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* riperidona pe termen lung
Conclusions: Patients with schizophrenia who were initiated on RLAT demonstrated improvements in measures of effectiveness within 3 months, which persisted over 24 months.
* insight in schizofrenie
Abstract: Patients with deficit schizophrenia have worse cognition and poorer social functioning compared with those with nondeficit schizophrenia. Insight is another domain in which these two groups might differ. However, there is no literature data specifically on cognitive insight impairment in deficit versus nondeficit schizophrenia. We compared 40 patients with deficit schizophrenia with 81 nondeficit patients and found that schizophrenic patients with deficit syndrome were more self-reflective and have higher self-reflectiveness−self-certainty index scores than did those without deficit syndrome. These differences remained significant when analysis was controlled for sex, age, education, and depression severity. On the other hand, there was no significant difference in self-certainty scores between two groups. In addition, we found significant relationships between cognitive insight and specific psychotic symptoms. A better understanding of the cognitive component of insight in schizophrenia with deficit syndrome may help us to understand the true relationship between insight and negative symptoms and contribute to the development of more efficient cognitive strategies, thus improving patients’ outcome in a severely disabled psychiatric patient group.
Psychotherapy for gender identity disorders
Author Affiliations
- Az Hakeem trained in both forensic psychiatry and psychotherapy before taking up his current consultant posts with Camden and Islington NHS Foundation Trust and the Tavistock and Portman NHS Foundation Trust. He is an acute in-patient consultant, the head of a mentalisation-based therapy service for borderline personality disorder and, since 2001, has run the UK specialist service offering psychotherapy for people with gender identity disorders. He has trained as a group analyst and has worked as a psychiatrist for the media on a number of television programmes
- Correspondence Dr Az Hakeem, Highgate Mental Health Centre, Dartmouth Park Hill, London N19 5NX, UK. Email: az@drazhakeem.com
SUMMARY
This article describes a special adaptation of group psychotherapy as a psychological treatment for people with a variety of gender identity disorders. It can be used as an alternative to or concurrently with hormonal and/or surgical interventions for transgender people. It is also suitable for individuals whose gender identity disorder remains after physical interventions. The article draws from a UK specialist pilot for such a treatment service and describes the explicit aims of the psychotherapy, the specialist adaptation of therapeutic technique required and observed thematic features relevant to working in this specific field.
* Parkinson
Our findings suggest that depression and motor symptoms/well-being are highly intertwined in patients with PD.
* hormonul adponectin
January 6, 2012 — New data from the Framingham Heart Study hint that an elevation in adiponectin level may be an independent risk factor for all-cause dementia and Alzheimer's disease (AD) in women.
* rispperidol la copii
January 5, 2012 — A new study shows that the antipsychotic drug risperidone is significantly superior to lithium and divalproex sodium for initial treatment of mania in children, and it is better tolerated, although this drug has potentially serious metabolic effects that raise concerns about its long-term use
* Insulina in Alzheimer
Alzheimer's disease (AD) is linked to CNS insulin resistance, decreased expression of insulin and insulin receptor genes, and lower cerebrospinal insulin levels. Against this background, impaired brain insulin signaling may account for some of the cognitive deficits associated with this disease. Using the intranasal method, which effectively bypasses the blood–brain barrier to deliver and target insulin directly from the nose to the brain, a series of acute clinical trials involving healthy humans and AD patients have shown that increased CNS insulin action enhances learning and memory processes. This article summarizes and evaluates data from a recently published clinical trial, in which 4 months of intranasal insulin administration (20 IU insulin/day) preserved not only general cognition but also reduced the loss of metabolic integrity of the brain in adults with mild-to-moderate AD.
* Alzheimer - 2025
CHICAGO (Reuters) Jan 19 - The U.S. government has set a deadline of 2025 for finding an effective way to treat or prevent Alzheimer's disease, an ambitious target considering there is no cure on the horizon and one that sets a firm deadline unlike previous campaigns against cancer or AIDS.
* citalopram maxim 40 mg.
August 24, 2011 — The antidepressant citalopram (Celexa, Forest Laboratories) should not be used in doses higher than 40 mg per day because of concerns that it can cause potentially fatal changes in heart rhythm, the US Food and Drug Administration warns
* riscul de SUICID
Recognizing Suicide Risk Factors in Primary and Psychiatric Care
Larry Culpepper, MD, MPH
Posted: 10/25/2010
- Suicidality and Suicide in Primary Care: Introduction
- Should You Ask About Suicidal Ideation?
