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American Journal of Psychiatry

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https://www.readbyqxmd.com/read/28618857/state-independent-and-dependent-neural-responses-to-psychosocial-stress-in-current-and-remitted-depression
#1
Qingsen Ming, Xue Zhong, Xiaocui Zhang, Weidan Pu, Daifeng Dong, Yali Jiang, Yidian Gao, Xiang Wang, John A Detre, Shuqiao Yao, Hengyi Rao
OBJECTIVE: Stress is a strong risk factor for major depressive disorder, while sensitization to stress in remitted individuals plays a key role in depression recurrence. The present study explored the state-independent (trait) and dependent (state) neural responses to psychosocial stress in major depressive disorder. METHOD: Thirty-six patients with medication-naive first-episode current depression, 33 patients with remitted depression, and 36 demographically matched healthy control participants were administered the Montreal Imaging Stress Task during functional MRI...
June 16, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28618856/psychosocial-stress-and-brain-function-in-adolescent-psychopathology
#2
Erin Burke Quinlan, Anna Cattrell, Tianye Jia, Eric Artiges, Tobias Banaschewski, Gareth Barker, Arun L W Bokde, Uli Bromberg, Christian Büchel, Rüdiger Brühl, Patricia J Conrod, Sylvane Desrivieres, Herta Flor, Vincent Frouin, Jürgen Gallinat, Hugh Garavan, Penny Gowland, Andreas Heinz, Jean-Luc Martinot, Marie-Laure Paillère Martinot, Frauke Nees, Dimitri Papadopoulos-Orfanos, Tomáš Paus, Luise Poustka, Michael N Smolka, Nora C Vetter, Henrik Walter, Robert Whelan, Jeffrey C Glennon, Jan K Buitelaar, Francesca Happé, Eva Loth, Edward D Barker, Gunter Schumann
OBJECTIVE: The authors sought to explore how conduct, hyperactivity/inattention, and emotional symptoms are associated with neural reactivity to social-emotional stimuli, and the extent to which psychosocial stress modulates these relationships. METHOD: Participants were community adolescents recruited as part of the European IMAGEN study. Bilateral amygdala regions of interest were used to assess the relationship between the three symptom domains and functional MRI neural reactivity during passive viewing of dynamic angry and neutral facial expressions...
June 16, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28618855/stability-of-and-factors-related-to-medical-student-specialty-choice-of-psychiatry
#3
Matthew N Goldenberg, D Keith Williams, John J Spollen
OBJECTIVE: Targeted efforts are needed to increase the number of medical students choosing psychiatry, but little is known about when students decide on their specialty or what factors influence their choice. The authors examined the timing and stability of student career choice of psychiatry compared with other specialties and determined what pre- and intra-medical school factors were associated with choosing a career in psychiatry. METHOD: Using survey data from students who graduated from U...
June 16, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28595491/suicidal-behavior-during-lithium-and-valproate-treatment-a-within-individual-8-year-prospective-study-of-50-000-patients-with-bipolar-disorder
#4
Jie Song, Arvid Sjölander, Erik Joas, Sarah E Bergen, Bo Runeson, Henrik Larsson, Mikael Landén, Paul Lichtenstein
OBJECTIVE: Conclusions regarding lithium's antisuicidal effect for bipolar disorder have been limited due to nonrepresentative subjects and potential confounding factors, including varying severity of illness. Findings regarding the effect of valproate, the most common alternative to lithium, are inconsistent for suicidal behavior. This study investigated the associations of these two drugs with the risk of suicide-related events, and possible differences between drugs, by using within-individual designs in a register-based longitudinal cohort...
June 9, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28595490/the-protective-effect-of-pregnancy-on-risk-for-drug-abuse-a-population-co-relative-co-spouse-and-within-individual-analysis
#5
Kenneth S Kendler, Henrik Ohlsson, Dace S Svikis, Kristina Sundquist, Jan Sundquist
OBJECTIVE: The authors sought to determine whether pregnancy is an intrinsic motivator for cessation of drug abuse. METHOD: The authors conducted prospective cohort, co-relative, co-spouse, and within-person analyses of registration for drug abuse during pregnancy among Swedish women born between 1980 and 1990 who gave birth between ages 20 and 35 (N=149,512). Drug abuse was assessed from medical, criminal, and pharmacy registries. RESULTS: In the population, rates of drug abuse were lower during pregnancy (unadjusted odds ratio=0...
