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Assessing changes in psychoanalytic psychodynamic therapy with an early adolescent.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This paper describes changes in personality functioning according to Exner’s Rorschach Comprehensive System (CS) in an early adolescent boy, Gabriele, referred for anxiety and obsessive compulsive symptoms. The DSM-IV diagnosis was General Anxiety Disorder (GAD). The therapy lasted about 2 years, and sessions were all audio-taped to create a more objective database. A total of 50 sessions were analyzed. The therapist employed a broadly defined, object-relations-focused, psychodynamic framework, with particular emphasis placed on balancing supportive versus insight-oriented modes of therapy (Skean, 2005). After a brief in...
Source: Rorschachiana - October 9, 2009 Category: Psychiatry & Psychology Authors: di Riso, Daniela; Salcuni, Silvia; Laghezza, Loredana; Marogna, Cristina; Lis, Adriana Source Type: journals

Unique and common mechanisms of change across cognitive and dynamic psychotherapies.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The goal of this article was to examine theoretically important mechanisms of change in psychotherapy outcome across different types of treatment. Specifically, the role of gains in self-understanding, acquisition of compensatory skills, and improvements in views of the self were examined. A pooled study database collected at the University of Pennsylvania Center for Psychotherapy Research, which includes studies conducted from 1995 to 2002 evaluating the efficacy of cognitive and psychodynamic therapies for a variety of disorders, was used. Patient samples included major depressive disorder, generalized anxiety disorder, ...
Source: Journal of Consulting and Clinical Psychology - October 9, 2009 Category: Psychiatry & Psychology Authors: Gibbons, Mary Beth Connolly; Crits-Christoph, Paul; Barber, Jacques P.; Wiltsey Stirman, Shannon; Gallop, Robert; Goldstein, Lizabeth A.; Temes, Christina M.; Ring-Kurtz, Sarah Source Type: journals

The psychological impact of being offered surveillance colonoscopy following attendance at colorectal screening using flexible sigmoidoscopyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion The results of the current study are broadly reassuring and indicate that referral for colonoscopic surveillance is not associated with adverse psychological consequences.
Source: Journal of Medical Screening - October 5, 2009 Category: Epidemiology Authors: Miles, A., Atkin, W. S, Kralj-Hans, I., Wardle, J. Tags: Original Articles Source Type: journals

Comorbid Anxiety Disordersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
It is not uncommon for OCD to occur with other anxiety disorders such as panic disorder or generalized anxiety disorder. These additional disorders can make treatment more complicated and cause...
Source: About.com Obsessive Compulsive Disorder - October 5, 2009 Category: Psychiatry Source Type: consumer

Structure of genetic and environmental risk factors for dimensional representations of DSM-IV anxiety disorders [PAPERS]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions The five anxiety disorders all share genetic and environmental risk factors. This has implications for the revision of the anxiety disorder section in DSM–V.
Source: The British Journal of Psychiatry - October 1, 2009 Category: Psychiatry Authors: Tambs, K., Czajkowsky, N., Roysamb, E., Neale, M. C., Reichborn-Kjennerud, T., Aggen, S. H., Harris, J. R., Orstavik, R. E., Kendler, K. S. Tags: PAPERS Source Type: journals

Introduction to the special series on motivational interviewing and psychotherapyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Clinical and research applications of motivational interviewing (MI) have grown at a remarkable pace over the past 25 years. Most of this work has targeted the addictions and health-related behaviors. The series of articles in this issue highlight a rapidly accelerating recent trend: the application of MI to other problems typically seen in clinical practice. This introductory article describes MI, its core principles, treatment methods, and the variety of ways in which it has been employed. The 6 case reports in this issue are then described. They illustrate how MI can be employed with generalized anxiety, adolescent depr...
Source: Journal of Clinical Psychology - September 26, 2009 Category: Psychiatry & Psychology Authors: Hal Arkowitz, Henny A. Westra Source Type: journals

