Changes in Individual Social Anxiety Processes Associated With Successful Treatment
Data from a multisite study of the effectiveness of cognitive behavioral therapy (CBT) support process-focused CBT as a means of reducing social anxiety.
Topics
Telepsychiatry May Be Convenient Alternative for Older Vets in Rural Areas
Veterans in rural areas shared their satisfaction with geriatric psychiatry care delivered via video telehealth.
PTSD Linked to Early Incident TIA, Stroke in Young Veterans
Increased risk seen in cohort of young and middle-aged veterans in unadjusted and fully adjusted models.
Are Antidepressants Linked to Adverse Health Outcomes?
Convincing evidence was observed for an association between SSRI use and increased risk for suicide attempt or completion in children and adolescents.
Chronotherapy Offers Promising Results in Depression
Compared with other therapies alone, including psychotherapy, antidepressant medication, exercise, or therapy, chronotherapy was more effective at days 5 to 7.
Depression, Anxiety, Stress Reduce Cardiac Rehab Adherence
Patients with moderate depression, anxiety, stress symptoms more likely to drop out of rehab.
Antidepressant Medications Show Little Clinical Benefit for Major Depressive Disorder
Most trials assess short-term effects, whereas more than 60% of people in the United States on antidepressants have taken them for more than 2 years.
Depression in Acute Coronary Syndrome Linked to Increased Major Adverse Cardiac Event Risk
Study data indicate a significantly increased risk for MACE among patients with depressive disorder who have early or late stage ACS.
Persistent ADHD Marginally Associated With Bipolar Disorder in Children
Researchers found a weak signal for persistent ADHD to be more associated with 8-year follow-up of bipolar disorder than remitting ADHD.
Dopamine Agonists Tied to Higher Risk for Psychiatric Events in Patients with RLS
Findings seen in large study of patients with restless leg syndrome starting dopamine agonists.
Children With Autism Found to Have Higher Risk for Obesity
Obesity seen in 22 percent of children with autism spectrum disorders.
New Clinical Guideline on Injectable Opioid Agonist Treatment for Severe Opioid Use Disorder
The Canadian Research Initiative in Substance Misuse National Injectable Opioid Agonist Treatment Steering Committee has released a new guideline.
Racial, Ethnic Minorities Want to See Doctor Who Shares Their Culture
Minority groups were generally more likely than non-Hispanic whites to report never being able to see a culturally similar health care provider, among those who thought it was at least slightly important to have a health care provider who shared or understood their culture.
Rapid Cycling Bipolar Disorder Associated With Hospitalization and Female Gender
Researchers conducted a retrospective review to assess the clinical and demographic characteristics of patients with and without rapid cycling in bipolar disorder.
Patient Portal Use Has Positive Impact on Preventive Health Behaviors
Portal users more likely to be younger, white, have commercial insurance, higher annual income.
Nonpharmacologic Interventions Reduce Agitation in Dementia
Nonpharmacologic more efficacious than pharmacologic interventions for reducing aggression, agitation.
Economic Hardship Results in Reduced Cognitive Function
Data emphasize the impact of poverty on certain aging outcomes, notably physical performance, cognitive ability, and systemic inflammation.
Short-Term Cognitive Behavioral Therapy Effectively Reduced Adolescent Insomnia
Cognitive behavioral therapy (CBT) may reduce the incidence of insomnia symptoms in adolescents, according to study data presented at the 2019 World Sleep Congress.
Anxiety Sensitivity Associated With Migraine Severity in Women
Researchers found data that showed for therapeutic treatment anxiety and sensitivity should be targeted in women patients with migraines.
Odds of Autism Up in Children With Congenital Heart Disease
Higher odds seen for specific lesions, including atrial, ventricular septal defects.
Early Behavioral Inhibition Predicts Greater Anxiety in Adolescents With High Stress Levels
Investigators assessed the role of stress, in the form of life events and exposure to a natural disaster, in moderating the effects of behavioral inhibition in preschoolers on anxiety in early adolescence.
A Daytime Nap May Contribute to Altered Emotional Processing in Depression
Researchers assessed the impact of a 30- or 90-minute nap on individuals with major depressive disorder.
Food for Thought: Mood Improvements Following Dietary Modification
A recent report published in the journal Neuropsychobiology describes the case of a 34-year-old woman with major depressive disorder whose symptoms improved following the initiation of an elimination diet.
Diet Intervention Can Cut Depression Symptoms in Young Adults
A brief diet intervention can reduce symptoms of depression among young adults with elevated depression symptoms.
New Study Resuscitates Potential of Deep Brain Stimulation in Treatment-Resistant Depression
Researchers examined the role of subcallosal cingulate deep brain stimulation in treatment-resistant depression.
Depression, Bipolar Disorder Linked to Impaired Adult Visuospatial Memory
Researchers assessed the total effect of bipolar disorder and major depression on cognitive function in adults between 40 and 69 years old and measured the effects mediated by psychotropic drug use and cardiometabolic disease.
