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Depression and Anxiety

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https://www.readbyqxmd.com/read/28453916/digital-technology-and-clinical-decision-making-in-depression-treatment-current-findings-and-future-opportunities
#1
REVIEW
Kevin A Hallgren, Amy M Bauer, David C Atkins
Clinical decision making encompasses a broad set of processes that contribute to the effectiveness of depression treatments. There is emerging interest in using digital technologies to support effective and efficient clinical decision making. In this paper, we provide "snapshots" of research and current directions on ways that digital technologies can support clinical decision making in depression treatment. Practical facets of clinical decision making are reviewed, then research, design, and implementation opportunities where technology can potentially enhance clinical decision making are outlined...
April 28, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28453905/transdiagnostic-neural-correlates-of-affective-face-processing-in-anxiety-and-depression
#2
Annmarie MacNamara, Heide Klumpp, Amy E Kennedy, Scott A Langenecker, K Luan Phan
BACKGROUND: It is unknown whether there are neurobiologic differences between various anxiety and depressive disorders, or whether they are characterized by shared neurobiologic variation that cuts across diagnostic boundaries. For instance, multiple anxiety disorders and depression may be characterized by abnormalities in blood oxygen-level dependent (BOLD) response during the processing of affective scenes and faces. To interrogate the shared or unique nature of these aberrations, research that examines the influence of transdiagnostic, dimensional predictors across multiple diagnoses is needed...
April 28, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28453890/less-is-more-patient-level-meta-analysis-reveals-paradoxical-dose-response-effects-of-a-computer-based-social-anxiety-intervention-targeting-attentional-bias
#3
REVIEW
Rebecca B Price, Jennie M Kuckertz, Nader Amir, Yair Bar-Haim, Per Carlbring, Meredith L Wallace
BACKGROUND: The past decade of research has seen considerable interest in computer-based approaches designed to directly target cognitive mechanisms of anxiety, such as attention bias modification (ABM). METHODS: By pooling patient-level datasets from randomized controlled trials of ABM that utilized a dot-probe training procedure, we assessed the impact of training "dose" on relevant outcomes among a pooled sample of 693 socially anxious adults. RESULTS: A paradoxical effect of the number of training trials administered was observed for both posttraining social anxiety symptoms and behavioral attentional bias (AB) toward threat (the target mechanism of ABM)...
April 28, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28440902/between-visit-changes-in-suicidal-ideation-and-risk-of-subsequent-suicide-attempt
#4
Gregory E Simon, Susan M Shortreed, Eric Johnson, Arne Beck, Karen J Coleman, Rebecca C Rossom, Ursula S Whiteside, Belinda H Operskalski, Robert B Penfold
BACKGROUND: While clinicians are expected to routinely assess and address suicide risk, existing data provide little guidance regarding the significance of visit-to-visit changes in suicidal ideation. METHODS: Electronic health records from four large healthcare systems identified patients completing the Patient Health Questionnaire or PHQ9 at outpatient visits. For patients completing two questionnaires within 90 days, health system records and state vital records were used to identify nonfatal and fatal suicide attempts...
April 25, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28426908/clinically-useful-brain-imaging-for-neuropsychiatry-how-can-we-get-there
#5
REVIEW
Michael P Milham, R Cameron Craddock, Arno Klein
Despite decades of research, visions of transforming neuropsychiatry through the development of brain imaging-based "growth charts" or "lab tests" have remained out of reach. In recent years, there is renewed enthusiasm about the prospect of achieving clinically useful tools capable of aiding the diagnosis and management of neuropsychiatric disorders. The present work explores the basis for this enthusiasm. We assert that there is no single advance that currently has the potential to drive the field of clinical brain imaging forward...
April 20, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28419625/meta-analysis-of-interventions-for-posttraumatic-stress-disorder-and-depression-in-adult-survivors-of-mass-violence-in-low-and-middle-income-countries
#6
REVIEW
Nexhmedin Morina, Mina Malek, Angela Nickerson, Richard A Bryant
BACKGROUND: Most survivors of mass violence live in low- and middle-income countries (LMICs). We conducted a meta-analysis of randomized controlled psychotherapy trials for adult posttraumatic stress disorder (PTSD) and/or depression in LMICs. METHODS: We included 18 clinical trials (3,058 participants), in which 25 and 18 treatment arms measured symptoms of PTSD and depression, respectively. RESULTS: Active treatments for PTSD yielded a large aggregated pre-post effect size (g = 1...
April 18, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28419621/the-feasibility-acceptability-and-outcomes-of-prime-d-a-novel-mobile-intervention-treatment-for-depression
#7
Danielle A Schlosser, Timothy R Campellone, Brandy Truong, Joaquin A Anguera, Silvia Vergani, Sophia Vinogradov, Patricia Arean
BACKGROUND: Despite decades of research and development, depression has risen from the fifth to the leading cause of disability in the United States. Barriers to progress in the field are (1) poor access to high-quality care; (2) limited mental health workforce; and (3) few providers trained in the delivery of evidence-based treatments (EBTs). Although mobile platforms are being developed to give consumers greater access to high-quality care, too often these tools do not have empirical support for their effectiveness...
