Psychiatry MMC http://www.psychiatrymmc.com A peer-reviewed journal providing evidence-based information to practicing clinicians Thu, 04 Mar 2010 20:26:22 +0000 http://wordpress.org/?v=2.9 en hourly 1 Pharmacotherapy and Depression Severity http://www.psychiatrymmc.com/pharmacotherapy-and-depression-severity/ http://www.psychiatrymmc.com/pharmacotherapy-and-depression-severity/#comments Mon, 15 Feb 2010 17:06:08 +0000 admin http://www.psychiatrymmc.com/?p=1775 Dear Colleagues:

Welcome to the February issue of Psychiatry 2010. As you are all very aware, the recent study in JAMA by Fournier et al on antidepressant drug effects and disease severity received a lot of media attention, and as is all too often the case many media outlets took the results of this study at face value and used them to supplant the results of hundreds of other clinical trials on antidepressant effectiveness, with headlines like “Antidepressants not Effective for Mild or Moderate Depression” and “SSRI Antidepressants No Better than Placebo Says JAMA.” Subsequent expert commentaries were then published in well-known newspapers regarding the study results, and the blogs were buzzing with everyone’s take. It seems antidepressant effectiveness is a “burning” issue among the general public, and there doesn’t appear to be middle ground: either antidepressants work for everyone or they work for no one—even though that’s not what the results of the study said at all. As the talk about these study results still simmers, we at Psychiatry 2010 thought it would be relevant to look at drug therapy for depression a little differently, which brings us to this month’s Trend Watch.

In this month’s Trend Watch, the authors analyzed use of therapeutic drug classes for the treatment of depression by the three levels of physician-reported disease severity (mild, moderate, and severe) to understand if the mix of therapeutic classes used to treat depression changes as disease severity increases. The authors found that as disease severity changes, so too do the proportions of the various therapeutic classes used in depression. It appears that the mix of drug classes used in severe depression are becoming less similar to the class mix for moderate depression over time. Dr. Richard Weisler from Duke University Medical Center, Durham, North Carolina, and University of North Carolina at Chapel Hill Departments of Psychiatry, Raleigh, North Carolina, provides an expert commentary on the data.

As for the rest of the issue, Sansone and Sansone, in this month’s The Interface, review the phenomenon of hoarding and explore how age of onset of its characteristics may distinguish it as a symptom of another underlying disorder or as a distinct syndrome.

Next, Khawaja et al review the usefulness of partial hospitalization programs, which can be used in place of an inpatient unit for patients who need crisis stabilization and amelioration of their acute symptoms, but who are not imminently homicidal or suicidal. A case vignette is provided for illustration.

Following this, Deshmukh et al provide a systemic review of limited but currently available studies on effective and safe methods for the pharmacological management of aggression in children and adolescents and provide treatment guidelines based on these data.

Finally, we wrap up the issue with two of our regular columns. In this month’s Update on Cognition, Harvey and Penn describe social abilities relative to individuals with schizophrenia: emotion perception, theory of mind, and attributional style. The authors discuss how these abilities are currently measured and describe how research could improve the current measurement of these abilities to make them more clinically useful. And in this month’s Meymandi at Large, Dr. Meymandi, in a style all his own, reviews the book, Psychoanalysis and Neuroscience, by Mauro Mancia.

Sincerely,
Amir Kalali, MD
Editor, Psychiatry 2010

]]> http://www.psychiatrymmc.com/pharmacotherapy-and-depression-severity/feed/ 0 Analysis of Classes Used in the Treatment of Depression by Physician-reported Severity http://www.psychiatrymmc.com/analysis-of-classes-used-in-the-treatment-of-depression-by-physician-reported-severity/ http://www.psychiatrymmc.com/analysis-of-classes-used-in-the-treatment-of-depression-by-physician-reported-severity/#comments Mon, 15 Feb 2010 16:52:08 +0000 admin http://www.psychiatrymmc.com/?p=1766 by Susan Lenderts, BA; Amir H. Kalali, MD; and Richard Weisler, MD
Ms. Lenderts is Manager, Strategic Analytics, Quintiles Commercial, Falls Church, Virginia; Dr. Kalali is Vice President, Global Therapeutic Group Leader CNS, Quintiles, Inc., and Professor of Psychiatry, University of California, San Diego, California; and Dr. Weisler is from Duke University Medical Center, Durham, North Carolina, and University of North Carolina at Chapel Hill Departments of Psychiatry, Raleigh, North Carolina.

Psychiatry (Edgemont) 2010;7(2):17–23

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]]> http://www.psychiatrymmc.com/analysis-of-classes-used-in-the-treatment-of-depression-by-physician-reported-severity/feed/ 1 Hoarding: Obsessive Symptom or Syndrome? http://www.psychiatrymmc.com/hoarding-obsessive-symptom-or-syndrome/ http://www.psychiatrymmc.com/hoarding-obsessive-symptom-or-syndrome/#comments Mon, 15 Feb 2010 16:27:42 +0000 admin http://www.psychiatrymmc.com/?p=1760 by Randy A. Sansone, MD, and Lori A. Sansone, MD
Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio; Dr. L. Sansone is a family medicine physician (government service) and Medical Director of the Primary Care Clinic at Wright-Patterson Air Force Base.

