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. 38, No. 3, March

Abnormal Lipid Levels Put Many Youths at Risk for CVD
Abnormal lipid levels are present in 20% of U.S. youths aged 12-19 years, according to estimates reported by investigators at the Centers for Disease Control and Prevention. An analysis of data derived from four cycles of the National Health and...
Antidepressants and Nonadherence
They forget; they can't afford the refill; or they can't abide the side effects. Maybe they're feeling pretty good and don't see a reason to continue. Or perhaps the opposite is true--they're feeling hopeless and can't see how any medication could...
Antipsychotics and Kids: Data Mostly Reassuring
Figuring out the safest treatments for pediatric patients with psychiatric disorders has never been more challenging. This is particularly the case for young patients with psychotic disorders, bipolar disorder, autism, and disruptive behavior disorders....
Anxiety Plus Depression Boost Cardiac Deaths
NEW ORLEANS--Persistent comorbid anxiety and depression are common in patients with coronary heart disease, and they carry a greater mortality risk than either mood disturbance alone. "It's important to look for both anxiety and depression and really...
Are Lupus, Depression Linked to Atherosclerosis in Women?
PHILADELPHIA--Patients with systemic lupus erythematosus who are also diagnosed with depression were nearly four times more likely to have subclinical atherosclerosis than were lupus patients without depression in a cross-sectional study with 161 women...
Assess PTSD-Related Impairment and Symptoms
ATLANTA--Personal injury from a rocket attack, sleep difficulties, alcohol use, and nontraumatic major events in the past year significantly predicted functional impairment associated with symptoms of posttraumatic stress disorder in a large study...
Bariatric Surgery Can Lead to Remission of Type 2 Diabetes
BOSTON--Bariatric surgery can lead to sustained remission of type 2 diabetes and improvements in cardiovascular health that lower the risk for diabetes-specific mortality, according to Dr. Ted D. Adams, a cardiovascular researcher at the University...
Behavioral Emergencies: Exams Bypassed in Aged
NEW YORK--Geriatric patients presenting to the emergency department with behavioral emergencies are often referred to psychiatric services without having a basic medical work-up prior to transfer, according to the findings from a small retrospective....
Bipolar II/NOS Depression Often Misdiagnosed as MDD
Late-life depression attributable to bipolar II disorder and bipolar disorder not otherwise specified is frequently misdiagnosed intially as major depression disorder, according to a chart review of Japanese patients aged 60 years or older hospitalized...
CBT Eases Symptoms of Trauma in Battered Women
CHICAGO--Brief cognitive-behavioral therapy significantly improved the symptoms of posttraumatic stress disorder for battered women in a shelter, compared with standard care, preliminary results of a randomized study show. The Helping to Overcome...
Consumers Alerted to Risks Presented by Counterfeit Alli
Counterfeit versions of Alli, the over-the-counter formulation of the lipase inhibitor orlistat, contain sibutramine, another weight loss agent, and could be "potentially harmful" for consumers, the Food and Drug Administration has announced. A...
Depression, SSRI Use Tied to Higher Preterm Birth Rate
HOLLYWOOD, FLA.--Infants born after continuous exposure to selective serotonin reuptake inhibitors or untreated major depression during pregnancy are more likely to be born preterm, with rates exceeding 20% in both groups. This elevated risk of...
Desipramine Side Effects in GI Patients May Stem from Anxiety
Patients treated with desipramine for functional gastrointestinal disorders reported perceived side effects of the drug, but a small study indicates that most of those symptoms may not be truly related to the antidepressant. Desipramine, a tricyclic...
DHA Findings Too Weak to Back Use in AD
VIENNA--Docosahexaenoic acid might improve memory in elderly subjects with mild memory complaints, but the nutritional supplement has no beneficial effect in those with Alzheimer's disease, two randomized, placebo-controlled trials have determined....
Dopamine Agonists Quell Dyskinesia in PD
MIAMI BEACH--Levodopa produces greater symptomatic relief for Parkinson's disease patients compared with a dopamine agonist, consistent results of long-term studies indicate. However, more dyskinesia and motor fluctuations are the trade-offs. Dopamine...
Experts Blame Sugary Drinks for Global Obesity
BOSTON--The world has a major drinking problem, and it's a killer. The drink of choice is not alcohol, but sodas, fruit drinks, sport drinks, flavored waters, and other beverages loaded with sugar in any of its incarnations, according to investigators...
