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. 1, January

Acetaminophen Increases Activity Levels in Patients with Dementia
Regular administration of acetaminophen raises levels of general activity, social interaction, engagement with media such as television or magazines, and worklike activity in elderly patients with moderate to severe dementia, reported John T. Chibnall,...
Biofeedback Effective for Chronic Constipation
HONOLULU -- Biofeedback proved superior to standard therapy for long-term management of patients with the most common cause of chronic constipation in the first-ever randomized trial featuring a full year of follow-up. Previous short-term randomized...
Can Exercise Treat Depression?
The Problem One of your patients has mild to moderate depression. You recommend that he engage in regular exercise. The Question Is there any evidence that exercise is an effective way to treat depression? The Analysis Our Medline search...
Careful Assessment Needed to Treat Conduct Disorders
ALBUQUERQUE -- Conduct disorders represent a complex family of conditions, and effective treatment requires careful assessment of contributing variables and comorbid conditions, Dr. David J. Mullen reported at a psychiatric symposium sponsored by the...
Chronic Pain, Addiction Behavior Are Different: Giving Shorter-Acting Opioids to Those Already Taking Long-Acting Formulations Might Create Tolerance
WASHINGTON -- Learning to differentiate between drug-seeking behavior and unmet pain needs can help emergency physicians cope better with chronic pain patients, who are frequent emergency department visitors, said Dr. James Ducharme at the annual meeting...
CIND Estimated in 23% of Older U.S. Population
ORLANDO -- Preliminary findings suggest a 23% prevalence of cognitive impairment not classified as dementia in the U.S. population aged 70 or older, according to results presented at the annual meeting of the Gerontological Society of America. This...
Clinical Psychiatry News' Top Stories of 2005
A decrease in the number of antidepressants prescribed for children and adolescents by psychiatrists and primary care physicians kept the Food and Drug Administration's decision to require black box labeling on antidepressants as a top issue in 2005....
Cognitive-Behavioral Therapy Effective for OCD
TORONTO -- Childhood obsessive-compulsive disorder often responds very well to an intense course of cognitive-behavioral therapy with an emphasis on exposure and response prevention. Unfortunately, up to 5 million patients in the United States and...
Combo Therapy Appears Effective in Treating ADHD
ATLANTA -- Combining stimulant medication and cognitive therapy is a promising approach for treating adult patients with attention-deficit hyperactivity disorder, reported Dr. Anthony L. Rostain. In an open-label study involving 45 consecutive adults...
Conduct Disorder TX Can Reduce Aggression: Children with Impulsive-Affective CD Are More Likely to Respond Than Those with Predatory CD
TORONTO -- Impulsive-affective conduct disorder responds better to medication than does predatory conduct disorder, Dr. Robert Findling said at the joint annual meeting of the American Academy of Child and Adolescent Psychiatry and the Canadian Academy...
Conventional Drugs Appear Riskier for Elderly
Conventional antipsychotics appear even more likely than atypical antipsychotics to increase the risk of death in elderly patients, Dr. Philip S. Wang and his colleagues have reported. The study suggests that conventional antipsychotics can't be...
Depression Rates High in Patients with Eating Disorders
BALTIMORE -- Depression frequently co-occurs with eating disorders, making treatment challenging, Dr. Graham W. Redgrave said at a symposium on mood disorders sponsored by Johns Hopkins University. "There are high rates of concurrent major depressive...
Dermatology and the Psyche
When I was in junior high school, I remember a time when I suffered with a set of warts--on both feet. Walking to school day after day was excruciating as the warts grew larger. Finally, I complained to my parents, and my father took me to a doctor...
Dramatizing Dementia: When Less Is More
Actors ply their craft by imbuing characters with integrity in the literal sense: unbroken completeness, an inner sense of personal wholeness. We can imagine the challenge when an actor must portray someone with Alzheimer's dementia, a disease that...
Duloxetine Lifts Arthritis Pain, Aids Cognition
SANTA ANA PUEBLO, N.M. -- Elderly people with depression and arthritis experienced significant pain relief with duloxetine in a placebo-controlled trial reported at the annual meeting of the Academy of Psychosomatic Medicine. Conducted by investigators...
FDA Plans Reorganization Aimed at Improving Drug Safety, Development
Officials at the Food and Drug Administration are planning to reorganize its Center for Drug Evaluation and Research in an effort to improve the agency's approach to drug safety and to help improve drug development. The FDA plans to appoint a new...
Findings Highlight Depression, MI Connections
Depression strikes one in five patients hospitalized for myocardial infarction, with severe consequences, including a threefold increased risk of cardiac mortality and significantly elevated mortality from all causes, a comprehensive evidence review...
