Friday, January 11, 2013

Treated Teens Still Attempt Suicide

Despite most suicidal teens being treated for mental health issues, a great many of them still intend to commit suicide, suggesting that these teens are not being given the right treatment. Nearly one in eight adolescents have continuous suicidal thoughts, eighty percent of those have undergone treatment, four percent actually plan to kill themselves, and another four percent try to commit suicide, according to a new study published in the journal JAMA Psychiatry... (Source: Health News from Medical News Today)

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Clinical Application of the Five‐Factor Model

Abstract The Five‐Factor Model (FFM) has become the predominant dimensional model of general personality structure. The purpose of this paper is to suggest a clinical application. A substantial body of research indicates that the personality disorders included within the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) can be understood as extreme and/or maladaptive variants of the FFM (the acronym “DSM” refers to any particular edition of the APA DSM). In addition, the current proposal for the forthcoming fifth edition of the DSM (i.e., DSM‐5) is shifting closely toward an FFM dimensional trait model of personality disorder. Advantages of this shifting conceptualization are discussed, including treatment planning. (Source: Journa...

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Temperament and character properties of primary focal hyperhidrosis patients

Conclusion: Temperament and character features of PFH patients were different from healthy group and it was considered that these features were affected by many factors including genetic, biological, environmental, and socio-cultural elements. During the follow-up of PFH cases, psychiatric evaluation is important and psychotherapeutic interventions can increase the chances of success of the dermatological treatments and can have a positive impact on the quality of life and social cohesion of chronic cases. (Source: Health and Quality of Life Outcomes)

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Predicting Functional Impairments in Cognitively Impaired Older Adults Using the Minnesota Cognitive Acuity Screen

Despite their growing use, few studies have examined the associations between patients’ performance on brief telephone-based cognitive assessments and their functional status. The purpose of this study was to examine the relationship between the Minnesota Cognitive Acuity Screen (MCAS), a very brief telephone-based dementia screening instrument, and functional impairment as rated by the Clinical Dementia Rating (CDR) scale in a sample of 176 individuals diagnosed with mild cognitive impairment or dementia. Results showed lower MCAS scores were correlated with poorer daily function as measured by CDR global scores and domain scores, and the MCAS orientation subscale was one of the strongest subscales in predicting functional status as it was uniquely predictive of all CDR domains. Fin...

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The Frontal Assessment Battery in the Differential Diagnosis of Dementia

Conclusion: Some FAB subtests might enhance diagnostic accuracy taking into account clinical history and other tests of executive function. (Source: Journal of Geriatric Psychiatry and Neurology)

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Cognitive Impairment in Parkinson Disease: Impact on Quality of Life, Disability, and Caregiver Burden

Conclusions: The presence of dementia significantly increases caregiver burden and decreases quality of life. However, even mild levels of cognitive impairment increase disability and overall functional impairment progresses in tandem with cognitive decline. (Source: Journal of Geriatric Psychiatry and Neurology)

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The Role of Working Memory and Information Processing Speed on Wisconsin Card Sorting Test Performance in Parkinson Disease Without Dementia

Conclusions: Our findings address the relationship between WM and inflexible behavior exhibited by PD without dementia, argue for the importance of lower age, higher education, and level of intelligence for the successful performance on WCST; yet, the differences in cognitive performance regardless of the duration of illness within our patients with PD provide support to cognitive reserve concept. (Source: Journal of Geriatric Psychiatry and Neurology)

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Caregiver Burden in Parkinson Disease With Dementia Compared to Alzheimer Disease in Korea

We compared caregiver burden in Parkinson disease with dementia (PDD) to that in Alzheimer disease (AD) and examined the factors contributing to the burden in PDD. Totally, 42 patients with PDD and 109 patients with AD and their caregivers participated in this study. The caregiver burden was measured using the Burden Interview (BI). Scores of Barthel activities of daily living (BADLs), Mini-Mental State Examination, Clinical Dementia Rating of patients, and score of Center for Epidemiologic Studies Depression scale, and Euro-quality of life of the caregivers were examined. The Unified Parkinson’s Disease Rating Scale (UPDRS) and Hoehn and Yahr stage of the patients were administered to assess burden relating to parkinsonism on PDD. We used multiple linear regression to assess the pre...

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The Informant Questionnaire on Cognitive Decline in the Elderly Individuals in Screening Mild Cognitive Impairment With or Without Functional Impairment

In this study, we investigate the utility of the IQCODE for patients with mild cognitive impairment (MCI) and the discriminative power of the IQCODE in patients having MCI with and without functional impairment. The samples included mild Alzheimer disease (AD, N = 280), MCI ([N = 657], further divided into 2 subgroups: patients with MCI having functional impairment [MCI-fi, N = 357] and patients having MCI without functional impairment [MCI-fn, N = 300]), and normal cognition (NC, N = 274). The IQCODE, Mini-Mental State Examination (MMSE), and other neuropsychological tests were administered to all participants. Logistic regression and receiver–operating characteristic (ROC) curves were used to evaluate the diagnostic ability of the IQCODE, compared to the MMSE. The optimal cutoff sc...

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Anxiety Disorders, Physical Illnesses, and Health Care Utilization in Older Male Veterans With Parkinson Disease and Comorbid Depression

This study examined the rates of anxiety and depressive disorders, physical illnesses, and health service use in male patients 55 years or older with a diagnosis of Parkinson disease who were seen at least twice at the 10 medical centers in the Veterans Affairs Healthcare Network of the South Central region of the United States. Of the 273 male patients diagnosed between October 1, 1997, and September 30, 2009, 62 (22.7%) had a depressive disorder. The overall prevalence of anxiety disorders was 12.8%; patients with comorbid depression had a 5-fold greater prevalence of anxiety disorders than those without depression (35.5% vs 6.2%, P < .0001). Patients with comorbid depression also had increased prevalence of all physical illnesses examined and more outpatient clinic and mental health ...

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Pain in People With Alzheimer Disease: Potential Applications for Psychophysical and Neurophysiological Research

Pain management in people with dementia is a critical problem. Recently, psychophysical and neuroimaging techniques have been used to extend our understanding of pain processing in the brain as well as to identify structural and functional changes in Alzheimer disease (AD). But interpreting the complex relationship between AD pathology, brain activation, and pain reports is challenging. This review proposes a conceptual framework for designing and interpreting psychophysical and neuroimaging studies of pain processing in people with AD. Previous human studies describe the lateral (sensory) and medial (affective) pain networks. Although the majority of the literature on pain supports the lateral and medial networks, some evidence supports an additional rostral pain network, which is believe...

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Trends in Spinal Pain Management Injections in Academic Radiology Departments [SPINE]

CONCLUSIONS: Most responding academic radiology departments perform SPMIs. Most fellows and just more than half of residents at SPMI-performing departments achieve SPMI proficiency. For the most part, the number of SPMIs performed in responding departments has been stable during the past 5 years. (Source: American Journal of Neuroradiology)

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Common Stressful Events and Mental Health in AdolescentsCommon Stressful Events and Mental Health in Adolescents

How do common stressful situations of everyday life, such as romantic breakups, family disruptions, and worry over health, weight, or school work, impact the mental health of adolescents? BMC Psychiatry (Source: Medscape Today Headlines)

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Cancer risk not increased in schizophrenia, bipolar disorder

Results from a large UK study suggest that people with severe mental illness are not at increased risk for developing common cancers. (Source: MedWire News - Psychiatry)

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