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. 10, October

A Call for More Global Collaboration
This year's theme for World Mental Health Day is a reminder that we psychiatrists must work closely with our colleagues not only in primary care but also in cardiology, endocrinology, oncology and pulmonology. The theme of the day, which is observed...
ADHD Less Prevalent after Adenotonsillectomy
SAN ANTONIO -- Many children with attention-deficit/hyperactivity disorder or oppositional defiant disorder no longer meet diagnostic criteria for these psychopathologies 6 months after they undergo adenotonsillectomy for standard indications, a large...
Antipsychotic Use Tied to Venous Thromboembolism Risk
Antipsychotics are associated with an almost one-third (32%) greater risk of venous thromboembolism, according to results of a nested case-control study of more than 100,000 primary care patients in the United Kingdom. Previous research has suggested...
APOE Genotype Associated with Phenotypic Differences in AD
Cognition and neuroanatomy differed between carriers and non-carriers of the e4 allele of the apolipoprotein E gene in a study that compared the phenotypic expression of the allele in people with mild Alzheimer's disease. "We found the presence...
A Recent Paper by Australian Researchers Suggests That Therapeutic Community Approaches Could Prove Beneficial in the Treatment of Violent Offenders. Do You Agree?
I am a great believer in therapeutic communities. This is a form of group therapy and, for individuals confined in prison, therapeutic communities can truly be a blessing and relieve them from the pressures of daily life behind the walls. The paper,...
Ask Pain Patients about Self-Perceived Burden
SEATTLE -- Asking patients with chronic pain a single question--"Do you believe it would be better for everyone involved if you were to die?"--can determine whether he or she is having suicidal thoughts or wishes, findings from a retrospective study...
Chronotherapeutics Corrects Circadian Rhythms
AMSTERDAM -- Circadian dysfunction can greatly affect brain function--impairing behavior, cognition, and affect--and can be improved with a "chronotherapeutic" approach, according to Anna Wirz-Justice, Ph.D., one of the leading researchers in the field....
Consider Memantine for Lewy Body Dementia
Memantine might improve behavioral symptoms and reduce brain deterioration in patients with mild to moderate Lewy body dementia, but not Parkinson's disease dementia, data from a randomized, placebo-controlled trial show. The higher amount of Alzheimer's...
Coordinated Anxiety Treatment: Worth the Cost
BOCA RATON, FLA. -- The incremental clinical benefit afforded by a flexible treatment delivery program for anxiety disorders in primary care settings costs more than usual care does, but is worth the extra expenditure, according to a study. Patients...
D-Cycloserine Enhances Effects of Exposure Therapy
AMSTERDAM -- The N-methyl-D-aspartate partial agonist D-cycloserine might enhance the results of exposure therapy, especially when it is properly timed and dosed, according to a leading researcher in this field. Barbara O. Rothbaum, Ph.D., professor...
Depression Might Impair Compliance in Adolescents with Type 1 Diabetes
Depressive symptoms in adolescents with type 1 diabetes might be a marker for poor treatment compliance, a new report shows. Adolescents with type 1 diabetes and clinically significant symptoms of depression were more likely than their nondepressed...
Glucocorticoids' Role in Traumatic Stress Assessed
AMSTERDAM -- The administration of glucocorticoids might ameliorate symptoms related to posttraumatic stress disorder and chronic anxiety by reducing the retrieval of aversive memories and enhancing fear extinction, according to Dr. Gustav Schelling...
Health Care Reforms Expected to Save Billions for Medicare
Provisions of the new Affordable Care Act, coupled with other payment changes, will save Medicare nearly $8 billion over 2 years and extend the solvency of the Medicare Trust Funds by 12 years, according to a report from the Centers for Medicare and...
Health Spending Expected to Hit $4.6 Trillion by 2019
WASHINGTON -- By 2019, nearly 93% of U.S. residents will be covered by health insurance, with nearly 20% of the gross domestic product being consumed in the process, federal actuaries announced at a press briefing. U.S. health spending is expected...
Hospitalized Children with Acute Pain Often Underdosed
MINNEAPOLIS -- Clinicians consistently undertreat acute pain in hospitalized children, despite parents' expectations that everything possible is being done to relieve their children's suffering. Data show that with the same procedure, adults are...
