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. 39, No. 3, March

Abortion Rate Holds Steady, While Medication Abortions Rise
The U.S. abortion rate leveled out between 2005 and 2008, but the number of early medication abortions increased over the same period, a new report shows. In 2008 there were 19.6 abortions per 1,000 women aged 15-44 years, compared with 19.4 abortions...
Adult ADHD Ups Risk of Dementia with Lewy Bodies
Adults with symptoms of attention-deficit/hyperactivity disorder may be at increased risk for developing dementia with Lewy bodies as they age, according to a case-control study. Patients who developed dementia with Lewy bodies (DLB) in older age...
Adult Support Staves off Suicide Ideation in Abused Teens
ORLANDO -- Clinically significant depression and trauma were significant predictors of suicide ideation in children aged 11-15 years in child protective services, according to a cross-sectional analysis. In contrast, a close relationship with a parent...
Alcoholism, Gender, Obesity: Intriguing Links
Are a family history of alcoholism and obesity related? A new study suggests a possible connection between the two. The study, conducted by researchers at Washington University in St. Louis, found that a family history of alcoholism might put people...
Antipsychotics and Kids: Proactive Follow-Up Is Key
AMSTERDAM -- Children and adolescents who are treated with antipsychotics are at higher risk than are adults for many adverse effects; therefore, proactive follow-up is critical, said a leading researcher in the field, Dr. Christoph U. Correll, who...
Aripiprazole Is Ok'd as Adjunct for Bipolar I
The atypical antipsychotic aripiprazole has been approved by the Food and Drug Administration for the maintenance treatment of people with bipolar I disorder as an adjunct to lithium or valproate, the manufacturers announced. Aripiprazole, marketed...
Arthritis Self-Management Lags, despite Data
Several U.S. public health groups recently have made self-management training for patients with arthritis a priority. But clinicians resist this, despite an evidence-based track record that goes back more than 30 years. In essence, arthritis self-management...
Be Open to Parents' Ideas on Autism Treatments
LOS ANGELES -- When conventional approaches fail to help autistic children, parents who suggest alternative treatments should not be ignored, according to Dr. Robert L. Hendren. Instead, it's better to talk to them about their ideas and keep an...
Botox Comparable to Amitriptyline as Migraine Prophylaxis
Botulinum toxin type A, celebrated by seekers of eternal youthfulness for its ability to temporarily smooth wrinkles, also might provide relief of chronic daily migraines, Brazilian reseachers suggest. A single treatment session consisting of botulinum...
CDC: Disparities Persist across Range of Areas
Racial and ethnic minorities and lower income individuals continue to experience worse health outcomes and less access to health care services in the United States, according to a report from the Centers for Disease Control and Prevention. The report...
Childhood-Onset Epilepsy Raises Mortality Risk
The increased risk of death linked to childhood-onset epilepsy appears to be substantial, and it persists into adulthood, according to a researchers in Finland. In a cohort of 245 Finnish patients diagnosed with epilepsy in the early 1960s and followed...
Cognition Unaffected by Single Schizophrenia TX
PITTSBURGH -- Effective treatment of cognitive impairments in people with schizophrenia probably will require a combination of pharmacologic and psychosocial interventions, said Dr. Robert W. Buchanan. His conclusion was based on a large body of...
Consider Tai Chi as Add-On to Antidepressants
BOCA RATON, FLA. -- Tai chi can make a significant difference in older patients with major depression as an addon to antidepressant medication, according to a pilot study. Researchers randomized 73 partial responders to escitalopram (Lexapro) to...
Contracts Can Clarify Roles in Opioid Treatment
ATLANTA -- Treating chronic pain poses unique challenges in this age of abuse and litigation, but using contracts can help improve the chances that patients get the relief they need from opioid therapy - safely and without legal ramifications, according...
Demand for Temporary Psychiatrists on Rise
Demand for temporary physicians, known as "locum tenens" positions, is rising, according to a survey of temporary physicians and the hospitals and health groups that use them. The findings suggest a shift in the reasons for hiring staff on a temporary...
