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. 34, No. 8, August

Abuse History Predicts Suicidal Ideation in Bipolar Adults
TORONTO -- Childhood abuse is a powerful predictor of suicidal ideation and deliberate self-harm in adults with bipolar disorder, a study has shown. For that reason, inquiring about childhood maltreatment is an important component of risk assessment...
'Adaptive Design' Promoted for Alcoholism, Depression Treatment
BOCA RATON, FLA. -- Clinicians treating alcohol abuse or depression could improve outcomes by adopting a strategy gaining popularity among psychiatry researchers, according to several presentations at a meeting of the New Clinical Drug Evaluation Unit...
Adenotonsillectomy Improves Both Sleep and Behavior
CHICAGO -- Adenotonsillectomy improved both sleep and behavior in a pair of studies presented at the Combined Otolaryngology Spring Meetings. Children with either obstructive sleep apnea syndrome (OSAS) or mild sleep disordered breathing (SDB) demonstrated...
A Hypno-Behavioral Approach to Migraine
For thousands of years, medical scientists and clinicians have studied and tried to treat the painful and often debilitating headache that is migraine. In my experience of treating patients with chronic pain, headache--particularly migraine--has been...
Air Force Suicides Drop 33% in Wake of Mandatory Prevention Program
CHICAGO -- Communities and organizations could learn a lot about suicide prevention from the United States Air Force. Data for 1990-2002 show that within 6 years of the USAF Suicide Prevention Program implementation, suicides among Air Force personnel...
Antigen-Specific Multiple Sclerosis Therapy to Be Evaluated
People with secondary progressive multiple sclerosis are currently being enrolled in a phase II/III trial outside of the United States that will evaluate the impact of an intravenously administered synthetic peptide that targets a portion of myelin...
Anxiety, Sleep Problems Predict Late-Life Depression Recurrence
BOCA RATON, FLA. -- Residual anxiety symptoms and sleep disturbances predicted recurrence of late-life depression in a study presented as a poster at a meeting of the New Clinical Drug Evaluation Unit sponsored by the National Institute of Mental Health....
A Portrait of the Artist as a Physician
When an uncle of Dr. Peter G. Tuteur gave him his first camera at the age of 10, one of the first images he captured was shards of light beaming parallel to a gangway in his native Chicago neighborhood. The angle of light "put a strong shadow on...
Autism Services Not Reaching Some Families: Survey Uncovers Barriers to Earlier Intervention for Children with Asperger's and Minority Children
MONTREAL -- Among children diagnosed with an autism spectrum disorder, those with Asperger's syndrome, minority children, and those whose families do not follow one of the major autism treatment approaches fall behind others when it comes to early...
Beating Compassion Fatigue
It is common for psychotherapists to disregard their own self-care needs when focusing on helping patients, particularly when those patients are chronically ill (J. Clin. Psychol. 2002;58:1433-41). But psychiatrists are more aware than physicians in...
Cardiovascular Risks Prevalent in Schizophrenia
BOCA RATON, FLA. -- Cardiovascular risk factors--primarily hypertension, hyperlipidemia, and obesity--are highly prevalent among patients with schizophrenia, a large, ongoing international study shows. A very low percentage of participants reported...
Cast a Wide Net with Chronic Pain
Chronic pain cuts wide. One out of every five people lives with some sort of chronic pain. Of that 20%, one-third are not able or are only minimally able to maintain an independent lifestyle because of it, according to the International Association...
CBT More Effective Than Zopiclone for Insomnia
Cognitive-behavioral therapy led to greater improvements in a variety of sleep measures than did zopiclone in adults with insomnia, Norwegian researchers report. Borge Sivertsen, Psy.D., of the University of Bergen, Norway, and his colleagues found...
Cognition Is Not Impaired by Intensive Glycemic Control
WASHINGTON -- Tight glycemic control early in the course of type 1 diabetes does not result in later cognitive decline, according to new findings from two studies with an average of 18 years of follow-up data. "Because of the length of follow-up...