Injury History Associated with Comorbidities in Migraineurs
LOS ANGELES -- Migraine patients with a history of head or neck injury reported more frequent and disabling headaches and higher rates of a variety of comorbidities than did migraineurs without head or neck injuries in a survey of 1,348 adult patients....
Innovation Center to Focus on Pilot Projects
Next year, the federal government will launch the Center for Medicare and Medicaid Innovation, a new department to oversee the portfolio of payment pilot projects called for under the Affordable Care Act. As part of its charge, the innovation center...
In Vivo Sessions Better with Therapist Present: Panic Disorder and Agoraphobia Patients Can Improve without Strict Adherence to CBT Manual
AMSTERDAM -- Cognitive-behavioral therapy for panic disorder and agoraphobia seems to work better when the therapist accompanies the patient during the in vivo exposure sessions. Investigators from Technische Universitat in Dresden, Germany, made...
Is Addiction Really 'Voluntary?'
This book continues discussions about addiction that focus on the nature vs. nurture debate. The author, a research psychologist affiliated with McLean Hospital and Harvard Medical School, Boston, leans toward the role of nurture/environmental influences...
Ketamine Infusion Relieves Bipolar Depression Quickly
A single infusion of ketamine relieved bipolar depression within 40 minutes in patients with treatment-resistant bipolar disorder, according to a randomized, placebo-controlled, double-blind crossover study involving 18 patients. The effect lasted...
Listen Carefully to Catastrophizers of Chronic Pain
MONTREAL -- Personality and attitude play a major role in shaping a patient's experience of chronic pain, and understanding this dynamic may help physicians overcome obstacles in treating some of their unresponsive patients, according to Michael Sullivan,...
Magnetic Seizure Therapy Matches ECT for Depression
AMSTERDAM -- Magnetic seizure therapy yields outcomes similar to electroconvulsive therapy for the treatment of resistant depression but has the advantage of faster recovery. "For treatment-resistant depression, electroconvulsive therapy (ECT) is...
More Data Back Value of Later School Start Times
Delaying the start of school for as little as 30 minutes not only improved several measures of sleep in adolescents at a boarding school, it also improved depressive symptoms, the motivation and alertness to learn, and even some dietary habits, a study...
Naltrexone Is Safe but Needs Stronger Label, Panel Advises
Naltrexone is safe and effective for the treatment of opioid abuse, but the company should build on existing labeling that calls for monitoring and support as essential parts of therapy, a Food and Drug Administration advisory panel said. Lingering...
New Criteria May Hasten Identification of AD
Updated diagnostic criteria for Alzheimer's disease will allow physicians to identify patients in the earliest possible stages of the disease, capitalizing on the treatments now available and enriching the research into new therapies. Unveiled at...
Panel Split on Pulling Sibutramine off Market
ADELPHI, MD. -- A Food and Drug Administration advisory panel split on whether to recommend that sibutramine, the norepinephrine reuptake inhibitor approved as a weight-loss agent in 1997, be withdrawn from the market because of concerns over its cardiovascular...
Perspective
Analyses of official crime statistics reveal a sharp increase in the arrest rates for homicide from 1983 to 1993, especially among youth. In response to increased numbers of homicide arrests, policies aimed at getting tough on youth crime were enacted,...
Postinjury Headaches Persist in TBI Patients
LOS ANGELES -- Nearly half of 377 patients with traumatic brain injury reported postinjury headaches that persisted during a year of follow-up in a prospective study. The prevalence of headaches in the cohort increased from 18% before the injury...
Protein Levels Correlated with AD Progression
Elevated plasma levels of a protein called clusterin appear to correlate with the degree of brain atrophy, the severity of symptoms, and the speed of the clinical progression of Alzheimer's disease, a report shows. Moreover, clusterin levels appear...
Protocols Sought to Lower Placebo Responses: Researchers Hope Novel Trial Designs Will Lead to 'More Efficient Antidepressant Drug Discovery.'
AMSTERDAM -- Novel trial designs can be used to reduce the high placebo response seen in clinical trials of antidepressants and thus increase the efficiency of those trials, according to a drug development scientist who proposed a "filtering" approach...
Psoriasis Tied to Increased Risk of Psychiatric Disorders in Kids
MIAMI -- Children with psoriasis have a significantly greater risk of developing a psychiatric disorder than do those without psoriasis, according to findings from a large, retrospective, case-control study. Nationally representative health plan...