Meta-cognitive profiles in anxiety disordersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study had two distinct objectives. First, to examine the relationships between meta-cognitions and anxiety disorders. Second, to identify specific meta-cognitions as unique predictors of generalized anxiety (GAD), depression (DD) and obsessive–compulsive (OCD) disorders. A total of 180 cases were analyzed using the Meta-cognitions Questionnaire (MCQ), Anxious Thoughts Inventory (AnTI), and the Thought Control Questionnaire (TCQ). The results suggest that all the five types of negative metacognitive beliefs measured by the MCQ are significantly correlated with one another and with AnTI and TCQ scores except for cogni...
Source: Psychiatry Research - September 25, 2009 Category: Psychiatry Authors: Usha Barahmand Source Type: journals

Anxiety Disorders Association of America Donald F. Klein Early Career Investigator Awardemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Deadline: October 1 This award will be given to an early career investigator for the best original research paper on neurobiology, psychopharmacology, psychosocial treatments, or experimental psychopathology of anxiety and anxiety-related disorders. The winning paper will be presented at the ADAA Annual Conference followed by rapid publication in ADAA’s official journal, Depression and Anxiety. The award will be presented by Donald Klein, MD, at the 30th Annual Conference, March 4-7, 2010, at the Baltimore Marriott Waterfront. Eligibility The award is restricted to investigators who have completed their terminal de...
Source: ScanGrants feed - September 21, 2009 Category: Research Authors: anxiety Disorders Association of America Source Type: funding

Therapist empathy and client anxiety reduction in motivational interviewing: "She carries with me, the experience"email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In this article, we examine the use of motivational interviewing (MI) to treat generalized anxiety disorder (GAD) by means of case illustration that focuses on four categories drawn from the client's experience of the key ingredients in MI therapy. The case illustration, drawn from the York study on combining MI and cognitive behavior therapy in the treatment of GAD (uses the client's pre- and post-therapy narrative interviews) to arrive at categories representative of the client's experience of MI therapy. The results of the qualitative analysis highlight the key contributions to positive client outcomes and readiness for...
Source: Journal of Clinical Psychology - September 17, 2009 Category: Psychiatry & Psychology Authors: Lynne E. Angus, Fern Kagan Source Type: journals

Generalized anxiety disorderemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
— Comprehensive overview covers symptoms, treatment and coping skills. Sponsored by:Chemotherapy.com - http://www.chemotherapy.com
Source: MayoClinic.com Full Feed - September 11, 2009 Category: Consumer Health News Source Type: news

New data show patients with chronic low back pain maintained pain reduction on duloxetineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Indianapolis/U.S.A.and Ingelheim/Germany - New data show patients with chronic low back pain on duloxetine hydrochloride (Cymbalta®) maintained reductions in pain for 41 weeks.1 In patients who initially responded to duloxetine, this maintenance of pain reduction was accompanied by further reduction in pain that was statistically significant as measured by the Brief Pain Inventory (BPI) average pain rating.1 The data will be presented today at the sixth triennial congress of the European Federation of International Association for the Study of Pain Chapters (EFIC®). A total of 181 patients enrolled in the open-label 4...
Source: Boehringer Ingelheim RSS-Newsfeed - September 11, 2009 Category: Research Source Type: organizations

Collaborative stepped care for anxiety disorders in primary care: aims and design of a randomized controlled trialemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article describes the aims and design of a study that is currently underway. The aim of this study is to evaluate effects and costs of a collaborative stepped care approach in the primary care setting for patients with PD and GAD compared with care as usual.Methods/design: The study is a two armed, cluster randomized controlled trial. Care managers and their primary care practices will be randomized to deliver either collaborative stepped care (CSC) or care as usual (CAU). In the CSC group a general practitioner, care manager and psychiatrist work together in a collaborative care framework. Stepped care is provided in...
Source: BMC Health Services Research - September 8, 2009 Category: Journals (General) Authors: Anna MuntinghChristina van der Feltz-CornelisHarm van MarwijkPhilip SpinhovenWillem AssendelftMargot de WaalLeona Hakkaart-van RoijenHerman AderAnton van Balkom Source Type: journals