Confidentiality Waiver Can Prevent Lawsuit after Patient Suicide
SEATTLE -- Obtaining a written waiver of confidentiality should be a routine early priority when treating patients for depression, an anxiety disorder, or any other psychiatric condition associated with increased suicidality, Skip Simpson said at the...
Consider Pregnancy Risks in Bipolar Women
SANTA FE, N.M. -- Don't ignore pregnancy risks when prescribing medications for bipolar disorder in a woman of child-bearing age, Dr. Marlene P. Freeman told physicians at a psychiatric symposium sponsored by the University of Arizona. Even if the...
Consider Three Variables in ADHD Prescribing: Take Characteristics of the Medication, Efficacy Studies, and Patient into Account before Treatment
MIAMI BEACH -- Three variables--medicine characteristics, efficacy study characteristics, and patient characteristics--should be considered when prescribing for attention-deficit hyperactivity disorder, said Dr. Richard Rubin at the annual meeting...
Critical, Unmet Needs Identified for Suicidology
SEATTLE -- The field of suicidology still has a distance to go before it attains the status of a mature discipline that informs clinical practice, Lanny Berman, Ph.D., said at the annual conference of the American Association of Suicidology. Nothing...
Data Conflicting on Depression-Diabetes Link
WASHINGTON -- Which comes first, diabetes or depression? The data on this temporal relationship are mixed. While findings from previous studies suggest that depression precedes diabetes, findings from another investigation, presented at the annual...
Data on Clozapine Augmentation Are Scarce but Do Exist
SAN FRANCISCO -- Evidence is scarce on how to treat the 30% of patients who fail to respond to clozapine, traditionally seen as the last resort in treatment-resistant schizophrenia, as well as the 50% who have partial responses to the drug, Dr. Michael...
Depression Risk Nearly Doubles at Start of Menopause
Women entering menopause are nearly twice as likely to develop depression as are women the same age who are not yet making the transition to menopause, reported Dr. Lee S. Cohen and his associates in the Harvard Study of Moods and Cycles. "Transition...
Depression Trial Results: Don't Augment Too Early: STAR*D Shows Remission Takes Time
SANTA FE, N.M. -- The STAR*D trial is providing abundant information but no simple answers about the treatment of major depressive disorder, speakers said at a psychiatric symposium sponsored by the University of Arizona. "What STAR*D has found...
Diabetes Drug Class Found Protective in Alzheimer's
MADRID -- Thiazolidinediones may reduce the incidence of Alzheimer's disease or forestall its progression in both diabetic and nondiabetic patients, researchers reported at the 10th International Conference on Alzheimer's Disease and Related Disorders....
Don't Rely on Self-Report during Forensic Assessments
SAN DIEGO -- Relying on examinee self-report during forensic assessment is ill-advised, Jerry J. Sweet, Ph.D., said at the annual meeting of the American Neuropsychiatric Association. "Self-report in general is often unreliable," said Dr. Sweet,...
Easing the Transition to College
We like to think of college as a place where intellectual ideas blossom, lifetime friendships are formed, and fun rules when Friday afternoon rolls around. But another side of college reflects the pressures young adults face. The American College...
ECT Patients Taking an Antidepressant Appear to Fare Well
TORONTO -- Refractory depression patients who undergo electroconvulsive therapy while on an antidepressant do not have any increased side effects or adverse events, but they may have an improved response, Dr. Keith Isenberg said in a poster presentation...
Fluoxetine Offers No Benefit for Anorexia Patients
TORONTO -- Fluoxetine failed to prevent relapse of anorexia nervosa in the largest controlled medication trial to date exploring the issue, Dr. B. Timothy Walsh reported at the annual meeting of the American Psychiatric Association. "Antidepressants...
Focus on Compliance in Refractory Depression: Patients Need to Be Told Repeatedly to Continue Taking Their Medication Even When They Feel Better
SAN FRANCISCO -- A large number of patients with major depression seem to be resistant to treatment. But a focus on compliance, proper dosing, and when to switch or augment medications can increase the probability of an initial response or convert...