Diagnosis of Intellectual Disability, Depression More Likely For Students Younger Than Their Peers
Findings suggest that further research into interventions to reduce the negative associations of relative age with academic achievement and health is needed.
Burnout Linked to Poor Quality Care
But effect size may be smaller than reported, especially for objective quality measures.
Antibody Titers to Cytomegalovirus, Toxoplasma Linked to Bipolar Disorder
Investigators compared antibodies to common infectious agents, including cytomegalovirus, Toxoplasma gondii, and measles, as well as the inflammatory marker C-reactive protein, in serum samples in patients with bipolar disorder vs control participants without bipolar disorder.
Mother-Infant Psychotherapy May Prevent, Reduce Postpartum Depression
Researchers conducted a literature search to assess the impact of mother-infant psychotherapy on maternal mood, mother-infant bonding, and infant attachment.
Despite No Change in Depression Prevalence, Proportion of Seniors Taking Antidepressants More Than Doubles
No change was seen in prevalence of depression from 1990-1993 to 2008-2011.
Positive Minds-Strong Bodies Intervention Improves Functioning for Older Minority, Immigrant Adults
A combined cognitive-behavioral therapy and exercise intervention improved mood and physical functioning and showed acceptance among older minority and immigrant adults.
Teens Using Oral Contraceptives Report More Depressive Symptoms
No association seen between oral contraceptives, depressive symptoms when ages 16 to 25 years were combined.
Types of Data Compromised in Breaches of Protected Health Information Identified
In this study, 71% of the breaches compromised sensitive demographic orfinancial information that may be used for fraudulent purposes.
Novel Oral GABA Modulator Promising for Major Depressive Disorder
The tolerability and novel mechanism of action of SAGE-217, an oral positive allosteric modulator of γ-aminobutyric acid type A receptors, might make it a valuable addition to the antidepressant armamentarium.
Text Messaging Intervention Aimed at Improving Parental Competence and Mental Health Literacy
MyTeen is a text message intervention that delivers advice and instruction to parents with a goal of improving parental competence, knowledge, and parent/adolescent communication.
Opioid Epidemic: Is Overdose More Likely if a Family Member Has a Prescription?
Investigators examined whether opioid overdose is more likely if a family member has a prescription. We review their findings.
Asthma-Related ED Use Up for Children With Anxiety, Depression
Children with asthma and anxiety, depression, or both have increased rates of asthma-linked ED use.
Early Adult Income Volatility Tied to Later Brain Health
Income volatility during a 20-year period beginning in young adulthood is associated with worse cognitive function and brain integrity in midlife.
Long-Term Lithium Use Effective in Older Adults With MDD, Bipolar Disorder
Lithium use was associated with lower intensity of depressive symptoms, reduced clinical severity, and lower benzodiazepine use.
USPSTF Finds Evidence Lacking to Prevent Illicit Drug Use in Youth
The USPSTF finds that the current evidence is insufficient to recommend primary care-based interventions to prevent illicit drug use in children, adolescents, and young adults.
Escitalopram-Memantine Combination Improves Cognitive Outcomes in Older Adults With MDD
The combination of memantine with escitalopram was linked to improved cognition in older patients with major depressive disorder.
Early-Life Behavioral Problems Associated With Adult Insomnia
Study suggests an unfavorable association of early-life behavioral problems with adulthood sleep health, underlining the importance of treating behavioral problems in children and addressing insomnia from a life-course perspective.
Updated 2019 VA/DoD Clinical Practice Guidelines for Managing Suicide Risk
A workgroup convened by the US Department of Veteran Affairs and US Department of Defense released updated joint clinical practice guidelines with the goal of reducing the incidence of suicide through screening and evaluation of patients identified with elevated risk.
Problematic Alcohol, Cannabis Consumption and Opioid Misuse in Chronic Pain
Participants with current moderate to severe chronic pain and opioid use were assessed for substance abuse problems.
Mental Health Outcomes Among Transgender and Gender-Nonbinary Youth
Investigators sought to assess risk factors associated with poor mental health in Chinese transgender and gender-nonbinary adolescents.
Mental Health Conditions Common Among Individuals With Autism
Researchers conducted a systematic review and meta-analysis to identify prevalence estimates of mental health disorders in a population of individuals with autism.
Improving Detection of Delirium in the Acute Setting
Delirium is highly prevalent in critical care, especially among elderly patients and individuals with dementia. Although rates vary widely across studies, findings suggest delirium affects more than 15% of hospitalized patients. For additional discussion regarding this topic, Neurology Advisor interviewed Leopoldo Pozuelo, MD, MBA, FACP, FACLP, clinical vice chair of psychiatry and psychology at the Cleveland Clinic in Ohio.
Magnitude of Therapeutic Effects Crucial in FDA Approval of Non-RCT Treatments
The magnitude of therapeutic effects plays an important role in US Food and Drug Administration (FDA) approval of treatments based on nonrandomized clinical trials.
Racial/Ethnic Disparities in Mortality Persist in the United States
There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups.
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