Telephone-Delivered Care For Treating Depression After Coronary Artery Bypass Graft Surgery Appears To Improve Outcomes
Patients who received telephone-delivered collaborative care for treatment of depression after coronary artery bypass graft surgery reported greater improvement in measures of quality of life, physical functioning and mood than patients who received usual care, according to a study in the November 18 issue of JAMA. The study is being released early online because of its presentation at an American Heart Association scientific conference. Coronary artery bypass graft (CABG) surgery is one of the most common and costly medical procedures performed in the United States. As many as half of CABG patients report depressive symptoms after surgery, and are also more likely to experience a decreased health-related quality of life (HRQL) and functional status, according to background information in the article.
Asthma symptoms can worsen in children with depressed mothers, according to research from Johns Hopkins Children's Center published online in the Journal of Pediatric Psychology. Analyzing data from interviews with 262 mothers of African-American children with asthma - a population disproportionately affected by this inflammatory airway disorder - the Hopkins investigators found that children whose mothers had more depressive symptoms had more frequent asthma symptoms during the six-months of the study. Conversely, children whose mothers reported fewer depressive symptoms had less frequent asthma symptoms. Researchers tracked ups and downs in maternal depression as related to the frequency of symptoms among children.
Maternal depression can worsen asthma symptoms in their children, according to research from Johns Hopkins Children's Center published online in the Journal of Pediatric Psychology. Analyzing data from interviews with 262 mothers of African-American children with asthma a population disproportionately affected by this inflammatory airway disorder the Hopkins investigators found that children whose mothers had more depressive symptoms had more frequent asthma symptoms during the six-months of the study. Conversely, children whose mothers reported fewer depressive symptoms had less frequent asthma symptoms. Researchers tracked ups and downs in maternal depression as related to the frequency of symptoms among children.
Collective Depression Syndrome Among Asylum-Seeking Detainees Highlighted In New Paper Published By Dove Medical Press
A new paper by William W Bostock from the School of Government, University of Tasmania, analysing the debate between the psychiatric profession and the Australian government over collective depression syndrome found among asylum-seeking detainees, has been published in the Dove Medical Press journal: Psychology Research and Behavior Management. The open access publisher of medical and scientific journals has made the paper available here. Psychiatrists have long had involvement with the political process, both individually and as a profession. They have made valuable contributions to debate over such issues as war, conflict, terrorism, torture, human rights abuse, drug abuse, suicide and other public health issues.
Falls among elderly people are significantly associated with several classes of drugs, including sedatives often prescribed as sleep aids and medications used to treat mood disorders, according to a study led by a University of British Columbia expert in pharmaceutical outcomes research. The study, published Nov. 23 in the Archives of Internal Medicine, provides the latest quantitative evidence of the impact of certain classes of medication on falling among seniors. Falling and fall-related complications such as hip fractures are the fifth leading cause of death in the developed world, the study noted. Antidepressants showed the strongest statistical association with falling, possibly because older drugs in this class have significant sedative properties.
Angst could be more than a rite of passage for insecure teenagers, according to a study published in The Journal of Pain. Researchers from the Universit√ de Montr√ al, the Sainte-Justine University Hospital Center and McGill University have discovered that insecure adolescents experience more intense pain in the form of frequent headaches, abdominal pain and joint pain. These teens are also more likely to be depressed than peers with secure attachments. Dr. Isabelle Tremblay, a researcher at the Universit√ de Montr√ al and its affiliated Sainte-Justine University Hospital Center, and Dr. Michael Sullivan, a psychology professor at McGill University, launched this study to build on previous findings that childhood experiences play a major role in the relationships people develop in later life.
Surgeons who are burned out or depressed are more likely to say they had recently committed a major error on the job, according to the largest study to date on physician burnout. The new findings suggest that the mental well-being of the surgeon is associated with a higher rate of self-reported medical errors, something that may undermine patient safety more than the fatigue that is often blamed for many of the medical mistakes. Although surgeons do not appear more likely to make mistakes than physicians in other disciplines, surgical errors may have more severe consequences for patients due to the interventional nature of the work. Some estimate that as many as 10 percent of hospitalized patients are impacted by medical errors.
People with Multiple Sclerosis (MS) feel more than twice as much withheld anger as the general population and this could have an adverse effect on their relationships and health, according to a study published in the December issue of the European Journal of Neurology. Italian researchers assessed 195 patients with MS, using a range of scales that measure anger, depression and anxiety, and then compared them with the general population. They were surprised by the results, which showed that while patients experienced almost twice the normal level of withheld anger and exerted low levels of control on their anger, their expressed anger levels were similar to the general population.
There is no scientific proof that people suffering from depression can benefit from taking reboxetine. However, clinical trials do provide proof of benefit of bupropion XL and mirtazapine: both agents can alleviate symptoms. This is the conclusion of the final report of the Institute for Quality and Efficiency in Health Care (IQWiG) published on 24 November 2009. The final evaluation of reboxetine and mirtazapine was only possible after manufacturers disclosed data that had previously been concealed. This case re-emphasizes the need for a mandatory regulation, which would require all clinical trials to be registered at the start and to have their results published after study completion.
A supplement in this edition of the Medical Funny book of Australia examines the multiplying effect of depression and physical illness. Supported by "beyondblue: the civic depression initiative", the supplement includes proof and commentary from leading mental health experts from throughout Australia. Professor of Psychological Medicine at Monash University, David Clarke, said the supplement addresses the complex relationship between depression and physical illness. " Every clinician knows that depression is common in tribe with a physical illness, " Prof Clarke said. "But the huge crunch of depression has been freshly highlighted over recent years. "Recent World Health Organization (WHO) earth health surveys indicated that depression produced the greatest decrement in health of any chronic disease, and the comorbid state of depression incrementally worsened health more than any other disease combination.