April 18, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28419611/well-being-therapy-in-depression-new-insights-into-the-role-of-psychological-well-being-in-the-clinical-process
#8
Giovanni A Fava, Fiammetta Cosci, Jenny Guidi, Elena Tomba
A specific psychotherapeutic strategy for increasing psychological well-being and resilience, well-being therapy (WBT), has been developed and validated in a number of randomized controlled trials. The findings indicate that flourishing and resilience can be promoted by specific interventions leading to a positive evaluation of one's self, a sense of continued growth and development, the belief that life is purposeful and meaningful, the possession of quality relations with others, the capacity to manage effectively one's life, and a sense of self-determination...
April 18, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28419607/subjective-and-objective-sleep-quality-modulate-emotion-regulatory-brain-function-in-anxiety-and-depression
#9
Heide Klumpp, Julia Roberts, Mary C Kapella, Amy E Kennedy, Anand Kumar, K Luan Phan
BACKGROUND: Disturbances in emotion regulation and sleep are shared across anxiety and mood disorders. Poor sleep has been shown to impair cognitive processes which may undermine cognitive regulatory function. However, it remains unknown if sleep quality impacts regulatory mechanisms in clinical anxiety and depression. METHODS: During fMRI, 78 patients with social anxiety disorder, generalized anxiety disorder, and/or major depressive disorder completed a validated emotion regulation task, which involved reappraisal (i...
April 18, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28380277/targeting-memory-reconsolidation-to-prevent-the-return-of-fear-in-patients-with-fear-of-flying
#10
Jessica L Maples-Keller, Matthew Price, Tanja Jovanovic, Seth D Norrholm, Lydia Odenat, Loren Post, Liza Zwiebach, Kathryn Breazeale, Robin Gross, Sae-Jin Kim, Barbara Olasov Rothbaum
BACKGROUND: When a memory is recalled, it may again exist in a labile state and stored information becomes amenable to change, a psychobiological process known as reconsolidation. Exposure therapy for anxiety disorders involves accessing a fear memory and modifying it with less fearful information. A preclinical study reported that providing a reminder of a fear memory 10 min prior to extinction training in humans decreased fear up to 1 year later (Schiller et al., 2010). METHODS: For this pilot clinical study, we used virtual reality exposure therapy (VRE) for fear of flying (FoF) to determine if using a cue to reactivate the memory of the feared stimulus 10 min prior to exposure sessions leads to fewer anxiety-related behaviors and a more durable response compared to a neutral cue...
April 5, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28376282/history-of-sexual-trauma-moderates-psychotherapy-outcome-for-posttraumatic-stress-disorder
#11
John C Markowitz, Yuval Neria, Karina Lovell, Page E Van Meter, Eva Petkova
BACKGROUND: Moderators of differential psychotherapy outcome for posttraumatic stress disorder (PTSD) are rare, yet have crucial clinical importance. We tested the moderating effects of trauma type for three psychotherapies in 110 unmedicated patients with chronic DSM-IV PTSD. METHODS: Patients were randomized to 14 weeks of prolonged exposure (PE, N = 38), interpersonal psychotherapy (IPT, N = 40), or relaxation therapy (RT, N = 32). The Clinician-Administered PTSD Scale (CAPS) was the primary outcome measure...
April 4, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28370897/associations-of-childhood-bullying-victimization-with-lifetime-suicidal-behaviors-among-new-u-s-army-soldiers
#12
Laura Campbell-Sills, Ronald C Kessler, Robert J Ursano, Anthony J Rosellini, Tracie O Afifi, Lisa J Colpe, Steven G Heeringa, Matthew K Nock, Nancy A Sampson, Jitender Sareen, Michael Schoenbaum, Xiaoying Sun, Sonia Jain, Murray B Stein
BACKGROUND: Prior studies have documented associations of childhood bullying victimization with suicidal behaviors. However, many failed to adjust for concomitant risk factors and none investigated this relationship in military personnel. This study aimed to estimate independent associations of childhood bullying victimization with suicidal behaviors among U.S. Army soldiers. METHODS: Soldiers reporting for basic training completed a cross-sectional survey assessing mental disorders, suicidal behaviors, and childhood adversities including two types of bullying victimization: (1) Physical Assault/Theft and (2) Bullying Comments/Behaviors...