June 9, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28595489/a-brain-model-of-disturbed-self-appraisal-in-depression
#6
Christopher G Davey, Michael Breakspear, Jesus Pujol, Ben J Harrison
OBJECTIVE: A disturbed sense of self is a core feature of depression. The medial prefrontal cortex, which has a central role in self-appraisal processes, is often implicated in the illness, although it remains unclear how functional alterations of the region contribute to the observed disturbances. The aim of this study was to clarify the role of the medial prefrontal cortex in self-appraisal processes in depression. METHOD: The authors applied a recently developed dynamic network model of self-directed cognition to functional MRI data from 71 adolescents and young adults with moderate to severe major depressive disorder, none of whom were being treated with medication, and 88 healthy control participants...
June 9, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28541091/psychodynamic-therapy-as-efficacious-as-other-empirically-supported-treatments-a-meta-analysis-testing-equivalence-of-outcomes
#7
Christiane Steinert, Thomas Munder, Sven Rabung, Jürgen Hoyer, Falk Leichsenring
OBJECTIVE: Pharmacotherapy, cognitive-behavioral therapy (CBT), and psychodynamic therapy are most frequently applied to treat mental disorders. However, whether psychodynamic therapy is as efficacious as other empirically supported treatments is not yet clear. Thus, for the first time the equivalence of psychodynamic therapy to treatments established in efficacy was formally tested. The authors controlled for researcher allegiance effects by including representatives of psychodynamic therapy and CBT, the main rival psychotherapeutic treatments (adversarial collaboration)...
May 25, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28541090/sixty-years-of-placebo-controlled-antipsychotic-drug-trials-in-acute-schizophrenia-systematic-review-bayesian-meta-analysis-and-meta-regression-of-efficacy-predictors
#8
Stefan Leucht, Claudia Leucht, Maximilian Huhn, Anna Chaimani, Dimitris Mavridis, Bartosz Helfer, Myrto Samara, Matteo Rabaioli, Susanne Bächer, Andrea Cipriani, John R Geddes, Georgia Salanti, John M Davis
OBJECTIVE: Antipsychotic drug efficacy may have decreased over recent decades. The authors present a meta-analysis of all placebo-controlled trials in patients with acute exacerbations of schizophrenia, and they investigate which trial characteristics have changed over the years and which are moderators of drug-placebo efficacy differences. METHOD: The search included multiple electronic databases. The outcomes were overall efficacy (primary outcome); responder and dropout rates; positive, negative, and depressive symptoms; quality of life; functioning; and major side effects...
May 25, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28494655/significant-locus-and-metabolic-genetic-correlations-revealed-in-genome-wide-association-study-of-anorexia-nervosa
#9
Laramie Duncan, Zeynep Yilmaz, Helena Gaspar, Raymond Walters, Jackie Goldstein, Verneri Anttila, Brendan Bulik-Sullivan, Stephan Ripke, Laura Thornton, Anke Hinney, Mark Daly, Patrick F Sullivan, Eleftheria Zeggini, Gerome Breen, Cynthia M Bulik
OBJECTIVE: The authors conducted a genome-wide association study of anorexia nervosa and calculated genetic correlations with a series of psychiatric, educational, and metabolic phenotypes. METHOD: Following uniform quality control and imputation procedures using the 1000 Genomes Project (phase 3) in 12 case-control cohorts comprising 3,495 anorexia nervosa cases and 10,982 controls, the authors performed standard association analysis followed by a meta-analysis across cohorts...
May 12, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28472900/the-long-term-effects-of-antipsychotic-medication-on-clinical-course-in-schizophrenia
#10
Donald C Goff, Peter Falkai, W Wolfgang Fleischhacker, Ragy R Girgis, Rene M Kahn, Hiroyuki Uchida, Jingping Zhao, Jeffrey A Lieberman
Concerns have been raised that treatment with antipsychotic medication might adversely affect long-term outcomes for people with schizophrenia. The evidence cited for these concerns includes the association of antipsychotic treatment with brain volume reduction and with dopamine receptor sensitization, which might make patients vulnerable to relapse and illness progression. An international group of experts was convened to examine findings from clinical and basic research relevant to these concerns. Little evidence was found to support a negative long-term effect of initial or maintenance antipsychotic treatment on outcomes, compared with withholding treatment...
May 5, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28427286/incomes-and-outcomes-social-security-disability-benefits-in-first-episode-psychosis
#11
Robert A Rosenheck, Sue E Estroff, Kyaw Sint, Haiqun Lin, Kim T Mueser, Delbert G Robinson, Nina R Schooler, Patricia Marcy, John M Kane
OBJECTIVE: Social Security Administration (SSA) disability benefits are an important source of income for people with psychoses and confer eligibility for health insurance. The authors examined the impact of coordinated specialty care on receipt of such benefits in first-episode psychosis, along with the correlates and consequences of receiving them. METHOD: The Recovery After an Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study, a 34-site cluster-randomized trial, compared NAVIGATE, a coordinated specialty care program, to usual community care over 2 years...