Group Therapy Can Help Pathological Gamblers
SPARKS, NEV -- Pathological gambling is a serious and increasingly prevalent addiction, but it is treatable--particularly with group therapy, Denise F. Quirk said at the annual meeting of the American College of Preventive Medicine. During the last...
Heart Rate Variability Tied to Post-MI Mortality
SAN JUAN, P.R. -- Low heart rate variability is significantly associated with an increased risk of death in depressed versus nondepressed patients after an acute myocardial infarction, Robert M. Carney, Ph.D., said at the annual meeting of the American...
Humana, Medicare Lead in Payer Performance
In an assessment of performance by one of the nation's largest physician revenue management companies, Humana and Medicare were rated highest when it came to paying quickly and being easy to work with. The performance data were tabulated and made...
IOM Asks Congress to Rescue Emergency Care
WASHINGTON -- Strained by rising demand and insufficient resources, the nation's emergency care is in a precarious state, an Institute of Medicine expert panel has concluded, and Congress must act to shore up the system. Emergency departments are...
Lowering Homocysteine Fails to Boost Cognitive Performance
Elevated homocysteine levels may not be a risk factor for cognitive decline in older patients, despite previous evidence, reported Jennifer A. McMahon, Ph.D. She and her colleagues at the University of Otago, New Zealand, conducted a 2-year randomized,...
Managing Chronic Pain: Gaps Problematic in Primary Care
SAN ANTONIO -- Clinicians in the field vary greatly in their comfort and confidence in assessing and managing chronic pain, according to a survey presented at a poster session at the annual meeting of the American Pain Society. "Primary care providers...
MAO Inhibitor Is Approved for Parkinson's
The recent approval of an irreversible monoamine oxidase inhibitor for treating Parkinson's disease includes an indication for patients with early disease as well as for those with more advanced disease who are already on levodopa. Last month, the...
Methylphenidate May Improve Apathy Associated with Dementia
CHICAGO -- Methylphenidate may be effective in the treatment of apathy associated with dementia of the Alzheimer type, Dr. Prasad Padala and associates reported in a poster at the annual meeting of the American Geriatrics Society. Results from an...
Nearly Half of Elderly May Have Prescription Errors
SEATTLE -- Almost half of a sample of elderly persons in Los Angeles were taking medications that they probably should not have been, and the likelihood of such a problem rose sharply with the number of medications they were taking, Gretchen E. Alkema...
New Schizophrenia Scale Hailed as More Objective
BOCA RATON, FLA. -- A new scale aimed at assessing negative symptoms of schizophrenia is more objective and correlates well with the two most commonly used measures, according to a poster presentation at a meeting of the New Clinical Drug Evaluation...
Obsessions and Compulsions Continue after Bulimia Remits
TORONTO -- Comorbid obsessive and compulsive behaviors persist in women with bulimia nervosa, even after the abnormal eating patterns associated with the condition have been successfully treated, Dr. Jessica C. Morgan said at the annual meeting of...
Once-a-Day Combination Pill Approved for HIV
The approval of the first once-a-day fixed-dose triple antiretroviral drug combination pill for treating HIV in adults is expected to have a major impact on compliance and successful treatment. The Food and Drug Administration on July 12 announced...
Once-Daily Liraglutide Lowers Hb[A.Sub.1c] by 1.7% in Early Trial
WASHINGTON -- A new glucagonlike peptide-1 agonist known as liraglutide significantly reduced Hb[A.sub.1c] when used as monotherapy in a phase II trial that was presented at the annual scientific sessions of the American Diabetes Association. Liraglutide,...
One Session Can Lower Prenatal Alcohol Use
TORONTO -- A single-session intervention can reduce prenatal alcohol use among at-risk pregnant women, especially those with higher reported alcohol consumption at baseline, Dr. Grace Chang reported at the annual meeting of the American Psychiatric...
