a decade of steady gains, health plans are seeing some quality improvement scores plateau, according to a report from the National Committee for Quality Assurance. "We feel frustrated that we don't seem to put our power...
Hispanics and Nonmedical Use of Prescription Drugs
BETHESDA, MD. -- Younger Hispanics born in the United States were more likely to report nonmedical use of prescription drugs than were their foreign-born counterparts, according to findings from a study of more than 2,000 people. No significant...
Hypertension Improves with Interval Workouts
BARCELONA -- Aerobic interval exercise training is a more effective treatment for hypertension than is moderate-intensity continuous exercise, according to a Norwegian randomized trial. In the study, 89 patients with grade 1 or 2 hypertension who...
Initiative Is Aimed at Reducing Preventable Drug Injuries
SILVER SPRING, MD.--Reducing preventable injuries from medication errors, misuse, and abuse is the goal of an initiative being launched by the Food and Drug Administration, agency officials announced at a briefing. The agency's Safe Use Initiative...
Lu AA21004 Looks Promising for Depression
ISTANBUL, TURKEY -- The novel investigational agent Lu AA21004 proved effective and very well tolerated for the treatment of depressive and anxiety symptoms in patients with major depression in a double-blind comparison to placebo and venlafaxine....
MedPAC Probes High Cost of Inpatient Care
WASHINGTON -- Are inpatient psychiatric facilities being paid enough by Medicare? A government advisory group is trying to figure that out, but answering that question is raising other questions, too. Dana Kelley, a staff member of the Medicare...
More Data Tie Diet to Slower Cognitive Decline
Two studies now extend the results of a 2006 paper contending that the Mediterranean diet slows cognitive decline, but the issue is far from settled, according to findings from two studies. In one study that built on the initial 2006 findings using...
Myths Connect Hypertension and Headaches
SAN FRANCISCO -- Hypertension causes headaches. Treating hypertension decreases headaches. Headaches increase the risk for stroke and heart disease. Really? Not quite, Dr. Dara G. Jamieson said at the annual meeting of the American Society of Hypertension....
New Data Point to Extent of Trauma at Virginia Tech: More Than 15% of Students Had PTSD
ATLANTA--Research is starting to demonstrate the extent to which the differential loss and trauma experienced by students and staff at Virginia Tech on the morning of a shooting rampage more than 2 years ago relates to risk for posttraumatic stress...
New Imaging Techniques Show Longer-Term Effects of TBI
BANGKOK, THAILAND -- New imaging techniques might help to explain the disabling symptoms that can plague patients with traumatic brain injury long after their acute problems have resolved, and eventually guide the best choice for medical therapy, Dr....
Nicotine Patch Plus Lozenges Best for Cessation
Combining the nicotine patch with nicotine lozenges appears to be the most effective approach for smoking cessation, according to a report in the November issue of the Archives of General Psychiatry. In a study directly comparing the effectiveness...
Nonmedical Use of Stimulants Must Stop
We are intrigued by the work of investigators who recently reported a sharp increase in the number of calls to poison control centers related to attention-deficit /hyperactivity disorder medications, particularly amphetamine / dextroampheta-mine-related...
Perspective
In many ways, physicians spend their lives fighting death and intuitively view death as "the enemy." As a result, it is very difficult for physicians, including psychiatrists, to feel comfortable around terminally ill people unless we have done our...
Perspective: Treatment Option Is Welcome
It's nice to have a second option for treating irritability in children with autism. Irritability and aggression in children with autism are frequently what lead to disruption of placement in the school and home setting, and are often the reason these...
Pesticide Exposure Linked to Increased Dementia Risk
VIENNA -- Pesticide exposure might increase the risk of later dementia by as much as 70%. "Exposure to pesticides may have long-term damaging effects on the nervous system that contribute to the development of Alzheimer's or other dementias," Kathleen...
Program Reduces Depression, Chronic Pain
A program of optimized pharmacologic therapy and pain self-management in patients with co-morbid depression and chronic pain produced substantial and sustained reductions in disability and depression and pain severity. The program, which was assessed...
Psychiatrists Rally to Block Medicare Pay Cut Proposal
A proposed 21 % cut in Medicare payments to physicians should not go forward, according to Dr. James H. Scully Jr., medical director and CEO of the American Psychiatric Association. In letters to Congress sent in" mid-November, Dr. Scully urged...
Psychiatry Has Role in Palliative Care
Psychosocial and psychiatric issues are prevalent among people with advanced life-threatening illnesses. Yet, mental illness too often is unacknowledged, unassessed, underdiagnosed, and undertreated in hospice settings, according to Dr. Scott Irwin,...
Pupillometry Could Lead to MDD Treatment
ISTANBUL, TURKEY -- Neuroimaging studies of brain mechanisms uniquely engaged by cognitive-behavioral therapy or antidepressant medication might eventually permit individualized treatment selection--and better outcomes for patients with major depression....
Revised PTSD Criteria Proposed for DSM-V
ATLANTA -- Expansion from three to four symptom clusters, removal of the A2 criterion, and addition of negative mood states and cognitions are among major changes proposed for posttraumatic stress disorder criteria in the fifth edition of the Diagnostic...
Side Effects Hinder Adherence in Body Dysmorphic Disorder
HOLLYWOOD, FLA. -- New treatment options for body dysmorphic disorder are becoming available, and success is built on patient adherence to medication and cognitive-be-havioral therapy. But adherence proved to be a problem for about one-third of patients...
Temporoparietal Atrophy May Be AD Identifier
BALTIMORE -- Atrophy in the temporoparietal cortex might be a common identifier of Alzheimer's disease patients that differentiates individuals who have atypical clinical presentations of the disease from those who have other types of dementia, according...
The Evolution of On-Screen Psychiatrists
This article is less about movies than about a particular sort of character sometimes seen in movies: the psychotherapist. (I'll use the terms psychiatrist, psychotherapist, and therapist interchangeably.) Take Henry Carter, for instance, that fellow...
Trauma Centers Prove Good Venues for SBIRT: The Cohort Members Had Received Funding from SAMSHA to Set Up Services in Diverse Settings
BETHESDA, MD. -- Screening, brief intervention, and referral to treatment programs in large-volume general medical settings captured a range of patients at risk for alcohol, tobacco, and other drug use disorders that otherwise might not have been detected,...
Treatment-Resistant Hypertension Prevalence Estimated at 8%-11%
San Francisco -- About 16% of 264,697 patients in a community-based practice network had treatment-resistant hypertension in 2007. The true prevalence might be 8%-11% after adjustment for pseudoresistance, which previous studies suggest accounts...
Treat PTSD, Substance Abuse at Same Time
Arevolution is brewing in the treatment of patients with co-occurring posttraumatic stress disorder and substance use, inspired by a growing body of evidence that the disorders can be successfully addressed simultaneously. An estimated half of returning...
Valproate Does Not Delay Psychosis in AD
VIENNA -- Valproate treatment over 2 years does nothing to delay the onset of agitation or psychosis in patients with Alzheimer's disease, and patients taking the anticonvulsant showed significantly more brain volume loss on MRI at year 1 than did...
Video Games: Moderation Is Key
Concern has been growing among parents and professionals about video game playing among children and adolescents. Is video game playing good or bad for our young patients? Research suggests the issue is complex, and the answer lies somewhere in...
WHO: Income, Social Status of Women Contributing to Ill Health
Improvements in women's health worldwide are being held back by inequalities in income and social status, discriminatory delivery systems, and a failure of leaders to tailor health care for women, a World Health Organization report shows. The report,...