April 3, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28370947/prevention-of-insulin-resistance-in-adolescents-at-risk-for-type-2-diabetes-with-depressive-symptoms-1-year-follow-up-of-a-randomized-trial
#13
Lauren B Shomaker, Nichole R Kelly, Rachel M Radin, Omni L Cassidy, Lisa M Shank, Sheila M Brady, Andrew P Demidowich, Cara H Olsen, Kong Y Chen, Eric Stice, Marian Tanofsky-Kraff, Jack A Yanovski
BACKGROUND: Depression is associated with poor insulin sensitivity. We evaluated the long-term effects of a cognitive behavioral therapy (CBT) program for prevention of depression on insulin sensitivity in adolescents at risk for type 2 diabetes (T2D) with depressive symptoms. METHODS: One-hundred nineteen adolescent females with overweight/obesity, T2D family history, and mild-to-moderate depressive symptoms were randomized to a 6-week CBT group (n = 61) or 6-week health education (HE) control group (n = 58)...
March 31, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28370818/moral-injury-in-u-s-combat-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#14
Blair E Wisco, Brian P Marx, Casey L May, Brenda Martini, John H Krystal, Steven M Southwick, Robert H Pietrzak
BACKGROUND: Combat exposure is associated with increased risk of mental disorders and suicidality. Moral injury, or persistent effects of perpetrating or witnessing acts that violate one's moral code, may contribute to mental health problems following military service. The pervasiveness of potentially morally injurious events (PMIEs) among U.S. combat veterans, and what factors are associated with PMIEs in this population remains unknown. METHODS: Data were analyzed from the National Health and Resilience in Veterans Study (NHRVS), a contemporary and nationally representative survey of a population-based sample of U...
March 29, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28294471/ultra-brief-behavioral-skills-trainings-for-blood-injection-injury-phobia
#15
Alicia E Meuret, Erica Simon, Lavanya Bhaskara, Thomas Ritz
BACKGROUND: Blood injection injury (BII) phobia is common, with debilitating consequences to the health and well being of many of its sufferers. BII phobia presents with a unique fear response that can involve drops in blood pressure and ultimately fainting. The aim of this study was to provide proof of concept for a line of brief, easy to implement, video-based interventions for reducing phobic avoidance and fears in BII sufferers. One of the interventions was a novel Hypoventilation Respiratory Training (HRT) aimed at reducing the exaggerated ventilation response (hyperventilation) seen in BII phobia...
March 15, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28245077/marijuana-and-other-cannabinoids-as-a-treatment-for-posttraumatic-stress-disorder-a-literature-review
#16
Maria M Steenkamp, Esther M Blessing, Isaac R Galatzer-Levy, Laura C Hollahan, William T Anderson
Posttraumatic stress disorder (PTSD) is common in the general population, yet there are limitations to the effectiveness, tolerability, and acceptability of available first-line interventions. We review the extant knowledge on the effects of marijuana and other cannabinoids on PTSD. Potential therapeutic effects of these agents may largely derive from actions on the endocannabinoid system and we review major animal and human findings in this area. Preclinical and clinical studies generally support the biological plausibility for cannabinoids' potential therapeutic effects, but underscore heterogeneity in outcomes depending on dose, chemotype, and individual variation...
February 28, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28221710/mobile-assessment-of-heightened-skin-conductance-in-posttraumatic-stress-disorder
#17
Rebecca Hinrichs, Vasiliki Michopoulos, Sterling Winters, Alex O Rothbaum, Barbara O Rothbaum, Kerry J Ressler, Tanja Jovanovic
BACKGROUND: Increased psychophysiological reactivity is a hallmark intermediate phenotype of posttraumatic stress disorder (PTSD). Individuals with PTSD exhibit greater skin conductance (SC) responses to trauma scripts than trauma survivors without PTSD. However, trauma scripts require time for development and cannot be easily used in a single visit. Thus, there is a need for a low-cost, easy-to-use, SC recording protocol for PTSD assessment. METHODS: Using a mobile device (eSense) connected to a portable tablet computer, we assessed SC reactivity to a standard trauma interview (STI) in 63 participants recruited from Grady Memorial Hospital in Atlanta, GA, approximately 1 year after trauma exposure...
February 21, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28214298/technology-to-train-the-brain-pushing-methodology-and-treatment-in-the-scientific-research-symposium-2016
#18
Sheila A M Rauch
No abstract text is available yet for this article.
February 18, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28152244/depression-care-among-depressed-adults-with-and-without-comorbid-substance-use-disorders-in-the-united-states
#19
Beth Han, Mark Olfson, Ramin Mojtabai
OBJECTIVE: We compared the prevalence of receiving depression care between adults with past-year major depressive episodes (depressed) and substance use disorders (SUD) in the United States and their depressed counterparts without SUD. METHOD: Data were from 25,500 adults who participated in the 2008-2014 National Surveys on Drug Use and Health. Descriptive analyses and logistic regression models were applied. RESULTS: During 2008-2014, approximately 55...
February 2, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28449206/president-s-letter-may-2017-journal
#20
EDITORIAL
Karen Lynn Cassiday
No abstract text is available yet for this article.
May 2017: Depression and Anxiety
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