Open-Ended Question Can Reveal Impact of Migraine
LOS ANGELES -- Health care providers asked lots of questions during videotaped, real-life office visits by patients with migraines, but almost always failed to ask the one question that would indicate whether they should prescribe a preventive medication....
Opioid Prescribing Increasing Nationally, Varies Widely by State
SEATTLE -- The rate of opioid use varies considerably from state to state, with some of the highest rates found in Indiana and Maine, and the lowest in California and Minnesota, federal prescription claims data show. That variation is inexplicable...
Panel Advises CDC on Gardisil Vaccination Criteria: Agency Told HPV Vaccine Should Be Given to Girls at Age 11-12 and to Unvaccinated Females Aged 13-26
ATLANTA -- The quadrivalent human papillomavirus vaccine should be given to all girls at age 11-12, and to all females aged 13-26 who have not been previously vaccinated, the Centers for Disease Control and Prevention's Advisory Committee on Immunization...
Parents and Children Disagree on Asthma's Impact: Lowest Level of Agreement, 69%, Involved Frustration with Asthma Treatments, Activity Limits
SAN FRANCISCO -- A physician who relies on parent reports to assess the effects of asthma on a child's physical and emotional health may be getting only part of the story, according to findings presented in a poster at the annual meeting of the Pediatric...
Perspective
People who have chronic pain are extraordinarily clear about the devastating impact this problem has on their psychological balance. The resulting sense of helplessness often generates a great deal of grief, depression, stress, pessimism, and loneliness....
Postpartum Suicide Risk Soars after Infant Death: Risk Is 19.6-Fold Greater among Women with History of Psychiatric Hospitalization, Large Study Shows
SEATTLE -- The risk of a maternal postpartum suicide attempt increases more than threefold after a fetal or infant death, findings of a large case-control study show. An analysis that linked Washington state hospital records to detailed state-mandated...
Prescription Drug Abuse Rising, Especially among Teens
TORONTO -- Prescription drug abuse is growing at a faster rate than is illegal substance abuse, particularly among adolescents, Joseph A. Califano Jr. said at the annual meeting of the American Psychiatric Association. "We think the country has...
Psychiatrists Face Pay Cut under New CMS Proposal
A new proposal from the Centers for Medicare and Medicaid Services could result in a better bottom line next year for physicians who spend a lot of time on evaluation and management services but will likely mean a small cut in payments to psychiatrists....
Psychosis Rarely Begets Murder, Experts Say: Demographics Better Predict Violence Than Does Mental Illness-Except for Substance Abuse Disorder
TORONTO -- Even movies and popular songs refer to the idea that there are dark and dangerous mentally ill persons who have the capacity to become "psycho killers." The more appropriate term, however, might be "personality disorder killer," according...
Readiness Is Key in Cognitive-Behavioral Therapy: Children with Anxiety Symptoms Must First Understand How the Treatment Works to Benefit
MIAMI -- Clinicians can help children and adolescents with cognitive, physical, and behavioral symptoms of anxiety through cognitive-behavioral therapy. However, readiness for treatment must first be established, according to a presentation at the...
Repetitive Behaviors of Autism Linked to Mood Problems
MONTREAL -- Comorbid mood and behavior problems that are present at an early age in children diagnosed with an autism spectrum disorder are associated with the frequency and severity of restrictive, repetitive, and stereotyped behaviors, a study has...
Risk Factors Suggest Preclinical Parkinson's: Look for Excessive Daytime Sleepiness, Olfactory Dysfunction, Constipation, and Slow Reaction Time
WASHINGTON -- The presence of constipation, poor olfaction, slow reaction time, and excessive daytime sleepiness in any combination strongly suggests the presence of preclinical Parkinson's disease, according to findings from the ongoing Honolulu-Asia...
'Sequential' Approach to Combo TX Can Work: Augmenting Medication with Psychotherapy 'Ties in with the Growing Emphasis on Remission.'
It has become clear in recent years that pharmacotherapy and psychotherapy are not just either/or alternatives. Many patients, such as those with severe or treatment-resistant depression, appear to do better with both treatments than with either alone....
