American Journal of Geriatric Psychiatry, 12/03/08
MDLinx-Articole recente
American Journal of Geriatric Psychiatry, 12/03/08
American Journal of Psychiatry, 12/03/08
Factors Predicting Reduced
Antidepressant Response: Experience with the SNRI Duloxetine in Patients with Major Depression
Annals of Clinical Psychiatry, 12/05/08
Howland RH et al. - The authors' results highlight the clinical relevance of more severe and/or persistent levels of depression, psychiatric and medical comorbidity, and symptoms characteristic of atypical depression (leaden paralysis and fatigue) and confirm findings from other studies that such patients may respond less well or take longer to respond to pharmacotherapy. Consistent with previous SNRI studies, authors found no significant association between age, gender, and race/ethnicity and treatment outcome.
Transcranial magnetic stimulation for
depression
Current Psychiatry, 12/08/08
Dowd SM et al. - Only 28% to 33% of patients with major depression experience remission after their first antidepressant treatment, according to results of the Sequenced Treatment Alternative to Relieve Depression trial. Therapeutic options include switching to an alternate antidepressant, augmentation with a second antidepressant, psychotherapy, mood stabilizers, or second-generation antipsychotics.
Effects of client and therapist
ethnicity and ethnic matching: A prospective naturalistic study of outpatient mental health treatment in Northern Norway
Nordic Journal of Psychiatry, 12/10/08
Mollersen S et al. - The results indicated that therapist ethnicity was associated with the amount and type of service provided but improvement was not. Both the delivery of treatment and improvement did not differ significantly by client ethnicity. Ethnic matching was associated with greater symptomatic improvement in treatments of moderate duration.
IQ in early adulthood and later risk
of death by homicide: cohort study of 1 million men
British Journal of Psychiatry, 12/09/08
Batty GD et al. - High IQ test scores in early adulthood were associated.
Effects of Telephone Counseling on
Antipsychotic Adherence and Emergency Department Utilization
The American Journal of Managed Care,
12/12/08
Cook PF et al. - Cognitive-behavioral and motivational- interviewing techniques can improve antipsychotic medication adherence. Telehealth may be a useful strategy for disseminating these evidence-based techniques. Lessons learned included the importance of real-time referral data, a need to address polypharmacy, and a need to overcome contact difficulties resulting from disease processes and “unknown caller” IDs. Despite these difficulties, using a disease management model, the program was feasible, and the reduced number of ED visits indicated potential cost-effectiveness.
Kukafka R et al. - The resulting coding schemes revealed knowledge and practice gaps among the interviewees, as well as barriers and challenges of counseling. Education and training background of the counseling staff varied widely.
Response: Most people who think that
they are likely to enter psychotherapy also think it is plausible that they could have forgotten their own memories of childhood sexual abuse
Applied Cognitive Psychology, 12/17/08
Rubin DC et al. - These data point to a substantial danger of implanting false memories of childhood sexual abuse during therapy in many people and in most people who are likely to go into therapy.
Electroconvulsive Therapy: When Stigma
Delays Use of an Effective Treatment
Clinical Geriatrics, 12/18/08
Lantz M - Mrs. P is a 72-year-old widowed African-American woman who is admitted to the medical service of a hospital due to dehydration, weight loss, and lethargy.
Journal of Attention Disorders,
12/19/08
Leonard MA et al. - Results are discussed in terms of implications for enhancing the quality and frequency of parent—child storytelling among children with ADHD.
Poutanen O et al. - The DEPS is a valid case finder for primary care patients in the age group 18–64 years, and especially suitable for more highly educated patients.
The Diagnosis of Tourette's Syndrome: Communication and Impact
Rivera-Navarro J et al. - The communication of the diagnosis to relatives of children with TS was not adequate because of poor understanding and interpretation of the clinical terminology. The most important conclusion was that the current method for communicating the diagnosis of TS to patients and relatives should be improved to facilitate better understanding and interpretation.
Moneta I et al. - The drama process seemed to help emotional expression and awareness and to foster a transformation of emotive processes in the sense of a "collective ER."
Hanssens L et al. - Adiponectin levels in schizophrenic patients mirror what is observed in the general population, with the lowest levels in the most metabolically comprised subjects. However, antipsychotic medication may also influence adiponectin regulation independently.
Cognitive Behavioral Therapy, Sertraline, or a Combination in Childhood Anxiety
Walkup JT et al. - Both cognitive behavioral therapy and sertraline reduced the severity of anxiety in children with anxiety disorders; a combination of the two therapies had a superior response rate.
Trauma-Focused Cognitive Behavioural Therapy for Children and Parents
Cohen JA et al. - Psychoeducation, Parenting skills, Relaxation skills, Affective modulation skills, Cognitive coping skills, Trauma narrative and cognitive processing of the traumatic event(s), In vivo mastery of trauma reminders, Conjoint child-parent sessions, and Enhancing safety and future developmental trajectory. Currently this model of TF-CBT is being adapted and implemented both within the USA and internationally.
On the Role of the Implicit Self-Concept in Adult Attachment
Dewitte M et al. - Results showed that both the relational self-esteem and relational anxiety IAT were meaningfully related to individual differences in attachment style and predicted cognitive and affective reactions to attachment-related distress in addition to and beyond self-report measures of attachment.
Mobbs O et al. - These results suggest that bulimics present cognitive deficits and are more impulsive, especially with food-related stimuli. These cognitive deficits and biases may be at least partially responsible for the development and maintenance of bulimia.
Endicott J et al. - Quetiapine monotherapy is effective in improving impairment in important aspects of life that accompany improvements in depressive symptoms in patients with acute bipolar depression.
Changing Profile of Abused Substances by Older Persons Entering Treatment
Lofwall MR et al. - Criminal justice referrals for drug abuse admissions have increased over time and daily substance use remains high. Efforts to determine best practices for prevention, identification, and treatment of illicit drug abuse in older persons are indicated.
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