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. 11, November

ABPN Implementing Recertification Changes
Psychiatrists and neurologists who take the recertification examination in 2007 will face new requirements under the maintenance of certification process. Starting next year, physicians taking the exam will need to have completed 30 hours of specialty-...
Adolescent Insomnia May Be Risk Factor for Disorders Later
SALT LAKE CITY -- Adolescent insomnia is fairly common and appears to be a risk factor for psychological disorders in young adulthood, Brandy M. Roane reported at the annual meeting of the Associated Professional Sleep Societies. Of 4,253 adolescents...
Antipsychotics' Side Effects More Common in Young
PARIS -- A series of studies in children and adolescents suggests that they may be more vulnerable than adults to some side effects of antipsychotics, Dr. Celso Arango warned at the annual congress of the European College of Neuropsychopharmacology....
APA Urged to Focus on Exposure to Violence
NEW YORK -- Traumatic stress in youth is the single most important contributor to later psychiatric morbidity and mortality, and the American Psychiatric Association should make violence and its sequelae a major organizational priority, according to...
Arthritis Often Negatively Affects Sexuality
AMSTERDAM -- Physicians have largely overlooked the sizable adverse impact that rheumatoid arthritis can have on sexuality, Ylva Helland said at the annual European Congress of Rheumatology. Her survey of 1,041 Oslo-area patients with a median 14-year...
Asthma Survey Reveals Communication Gaps between Physicians and Parents
MONTREAL -- There is a disconnect in communications between physicians and parents of children with asthma, according to an analysis of data from a new global asthma survey. Parents and physicians disagree on the amount of time dedicated to asthma...
Atypical Antipsychotics Still Used after Warning: Pattern Probably Reflects Perceptions That Clinical Benefits Outweigh Risks for Older Dementia Patients
MADRID -- Prescriptions for atypical antipsychotics have not decreased significantly among elderly patients with dementia, despite the black box warning of an increased risk of death associated with the drugs, Henry Riordan, Ph.D., said at the 10th...
Autism Disorders More Prevalent Than Thought in England
The prevalence of autism and related disorders was found to be "substantially greater" than expected in a screening of nearly 57,000 children in England. The prevalence of autism spectrum disorders was 116 per 10,000 population. Previous estimates...
Bariatric Surgery May Be Safe Option for Older Adults
SAN FRANCISCO -- Bariatric surgery may be safe for older patients and provide weight loss benefits and improved comorbidities similar to those achieved by younger patients, according to four new studies presented at the annual meeting of the American...
CDC Recommends Routine HIV Screening
The Centers for Disease Control and Prevention has recommended that voluntary HIV screening be a routine part of medical care for all patients between the ages of 13 and 64 years. The recommendations are intended to simplify the HIV testing process...
CDC's First Estimate Sets Number of Autistic Children at Nearly 300,000
Nearly 300,000 American children aged 4-17 years had received a diagnosis of autism as of 2003-2004, data from a pair of parent surveys show. The estimated prevalence was 5.7 per 1,000 children and 5.5 per 1,000 children in the National Health Interview...
Cognitive Therapy Reaches a Milestone
Dr. Aaron T. Beck's recent win of the Albert and Mary Lasker Foundation's prestigious medical prize for his groundbreaking work in developing cognitive therapy has significant meaning for me on several levels. First, I grew up hearing about the...
Consider Montgomery-Asberg Scale for Assessing Depression
BOCA RATON, FLA. -- Major depression in children and adolescents can be assessed quickly using a 10-item scale designed for adults. Results correlate well with a standard 45-minute pediatric measure, according to a study presented at a meeting of the...
CUtLASS Findings Interesting but Inconclusive
A British study showing that second-generation antipsychotics do not offer significant clinical benefits over first-generation drugs when prescribed to patients with schizophrenia is interesting but not definitive, the American Psychiatric Association's...
Daily Stress Management Can Work in Classroom Setting
PHILADELPHIA -- A 10-minute, daily stress management intervention delivered in an elementary school classroom can decrease feelings of anxiety and improve a child's ability to relax, Dr. Denise Bothe said at the annual meeting of the Society for Developmental...
Deep Brain Stimulation Improves Major Depression
SAN FRANCISCO -- Depression scores improved by at least 50% in six of nine patients treated with deep brain stimulation devices for intractable major depression, opening a new frontier in deep brain stimulation therapy. Deep brain stimulation, which...