Extensive Work-Up for IBS Rarely Needed
LAKE BUENA VISTA, FLA.--An extensive work-up that includes tests such as colonoscopy should generally be avoided for patients suspected of having irritable bowel syndrome. Only when there are atypical or alarming symptoms such as fever, anemia,...
Feds Focus on Fraud in FY 2011 Budget Proposal
The Obama administration wants to combat waste, fraud, and abuse in the Medicare and Medicaid programs and plans to spend more than $500 million to do it. As part of the administration's budget proposal for fiscal year 2011, the Health and Human...
Fink! Still at Large: The DSM-5 Promises to Change the Practice of Psychiatry in a Big Way. What Do You Think of the Proposal to Eliminate Asperger's Disorder and to Put It under the Heading of Autism Spectrum Disorders?
When I started working in psychiatry 50 years ago, Asperger's disorder was a recognized diagnosis. During that period, the diagnosis drifted into my consciousness through conferences, articles, and discussions with colleagues. Sometimes, I was asked...
Focus on Metabolic Therapy in Schizophrenia
SAN FRANCISCO--Treating metabolic abnormalities in patients with schizophrenia may be a better way to deal with insulin resistance or dyslipidemia than switching antipsychotics, Dr. Sun H. Kim suggests. Second-generation antipsychotics can cause...
Forewarn Patients about Sexual Side Effects of SSRIs
PENTAGON CITY, VA.--Educating depressed patients about the sexual side effects of selective serotonin reuptake inhibitors could mitigate their experiences with those side effects, results of a study of 92 adults who were first-time users of the medication...
Glatiramer Acetate May Delay Progress to MS
Glatiramer acetate significantly delayed the conversion of clinically isolated syndrome to clinically definite multiple sclerosis, according to a randomized, double-blind, placebo-controlled trial published in the Lancet. The drug reduced the risk...
High-Concentrate Morphine Solution Is Reinstated
A concentrated oral solution of morphine sulfate has been approved by the Food and Drug Administration, rescuing a formulation that had been slated to be taken off the market last year until physician groups spoke up about its clinical utility and...
IBD during Pregnancy May Affect Child Development
CHICAGO--Inflammatory bowel disease during pregnancy has significant short- and long-term effects on children. Previous research has described the effects of IBD during pregnancy on perinatal outcomes, but its impact on child health and development...
Idiopathic Abdominal Pain in Children May Be Migraine
NATIONAL, HARBOR, MD.--Abdominal migraine might be responsible for up to 15% of all cases of idiopathic recurrent abdominal pain in children, according to an analysis of records from more than 400 children. Abdominal migraine is an idiopathic disorder...
Isocarboxazid Appears to Reduce Migraine Frequency
PHILADELPHIA--The monoamine oxidase inhibitor isocarboxazid may be an effective migraine preventive as well, Dr. Bruce Corser reported in a poster presented at the International Headache Congress. Although the open-label trial was small, with just...
Lakota Construct Focuses on Child's Strengths
SPEARFISH CANYON, S.D.--Four direction points on a Lakota Sioux medicine wheel are shaping behavioral assessments of children, with clinicians sitting elbow-to-elbow with educators and youth workers as they learn to assess development according to...
Lancet Retracts Article Linking Vaccines, Autism
The UK. medical journal the Lancet has taken the unusual step of withdrawing an article it published--a study of 12 children with behavioral disorders that developed after administration of vaccines or the onset of measles or otitis media. "Following...
Medical Professionalism Issues Linked to Axis I, II Disorders
BALTIMORE--A significant number of medical residents who are referred for professionalism problems have Axis I or Axis II psychopathology. Dr. Gabrielle S. Hobday, forensic psychiatry fellow at Emory University, Atlanta, and Dr. Glen O. Gabbard,...
Mental Health and Culture
In a recently published book, "Crazy Like Us--The Globalization of the American Psyche" (New York: Free Press, 2010), journalist Ethan Watters blames America for 'Americanizing the world's understanding of the human mind" and "homogenizing the way...
Mental Health Parity Set to Go Nationwide July 1
Large group health plans must treat mental health and substance abuse services the same way they treat medical and surgical services under new government regulations that will take effect July 1. The rules implementing the Mental Health Parity and...
Metabolic Syndrome Lifts Cognitive Aging Risk in Women
Older women with metabolic syndrome are at increased risk of developing cognitive impairment, including dementia, a report in the Archives of Neurology shows. Given the high rate of metabolic syndrome among Americans, "even a modest association...
No Decline in Alcohol Use by Pregnant Women
Pregnant women consumed just as much alcohol in 2005 as they did in 1991, with 12% drinking at least once during pregnancy and 2% reporting binge drinking. The findings illustrate the small effect of national educational programs that have been...