- Risk Factors: What to Look Out For
- I've Detected Risk Factors: Now What?
- How To Manage Risk Factors
Suicidality and Suicide in Primary Care: Introduction
In those with major depression, the risk for suicide is increased 20-fold compared with the general population.[1] A history of major depression is present in about 60% of those who complete suicides. An estimated 8% of those with major depression attempt suicide at some time during their lifetime. This rate is increased in those with comorbid anxiety disorders (eg, 25% with comorbid panic disorder and 38% in those with comorbid posttraumatic stress syndrome disorder).[2] About 31,000 people in the United States and 1 million worldwide die by suicide each year, and 650,000 people in the United States are treated emergently following a suicide attempt
* relatia testosteron-hipertensiune arteriala
Hypertension, dyslipidemia and overweight are related to lower testosterone levels in a cohort of men undergoing prostate biopsy
International Journal of Impotence Research, 01/20/2012 Clinical Article
Garcia–Cruz E et al. – Levels of testosterone were related to hypertension, dyslipidemia, overweight and the number of cardiovascular risk factors. The prevalence of Testosterone deficiency syndrome in the population is comparable to data from international studies. Testosterone levels decrease as the number of cardiovascular risk factors rise.
* Antidepresivele nu sunt indicate in distimii
Sub-threshold Depression and Antidepressants Use in a Community Sample
Searching Anxiety and Finding Bipolar Disorder
Mauro G Carta; Leonardo Tondo; Matteo Balestrieri; Filippo Caraci; Liliana dell'Osso; Guido Di Sciascio; Carlo Faravelli; Maria C Hardoy; Maria E Lecca; Maria F Moro; Krishna M Bhat; Massimo Casacchia; Filippo Drago
Posted: 01/09/2012; BMC Psychiatry. 2011;11(164) © 2011 BioMed Central, Ltd.
Abstract and Introduction
Abstract
Background: To determine the use of antidepressants (ADs) in people with sub-threshold depression (SD); the lifetime prevalence of mania and hypomania in SD and the link between ADs use, bipolarity and anxiety disorders in SD.
Methods: Study design: community survey. Study population: samples randomly drawn, after stratification from the adult population of municipal records. Sample size: 4999 people from seven areas within six Italian regions. Tools: Questionnaire on psychotropic drug consumption, prescription; Structured Clinical Interview NP for DSM-IV modified (ANTAS); Hamilton Depression Rating Scale (HAM-D); Mood Disorder Questionnaire (MDQ); Short Form Health Survey (SF-12). SD definition: HAM-D > 10 without lifetime diagnosis of Depressive Episode (DE).
Results: SD point prevalence is 5.0%. The lifetime prevalence of mania and hypomania episodes in SD is 7.3%. Benzodiazepines (BDZ) consumption in SD is 24.1%, followed by ADs (19.7%). In SD, positive for MDQ and comorbidity with Panic Disorder (PD) or Generalized Anxiety Disorders (GAD) are associated with ADs use, whereas the association between a positive MDQ and ADs use, without a diagnosis of PD or GAD, is not significant. Only in people with DE the well-being (SF-12) is higher among those using first-line antidepressants compared to those not using any medication. In people with SD no significant differences were found in terms of SF-12 score according to drug use.
Conclusions: This study suggests caution in prescribing ADs to people with SD. In people with concomitant anxiety disorders and SD, it should be mandatory to perform a well-designed assessment and evaluate the presence of previous manic or hypomanic symptoms prior to prescribing ADs
Hypertension, dyslipidemia and overweight are related to lower testosterone levels in a cohort of men undergoing prostate biopsy
International Journal of Impotence Research, 01/20/2012 Clinical Article
Garcia–Cruz E et al. – Levels of testosterone were related to hypertension, dyslipidemia, overweight and the number of cardiovascular risk factors. The prevalence of Testosterone deficiency syndrome in the population is comparable to data from international studies. Testosterone levels decrease as the number of cardiovascular risk factors rise.
How Are Second-Generation Antipsychotics Advancing the Treatment of Depression? CPD
Assess new data/evidence-base for the use of atypical antipsychotics as a treatment option in patients with unipolar and bipolar depression.
