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

Pathological Gambling: Update on Assessment and Treatment

(PSYCHIATRIC TIMES) - Surveys show that approximately 60% of the general population has gambled within the past 12 months.1 The majority of people who gamble do so socially and do not incur lasting adverse consequences or harm. Beyond this, approximately 1% to 2% of the population currently meets criteria for pathological gambling.2 This prevalence is similar to that of schizophrenia and bipolar disorder, yet pathological gambling often goes unrecognized by most health care… Continue

Added by psychiatryRounds Psychiatry News on August 27, 2009 at 3:00am — No Comments

Smoking Cessation During Substance Abuse Treatment

(PSYCHIATRIC TIMES) - Cigarette smoking is pervasive among persons who are being treated for substance use disorders. The prevalence is 3- to 4-fold higher than in the general population. Whereas approximately 20% of adults in the United States currently smoke, between 75% and 95% of persons in treatment programs for addictions are cigarette smokers.1-3 The consequences of dual addictions to cigarettes and other substances of abuse are dire. In a frequently cited study conducted over a decade… Continue

Added by psychiatryRounds Psychiatry News on August 27, 2009 at 1:00am — No Comments

Advice To DSM V. . .Change Deadlines And Text, Keep Criteria Stable

(PSYCHIATRIC TIMES) - There is no magic moment when it becomes clear that the world needs a new edition of the DSM. With just one exception, the publication dates of all previous DSM’s were determined by the appearance of new revisions of the International Classification of Diseases (ICD). Thus, DSM-I appeared in conjunction with ICD-6 in 1952; DSM-II with ICD-8 in 1968; DSM-III with ICD-9 in 1980; and DSM-IV with ICD-10 in 1994. The lone exception was DSM-IIII-R, which appeared in 1987—out of… Continue

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

Treatment-Resistant Schizophrenia

(PSYCHIATRIC TIMES) - Since the introduction of chlorpromazine, the first antipsychotic drug, it has been evident that a large number of patients have schizophrenia that is treatment resistant. It is estimated that between 20% and 60% of patients have schizophrenia that is resistant to treatment.1,2

The relationship between treatment-resistant and treatment-responsive schizophrenia is not strictly black and white. No particular psychopathology of schizophrenia specifically suggests… Continue

Added by psychiatryRounds Psychiatry News on August 17, 2009 at 10:00pm — No Comments

National Academy Urges Changes in Screening and Treatment of Depression

(PSYCHIATRIC TIMES) - A National Academy of Sciences (NAS) report urging a more coordinated approach to prevention and treatment of depression in parents—because of its impact on children—hit the streets just as Congress began considering legislation to reform the US health insurance system. The NAS report made a number of recommendations for changing the approach of both public and private health insurers toward depression, although the front-line troops expected to deal with the problem are… Continue

Added by psychiatryRounds Psychiatry News on August 11, 2009 at 9:00pm — No Comments

The Costs of Discontinuing Antidepressants During Pregnancy

(PSYCHIATRIC TIMES) - Many women who are taking antidepressants discontinue therapy during pregnancy because of safety concerns. However, a study conducted in Canada demonstrates that the costs of discontinuing antidepressants are considerable. O’Brien and colleagues1 analyzed the direct medical costs associated with the discontinuation of antidepressant therapy in pregnant women in Ontario. They estimated that a relapse of depression occurred annually in about 2953 pregnant women who… Continue

Added by psychiatryRounds Psychiatry News on August 2, 2009 at 3:00am — No Comments

Combination therapy improves both pain and depression

(PSYCHIATRIC TIMES) - For patients who have comorbid depression and musculoskeletal pain, optimized antidepressant therapy combined with pain self-management may result in substantial improvements in both conditions. However, additional interventions may be needed to achieve bigger improvements in pain and higher depression response and remission rates.

Kroenke and colleagues studied 250 primary care patients who had had at least moderately severe low back, hip, or knee pain for at… Continue

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

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