Eating Disorders Tied to Eye Damage in Women
Anorexia and bulimia can do measurable and likely irreversible damage to women's eyes, researchers have found. In a small study, Marilita M. Moschos, Ph.D., and her colleagues at the University of Athens found "a significant anatomical and functional...
Exercise Regimen Shows Benefit in Schizophrenia Patients
Regular exercise may help ease some symptoms of schizophrenia, including anxiety and depression, and should be recommended to patients with the disease, according to a literature review published May 12 in the Cochrane Library. For their review,...
'Explosive Outbursts' Need a Diagnostic Home: Expert Would like to See Label Added as Modifier in the DSM-5, Perhaps to Conditions Such as ADHD
LOS ANGELES -- Psychiatrists need to find a better diagnostic home for children who have explosive outbursts, according to Dr. Gabrielle A. Carlson. They happen in children with all kinds of psychiatric diagnoses, but no good diagnostic description...
Fink! Still at Large
In 'Battle Hymn of the Tiger Mother,' Amy Chua describes a parenting style that includes calling her daughters names. Yet, one of her daughters played at Carnegie Hall at the age of 14. Can harsh parenting push some people to excel as children - and...
For Women's Health Research, Results Mixed
WASHINGTON -- Over the past 2 decades, women's mortality from cardiovascular disease and breast and cervical cancer has declined, thanks to research focused on women's health; however, little progress has been made in addressing debilitating conditions...
Habit Reversal Training Can Bring End to Tics: Treatment Sometimes Works as a 'Useful Adjunct' to Drug Therapy and Can Be 'Good Place to Start.'
LOS ANGELES -- Sometimes, it's possible to bring an end to tics without drugs. Habit reversal training (HRT), a behavioral tic treatment, is not only a useful medication adjunct, but can sometimes prove to be the better first-line option, Dr. James...
Habitual Heavy Drinking Increases Atrial Fibrillation Risk
Habitual heavy drinking is associated with a 51% increased risk of atrial fibrillation, according to findings from a meta-analysis of more than 130,000 adults. The impact of occasional heavy alcohol intake on AF, known as "holiday heart syndrome,"...
Helping Children with PTSD
Different forms of trauma can cause posttraumatic stress disorder in children, whether from an objective event like a car crash or sports injury to trauma involving loved ones, such as domestic violence, abuse, or neglect. Some symptoms are expected...
Higher All-Cause Mortality Seen in Epilepsy Patients
SAN ANTONIO -- A diagnosis of epilepsy increases the risk of death from any cause, and mortality risk is highest for those diagnosed with epilepsy in the first year of life, according to neurologist Jakob Christensen. Adverse birth outcomes, such...
In Autism Spectrum Disorder, 25%-45% Battle Feeding Issues
BALTIMORE -- Feeding problems are a bigger problem for children with autism spectrum disorders than for those without these disorders, despite parental concerns about bowel symptoms or unconfirmed reports linking autism and specific foods, according...
Inhaled Loxapine Calms Acute Agitation in Phase III Studies
BOCA RATON, FLA. -- Inhaled loxapine rapidly improves impulse control, hostility, excitement, and some other clinical features of acute agitation, according to two phase III studies of patients with schizophrenia or bipolar disorder. The agent,...
Intervention Benefits Sleep, Psychosocial Quality of Life
VANCOUVER, B.C. -- A brief, behavioral sleep intervention improved child and parent outcomes in the short term in a randomized trial involving 108 families. At 3 and 6 months, children in the intervention group displayed less bedtime resistance...
Letters
Psychodynamic Training Is Valuable Young residents choosing to go into psychiatry today are like many other young people: they are idealistic, motivated to help others, and want to make a difference in the world. I say "world," because so much of...
Marijuana Use Linked to Earlier Psychosis Onset
The use of marijuana is associated with an earlier onset of psychosis, and that association might be causal, a meta-analysis has shown. "This study lends weight to the view that cannabis use precipitates schizophrenia and other psychotic disorders,...
Migraineurs' Childhood Abuse Linked to CV Risk
LOS ANGELES - Adults with migraines who also had cardiovascular risk factors were 39%-83% more likely to report having been abused or neglected as children compared with migraineurs without cardiovascular (CV) problems, in a study of 1,348 patients....