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Did you miss this CME/CE Activity? Clinic Management and Leadership to Improve Treatment With Antipsychotics CME/CE Assess methods for aligning clinical procedures and policies with guidelines for metabolic screening. |
UpToDate - February
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A Matter of Respect and Dignity: Bullying in the Nursing Profession Medscape Nurses |
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The 2010 AHA Guidelines: The 4 Cs of Cardiac Arrest Care Medscape Emergency Medicine |
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A Matter of Respect and Dignity: Bullying in the Nursing Profession Medscape Nurses |
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Vitamin D Supplementation: An Update US Pharmacist |
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Overhauling Nursing Education Medscape Nurses |
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The 2010 AHA Guidelines: The 4 Cs of Cardiac Arrest Care Medscape Emergency Medicine |
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A Matter of Respect and Dignity: Bullying in the Nursing Profession Medscape Nurses |
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Overhauling Nursing Education Medscape Nurses |
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The 2010 AHA Guidelines: The 4 Cs of Cardiac Arrest Care Medscape Emergency Medicine |
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UptoDate - February
BJP -- Future Table of Contents Alert
- A new future TOC for The British Journal of Psychiatry is available online for the issue:
March 2012; Vol. 200, No. 3
This Future Table of Contents is available online at: http://bjp.rcpsych.org/future/200.3.shtml
These articles have been accepted for this issue. Change is possible before publication.
-
- Editorials
-
- Psychopathy in childhood: is it a meaningful diagnosis?
- M. Rutter
The British Journal of Psychiatry 2012 200 (3)
- E. Viding and E. J. McCrory
The British Journal of Psychiatry 2012 200 (3)
- C. Andreescu and E. J. Lenze
The British Journal of Psychiatry 2012 200 (3)
- G. Lockwood, C. Henderson and G. Thornicroft
The British Journal of Psychiatry 2012 200 (3)
Review article
Group psychological therapies for depression in the community: systematic review and meta-analysis
- A. L. Huntley, R. Araya and C. Salisbury
The British Journal of Psychiatry 2012 200 (3)
Papers
Love, eye contact and the developmental origins of empathy v. psychopathy
- M. R. Dadds, J. L. Allen, B. R. Oliver, N. Faulkner, K. Legge, C. Moul, M. Woolgar and S. Scott
The British Journal of Psychiatry 2012 200 (3)
- R. Kumsta, E. Sonuga-Barke and M. Rutter
The British Journal of Psychiatry 2012 200 (3)
- M. Rydell, S. Cnattingius, F. Granath, C. Magnusson and M. R. Galanti
The British Journal of Psychiatry 2012 200 (3)
- W. Coryell, J. G. Fiedorowicz, D. Solomon, A. C. Leon, J. P. Rice and M. B. Keller
The British Journal of Psychiatry 2012 200 (3)
- M. Bogic, D. Ajdukovic, S. Bremner, T. Franciskovic, G. M. Galeazzi, Abdulah Kucukalic, D. Lecic-Tosevski, N. Morina, M. Popovski, M. Schutzwohl, D. Wang and S. Priebe
The British Journal of Psychiatry 2012 200 (3)
- M. J. Nijdam, B. P. R. Gersons, J. B. Reitsma, A. de Jonge and M. Olff
The British Journal of Psychiatry 2012 200 (3)
- A. Hilbert, M. E. Bishop, E. I. Stein, M. Tanofsky-Kraff, A. K. Swenson, R. R. Welch and D. E. Wilfley
The British Journal of Psychiatry 2012 200 (3)
- R. L. Carhart-Harris, R. Leech, T. M. Williams, D. Erritzoe, N. Abbasi, T. Bargiotas, P. Hobden, D. J. Sharp, J. Evans, A. Feilding, R. G. Wise and D. J. Nutt
The British Journal of Psychiatry 2012 200 (3)