Sheehan Suicidality Tracking Scale (Sheehan-STS): Preliminary Results from a Multicenter Clinical Trial in Generalized Anxiety Disorder. - Coric V, Stock EG, Pultz J, Marcus R, Sheehan DV.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Objective: Accurate and prospective assessments of treatment-emergent suicidal thoughts and behaviors are essential to both clinical care and randomized clinical trials. The Sheehan Suicidality Tracking Scale is a prospective, patient self-report or clinic...
Source: SafetyLit: All (Unduplicated) - September 6, 2009 Category: Global & Universal Tags: Program and Other Evaluations, Effectiveness Studies Source Type: info

Review of Échelles et questionnaires d’évaluation chez l’enfant et l’adolescent (vol. 1 et 2). / Review of Scales and questionnaires for the assessment of children and adolescents.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Reviews the book, Échelles et questionnaires d’évaluation chez l’enfant et l’adolescent (vol. 1 et 2) by Martine Bouvard (2008). This two-tome work is about the main assessment tools for children and adolescent pathology that are published in French. The chapters present different tools that facilitate the assessment of psychopathology in general, as well as tools intended at measuring anxiety (generalized anxiety, evaluation anxiety, obsessive-compulsive disorder, and post-traumatic stress disorder). To read more on this book review, please see the full text pdf. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Source: Canadian Psychology - September 5, 2009 Category: Psychiatry & Psychology Authors: Richard, Jacques F. Source Type: journals

A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article considers an alternative approach that emphasizes empirically supported common dimensions of emotional disorders over disorder-specific criteria sets. Selection and assessment of these dimensions are discussed along with how these methods could be implemented to promote more reliable and valid diagnosis, prognosis, and treatment planning. For instance, the advantages of this system are discussed in context of transdiagnostic treatment protocols that are efficaciously applied to a variety of disorders by targeting their shared features. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Source: Psychological Assessment - September 1, 2009 Category: Psychiatry & Psychology Authors: Brown, Timothy A.; Barlow, David H. Source Type: journals

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study [Articles]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Increased contact with the social network and higher levels of social support were associated with greater use of general medical services. However, more social support was associated with use of fewer services within the specialty psychiatric sector.
Source: Psychiatr Serv - September 1, 2009 Category: Psychiatry Authors: Maulik, P. K., Eaton, W. W., Bradshaw, C. P. Tags: anxiety Disorders (General), Patients' Families, Depression, Service Utilization, Alcohol Articles Source Type: journals

Adult Outcomes of Youth Irritability: A 20-Year Prospective Community-Based Study [Articles]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Youth irritability as reported by parents is a specific predictor of self-reported depressive and anxiety disorders 20 years later. The role of irritability in developmental psychiatry, and in the pathophysiology of mood and anxiety disorders specifically, should receive further study.
Source: Am J Psychiatry - September 1, 2009 Category: Psychiatry Authors: Stringaris, A., Cohen, P., Pine, D. S., Leibenluft, E. Tags: Articles Source Type: journals

Anxiety and Anxiety Disorders in Children and Adolescents: Developmental Issues and Implications for DSM-Vemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article critically reviews epidemiological evidence covering prevalence, incidence, course, and risk factors. The core challenge in this age span is the derivation of developmentally more sensitive assessment methods. Identification of characteristics that could serve as solid predictors for onset, course, and outcome will require prospective designs that assess a wide range of putative vulnerability and risk factors. This type of information is important for improved early recognition and differential diagnosis as well as prevention and treatment in this age span.
Source: Child and Adolescent Psychiatric Clinics of North America - September 1, 2009 Category: Psychiatry Authors: Katja Beesdo, Susanne Knappe, Daniel S. Pine Source Type: journals