Depression Linked to Risky Sexual Behaviors
BOSTON -- Adolescent boys and girls with symptoms of depression are more likely than their nondepressed peers to engage in high-risk sexual behavior, results of a recent study have shown. These findings fuel arguments in favor of expanding depression...
Depression Risk High in Women under 60 with MI
Women younger than age 60 have "a remarkably higher rate of depression at the time of acute myocardial infarction, compared with the other demographic groups," reported Dr. Susmita Mallik of Emory University, Atlanta, and her associates. The researchers...
Depression Self-Care May Aid Diabetes Control: Diabetic Patients Are Especially Burdened by a Sense of Hopelessness and Helplessness about Their Disease
LOS ANGELES -- Adherence to a self-care action plan helped primary care patients exceed national goals for reducing their depression, reported Dr. Doriane C. Miller, associate division chief of general internal medicine at Stroger Hospital of Cook...
Depressive Symptoms Predict Exposure to Violence
BOSTON -- Adolescent girls who exhibit symptoms of depression are at greater risk for subsequent intimate partner violence than their nondepressed peers, a study has shown. The findings suggest that preventing, identifying, and treating depression...
Donepezil Approved for Severe Dementia TX
The Food and Drug Administration has approved donepezil for the treatment of severe dementia in people with Alzheimer's disease. The approval, which came in October, expands the indication of donepezil to cover all degrees of Alzheimer's severity....
Exposure to Western Psychiatry Is a Right
Of late, there has been much debate about the international recruitment of psychiatrists who aspired to join the National Health Service in Great Britain through an international fellowship plan. Much has been said against such recruitment and very...
FDA Advisory Warns of Serotonin Syndrome
Physicians should be aware that concomitant use of a triptan and a selective serotonin reuptake inhibitor or a selective serotonin norepinephrine reuptake inhibitor can lead to serotonin syndrome, according to a public health advisory issued by the...
FDA Approves First Agent for Treating Autism Symptoms: Risperidone Approval Called 'Breakthrough.'
The Food and Drug Administration has approved risperidone for treatment of irritability associated with autism. This approval addresses aggression, deliberate self-injury, and temper tantrums in children aged 5 years and older, and in adolescents....
Glycemic Control May Stop Dementia
MADRID -- Tight control of blood glucose levels may decrease the incidence of dementia and Alzheimer's disease among patients with diabetes, researchers reported at the 10th International Conference on Alzheimer's Disease and Related Disorders. ...
Gulf War Vets May Face Increased ALS Risk
Veterans of the 1990-1991 Persian Gulf War may be at increased risk for developing psychological conditions and their service may be associated with a greater chance of developing amyotrophic lateral sclerosis, according to a report by the Institute...
Helping Residents Get 'Inpatient Chops'
"How old are you?" This question, and questions like it ("Where are you from?" "Are you married?" "Where do you live?"), strike fear into the hearts of psychiatry residents everywhere. These new psychiatry residents graduate from medical school with...
Herbal Use May Affect Psychotropic Response: Serotonin Syndrome Has Been Reported in Patients Who Used Both St. John's Wort and an SSRI
Medicinal herbs are a fact of life in the United States. "Thirty percent of the general population uses herbs regularly, and you can double that for psychiatric patients, who are always trying to self-medicate," said Dr. Mary L. Hardy, director of...
Hormone Therapy Debate Continues Post WHI: Effects of Postmenopausal Hormone Therapy on Heart Disease Risk, Breast Cancer Risk Remain Unclear
LA JOLLA, CALIF. -- It's time to rekindle enthusiasm for postmenopausal hormone therapy, Dr. Leon Speroff said at the annual meeting of the Association of Reproductive Health Professionals. "In my view, postmenopausal hormone therapy is in a stalled...
Hypertension Tied to Sexual Dysfunction in Women
NEW YORK -- Women with hypertension were twice as likely to have sexual dysfunction as normotensive women were, in a study of 417 women. The results also showed that women with controlled hypertension had a significantly lower prevalence of sexual...
Interplay of Stress, Ca Development Is Unclear
NEW YORK -- Major life events and other stressors cannot be definitively associated with the initiation or progression of cancer, according to Bert Garssen, Ph.D., of the Centre for Psycho-Oncology at the Helen Dowling Institute in Utrecht, the Netherlands....
IOM Backs Medicare Shift to Pay for Performance
The U.S. Department of Health and Human Services should gradually replace Medicare's current payment system with a pay-for-performance system that would reward physicians and other providers for efficiency along with patient-centered, quality care,...