- P. L. H. Mok, N. Kapur, K. Windfuhr, A. H. Leyland, L. Appleby, S. Platt and R. T. Webb
The British Journal of Psychiatry 2012 200 (3)
UpToDate - Februay
- BJP -- Future Table of Contents Alert
- A new future TOC for The British Journal of Psychiatry is available online for the issue:
- February 2012; Vol. 200, No. 2
- This Future Table of Contents is available online at: http://bjp.rcpsych.org/future/200.2.shtml
These articles have been accepted for this issue. Change is possible before publication. -
- Editorials
-
- Negative childhood experiences and mental health: theoretical, clinical and primary prevention implications
-
- J. Read and R. P. Bentall
The British Journal of Psychiatry 2012 200 (2)
- B. R. Lennox, A. J. Coles and A. Vincent
The British Journal of Psychiatry 2012 200 (2)
- L. Hughes and G. Leavey
The British Journal of Psychiatry 2012 200 (2)
Review article
Putting the efficacy of psychiatric and general medicine medication into perspective: review of meta-analyses- S. Leucht, S. Hierl, W. Kissling, M. Dodd and J. M. Davis
The British Journal of Psychiatry 2012 200 (2)
Papers
Childhood maltreatment and the structure of common psychiatric disorders- K. M. Keyes, N. R. Eaton, R. F. Krueger, K. A. McLauchlin, M. M. Wall, B. F. Grant and D. S. Hasin
The British Journal of Psychiatry 2012 200 (2)
- D. M. Fergusson, J. M. Boden, L. John Horwood, A. Miller and M. A. Kennedy
The British Journal of Psychiatry 2012 200 (2)
- E. D. Barker, W. Copeland, B. Mauchan, S. R. Jaffee and R. Uher
The British Journal of Psychiatry 2012 200 (2)
- N. J. Wiles, J. Mulligan, T. J. Peters, P. J. Cowen, V. Mason, D. Nutt, D. Sharp, D. Tallon, L. Thomas, M. C. O'Donovan and G. Lewis
The British Journal of Psychiatry 2012 200 (2)
- J. F. Scherrer, T. Chrusciel, L .D. Garfield, K. E. Freedland, R. M. Carney, P. J. Hauptman, K. K. Bucholz, R. Owen
The British Journal of Psychiatry 2012 200 (2)
- N. Markkula, T. Harkanen, J. Perala, K. Partti, S. Pena, S. Koskinen, J. Lonnqvist, J. Suvisaari and S. I. Saarni
The British Journal of Psychiatry 2012 200 (2)
- S. J. Colloby, M. J. Firbank, J. He, A. J. Thomas, A. Vasudev, S. W. Parry and J. T. O'Brien
The British Journal of Psychiatry 2012 200 (2)
Short reports
Psychosis incidence through the prism of early intervention services- J. B. Kirkbride, C. Stubbins and P. B. Jones
The British Journal of Psychiatry 2012 200 (2)
- N. Morina and P. M. G. Emmelkamp
The British Journal of Psychiatry 2012 200 (2)
- J. Read and R. P. Bentall
UpToDate - February
Current Issue
The American Journal of Psychiatry
January 01, 2012, Vol. 169, No. 1
Download PDFs: Cover
Table of Contents Editorial Board Front Matter Back Matter
Implications of the Mental Health Parity and Addiction Equity Act
Susan H. Busch, Ph.D.
Parsing Childhood Symptoms With More Specificity Can Clarify Differential Outcomes
Marianne Z. Wamboldt, M.D.
Antipsychotics and Mortality in Dementia
Anne Corbett, Ph.D.; Clive Ballard, M.D.
Religion/Spirituality and Depression: What Can We Learn From Empirical Studies?
Dan Blazer, M.D., Ph.D.
DSM-5: How Reliable Is Reliable Enough?
Helena Chmura Kraemer, Ph.D.; David J. Kupfer, M.D.; Diana E. Clarke, Ph.D.; William E. Narrow, M.D., M.P.H.; Darrel A. Regier, M.D., M.P.H.
Jennifer J. Thomas, Ph.D.; Thomas J. Weigel, M.D.; Robert K. Lawton, L.I.C.S.W., M.S.W.; Philip G. Levendusky, Ph.D.; Anne E. Becker, M.D., Ph.D.
Paolo Fusar-Poli, M.D.
Nathan C. Thoma, Ph.D.; Dean McKay, Ph.D.; Andrew J. Gerber, M.D., Ph.D.; Barbara L. Milrod, M.D.; Anna R. Edwards, Ph.D.; James H. Kocsis, M.D.
K. John McConnell, Ph.D.; Samuel H.N. Gast, B.A.; M. Susan Ridgely, J.D.; Neal Wallace, Ph.D.; Natalie Jacuzzi, M.P.H.; Traci Rieckmann, Ph.D.; Bentson H. McFarland, M.D., Ph.D.; Dennis McCarty, Ph.D.
