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PsychiatryRounds Psychiatry News's Blog – June 2009 Archive (13)

DSM-V Badly Off Track

(PSYCHIATRIC TIMES) - Q: This is the first time you have commented on DSM-V. Why did you decide to speak up now?



A: We have already gone past the midway point of the time allotted for the preparation of DSM-V. I realized that not enough has been accomplished and that most of what is being suggested is headed in a very wrong direction. Particularly troubling is the almost total lack of recognition that changes in an official manual of diagnosis can have devastating unintended… Continue

Added by psychiatryRounds Psychiatry News on June 26, 2009 at 4:30am — No Comments

A Warning Sign on the Road to DSM-V: Beware of Its Unintended Consequences

(PSYCHIATRIC TIMES) - We should begin with full disclosure. As head of the DSM-IV Task Force, I established strict guidelines to ensure that changes from DSM-III-R to DSM-IV would be few and well supported by empirical data. Please keep this history in mind as you read my numerous criticisms of the current DSM-V process. It is reasonable for you to wonder whether I have an inherently conservative bias or am protecting my own DSM-IV baby. I feel sure that I am identifying grave problems in the… Continue

Added by psychiatryRounds Psychiatry News on June 26, 2009 at 4:30am — No Comments

STEPPS: A Viable Supplement to Treatment of Borderline Personality Disorder

(PSYCHIATRIC TIMES) - Two randomized controlled trials have shown the Systems Training for Emotional Predictability and Problem Solving (STEPPS) program to be effective in reducing the intensity of core aspects of borderline personality disorder (BPD), Dr Donald Black and social worker Nancee Blum announced at the annual meeting of the American Psychiatric Association held recently in San Francisco. Black summarized, “Data from several studies show that STEPPS reduced global severity as rated… Continue

Added by psychiatryRounds Psychiatry News on June 25, 2009 at 3:00am — No Comments

Report from SNM: PET imaging of brain chemistry bolsters characterization of dementias

(PSYCHIATRIC TIMES) - Imaging scientists achieved a major breakthrough when they proved it was possible to predict the onset of Alzheimer's disease using PET scans of neurochemical activity. University of Michigan researchers are going for the next neuroimaging milestone by showing that the same technique can also aid in the differential diagnosis of dementia.



"Our preliminary results clearly indicate that molecular imaging technologies such as PET scans can help diagnose a patient's… Continue

Added by psychiatryRounds Psychiatry News on June 16, 2009 at 3:00am — No Comments

Depression and Comorbid Anxiety: An Overview of Pharmacological Options

(PSYCHIATRIC TIMES) - Psychiatric Times - Category 1 CreditTo earn AMA PRA Category 1 Credit(s)™:

Read the article "Depression and Comorbid Anxiety: An Overview of Pharmacological Options" from the June 2009 issue of Psychiatric Times, complete the posttest and the evaluation. (Note: A score of at least 70% must be achieved in order to be awarded credit.)



The posttest will be scored instantly and results will be shown onscreen. Please make a copy of your test results for your… Continue

Added by psychiatryRounds Psychiatry News on June 10, 2009 at 3:00am — No Comments

Mortality With Antipsychotic Use in Alzheimer Disease

(PSYCHIATRIC TIMES) - Mortality in elderly patients with dementia markedly and progressively increases with extended use of antipsychotics, according to the first long-term controlled study of risk in this population. Earlier evidence of this risk was from short-term trials not exceeding 14 weeks.