'Red Flags' Rule Delayed through End of 2010
The Federal Trade Commission has again postponed enforcement of the "Red Flags" rule, giving physicians until the end of 2010 before they must implement identity-theft prevention programs in their practices. Enforcement of the rule had been scheduled...
Rising Premium Costs Outpace Wage Increases
For the first time in several years, U.S. workers are footing nearly the whole bill for the premium increases associated with their employer-provided health insurance. According to a nationwide survey, employers are declining to take more than a tiny...
Shorter Sleep Duration Predicts Distress
Young adults who report sleeping fewer hours per night on average than do their counterparts are at elevated risk for persistent or new-onset psychological distress, according to results of a large, prospective cohort study. Researchers found a...
Small Study Highlights Olfactory Reference Syndrome
Patients with olfactory reference syndrome have high rates of clinical depression and other comorbid psychiatric disorders, and nearly half of them do not seek psychiatric treatment for their perceived order. Those are key findings from a small,...
Smokeless Tobacco Deemed Harmful, Addictive: Products Could Pose Increased Health Risks, American Heart Association Warns
Smokeless tobacco products are not safer alternatives to cigarette smoking, they do not help smokers quit, and their long-term use can, in fact, increase the risk of fatal heart attack, fatal stroke, and cancer, the American Heart Association warned...
Smoking Worse Than Inactivity for Lung Function
CRYSTAL CITY, VA. -- The combination of smoking and an active lifestyle was associated with significantly worse lung function than was the combination of nonsmoking and a sedentary lifestyle in blacks, on the basis of data from more than 3,000 participants...
Study Finds Frequent Switching of Antipsychotics
AMSTERDAM -- A large multinational study found that one in five adult patients with schizophrenia switched medications within the previous 12 weeks, mostly because of inadequate symptom control as one-third reported a relapse on the initial drug. ...
Suicidal Behavior Linked to Relational Distress
ORLANDO -- Adolescent suicide attempt history is associated with increased likelihood of intimate partner violence when a male becomes a young adult, according to a long-term, prospective study of 153 men. The findings suggest that prevention or...
Survey on Drug Use in U.S. a 'Wake-Up Call'
WASHINGTON -- Roughly 8.7% of Americans aged 12 years or older used illicit drugs in 2009, an increase of 0.7% from 2008, according to a national survey. The rise was largely driven by an increase in marijuana use. Rate of illicit drug use among...
Survey: Women, Nonwhites at Greatest Depression Risk
New data from the Centers for Disease Control and Prevention reveal that nearly 1 in 10 U.S. adults met criteria for current depression. Women and nonwhites are at the greatest risk. The CDC said that by the year 2020, depression is expected to...
Take Preventive Steps to Protect Your Online Reputation
MONTEREY, CALIF. -- Have you searched for your name on the Internet? Your patients have. "Your patients are Googling you," and some of them probably are rating your performance as a doctor on one of the many physician-rating sites or generic rating...
Teen Gangs: Integrated Interventions Work Best
Youth violence and gang involvement account for one of the most pressing public health and safety issues facing our country, and unless intervention efforts are redirected to include preventive rather than punitive strategies, the danger is not likely...
The Goldilocks Proposition
During the debate over health care reform, we heard many of the same phrases repeated again and again: "too much government involvement," "too much money being spent," "too many tests," "too little coverage," "too little access," not enough doctors."...
TNF Blockade May Lower Risk of Depression in Arthritis
DESTTN, FLA. -- The benefits of tumor necrosis factor blockade extend beyond the joints to the hearts and minds of rheumatoid arthritis patients, Dr. Iain McInnes reported at the congress. Findings from two studies suggest anti-TNF treatment can...
Try Group CBT for Body Dysmorphic Disorder
AMSTERDAM -- An intensive cognitive-behavioral therapy group treatment program proved very effective for body dysmorphic disorder, with 75% of participants responding, in a study reported by researchers from the Netherlands at the congress. "We found...
Zolpidem Relieves Middle-of-Night Insomnia
AMSTERDAM -- A sublingual 3.5-mg formulation of Zolpidem tartrate is effective for middle-of-the-night insomnia, producing no tolerance, rebound, or increase in use over 4 weeks, investigators reported at the congress. "Awakening during the night...
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