Helping Children in Foster Care
Children and adolescents in foster care often emerge from the social service system more battle weary than soldiers on the front line. In one recent study of nearly 500 adults who had been in foster care in Oregon or Washington between 1988 and...
How to Read a Balance Sheet
A balance sheet provides an essential picture of your practice's financial health, yet, amazingly, few physicians can make heads or tails of one. Medical schools don't teach that stuff, of course, but most doctors don't see a reason to learn about...
Incentive System May Keep Substance Abusers in Treatment
PHOENIX -- Small awards for good attendance and clean urine tests can help keep more addicts in treatment longer, greatly improving their chances of staying drug free, a federally sponsored study shows. The feasibility and benefit of this "motivational...
Insomnia Classification Brings New Terminology
DENVER -- Recent changes in the International Classification of Sleep Disorders definition of insomnia reflect a significant evolution in expert opinion regarding the fundamental nature of these disorders, according to speakers at a satellite symposium...
IOM Calls for Standard Performance Measures
While various organizations have made substantial progress developing health care performance measures, it's time for Congress to establish an entity that can standardize these measures across the health care system, according to a report from the...
Marriage Suffers More If the Husband's Depression Is First
WASHINGTON -- Among married couples in which both partners are depressed, the degree of marital satisfaction is lower for both husbands and wives when the husband develops depression first, Kimberly A. Van Orden said at the annual meeting of the Association...
Medications 'Ancillary' in Eating Disorder TX
For the treatment of eating disorders, medication takes a back seat. "Pharmacotherapy is important but ancillary," said Dr. Scott J. Crow, president of the Academy for Eating Disorders and professor of psychiatry at the University of Minnesota, Minneapolis....
Memantine May Have Alcoholism Use
SCOTTSDALE, ARIZ. -- Memantine, the Alzheimer's drug, could have a new use: alcohol-dependence treatment. In a small pilot study of 16 people who met Diagnostic and Statistical Manual criteria for alcohol dependence and who were treated with memantine...
More Data Support Link between Sudden-Onset OCD, Strep
TORONTO -- A sudden, severe onset of childhood obsessive-compulsive disorder with tics should prompt a throat culture for group A streptococcus, Dr. Tanya Murphy said at the joint annual meeting of the American Academy of Child and Adolescent Psychiatry...
New Botox Wrinkle: Helping Frequent Migraine Sufferers?
PHILADELPHIA -- Botulinum toxin type A was found to be an effective, well-tolerated prophylactic treatment for patients with transformed migraine, according to studies that were reported at the annual meeting of the American Headache Society. The...
New Paradigm Embraced for Alcohol Treatment
SCOTTSDALE, ARIZ. -- Treatment of alcohol abuse can be effective in the absence of total abstinence, several leaders in addiction treatment say. "Reduced drinking, I think, may be a suitable alternative for some patients," Dr. Henry R. Kranzler...
New Training Aimed at Improving PTSD Care: Developers Hope That Decision Science Will Increase Practitioners' Use of Evidence-Based Treatments
TORONTO -- Training based on decision science could prove more effective than traditional methods in persuading mental health professionals to adopt evidence-based treatments for posttraumatic stress disorder, an expert said at the annual meeting of...
Overcoming Addiction: Three Physicians' Stories
When Dr. Michael W. Sullivan started taking hydrocodone to cope with the pressures of his 100-plus hours a week ob.gyn. residency in Cincinnati in 1996, he knew he was hooked. "It was love at first sight," he recalled. "That euphoria--there was...
Panel Supports ADHD Drug Patch with Warning: Methylphenidate Sensitization a Concern
GAITHERSBURG, MD. -- A federal advisory panel has supported approval of a transdermal methylphenidate patch for treating ADHD in children--with a caveat. Because of the patch's potential to cause sensitization to methylphenidate, the Food and Drug...
Paxil Pregnancy Warning Strengthened Again
The Food and Drug Administration has stepped up warnings that paroxetine increases the risk of congenital defects, especially cardiovascular malformations. In September, GlaxoSmithKline, which markets paroxetine under the trade name Paxil, had updated...
Perspective
We know that children in foster care have been exposed to trauma by virtue of their need to be brought into protective services. We also know from the findings of multiple experts that children who have been traumatized have greater likelihood of having...
Prolonged Exposure Therapy Works in Community Settings
TORONTO -- Not only is prolonged exposure therapy effective in treating posttraumatic stress disorder, it appears to be easily and successfully transported to community clinics, Elizabeth Hembree, Ph.D., reported at the annual meeting of the International...
PTSD: Terrorists' Tactics Working?