Clive Ballard, MD, King’s College London, and colleagues1 recently reported on the dementia antipsychotic withdrawal trial (DART-AD), a 12-month, placebo-controlled study of 165 patients… Continue

Added by psychiatryRounds Psychiatry News on June 10, 2009 at 3:00am — No Comments

Depression Linked to Bone Loss in Premenopausal Women

(PSYCHIATRIC TIMES) - Premenopausal women with major depressive disorder (MDD) have less bone mineral density (BMD) than those without MDD, according to findings of a study published in the November 26 issue of Archives of Internal Medicine. Researchers reported that the level of bone loss in premenopausal women with MDD was at least as high as that associated with recognized risk factors for osteoporosis. The study was funded by the National Institute of Mental Health, the National Institute… Continue

Added by psychiatryRounds Psychiatry News on June 9, 2009 at 9:30pm — No Comments

Psychotherapy Supervision (2nd ed)

(PSYCHIATRIC TIMES) - I was recently talking with a friend who remarked that the problem with most new books he reads these days is that there is “too much space between the covers.” After all, he queried rhetorically, “Do I really need more than 250 pages or so on any one subject?” Days before this conversation, I had accepted an invitation to write a review of Psychotherapy Supervision and had received the 632-page tome by mail. Perusing the book over the past several weeks, I was… Continue

Added by psychiatryRounds Psychiatry News on June 9, 2009 at 9:30pm — No Comments

New Research Examines Genetics Behind ADHD

(PSYCHIATRIC TIMES)- Attention-deficit/hyperactivity disorder (ADHD) is one of the most widely diagnosed disorders: an estimated 8% to 12% of children are affected worldwide. Although many studies about treatment options have been published, the genetic components that underlie the disorder are still being discovered. A special issue of the American Journal of Medical Genetics, Part B: Neuropsychiatric Genetics, highlights recent research and includes results from the first genome-wide study of… Continue

Added by psychiatryRounds Psychiatry News on June 9, 2009 at 8:00am — No Comments

US Youth With Asthma More Likely to Have Anxiety, Depressive Disorders

(PSYCHIATRIC TIMES) - A study published in the November issue of the Journal of Adolescent Health shows that young persons with asthma are twice as likely to have anxiety and depressive disorders than youths without asthma. Researchers at the University of Washington School of Medicine, Seattle; Group Health Cooperative (GHC); and Seattle Children’s Hospital Research Institute interviewed 1379 youths aged 11 to 17 years enrolled in the GHC HMO. Of the study participants, 781 had received a… Continue

Added by psychiatryRounds Psychiatry News on June 9, 2009 at 3:00am — No Comments

Newer Treatments for Schizophrenia: Benefits and Drawbacks

(PSYCHIATRIC TIMES) - New treatments for patients with schizophrenia may be on the horizon, according to research presented at the annual meeting of the American Psychiatric Association (APA) in San Francisco.1 While some of these therapies may help treat the negative and cognitive symptoms of schizophrenia, a few are associated with QTc interval prolongation.



Although about 70% of patients with schizophrenia in the United States are treated with more than 1 therapy, fewer than a… Continue

Added by psychiatryRounds Psychiatry News on June 2, 2009 at 10:30pm — No Comments

Psych Advisory Panel Recommends FDA Approval of Some Uses of Antipsychotics

(PSYCHIATRIC TIMES) - The FDA’s Psychopharmacologic Drugs Advisory Committee (PDAC) flashed partial green lights to 2 manufacturers of atypical antipsychotics. The committee recommended approval for 2 new uses for Seroquel XR (quetiapine fumarate) extended-release tablets and also gave first-time approval in this country for Serdolect (sertindole).



The latter recommendation, by a vote of 8 to 2 with 3 abstentions, may have been the more significant action. Drugs currently approved… Continue

Added by psychiatryRounds Psychiatry News on June 2, 2009 at 10:00pm — No Comments

Guideline on Post-MI Depression

(PSYCHIATRIC TIMES) - Patients who have had a myo­cardial infarction (MI) should be screened and appropriately treated for depression, according to a guideline recently issued by the American Academy of Family Physicians (AAFP).1 The group recommends use of a standardized depression symptom checklist during hospitalization and “at regular intervals” thereafter.



The guideline evolved from an AAFP panel’s review of literature published through 2006. There was particular focus on a 2005… Continue

Added by psychiatryRounds Psychiatry News on June 2, 2009 at 9:30pm — No Comments

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