Psychiatry (Edgemont) 2010;7(2):24–27

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]]> http://www.psychiatrymmc.com/hoarding-obsessive-symptom-or-syndrome/feed/ 0 Providing Crisis-oriented and Recovery-based Treatment in Partial Hospitalization Programs http://www.psychiatrymmc.com/providing-crisis-oriented-and-recovery-based-treatment-in-partial-hospitalization-programs/ http://www.psychiatrymmc.com/providing-crisis-oriented-and-recovery-based-treatment-in-partial-hospitalization-programs/#comments Mon, 15 Feb 2010 16:19:35 +0000 admin http://www.psychiatrymmc.com/?p=1758 by Imran S. Khawaja, MD, and Joseph J. Westermeyer, MD, PhD
Dr. Khawaja is Assistant Professor of Psychiatry, University of Minnesota School of Medicine, Veterans Affairs Medical Center, Minneapolis, Minnesota; Dr. Westermeyer is Professor of Psychiatry, University of Minnesota School of Medicine, Veterans Affairs Medical Center, Minneapolis, Minnesota

Psychiatry (Edgemont) 2010;7(2):28–31

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]]> http://www.psychiatrymmc.com/providing-crisis-oriented-and-recovery-based-treatment-in-partial-hospitalization-programs/feed/ 0 Recommendations for Pharmacological Management of Inpatient Aggression in Children and Adolescents http://www.psychiatrymmc.com/recommendations-for-pharmacological-management-of-inpatient-aggression-in-children-and-adolescents/ http://www.psychiatrymmc.com/recommendations-for-pharmacological-management-of-inpatient-aggression-in-children-and-adolescents/#comments Mon, 15 Feb 2010 16:02:36 +0000 admin http://www.psychiatrymmc.com/?p=1747 Parikshit Deshmukh, MD; Guarav Kulkarni, MD; and Drew Barzman, MD
Dr. Deshmukh is a resident with the Division of Psychiatry, University Hospitals Case Medical Center, Cleveland, Ohio; Dr. Kulkarni is Research Assistant, Child and Adolescent Forensic Psychiatry Service, Division of Child and Adolescent Psychiatry, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; and Dr. Barzman is Director, Child and Adolescent Forensic Psychiatry Service, Division of Child and Adolescent Psychiatry, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Psychiatry (Edgemont) 2010;7(2):32–40

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]]> http://www.psychiatrymmc.com/recommendations-for-pharmacological-management-of-inpatient-aggression-in-children-and-adolescents/feed/ 0 Social Cognition: The Key Factor Predicting Social Outcome in People with Schizophrenia? http://www.psychiatrymmc.com/social-cognition-the-key-factor-predicting-social-outcome-in-people-with-schizophrenia/ http://www.psychiatrymmc.com/social-cognition-the-key-factor-predicting-social-outcome-in-people-with-schizophrenia/#comments Mon, 15 Feb 2010 15:56:40 +0000 admin http://www.psychiatrymmc.com/?p=1743 by Philip D. Harvey, PhD, and David Penn, PhD
Dr. Harvey is Professor of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia. Dr. Penn is Professor of Psychology, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina.

Psychiatry (Edgemont). 2010;7(2):41–44

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]]> http://www.psychiatrymmc.com/social-cognition-the-key-factor-predicting-social-outcome-in-people-with-schizophrenia/feed/ 1 PSYCHOANALYSIS and NEUROSCIENCE—A Book Review http://www.psychiatrymmc.com/psychoanalysis-and-neuroscience%e2%80%94a-book-review/ http://www.psychiatrymmc.com/psychoanalysis-and-neuroscience%e2%80%94a-book-review/#comments Mon, 15 Feb 2010 15:53:06 +0000 admin http://www.psychiatrymmc.com/?p=1741 by Assad Meymandi, MD, PhD, DLFAPA
Dr. Meymandi is in private practice as a psychiatrist and neurologist and serves as an adjunct professor of psychiatry at the University of North Carolina at Chapel Hill. He is a noted physician, editor, and philanthropist who frequently speaks and writes on diverse topics that relate to his interests in medicine, the arts, religion, and philanthropy. He lives in Raleigh with his wife Emily.

Psychiatry (Edgemont) 2010;7(2):45–46

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]]> http://www.psychiatrymmc.com/psychoanalysis-and-neuroscience%e2%80%94a-book-review/feed/ 0 Seroquel misuse/abuse http://www.psychiatrymmc.com/seroquel-misuseabuse/ http://www.psychiatrymmc.com/seroquel-misuseabuse/#comments Mon, 15 Feb 2010 14:36:27 +0000 admin http://www.psychiatrymmc.com/?p=1783 Dear Editor:

The article regarding Seroquel misuse/abuse by Sansone and Sansone in the Interface section of the January issue was interesting and informative

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]]> http://www.psychiatrymmc.com/seroquel-misuseabuse/feed/ 0 Guns: Dangerous, especially for suicide, and costly for America http://www.psychiatrymmc.com/guns-dangerous-especially-for-suicide-and-costly-for-america/ http://www.psychiatrymmc.com/guns-dangerous-especially-for-suicide-and-costly-for-america/#comments Mon, 15 Feb 2010 14:31:07 +0000 admin http://www.psychiatrymmc.com/?p=1780 Dear Editor:

Gun ownership is common in America. People report that they need them for safety and/or sport. However, having a firearm in the home actually increases the rate for suicide, homicide, domestic violence, and accidents.

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]]> http://www.psychiatrymmc.com/guns-dangerous-especially-for-suicide-and-costly-for-america/feed/ 0 Psychophysiological Disorders and Pain Medication Prescription Among Internal Medicine Outpatients http://www.psychiatrymmc.com/psychophysiological-disorders-and-pain-medication-prescription-among-internal-medicine-outpatients/ http://www.psychiatrymmc.com/psychophysiological-disorders-and-pain-medication-prescription-among-internal-medicine-outpatients/#comments Mon, 15 Feb 2010 14:23:39 +0000 admin http://www.psychiatrymmc.com/?p=1777 Dear Editor:

Psychophysiological disorders are physical disorders with psychological overlays. Because the proportion of psychological overlay is always variable, these types of disorders can be challenging to treat in primary care settings—particularly with regard to the management of any associated pain

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