April 21, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28427285/premenstrual-dysphoric-disorder-symptoms-following-ovarian-suppression-triggered-by-change-in-ovarian-steroid-levels-but-not-continuous-stable-levels
#12
Peter J Schmidt, Pedro E Martinez, Lynnette K Nieman, Deloris E Koziol, Karla D Thompson, Linda Schenkel, Paul G Wakim, David R Rubinow
OBJECTIVE: Premenstrual dysphoric disorder (PMDD) symptoms are eliminated by ovarian suppression and stimulated by administration of ovarian steroids, yet they appear with ovarian steroid levels indistinguishable from those in women without PMDD. Thus, symptoms could be precipitated either by an acute change in ovarian steroid levels or by stable levels above a critical threshold playing a permissive role in expression of an underlying infradian affective "pacemaker." The authors attempted to determine which condition triggers PMDD symptoms...
April 21, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28407727/randomized-clinical-trial-of-real-time-fmri-amygdala-neurofeedback-for-major-depressive-disorder-effects-on-symptoms-and-autobiographical-memory-recall
#13
Kymberly D Young, Greg J Siegle, Vadim Zotev, Raquel Phillips, Masaya Misaki, Han Yuan, Wayne C Drevets, Jerzy Bodurka
OBJECTIVE: Patients with depression show blunted amygdala hemodynamic activity to positive stimuli, including autobiographical memories. The authors examined the therapeutic efficacy of real-time functional MRI neurofeedback (rtfMRI-nf) training aimed at increasing the amygdala's hemodynamic response to positive memories in patients with depression. METHOD: In a double-blind, placebo-controlled, randomized clinical trial, unmedicated adults with depression (N=36) were randomly assigned to receive two sessions of rtfMRI-nf either from the amygdala (N=19) or from a parietal control region not involved in emotional processing (N=17)...
April 14, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28407726/complementary-features-of-attention-bias-modification-therapy-and-cognitive-behavioral-therapy-in-pediatric-anxiety-disorders
#14
Lauren K White, Stefanie Sequeira, Jennifer C Britton, Melissa A Brotman, Andrea L Gold, Erin Berman, Kenneth Towbin, Rany Abend, Nathan A Fox, Yair Bar-Haim, Ellen Leibenluft, Daniel S Pine
OBJECTIVE: In the treatment of anxiety disorders, attention bias modification therapy (ABMT) and cognitive-behavioral therapy (CBT) may have complementary effects by targeting different aspects of perturbed threat responses and behaviors. ABMT may target rapid, implicit threat reactions, whereas CBT may target slowly deployed threat responses. The authors used amygdala-based connectivity during a threat-attention task and a randomized controlled trial design to evaluate potential complementary features of these treatments in pediatric anxiety disorders...
April 14, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28359201/a-5-year-observational-study-of-patients-with-treatment-resistant-depression-treated-with-vagus-nerve-stimulation-or-treatment-as-usual-comparison-of-response-remission-and-suicidality
#15
Scott T Aaronson, Peter Sears, Francis Ruvuna, Mark Bunker, Charles R Conway, Darin D Dougherty, Frederick W Reimherr, Thomas L Schwartz, John M Zajecka
OBJECTIVE: The Treatment-Resistant Depression Registry investigated whether adjunctive vagus nerve stimulation (VNS) with treatment as usual in depression has superior long-term outcomes compared with treatment as usual only. METHOD: This 5-year, prospective, open-label, nonrandomized, observational registry study was conducted at 61 U.S. sites and included 795 patients who were experiencing a major depressive episode (unipolar or bipolar depression) of at least 2 years' duration or had three or more depressive episodes (including the current episode), and who had failed four or more depression treatments (including ECT)...
March 31, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28565959/grief-process-following-the-sudden-death-of-a-patient
#16
Pamela Lyss-Lerman
No abstract text is available yet for this article.
June 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28565958/engaging-depressed-patients-an-essential-step-in-optimizing-care
#17
A John Rush
No abstract text is available yet for this article.
June 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28565957/getting-personalized-brain-scan-biomarkers-for-guiding-depression-interventions
#18
Leanne M Williams
No abstract text is available yet for this article.
June 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28565956/rational-suicide-in-the-elderly-clinical-ethical-and-sociocultural-aspectsedited-by-robert-e-mccue-m-d-and-meera-balasubramaniam-m-d-m-p-h-new-york-springer-2017-224-pp-109-00-hardcover
#19
https://www.readbyqxmd.com/read/28565955/association-and-causation-in-brain-imaging-the-case-of-ocd
#20
Dean McKay, Amitai Abramovitch, Jonathan S Abramowitz, Brett Deacon
No abstract text is available yet for this article.
June 1, 2017: American Journal of Psychiatry
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