Generalized Anxiety Disorder: Between Now and DSM-Vemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article presents the current evidence base for pharmacotherapy of generalized anxiety disorder (GAD) and an update on the phenomenology of GAD and its association with other psychiatric and somatic conditions. It discusses nosological issues and suggests ways to improve recognition, treatment, and care for patients who have GAD.
Source: Child and Adolescent Psychiatric Clinics of North America - September 1, 2009 Category: Psychiatry Authors: Christer Allgulander Source Type: journals

Psychotherapy for Generalized Anxiety Disorder: Don't Worry, It Works!email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article discusses the challenges and the innovative, promising, and specific new developments in treating GAD.
Source: Child and Adolescent Psychiatric Clinics of North America - September 1, 2009 Category: Psychiatry Authors: Juergen Hoyer, Andrew T. Gloster Source Type: journals

Distress and Avoidance in Generalized Anxiety Disorder: Exploring the Relationships with Intolerance of Uncertainty and Worry.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion focuses on implications for treatment as well as future directions for research. PMID: 19714542 [PubMed - as supplied by publisher]
Source: Cognitive Behaviour Therapy - August 27, 2009 Category: Psychiatry & Psychology Authors: Lee JK, Orsillo SM, Roemer L, Allen LB Tags: Cogn Behav Ther Source Type: journals

Child Overweight, Associated Psychopathology, and Social Functioning: A French School-based Survey in 6- to 11-year-old Children.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The aim of this study was to estimate the prevalence of child overweight in a regional sample of primary school-aged children, and to examine the relationships among child overweight, psychopathology, and social functioning. A cross-sectional survey was conducted in 2004 in 100 primary schools of a large French region, with 2,341 children aged 6-11 randomly selected. Child weight and height, lifestyle variables (leisure-time physical activity (LTPA), watching television (TV), playing video games), and socioeconomic characteristics were collected in parent-administered questionnaires. Child psychopathology outcomes were...
Source: Obesity - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Pitrou I, Shojaei T, Wazana A, Gilbert F, Kovess-Masféty V Tags: Obesity (Silver Spring) Source Type: journals

Comorbidity of depressive and anxiety disorders for older Americans in the national comorbidity survey-replication.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Depressive and anxiety disorders frequently cooccurred in this representative sample of community-dwelling adults. Older adults experienced comorbidity to a similar extent as younger adults, suggesting high rates of comorbidity across the lifespan. PMID: 19700950 [PubMed - in process]
Source: Am J Geriatr Psychia... - August 26, 2009 Category: Geriatrics Authors: King-Kallimanis B, Gum AM, Kohn R Tags: Am J Geriatr Psychiatry Source Type: journals

Anxious Solitude and Clinical Disorder in Middle Childhood: Bridging Developmental and Clinical Approaches to Childhood Social Anxiety.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
It was hypothesized that children identified by their peers at school as anxious solitary would report more symptoms of social anxiety disorder on a self report questionnaire and, on the basis of child and parent clinical interviews, receive more diagnoses of social anxiety disorder and additional anxiety and mood disorders. Participants were 192 children drawn from a community sample of 688 children attending public elementary schools. Half of these children were selected because they were identified as anxious solitary by peers and the other half were demographically-matched controls. 192 children provided self repor...
Source: Journal of Abnormal Child Psychology - August 26, 2009 Category: Psychiatry & Psychology Authors: Gazelle H, Workman JO, Allan W Tags: J Abnorm Child Psychol Source Type: journals

Review of Échelles et questionnaires d’évaluation chez l’enfant et l’adolescent (vol. 1 et 2).email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Reviews the book, Échelles et questionnaires d’évaluation chez l’enfant et l’adolescent (vol. 1 et 2) by Martine Bouvard (2008). This two-tome work is about the main assessment tools for children and adolescent pathology that are published in French. The chapters present different tools that facilitate the assessment of psychopathology in general, as well as tools intended at measuring anxiety (generalized anxiety, evaluation anxiety, obsessive-compulsive disorder, and post-traumatic stress disorder). To read more on this book review, please see the full text pdf. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Source: Canadian Psychology - August 25, 2009 Category: Psychiatry & Psychology Authors: Richard, Jacques F. Source Type: journals

