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PsychiatryRounds Psychiatry News's Blog – January 2009 Archive (7)

Adoption and Mental Illness

(PSYCHIATRIC TIMES) - Does adoption pose psychological risks? University of Minnesota researchers revisited this controversial issue recently and found that common DSM-IV childhood disorders are more prevalent in adoptees than nonadoptees.1 They also found that adoptees are more likely to have contact with mental health professionals.

The mental health of adoptees has become an increasingly important issue as the number of adoptions in the United States continues to rise. According… Continue

Added by psychiatryRounds Psychiatry News on January 26, 2009 at 5:00am — No Comments

Weighing the Benefits of Reformulated Medications

(PSYCHIATRIC TIMES) - I sometimes get depressed myself (just a little!) when I see the latest offerings from pharmaceutical manufacturers. There are many new medications, but almost all are re-workings of familiar molecules—typically launched just before patent life is about to expire on the original formulation.

Because I serve as a member of the pharmacy and therapeutics committees of several health insurers in addition to caring for patients as a psychiatrist, I need to keep up on… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2009 at 10:30pm — No Comments

Depression Increases Death From Heart Disease—Not Antidepressants

(PSYCHIATRIC TIMES) - Depression—not the use of anti­depressants—is associated with increased mortality in patients with heart failure, according to a new study in the Archives of Internal Medicine.1

Christopher O’Connor, MD, and colleagues in the department of medicine collaborated with faculty of psychiatry and behavioral sciences and the Aging Center at Duke University Medical Center in Durham, NC, to investigate a purported increased risk of myocardial infarction (MI) and death… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2009 at 9:30pm — No Comments

Toward Credible Conflict of Interest Policies in Clinical Psychiatry

(PSYCHIATRIC TIMES) - A recent letter to the American Psychiatric Association (APA) from Sen Chuck Grassley about the APA’s financial relationship with pharmaceutical companies raises concerns about undue industry influence.1 By instituting a disclosure policy for DSM-V, the APA took a halting first step in restoring public trust in the most influential text on psychiatric taxonomy in the world. Unfortunately, the APA’s efforts at creating a conflict of interest (COI) policy have failed to… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2009 at 5:00am — No Comments

Combined Therapy Eases Anxiety in Children

(PSYCHIATRIC TIMES) - A combination of cognitive-behavioral therapy (CBT) and antidepressants to treat anxiety disorders in youngsters has yielded positive results in a government-funded study that was published online by the New England Journal of Medicine.1

John T. Walkup, MD, and colleagues conducted a randomized, controlled trial of 488 children aged 7 to 17 years for whom a primary diagnosis of separation anxiety disorder, generalized anxiety disorder, or social phobia had been… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2009 at 4:30am — No Comments

Metabolic Syndrome in Patients With Major Depressive Disorder

(PSYCHIATRIC TIMES) - It has long been recognized that certain metabolic conditions are associated with cardiovascular disease and increased risk for morbidity and mortality.1,2 These alterations in metabolic functions often occur in clusters, a presentation known as metabolic syndrome.3,4 There is ongoing debate about how best to conceptualize and define metabolic syndrome, but most authorities now accept that central obesity or visceral adiposity, altered glucose and lipid metabolism, and… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2009 at 3:30am — No Comments

Fishing Expeditions and Autism: A Big Catch for Genetic Research?

(PSYCHIATRIC TIMES) - I am a fan of the television show Deadliest Catch—a documentary series that follows the travails of deep-sea fishermen in the Bering Sea. (Actually, it is mostly about deep crab fishing.) Living in Seattle, I have actually seen some of the boats filmed on the show.

The variety of equipment the fishermen use to capture sea life is extraordinary. Trawlers and purse seiners—boats that use long-line nets and gill nets—make it possible to catch thousands of fish at a… Continue

Added by psychiatryRounds Psychiatry News on January 1, 2009 at 3:30am — No Comments

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