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. 9, September

ADHD Drug Use Tied to Higher Math, Reading Scores
Children treated with medication for attention-deficit/hyperactivity disorder during their elementary school years score higher on standardized tests for mathematics and reading, compared with their ADHD peers who are not medicated, data from a longitudinal...
Aggressive Intervention Needed for Some Drinkers
San Diego -- Alcohol-dependent patients who were older than age 30 and met certain DSM-IV criteria for alcohol dependence--including tolerance and continuing to drink despite its negative impact on important events--had less dramatic reduction in heavy...
Alcohol Use Is Highest among Older, Educated Pregnant Women
SAN DIEGO -- Alcohol use among pregnant women is highest among those who are aged 35-44 years, college educated, employed, and unmarried. In addition, binge drinking among pregnant women is most likely to occur among those who are employed and unmarried....
Antidepressant Use Doubled from 1996-2005: Surveys Show Number of Americans Treated with Medication Climbed from 13 Million to 27 Million
The number of Americans treated with antidepressants doubled in less than a decade, from about 13 million in 1996 to 27 million in 2005, according to a report in the August issue of the Archives of General Psychiatry. National surveys show that...
APA: DSM-V Field Trials Set to Begin Soon
This fall, the American Psychiatric Association will begin field trials of the diagnostic criteria and dimensional assessments it plans to include in the next edition of the DSM. The field trials will test the reliability, feasibility, and clinical...
Asenapine Wins Approval Based on Short-Term Data: Sublingual Antipsychotic Adds to Options
The approval of asenapine, a sublingual formulation of atypical antipsychotic for treating bipolar I disorder and schizophrenia in adults, is a welcome development for the ongoing need for additional treatment options for these populations, said Dr....
Assess for Comorbidities in Chronic Pain
Pain and depression are common bedfellows, entwined in a complex relationship of situational and neurophysiological connections that are not yet fully understood. Numerous studies point to frequent comorbidity, yet physicians treating patients who...
Diacetylmorphine Compares Favorably with Methadone
Treatment with injectable diacetylmorphine, the active ingredient in heroin, compared favorably with methadone treatment in a phase III clinical trial reported in the the New England Journal of Medicine. Patients who received diacetylmorphine through...
DSM-V: Unseen Danger Ahead
We should be grateful for the large number of researchers and clinicians who are giving their time and expertise to the task force aiming to publish the DSM-V by May 2012. While some minor conflicts have erupted centering on the openness vs. secrecy...
Easy Cessation May Be Early Sign of Lung Ca
SAN FRANCISCO -- An unusual pattern of sudden, effortless smoking cessation in long-term smokers may herald the onset of lung cancer in a small subgroup of patients, researchers reported at the World Conference on Lung Cancer. It has been well documented...
Elevated Risk for Lipid Disorders Seen in Bipolar
HOLLY WOOD, FLA. -- Bipolar disorder is an independent risk factor for lipid disorders among patients without other known risk factors, according to a large, retrospective, managed care claims database study. When a patient also had thyroid disorder...
Evidence-Based Psychiatric Medicine: Is the Canadian Health Care System Better?
The Problem Canadian universal health care system as the model for delivering health care, but is Canada's delivery system really better? The Analysis To help us answer this question, we turned to a case decided by the Supreme Court of Canada:...
FDA Finds Toxins, Carcinogens in Electronic Cigarettes
The Food and Drug Administration has determined that electronic cigarettes marketed by two manufacturers contained carcinogens, varying amounts of nicotine, and impurities such as diethylene glycol. Since July 2008, the agency has been seizing shipments...
Fink! Still at Large: A Study on Youth Involved with the Child Welfare System Suggests That They May Be 'At Risk for Negative Outcomes.' to What Extent Might CWS Contact Affect a Child's Mental Health?
I hate so-called research papers that wander for pages with a great number of citations but no proven conclusions. The researchers, affiliated with Duke University, try to demonstrate--but do not--that young people aged 18-21 who have had some experience...
Free Psychotherapy for Military Families
Soldiers and their families are being offered free access to psychotherapy across the country for as long as they want. The Soldiers Project is providing confidential psychotherapy to address the growing need for comprehensive mental health care...
From 'Marcus Welby' to 'Scrubs'
The television series "Marcus Welby, M.D.," which ran from September 1969 through July 1976, followed the older Dr. Welby as he drove around in his long sedan, caring for his patients in the hospital, in his office, at the nursing home, and even in...
Hardest Work Lies Ahead on Health Care Reform
The hard work of health care reform lies in front of Congress as it headed back to work after its 5-week summer recess. Over the next 2 months, Democrats and Republicans will have to figure out what to pare off the long wish lists put together by...