A Brazilian version of the "Children's Interview for Psychiatric Syndromes" (ChIPS)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: The translated P-ChIPS is a helpful instrument in children and adolescent clinical evaluation.OBJETIVO: O avanço em pesquisa em psiquiatria da infância e adolescência no Brasil depende da existência de instrumentos para a investigação de síndromes psiquiátricas adaptadas à Língua Portuguesa. Este artigo descreve um cuidadoso processo de tradução do Children´s Interview for Psychiatric Syndromes para o uso em pesquisa no Brasil. MÉTODOS: O Children´s Interview for Psychiatric Syndromes tem uma versão para pais (P-ChIPs) e uma versão para as crianças (ChIPs). Nesse artigo, as seções do P-ChIPs...
Source: Jornal Brasileiro de Psiquiatria - August 23, 2009 Category: Psychiatry Source Type: journals

Meta-analyses of agreement between diagnoses made from clinical evaluations and standardized diagnostic interviewsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Diagnostic agreement between SDIs and clinical evaluations varied widely by disorder and was low to moderate for most disorders. Thus, findings from SDIs may not fully apply to diagnoses based on clinical evaluations of the sort used in the published studies. Rather than implying that SDIs or clinical evaluations are inferior, characteristics of both may limit agreement and generalizability from SDI findings to clinical practice. Copyright © 2009 John Wiley & Sons, Ltd.
Source: International Journal of Methods in Psychiatric Research - August 21, 2009 Category: Psychiatry Authors: David C. Rettew, Alicia Doyle Lynch, Thomas M. Achenbach, Levent Dumenci, Masha Y. Ivanova Tags: Research Articles Source Type: journals

Online cognitive-behavioural therapy for depression in primary careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Lancet Area: News A randomised controlled trial funded by the BUPA Foundation has investigated the effectiveness of cognitive-behavioural therapy (CBT) delivered online in real time by a therapist for patients with depression in primary care.   The study involved 297 patients with a confirmed diagnosis of depression and a score of 14 or more on the Beck depression inventory (BDI) who were recruited from 55 general practices in Bristol, London, and Warwickshire. The mean age of the group was 34.9 years, over two-thirds were women, half of the group were on antidepressants and all but 4 participants had a s...
Source: NeLM - Mental Health - August 21, 2009 Category: Psychiatry Source Type: organizations

The impact of differing anxiety disorders on outcome following an acute coronary syndrome: time to start worrying?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Any impact of "anxiety" on post-ACS outcome appears to be influenced by the clinical sub-type. The seemingly paradoxical finding that GAD might improve outcome may reflect "apprehensive worrying" being constructive, by improving self-management of the individual's cardiac problems. Depression and Anxiety 0:1-8, 2009. © 2009 Wiley-Liss, Inc.
Source: Depression and Anxiety - August 18, 2009 Category: Psychiatry Authors: Gordon B. Parker, Catherine A. Owen, Heather L. Brotchie, Matthew P. Hyett Source Type: journals

Pre-Sleep Arousal and Sleep Problems of Anxiety-Disordered Youth.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The current study examined sleep problems and pre-sleep arousal among 52 anxious children and adolescents, aged 7-14 years, in relation to age, sex, ethnicity, and primary anxiety disorder. Assessment included structured diagnostic interviews and parent and child completed measures of sleep problems and pre-sleep arousal. Overall, 85% of parents reported clinically-significant child sleep problems, whereas 54% of youth reported trouble sleeping. Young children, those with primary generalized anxiety disorder, and Latino youth experienced the greatest levels of sleep disturbance. Additionally, greater levels of pre-slee...
Source: Child Psychiatry and Human Development - August 13, 2009 Category: Child Development Authors: Alfano CA, Pina AA, Zerr AA, Villalta IK Tags: Child Psychiatry Hum Dev Source Type: journals