Risk Taking and the Adolescent Reward System: A Potential Common Link to Substance Abuse
Sophia Schneider; Jan Peters, Ph.D.; Uli Bromberg; Stefanie Brassen, Ph.D.; Stephan F. Miedl, Ph.D.; Tobias Banaschewski, M.D.; Gareth J. Barker, Ph.D.; Patricia Conrod, Ph.D.; Herta Flor, M.D.; Hugh Garavan, Ph.D.; Andreas Heinz, M.D.; Bernd Ittermann, Ph.D.; Mark Lathrop, Ph.D.; Eva Loth, Ph.D.; Karl Mann, M.D., Ph.D.; Jean-Luc Martinot, M.D., Ph.D.; Frauke Nees, Ph.D.; Tomas Paus, M.D., Ph.D.; Marcella Rietschel, M.D.; Trevor W. Robbins, Ph.D.; Michael N. Smolka, M.D.; Rainer Spanagel, Ph.D.; Andreas Ströhle, M.D.; Maren Struve, Ph.D.; Gunter Schumann, M.D.; Christian Büchel, M.D.
Adolescent Irritability: Phenotypic Associations and Genetic Links With Depressed Mood
Argyris Stringaris, M.D., Ph.D.; Helena Zavos, M.Sc.; Ellen Leibenluft, M.D.; Barbara Maughan, Ph.D.; Thalia C. Eley, Ph.D.
Rajesh Narendran, M.D.; Brian J. Lopresti, B.S.; Diana Martinez, M.D.; Neale Scott Mason, Ph.D.; Michael Himes, B.S.; Maureen A. May, B.S.; Dennis C. Daley, Ph.D.; Julie C. Price, Ph.D.; Chester A. Mathis, Ph.D.; W. Gordon Frankle, M.D.
Risk of Death From
Accidental Overdose Associated With Psychiatric and Substance Use Disorders
Amy S.B. Bohnert, Ph.D.; Mark A. Ilgen, Ph.D.; Rosalinda V. Ignacio, M.S.; John F. McCarthy, Ph.D.; Marcia Valenstein, M.D.; Frederic C. Blow, Ph.D.
Risk of Mortality Among Individual Antipsychotics in Patients With Dementia
Helen C. Kales, M.D.; Hyungjin Myra Kim, Sc.D.; Kara Zivin, Ph.D.; Marcia Valenstein, M.D., M.S.; Lisa S. Seyfried, M.D., M.S.; Claire Chiang, Ph.D.; Francesca Cunningham, Pharm.D.; Lon S. Schneider, M.D., M.S.; Frederic C. Blow, Ph.D.
Franklin R. Schneier, M.D.; Yuval Neria, Ph.D.; Martina Pavlicova, Ph.D.; Elizabeth Hembree, Ph.D.; Eun Jung Suh, Ph.D.; Lawrence Amsel, M.D., M.P.H.; Randall D. Marshall, M.D.
Religiosity and
Major Depression in Adults at High Risk: A Ten-Year Prospective Study
Lisa Miller, Ph.D.; Priya Wickramaratne, Ph.D.; Marc J. Gameroff, Ph.D.; Mia Sage, M.A.; Craig E. Tenke, Ph.D.; Myrna M. Weissman, Ph.D.
Combined Treatments for Depression as for Other Medical Disorders
Pierre Blier, M.D., Ph.D.
Madhukar H. Trivedi, M.D.; A. John Rush, M.D.; Ben T. Kurian, M.D.; Andrew A. Nierenberg, M.D.; Stephen R. Wisniewski, Ph.D.; Maurizio Fava, M.D.
Erik Boot, M.D., Ph.D.; Sarina G. Kant, M.D., Ph.D.; Maarten Otter, M.D.; Dan Cohen, M.D., Ph.D.; Amal Nabanizadeh, M.D.; Ronald W.J. Baas, M.D.
Response to Boot et al. Letter
Thomas Werge, Ph.D.; Andrés Ingason, Ph.D.; George Kirov, Ph.D., M.R.C.Psych.; Dan Rujescu, M.D., Ph.D.; Engilbert Sigurdsson, M.D.
Additional Effect Size Measures Helpful in Understanding Lithium and Valproate Trial Results
Eric G. Smith, M.D., M.P.H.
Differential Lithium Efficacy in Reducing Suicidal Behaviors Compared With Suicidal Thoughts
Todd D. Gould, M.D.; Adem Can, Ph.D.; Irving I. Gottesman, Ph.D., Hon. F.R.C.Psych.; Philippe Courtet, M.D., Ph.D.
Maria A. Oquendo, M.D.; Hanga C. Galfalvy, Ph.D.
Treatment Resistance and Patient Authority: The Austen Riggs Reader
Ira Steinman, M.D.
Henry's Demons: Living with Schizophrenia, A Father and Son's Story
Lloyd I. Sederer, M.D.
Alison Heru, M.D.
Depression and Cancer; Depression and Diabetes; and Depression and Heart Disease

