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January 2007 News and Blog Posts (27)

Self-medication Prevalent in Patients With Anxiety Disorders

(PSYCHIATRIC TIMES) - Persons who have anxiety disorders commonly self-medicate with alcohol and other drugs, a recent survey confirmed. The results were published in the November 2006 issue of The Journal of Nervous and Mental Disease. Dr James Bolton and colleagues, from the University of Manitoba in Canada, administered a nationally representative survey of a modified version of the Composite International Diagnostic Interview in the United States; 5877 persons responded, and of the… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 5:30am — No Comments

Prevalence and Consequences of Metabolic Syndrome in Bipolar Disorder

(PSYCHIATRIC TIMES) - Patients with bipolar disorder suffer a disproportionate burden of cardiovascular illness compared with others in the general population.1,2 While the pathogenesis of this excess morbidity is undetermined, biologic, behavioral, and sociodemographic factors have been implicated.3 Bipolar disorder is commonly associated with disrupted circadian rhythms,4 insomnia,5 breathing-related sleep disorders,6 immune function disorders,7 and hyperactivity of the sympathetic adrenal… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 4:00am — No Comments

Safe Treatment of Pain in the Patient With a Substance Use Disorder

(PSYCHIATRIC TIMES) - Addiction to alcohol and other drugs is a complex disorder that has been shown to cause modifications in the structure and function of the brain's reward system. These changes are apparent during active drug use, and they persist to some extent for long periods after a person stops using drugs. Because of these persistent changes, as well as established patterns of behavior, patients with substance use disorders—whether actively using or in recovery—are vulnerable to… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 4:00am — No Comments

Prevalence and Consequences of Metabolic Syndrome in Bipolar Disorder

(PSYCHIATRIC TIMES) - Patients with bipolar disorder suffer a disproportionate burden of cardiovascular illness compared with others in the general population.1,2 While the pathogenesis of this excess morbidity is undetermined, biologic, behavioral, and sociodemographic factors have been implicated.3 Bipolar disorder is commonly associated with disrupted circadian rhythms,4 insomnia,5 breathing-related sleep disorders,6 immune function disorders,7 and hyperactivity of the sympathetic adrenal… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 4:00am — No Comments

Intermittent Explosive Disorder: Common but Underappreciated

(PSYCHIATRIC TIMES) - Intermittent explosive disorder (IED) is not yet on the radar screens of many psychiatrists, but it is more prevalent than panic disorder and warrants extensive research and attention, 2 experts on IED said recently.



In exclusive interviews, Ronald Kessler, PhD, professor of health care policy at Harvard Medical School, and Emil Coccaro, MD, Ellen C. Manning professor and chair of the University of Chicago's department of psychiatry, discussed their recently… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 4:00am — No Comments

Psychiatric Disorders and Substance Abuse

(PSYCHIATRIC TIMES) - Substance use disorder (SUD) plays a prominent role in the epidemiology, cause, and course of mental illness. It is estimated that 9.1% of our population, or more than 22 million Americans, have SUD; however, only 10% of these persons receive treatment. The incidence of SUD in persons with mental illness (21.3%) is significantly greater than for those without mental illness (7.7%). Of the more than 5 million Americans with comorbid mental illness and SUD, fewer than half… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 1:30am — No Comments

Substance Abuse in Women: Does Gender Matter?

(PSYCHIATRIC TIMES) - There has been a growing awareness in recent years of the importance of gender in medical treatment and research. While much past research in addiction focused on men, there is now recognition that biologic and psychosocial differences between men and women influence the prevalence, presentation, comorbidity, and treatment of substance use disorders. For instance, Greenfield and colleagues1 conducted an extensive review of the literature published from 1975 to 2005 on… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2007 at 1:30am — No Comments

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