IOM Report Faults FDA for Lack of Postmarketing Focus
The Food and Drug Administration should shift its emphasis from the preapproval period to postmarketing, when new drugs pose the greatest risk of safety problems, a sweeping report from the Institute of Medicine recommends. Many safety-related issues...
Lean Black Women More Likely Than Others to Have Insulin Resistance
BOSTON -- Normal-weight African American women were twice as likely to have insulin resistance as were similarly lean white and Hispanic women, according to the findings of an epidemiologic study. Additionally, unlike their white and Hispanic counterparts,...
Lifestyle Changes Can Reduce Risks in Diabetes
WASHINGTON -- One-year data from a large, federally funded clinical trial have shown that intensive lifestyle intervention can produce significant weight loss and reduce cardiovascular risk factors among patients with type 2 diabetes, Dr. F. Xavier...
Mediterranean Diet, Omega-3 Show Anti-AD Effect
Adherence to a Mediterranean diet is associated with reduced risk for Alzheimer's disease, and supplementation with omega-3 fatty acids appears to slow the progression of mild forms of the disease, according to two separate studies appearing in Archives...
Mental Illness and Obesity
The association between obesity and severe mental illness is clear. In fact, patients with severe mental illness might have an even higher proportion of obesity than might those in the general population (J. Nerv. Ment. Dis. 2003;191: 799-805). Should...
Mental Illness, HIV Often Comorbid
Treatment of human immunodeficiency virus has come a long way over the last few years, thanks to the availability of highly active antiretroviral therapy. However, these advances have done little to address one of the most prevalent and undertreated...
Migraine Prevalence 6% among Adolescents: Panel Recommends That Preventive Therapy Be Offered to Patients with Six or More Migraines per Month
LOS ANGELES -- In any given year, 6% of adolescents aged 12-19 years experience at least one migraine headache, according to the American Migraine Prevalence and Prevention Study released at the annual meeting of the American Headache Society. Nearly...
Older Patients More Compliant with Antiretroviral Therapy
TORONTO -- With age comes enhanced adherence to HIV therapy, according to a study presented at the 16th International AIDS Conference. Michael J. Silverberg, Ph.D., of Kaiser Permanente's Division of Research, Oakland, Calif., and his associates...
One-on-One TX for Autism Trumps Mainstreaming
MONTREAL -- Home-based intensive skills therapy for autism appears to be a more effective early intervention than integration into mainstream preschool classrooms, according to preliminary findings of a small pilot study reported at the 5th International...
Panel Opposes Separate Drug Testing in the Elderly
PARIS -- A consensus panel convened by the European College of Neuropsychopharmacology has drafted a report opposing separate clinical trials of central nervous system drugs in elderly patients. The panel calls instead for dropping age cutoffs from...
Perspective
Because of the prior "death sentence" perception, stigma, and neuropsychiatric symptoms associated with HIV infection, providing psychiatric care to these patients can be a unique challenge. But we can make their quality of life better. The psychiatrist...
Race Makes Difference in Metabolic Syndrome
ATLANTA -- There are no formal criteria defining metabolic syndrome in children, but it is clear that African American and white children show important differences in some of the components, Dr. Silva A. Arslanian said at the annual meeting of the...
Rate of Myocarditis from Clozapine Higher
BARCELONA -- About 1% of patients treated with clozapine develop myocarditis, based on data from the Australian adverse drug-reaction reporting registry. The estimated rate of 0.7%-1.2% is substantially higher than the 0.015%-0.188% rates that had...
Serosorting Limits HIV among Men Who Have Sex with Men
WASHINGTON -- Serosorting--the selection of sex practices based on a partner's known or perceived HIV status--is becoming more popular among men who have sex with men, Dr. Robert M. Grant said at the Ryan White CARE Act clinical meeting on HIV treatment....
Sertraline Maintains Mood in Diabetes
Maintenance therapy with sertraline prevents a recurrence of major depression in diabetic patients whose mood disorder initially responds well to the drug, reported Patrick J. Lustman, Ph.D., of Washington University in St. Louis. Clinical depression...
Severe Apnea Linked to CNS Abnormalities
Children with severe obstructive sleep apnea demonstrate decreased IQ and other neuropsychological deficits, and have metabolic brain abnormalities that can be seen on imaging, indicating possible neuronal injury, according to a new study. "We speculate...
Sleep Disturbances after Trauma Might Prove Predictive
SALT LAKE CITY -- Sleep disturbances that occur in the weeks immediately after a stressful event may predict the later development of posttraumatic stress symptoms, according to data from a survey conducted after Sept. 11, 2001. A total of 782 subjects...