Can body mass index help predict outcome in patients with bipolar disorder?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Our findings suggest that BMI is associated with the prognosis and outcome of BD. Whether this association is causal remains to be determined.
Source: Bipolar Disorders - August 10, 2009 Category: Psychiatry Authors: Cynthia Calkin, Caroline van de Velde, Martina Růžičková, Claire Slaney, Julie Garnham, Tomas Hajek, Claire O'Donovan, Martin Alda Tags: Original Articles Source Type: journals

The effect of mGlu8 deficiency in animal models of psychiatric diseasesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The metabotropic glutamate receptor subtype 8 (mGlu8) is presynaptically located and regulates the release of the transmitter. Dysfunctions of this mechanism are involved in the pathophysiology of different psychiatric disorders. mGlu8 deficient mice have been previously investigated in a range of studies, but the results are contradictory and there are still many open questions. Therefore, we tested mGlu8-deficient animals in different behavioral tasks that are commonly used in neuropsychiatric research. Our results show a robust contextual fear deficit in mGlu8-deficient mice. Furthermore, novel object recognition, chlor...
Source: Genes, Brain and Behavior - August 8, 2009 Category: Genetics & Stem Cells Authors: M. Fendt, H. Bürki, S. Imobersteg, H. van der Putten, K. McAllister, J. C. Leslie, D. Shaw, C. Hölscher Source Type: journals

Treating generalised anxiety disorder: room to improveemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In a Pfizer-sponsored satellite meeting at the Latest Advances in Psychiatry Symposium in London in March, Dr David Baldwin, Reader in Psychiatry and Honorary Consultant Psychiatrist at University of Southampton, reviewed the drug treatment of generalised anxiety disorder. Medical writer, Mark Greener, reports. Copyright © 2009 Wiley Interface Ltd
Source: Progress in Neurology and Psychiatry - August 7, 2009 Category: Neurology Authors: Mark Greener Tags: Satellite Meetings Source Type: journals

LETTERS: Cognitive Behavior Therapy for Older Patients With Generalized Anxiety Disorderemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: JAMA - August 4, 2009 Category: Journals (General) Authors: Chen, S., Wen, A., Zhang, J. Tags: Aging/ Geriatrics, Medical Practice, Medical Practice, Other, Psychiatry, anxiety Disorders, Cognitive Therapy Letters Source Type: journals

LETTERS: Cognitive Behavior Therapy for Older Patients With Generalized Anxiety Disorder--Replyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: JAMA - August 4, 2009 Category: Journals (General) Authors: Stanley, M. A., Rhoades, H. M., Kunik, M. E. Tags: Aging/ Geriatrics, Medical Practice, Medical Practice, Other, Psychiatry, anxiety Disorders, Cognitive Therapy Letters Source Type: journals

Psychodynamic Psychotherapy Outcome for Generalized Anxiety Disorder [Editorials]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Am J Psychiatry - August 3, 2009 Category: Psychiatry Authors: Milrod, B. Tags: anxiety Disorders (General), Behavior Therapy, Cognitive Therapy, Psychodynamic Therapy Editorials Source Type: journals

Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial [Articles]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The results suggest that CBT and short-term psychodynamic psychotherapy are beneficial for patients with generalized anxiety disorder. In future research, large-scale multicenter studies should examine more subtle differences between treatments, including differences in the patients who benefit most from each form of therapy.
Source: Am J Psychiatry - August 3, 2009 Category: Psychiatry Authors: Leichsenring, F., Salzer, S., Jaeger, U., Kachele, H., Kreische, R., Leweke, F., Ruger, U., Winkelbach, C., Leibing, E. Tags: anxiety Disorders (General), Behavior Therapy, Cognitive Therapy, Psychodynamic Therapy Articles Source Type: journals

Psychodynamic psychotherapy outcome for generalized anxiety disorder.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19651745 [PubMed - indexed for MEDLINE]
Source: The American Journal of Psychiatry - August 1, 2009 Category: Psychiatry Authors: Milrod B Tags: Am J Psychiatry Source Type: journals