Sleep Apnea Associated with Insulin Resistance in PCOS
SAN FRANCISCO -- A high risk for sleep apnea was common in women with polycystic ovary syndrome and was linked to high fasting insulin levels, Dr. Esra Tasali reported at a conference sponsored by the American Diabetes Association. Among the women...
Sleep Disorder Manifestations Vary by Patient
SAN JUAN, P.R. -- Treating the manifestations of sleep disorders requires a broad understanding of patients' circumstances, Donald Bliwise, Ph.D., said at the annual meeting of the American Association for Geriatric Psychiatry. For example, both...
Smoking Cessation Plans Work, but Not Accessed
BETHESDA, MD. -- Tobacco cessation programs that employ telephone quit lines and counseling and nicotine replacement therapy are highly effective, and they should be offered to more smokers and users of smokeless tobacco, according to a panel of physicians,...
Soothing Routines Quell Kids' Fears of CPAP
SAN JUAN, P.R. -- Continuous positive airway pressure can be effective for obstructive sleep apnea in children, but parents must be persistent to ensure children's acceptance of the treatment, Dr. Ann C. Halbower said at a meeting sponsored by the...
Special CBT Protocol Improves Anxiety in Young Children
MIAMI -- A cognitive-behavioral therapy program designed for children aged 4-7 years significantly improves anxiety symptoms over 6 months, according to a randomized, controlled trial. Many pediatric cognitive-behavioral therapy (CBT) programs are...
Structured Sleep Eases Transformed Migraines
LOS ANGELES -- A structured sleep modification program significantly reduced the frequency and intensity of headaches in women with transformed migraines, University of North Carolina researchers reported at the annual meeting of the American Headache...
Study: 44% of Patients Had Visual Auras with Migraine Attacks
LOS ANGELES -- Visual disturbances may be far more common among patients with migraines than previously believed, according to a study presented at the annual scientific meeting of the American Headache Society. Dr. Abouch V. Krymchantowski and...
Surgeon General: No Smoke Is Safe Smoke: Evidence Exists to Infer Causal Relationship between Secondhand Exposure, Lung Cancer in Nonsmokers
The science is now anything but hazy: Secondhand tobacco smoke causes premature death and disease in children and adults who don't smoke--and there is no safe exposure level, the U.S. surgeon general warned in a comprehensive new report. In a return...
Telepsychiatry Reliable for Some Rural Patients
BOCA RATON, FLA. -- Telepsychiatry is a valid and reliable way to extend depression treatment to rural settings, according to a study from researchers at the University of California, Davis. "Telepsychiatry has been hot and cold, hot and cold, and...
The Art of Nigel Bart
Last year, Nigel Bart and his family converted an empty loft in Winnipeg, Canada, into an art gallery called Artbeat Studio. Artbeat supports and mentors professional artists through the effective use of studio space. But the Artbeat Studio's mission...
Tool Kit Beats Rx for Irritable Bowel Syndrome
LOS ANGELES -- An educational tool kit designed to improve patient-physician interactions during visits for irritable bowel syndrome had a greater impact on global symptom relief than did any medication ever studied for the enigmatic disorder. Dr....
Topiramate Reduces Chronic Headache Days
LOS ANGELES -- The anticonvulsant drug topiramate significantly eased chronic daily headaches, one of the most intractable forms of headache to treat, in a randomized, placebo-controlled trial conducted at 46 U.S. centers. Although subjects continued...
Untreated Illness Poses Prenatal Risk
TORONTO -- Psychiatrists and other physicians weighing the risks versus benefits of treating mental illness during pregnancy should consider that their dilemma is not one of fetal exposure versus nonexposure, according to Dr. Zachary N. Stowe, a psychiatrist...
Yoga Improves Quality of Life during Radiation Treatment for Breast Cancer
ATLANTA -- Participation in a yoga program during breast cancer treatment is feasible and may improve quality of life, Lorenzo Cohen, Ph.D., reported at the annual meeting of the American Society of Clinical Oncology. The study, designed mainly...