New-Generation Anticonvulsants Offer Hope for Refractory Patients
SAN ANTONIO -- If at first you don't succeed, try, try, and even try again when it comes to finding an effective antiepileptic drug for your treatment-resistant patients, Dr. Pavel Klein concluded from the findings of a retrospective study evaluating...
No Links Found between Early Abortion, Later Psychopathology
Undergoing induced abortion was not associated with the later development of psychiatric problems, a new study shows. In a population-based cohort study of more than 365,000 Danish women who became pregnant between 1995 and 2007, the rate of first-time...
Opioids Riskier Than NSAIDs in Elderly with Arthritis
Opioids were associated with more risks than were other analgesics in elderly patients who took the drugs for arthritis pain, according to a report in the journal. Although NSAIDs are known to pose certain risks, the results of the study "support...
PCOS Risks Make Valproate the Last Option for Women with Bipolar
LOS ANGELES -- It's reasonable to consider the anticonvulsant valproate as a last option for women with bipolar disorder, given the drug's associations with the risk of developing isolated features of polycystic ovary syndrome, according to Dr. Harold...
Preschoolers' Psychopathology Likely to Persist to Ages 6-9
LOS ANGELES -- Preschool-aged children diagnosed with a psychiatric disorder have an increased likelihood of fulfilling criteria for a psychiatric disorder at ages 6-9, even after statistical adjustment for preschool pathology, according to 4-year...
PTSD Risk Factors Can Be Treated Cognitively Factors Seen in Military Personnel and Domestic Violence Victims May Apply to Other Trauma Victims
HUNTINGTON BEACH, CALIF. -- Three things have been found to be strong predictors of whether a patient will develop posttraumatic stress disorder following physical trauma, researchers reported. Patients are more likely to develop PTSD if they were...
Rural Lung Ca. Survivors Face Higher Distress: Close-Knit Nature of Some Rural Communities Might Hinder Patients from Seeking Treatment
ANAHEIM, CALIF. -- Coping with the emotional burdens of cancer can be a lonely struggle in rural America, results of a population-based, cross-sectional study suggest. Researchers analyzed mental health data from a statewide cancer registry in Kentucky,...
States Prepare to Overhaul Relicensing Requirements
State medical boards are eyeing ways to revamp the relic ensure process so that it better measures a physician's efforts to stay abreast of clinical developments. Currently, while the public assumes that state licensure means that a physician remains...
Survey Shows Decline in Drinking and Driving
DENVER -- The prevalence of drinking and driving has steadily declined since the first National Roadside Survey of Alcohol and Drug Use by Drivers was conducted in 1973. In the most recent of these surveys, just over 12% of weekend nighttime drivers...
Tailoring Activities to Interests Reduces Dementia Symptoms
NEW ORLEANS -- Tailoring nursing home activities to match a resident's style of interest improved engagement, participation, alertness, and attention for people with dementia symptoms more than other strategies did, according to a double-blind, controlled...
Training Program Fosters Resilience among U.S. Military Parents, Children
NEW YORK -- A novel, family-centered, resiliency-training program involving U.S. military families produced substantial improvements in psychological measures among both children and their parents during the first 2 years of the program involving nearly...
U.S. Comes in Last on Access, Cost of Health Care: Survey Finds That One-Third of U.S. Adults Had to Forgo Necessary Care
Adults in the United States are far more likely than those in 10 other countries to go without health care because of cost, have difficulty paying their medical bills, and have disputes with their insurers over bills, according to an 11-country survey....
Watch for Depression and Anxiety in Autism
NEW YORK -- Roughly half of all children with autism have depression, and more have anxiety or irritability, an assessment of 627 pediatric patients shows. As a result of these findings, children with autism should routinely undergo screening for...
What Has the Lesbian Family Study Taught Us about Child Rearing by Gay Adults?
Data are limited but valuable. The U.S. National Longitudinal Lesbian Family Study has provided a treasure trove's worth of much-needed data about the children being raised by lesbian mothers. Initiated in 1986, the current wave of the study reports...