Anxiety levels and related pharmacological drug treatment: a memorandum for the third millennium.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Anxiety disorders frequently affect the general population and have a lifetime prevalence ranging from 13.6% to 28.8%. This paper reviews full articles dealing with the pharmacological treatments of generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder (PD) and post-traumatic stress disorder (PTSD). This review also attempts to evaluate the use of new drugs acting on several neurotransmitters involved in the pathophysiology of anxiety disorders. Major advances include the development of glutamatergic drugs for treating GAD and OCD. Further randomized controlled trials to test the effec...
Source: Annali dell'Istituto Superiore di Sanita - July 30, 2009 Category: Global & Universal Authors: Pasquini M, Berardelli I Tags: Ann Ist Super Sanita Source Type: journals

Extracellular serotonin level in the basolateral nucleus of the amygdala and dorsal periaqueductal gray under unconditioned and conditioned fear states: an in vivo microdialysis study.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Serotonin (5-HT) plays a key role in the neural circuitry mediating unconditioned and conditioned fear responses related to panic and generalized anxiety disorders. The basolateral nucleus of the amygdala (BLA) and the dorsal periaqueductal gray (dPAG) appear to be mainly involved in these conditions. The aim of this study was to measure the extracellular level of 5-HT and its metabolite 5-hydroxyindolacetic acid (5-HIAA) in the BLA and dPAG during unconditioned and conditioned fear states using in vivo microdialysis procedure. Thus, for the unconditioned fear test, animals were chemically stimulated in the dPAG with s...
Source: Brain Research - July 29, 2009 Category: Neurology Authors: Zanoveli JM, Carvalho MC, Cunha JM, Brandão ML Tags: Brain Res Source Type: journals

Cognitive–behavioral therapy for adult anxiety disorders in clinical practice: A meta-analysis of effectiveness studies.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The efficacy of cognitive–behavioral therapy (CBT) for anxiety in adults is well established. In the present study, the authors examined whether CBT tested under well-controlled conditions generalizes to less-controlled, real-world circumstances. Fifty-six effectiveness studies of CBT for adult anxiety disorders were located and synthesized. Meta-analytic effect sizes are presented for disorder-specific symptom measures as well as symptoms of generalized anxiety and depression for each disorder, and benchmarked to results from randomized controlled trials. All pretest–posttest effect sizes for disorder-specific symptom...
Source: Journal of Consulting and Clinical Psychology - July 28, 2009 Category: Psychiatry & Psychology Authors: Stewart, Rebecca E.; Chambless, Dianne L. Source Type: journals

Internet treatment for social phobia reduces comorbidity.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Brief Internet-based CBT can reduce both the target disorder as well as comorbid symptoms. These findings are consistent with evidence that unified or transdiagnostic programmes may reduce the severity of comorbid disorders and symptoms, indicating an important direction for future research. PMID: 19629797 [PubMed - in process]
Source: The Australian and New Zealand Journal of Psychiatry - July 27, 2009 Category: Psychiatry Authors: Titov N, Gibson M, Andrews G, McEvoy P Tags: Aust N Z J Psychiatry Source Type: journals

The Mothers Act Disease Mongering Campaign - Part IIemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(NaturalNews) The Mothers Act legislation specifically defines the term "postpartum conditions" as "postpartum depression" or "postpartum psychosis." Use of the Act as an 8-year disease mongering campaign to further promote the new cottage industry of "reproductive psychiatry," or "reproductive mental health," comes from websites often run by people who will financially benefit from passage of the Act.In 1992, the late journalist Lynn Payer wrote a book titled, "Disease Mongering," and defined disease mongering as, "trying to convince essentially well people that they are sick, or slightly sick people that they are very il...
Source: NaturalNews.com - July 27, 2009 Category: Consumer Health Advice Source Type: news