OA Patients' End-of-Day Pain Recall Reliable
Patients with osteoarthritis who are asked just before bedtime to estimate their average pain during the day are able to produce accurate estimates, meaning that clinicians can rely on these end-of-day estimates without having to worry that the patient's...
Office-Based History, Testing Can Help Diagnose Dementia
BOSTON--Taking a good history and administering a brief cognitive screening test can go a long way toward identifying Alzheimer's disease and other dementias, according to one family physician. Currently, too many patients with mild to moderate...
Panel Recommends Early Obesity Screening
New recommendations from the U.S. Preventive Services Task Force advise that children aged 6 years and older should be screened for obesity using body mass index calculations, and should be offered or referred to services that provide intensive counseling...
Proposed DSM-5 Stresses Symptom Range, Severity
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders could significantly change the way in which physicians diagnose psychiatric illness by placing a greater emphasis on the severity of patients' symptoms as well as those...
Psychoactive Drugs Tied to Increased Risk of Falling
Three drug classes--sedatives and hypnotics, benzodiaze-pines, and antidepressants--substantially raise the risk of falling in the elderly, according to a meta-analysis in the Archives of Internal Medicine. The findings underscore "the need for...
Psychosis Could Be Linked to Blood-Brain Barrier Disruption
CHICAGO--The inflammatory theory of schizophrenia first put forth more than 100 years ago has scientific validity, a study of 30 psychotic pediatric patients indicates. The study found significantly elevated serum levels of several inflammatory...
Psychotropic Drug Use in 31% Seeking Bariatric Surgery
WASHINGTON--Almost one-third of adolescents who were approved for bariatric surgery reported using psychotropic medications, but the use of substances such as drugs and alcohol was lower than expected, according to data from 82 subjects collected as...
PTSD Rates in Army Families Surpass Those of Veterans
Atlanta--Significant others and family members experience posttraumatic stress disorder at rates that exceed those of military service members of current and previous wars. With the most conservative estimates on the Psychopathology Checklist, 56...
Severe Hypoglycemia Raises Dementia Risk in Type 2 Elderly
WASHINGTON--A history of severe hypoglycemic episodes was associated with an increased risk for dementia in a longitudinal cohort study involving 16,667 older patients with type 2 diabetes. "Severe hypoglycemic episodes might be associated with...
Smoking Intervention Delivers Modest Success
Motivational interviewing can be an effective counseling technique for smoking cessation, particularly when it is delivered by a primary care physician, a review of intervention studies shows. However, the review results should be interpreted with...
Some Speakers Continue to Ignore Disclosure of Conflicts of Interest
Numerous speakers at medical meetings fail to disclose financial conflicts, despite explicit requirements for them to do so. "Disclosures by physicians are largely self-reported, but there is reason to suspect that this may change in the near future,"...
Stick with Positive Trial Results When Prescribing Antidepressants
NEW YORK--Sticking with medications that have shown positive results in randomized trials is important when it comes to treating pediatric depression, according to Dr. Karen Dineen Wagner. The Food Drug Administration has approved only two drugs...
Tailor Psychotropic Drugs to Reduce Side Effects
NEW YORK--A wealth of new data is emerging that will help clinicians anticipate and manage endocrine complications of psychotropic drugs, according to a leading researcher. "We can't take a gene chip and come up with firm recommendations," said...
Technique May Improve Sleep in Parkinson's
Miami Beach--Stimulation of the pedunculopontine nucleus could be a new target to treat excessive daytime sleepiness and other sleep disorders in people with Parkinson's disease, recent reports in the literature show. "Daytime sleepiness is a frequent...
Trazodone Shows Efficacy in Adults with Primary Insomnia
ISTANBUL, TURKEY--The antidepressant trazodone showed objective polysomnographic evidence of efficacy for primary insomnia in a small double-blind, randomized trial. This is the first objective evidence of a sleep-promoting effect for trazodone...
Use PDE-5 Inhibitors for Antidepressant Side Effects
SANTA FE, N.M--Skip the yohimbe. Don't switch your patients to bupropion. Do you really want to tell them to stop taking their antidepressants before the weekend? Men and women who develop sexual dysfunction while on serotonin reuptake inhibitors...
Varenicline Helps Smoking Cessation in Patients with COPD
SAN DIEGO--Varenicline is a particularly effective and well-tolerated smoking cessation therapy in one of the toughest-to-treat of all groups: long-time smokers with chronic obstructive pulmonary disease. That was the key finding in a 27-center,...
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