TORONTO -- Recent studies of psychopathology resulting from terrorist attacks underscore three important points for psychiatrists to keep in mind, Dr. Sandro Galea said at the annual meeting of the International Society for Traumatic Stress Studies....
Quantitative EEG Diagnostic of Vascular Dementia Severity
PORTO, PORTUGAL -- Quantitative EEG shows promise as a clinical diagnostic tool that is sensitive enough to distinguish mild from moderate subcortical dementia, according to one study presented at the Fourth International Congress on Vascular Dementia....
Questionnaire Helps to Identify Patients' Drug Diversion, Misuse
ATLANTA -- Patients with attention-deficit hyperactivity disorder who engage in drug diversion or misuse are easy to identify, Dr. Timothy Wilens said at the annual meeting of the American Psychiatric Association. To gauge the extent and nature...
Quetiapine Effective for Acute Bipolar Mania in Older Adults
STOCKHOLM -- Quetiapine effectively reduces symptoms of acute mania in patients with bipolar I disorder aged older than 55 years, according to a secondary analysis of results from two double-blind, randomized, controlled trials. At dosages averaging...
Raising Awareness on Racism
During the same week in which thousands of people of all hues waited in line at the U.S. Capitol to pay their last respects to civil rights heroine Rosa Parks, Air Force Academy football coach Fisher DeBerry said his team lost a game because "the other...
Risperidone Use Linked to Pituitary Tumors
PITTSBURGH -- Treatment with the atypical antipsychotic drug risperidone was associated with an unusually high number of reports of pituitary tumors in an analysis done by the Food and Drug Administration of more than 2.5 million records in its Adverse...
Sadness Alters TX for Depression-Related Fatigue
SAN DIEGO -- When choosing a therapy for physical fatigue in patients being treated for depression, it is important to consider the presence or absence of residual sadness, Dr. Stephen C. Ellen said at a psychopharmacology congress sponsored by the...
Selecting Patients for VNS
The Food and Drug Administration's approval of vagus nerve stimulation for the long-term treatment of severe depression is an important development for psychiatry. Finally, we have in our armamentarium a long-term treatment for patients with major...
Severely Mentally Ill Women Often Impoverished, Vulnerable
SAN DIEGO -- Many women with severe mental illness live below the poverty line, preliminary data from a small study suggest. "Women with severe mental illness are impoverished," Natalie D. Crawford said in an interview during a poster session at...
Sleep Deprivation Affects Academics, Behavior
WASHINGTON -- When a child is sleep deprived, it shows at school. In a study of 74 healthy 6- to 12-year-old students, experimentally reducing the duration of their sleep at home for 1 week resulted in academic and attention problems significant...
Survey: Racial Differences in ADHD Views, Misconceptions
MONTREAL -- Attention-deficit hyperactivity disorder is underdiagnosed among African American children, but African American parents suspect otherwise, Dr. Rahn Bailey said at the annual meeting of the American Academy of Psychiatry and the Law. ...
Syphilis Rate Continues 5-Year Rise
The rate of syphilis infection in the United States continues to rise, with an overall increase in the number of reported cases of 8% in 2004, compared with 2003, the Centers for Disease Control and Prevention reported. In 2004, the national incidence...
Tapering off Medications Even with Recent-Onset Schizophrenia a Bad Idea
TUCSON, ARIZ. -- With research showing exceedingly high rates of relapse among schizophrenia patients and greater difficulty in treating un-medicated patients, the once-common practice of tapering off medications, even after a long period of stability,...
Testosterone Replacement May Improve QOL in Alzheimer's
Testosterone replacement improved the quality of life for men with Alzheimer's disease and low serum testosterone levels in a small preliminary study, reported Po H. Lu, PsyD., and associates at the University of California, Los Angeles, David Geffen...
The Art of John Cadigan
John Cadigan immerses himself in a unique process: woodcutting. His craft serves not only as a form of artistic expression, but as a way to tame his "demons," ease his strong feelings of paranoia, and soothe his soul. To create the woodcuttings,...
Thinking on Atypical Dosages Has Changed: Survey Shows Daily Dosage of Clozapine, Risperdone Down; Trend Is Upward with Olanzapine, Quetiapine
NEW YORK -- In the decade-plus since the advent of second-generation antipsychotics, recommended and customary dosages have changed--some up, some down--as clinical experience and post-marketing data have accumulated, Dr. Ewald Horwath said at a conference...
With Dementia Diagnosis, Knowledge Is Power: Anxiety and Depression Levels May Go Down after Diagnosis Is Disclosed to Patients and Caregivers
ORLANDO -- Contrary to many physicians' fears, disclosing a diagnosis of dementia to patients and their caregivers does not produce negative reactions, and in some cases actually lowers their anxiety and depression levels, according to a survey. ...