Magnitude of potentially inappropriate prescribing in Germany among older patients with generalized anxiety disorderemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: GPs in Germany often prescribe medications that have been designated as potentially inappropriate to their elderly patients with GAD--especially those with comorbid depressive disorders. Further research is needed to ascertain whether there are specific subgoups of elderly patients with GAD for whom the benefits of these medications outweigh their risks.
Source: BMC Geriatrics - July 27, 2009 Category: Geriatrics Authors: Ariel BergerMarko MychaskiwEllen DukesJohn EdelsbergGerry Oster Source Type: journals

Cipralex (escitalopram) oral drops 20mg/ml - New Productemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pharmaceutical Journal Area: Other Library Updates > SPC Changes Cipralex oral drops 20mg/ml are now available from Lundbeck. Cipralex is indicated for the; Treatment of major depressive episodes. Treatment of panic disorder with or without agoraphobia. Treatment of social anxiety disorder (social phobia). Treatment of generalised anxiety disorder. Treatment of obsessive-compulsive disorder.  See SPC for full details.  
Source: NeLM - SPC Changes - July 27, 2009 Category: Drugs & Pharmacology Source Type: organizations

Maternally focused worryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In this study, 167 women with infants aged 2 weeks to 12 months were interviewed for current and lifetime history of depression and anxiety disorders using the SCID-I and completed a range of self-report measures measuring psychological risk factors and current depressive and anxiety symptomatology. Qualitative comments provided by women diagnosed with ADNOS (maternally focused worry) were analyzed and themes identified, and independent t-tests and chi-square tests were conducted to compare differences between these women and women with GAD. Results showed (1) there to be almost as many women who met criteri...
Source: Archives of Women's Mental Health - July 25, 2009 Category: Psychiatry & Psychology Tags: Archives of Women's Mental Health Source Type: journals

Escitalopram modestly improves generalised anxiety disorder in older adults in treatment completers [Therapeutics]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Evidence-Based Mental Health - July 24, 2009 Category: Psychiatry & Psychology Authors: Stein, D. J Tags: Clinical trials (epidemiology), General practice / family medicine, Bipolar disorder, Epidemiology Therapeutics Source Type: journals

Anxiety and sleep problems: Emerging concepts and theoretical treatment implicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The high prevalence and comorbidity of anxiety and sleep problems, especially insomnia, suggest an important underlying relationship between these disorders. In this article, we highlight two theoretical models explaining this co-occurrence, provide a brief update on the association between anxiety-insomnia and anxiety-cataplexy in general, and review more specifically sleep problems in generalized anxiety, post-traumatic stress disorder, and panic disorder. We also explore sleep paralysis as an anxiety-sleep event. Our goal with this examination of selective anxiety-sleep problems is to provide clu...
Source: Current Psychiatry Reports - July 24, 2009 Category: Psychiatry Tags: Current Psychiatry Reports Source Type: journals

[Therapeutics] Escitalopram modestly improves generalised anxiety disorder in older adults in treatment completersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Evidence-Based Mental Health - July 24, 2009 Category: Psychiatry & Psychology Authors: Stein, D. J Tags: Clinical trials (epidemiology), General practice / family medicine, Bipolar disorder, Epidemiology Therapeutics Source Type: journals

Screening for mood and anxiety disorders with the five-item, the three-item, and the two-item Mental Health Inventoryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We examined the validity of the MHI-d and the MHI-a (the remaining two items on anxiety) in a large population-based sample of 7076 adults in the Netherlands. We also examined the validity of the MHI in assessing specific anxiety disorders. The presence of depressive and anxiety disorders in the past month was assessed with the Composite International Diagnostic Interview (CIDI), computerized version 1.1. ROC analyses indicated no significant difference between the MHI-5 (area under the curve of 0.93) and the MHI-d (area under the curve of 0.91) in detecting major depression and dysthymia. There was no difference either be...
Source: Psychiatry Research - July 22, 2009 Category: Psychiatry Authors: Pim Cuijpers, Niels Smits, Tara Donker, Margreet ten Have, Ron de Graaf Tags: Articles Source Type: journals