Has the Regulation of Physician-Industry Relationships Gone Too Far? Regulation Is Harmful
Start with three facts: First, diseases kill people. Treatments, including medications, help to manage and cure diseases. Second, physicians working with industry have developed and made available most current treatments. This working relationship...
Has the Regulation of Physician-Industry Relationships Gone Too Far? Regulation Is Necessary
Recently, I attended the charter meeting of the Association of Clinical Researchers and Educators (ACRE), a new organization founded on the belief that physician-industry interactions have become overregulated. I disagreed with many of the presenters...
Injectable Beats Oral Antipsychotics for Bipolar
HOLLYWOOD, FLA. -- Bipolar patients who were assigned a long-acting injectable formulation of risperidone experienced fewer negative clinical events, compared with those who were assigned an oral second-generation antipsychotic agent for 12 months,...
Multiple Posttrauma Sessions Can Backfire
Multiple-session early psychological interventions are no better at reducing posttraumatic stress disorder symptoms than no intervention at all and might even increase symptoms in some individuals, a review of 11 randomized controlled studies shows....
New Report Issued on Depression, Pregnancy: Joint APA/ACOG Work Group Specifies When Antidepressants Should Be Tapered or Discontinued
Women taking antidepressants who are thinking about getting pregnant might consider tapering or discontinuing drug therapy if they have experienced only mild or no symptoms for at least 6 months, depending on their psychiatric history, according to...
New Survey Shows Analysts Remain Committed to Work
CHICAGO -- Psychoanalysis has long been surpassed as the dominant form of psychotherapy, but a new survey suggests that its practitioners remain deeply engaged in the field. A survey of 138 Chicago Institute for Psychoanalysis alumni showed that...
NIH Urged to Collaborate More with Pharma
Washington -- The National Institutes of Health needs to partner more with the pharmaceutical industry in order to create a better pipeline for new drugs, Dr. Francis S. Collins said at the annual meeting of the Endocrine Society. Dr. Collins, the...
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Mental Health Costs Rise Steeply For a decade, the cost of treating mental illness in the United States rose more quickly than that for any other major chronic condition, the Agency for Healthcare Research and Quality reported. The agency said that...
Posttraumatic Stress Persists after 2001 Attack: Rescue/recovery Workers Most Likely to Have Delayed Symptoms, Survey Finds
Tens of thousands of people continue to have posttraumatic stress and asthma symptoms attributed to the Sept. 11, 2001, terrorist attack on the World Trade Center, a report in JAMA shows. Five to six years after the tragedy, an estimated 25,500...
Pramipexole Acts as Antidepressant in PD
SEATTLE -- Pramipexole reduces depressive symptoms in patients with Parkinson's disease, largely independent of its effect on motor symptoms, according to the results of a randomized trial. An estimated 45% of patients with Parkinson's disease (PD)...
Psychoanalytic Approach Rivals CBT for Panic Disorder
CHICAGO -- Panic-focused psycho-dynamic psychotherapy was as effective as cognitive-behavioral therapy in reducing panic symptoms 6 months after treatment in a small ongoing randomized controlled trial. Panic symptom severity was significantly reduced...
Quality Gains Key to Health Care Reform
WASHINGTON -- Quality improvement must be an integral part of any health reform plan, according to one expert. Although there have been many improvements in medical care over the past few years, "with the miracles have come burdens," Dr. Donald...
Saliva Test May Guide Smoking Cessation Treatment
Montreal -- A simple saliva test to assess a smoker's degree of nicotine dependence could become the first step of a smoking cessation treatment, a study has shown. Light or heavy nicotine dependence can predict a person's success in quitting or...
Sertraline Falls Short for Depressed Heart Failure Patients
HOLLYWOOD, FLA. -- Sertraline did not significantly improve depressive symptoms or cardiovascular status among depressed patients with heart failure, compared with placebo in a 12-week, randomized, double-blind study. A second, post hoc analysis...
Some Children Outgrow ADHD, Imaging Shows
Santa Fe, N.M. -- Twenty years of brain imaging studies in children are leading National Institute of Mental Health investigators to explore whether they can distinguish youngsters who will outgrow attention-deficit/hyperactivity disorder from those...
Targeted Psychotherapy Can Enhance Bipolar Disorder Outcomes
Psychotherapy specifically designed for bipolar disorder can prevent or delay relapse, and there is no clear evidence that the occurrence of prior episodes negates the treatment effect, a British meta-analysis shows. Despite some evidence of benefit...
Teen Abuse of ADHD Stimulants Climbed 76%
Adolescent abuse of prescription stimulant attention-deficit / hyperactivity disorder medications increased far more rapidly than general and adolescent substance abuse for the years of 1998-2005, a study recently published online shows. Stimulant...