Small Study: Tamoxifen May Lift Mania in Bipolar
PARIS -- Tamoxifen, a drug widely used in the treatment of breast cancer, significantly reduced the manic symptoms of bipolar disorder in a randomized, placebo-controlled trial presented in a breaking news session at the annual congress of the European...
Smoking Quit Lines Appear to Ease Doctors' Workloads
WASHINGTON -- The opportunity to refer patients to a telephone quit line encourages physicians to talk to their patients about quitting smoking, Dr. Stephen Rothemich said at a conference on tobacco control sponsored by the American Cancer Society....
Sparse Data on Eating Disorders Prompt Call for Research
BETHESDA, MD. -- The release this year of American Psychiatric Association guidelines on treating eating disorders and two analyses of the available evidence to support such treatments have highlighted the dearth of effective, evidence-based interventions...
SSRI Helps Control Premature Ejaculation
Dapoxetine, a rapidly acting selective serotonin reuptake inhibitor, significantly increases the time to ejaculation during sexual intercourse in men with moderate to severe premature ejaculation, according to data from two randomized, placebo-controlled...
SSRIs Not Known to Promote Suicide Risk in Pediatric OCD
PARIS -- Selective serotonin reuptake inhibitors have not been shown to increase suicide risk in children and adolescents with obsessive-compulsive disorder and should not be withheld from these patients, Dr. Martine F. Flament advised at the annual...
Study Highlights Effective Dementia Treatments: Teaching Caregivers How to Interact with Patients Tops the List of Psychological Therapies
Behavioral management techniques--including specific types of training for caregivers on managing neuropsychiatric symptoms--and cognitive stimulation therapy are the most effective treatments for neuropsychiatric symptoms of dementia, Dr. Constantine...
Study Questions Value of Second-Generation Drugs in AD
Findings from a study of olanzapine, quetiapine, and risperidone in patients with Alzheimer's disease call into question the clinical value of these second-generation antipsychotic drugs and suggest that physicians should use them judiciously. The...
Suffering Fools Gladly (When the Joke's on Us)
Early in my career, I seethed while watching psychiatrists portrayed as nincompoops in the movies. Like Rodney Dangerfield, I thought we got no respect. Over the years I seem to have shed this defensiveness, perhaps as a function of feeling more secure...
Take Patient's Word in Judging Chronic Pain
ORLANDO -- Do not confuse addiction with physical dependence when prescribing opioids for your chronic pain patients, Dr. Jennifer P. Schneider advised at the annual clinical meeting of the American Academy of Pain Management. Trust patients to...
Team Takes on Eating Disorders
BETHESDA, MD. -- A multi-disciplinary approach to treating eating disorder patients can help to prevent relapse when the treatment team works closely with family members and other concerned individuals, speakers from Johns Hopkins University said at...
Teens, Parents May Disagree on Arthritis Severity
When it comes to rating the severity of their illness and assessing its effect on their quality of life, teens with juvenile idiopathic arthritis may not see eye to eye with their parents, reported K.L. Shaw, Ph.D., of the Institute of Child Health,...
The Art of Rosemary Carson
Much of the inspiration for Rosemary Carson's art comes from patients she's met. Ms. Carson, who was diagnosed with schizophrenia around the age of 15 and had multiple stays in mental hospitals, said she felt compelled to paint a series of 125 paintings...
Transdermal Postoperative Pain Control Device Approved
A patient-activated transdermal product for short-term management of acute postoperative pain in adults requiring opioid analgesia has received Food and Drug Administration approval. The fentanyl iontophoretic transdermal system, marketed under...
[T.Sub.3] Supplementation Raises Patients' Response to Sertraline
PARIS -- Triiodothyronine supplementation significantly increased the antidepressant effects of sertraline in a randomized placebo-controlled clinical trial presented by Dr. Bernard Lerer in a breaking news session at the annual congress of the European...
Use 'Professional Firewall' to Manage Stress
The ancient Greeks struggled with the concept of a good or fulfilled life. In about 400 B.C., Hippocrates taught that the key to a healthy life was balancing the humors of the body. To do this, one paid attention to the spiritual, emotional, and physical...
VIGILance Key to Avoiding Hassles in Opioid Prescribing
ORLANDO -- When opioids are prescribed for chronic pain patients, following the five-step VIGIL system can lessen the threat of being scrutinized by the Drug Enforcement Agency. The acronym stands for verification, identification, generalization,...
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