Volume 72
May 2011
Number 5

CME Pretest | CME Posttest

Commentaries

587 Child Murder and Mental Illness in Parents: Implications for Psychiatrists

[Abstract] [Full Text]

589 A National Epidemic of Unintentional Prescription Opioid Overdose Deaths: How Physicians Can Help Control It

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593 Two Clinical Trial Designs to Examine Personalized Treatments for Psychiatric Disorders

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NCDEU festschrift [Keyword: NCDEU]

579 Publisher’s Note: NCDEU Festschrift—Celebrating 50 Years

[Abstract] [Full Text]

655 Developments in Pediatric Psychopharmacology: Focus on Stimulants, Antidepressants, and Antipsychotics

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704 The Pharmacologic Treatment of Bipolar Disorder

[Abstract] [Full Text]

Original Articles

580 Antidepressants and Risks of Suicide and Suicide Attempts: A 27-Year Observational Study

[Abstract] [Full Text] [Clinical Points]

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Clinical Points

  • Patients with more severe affective syndromes were more likely to receive antidepressants.
  • Antidepressants were associated with a significant reduction in the risk of suicide and suicide attempts.
  • Clinicians must, however, closely monitor patients when an antidepressant is initiated.

598 Metabolic Depression: A Chronic Depressive Subtype? Findings From the InCHIANTI Study of Older Persons

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Clinical Points

  • Depression with metabolic abnormalities, which could be labeled metabolic depression, may identify a chronic depressive subtype.
  • It is yet to be examined whether treatment of metabolic distubances could improve depression prognosis.

605 Work Hours, Sleep Sufficiency, and Prevalence of Depression Among Full-Time Employees: A Community-Based Cross-Sectional Study [CME]

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For Clinical Use

  • Long work hours (> 10 hours per day) combined with either subjective insufficient sleep or short sleep (< 6 hours per day) can be related to depression.
  • Clincians should ask depressed persons about not only daily sleep hours or perceived sleep sufficiency but also the number of daily work hours.
  • To prevent workplace depression, it would seem to be of crucial importance to offer referrals for help with sleep management and treatment for employtees who are working many hours and are sleep deprived and for those who are suffering from chronic sleep debt regardless of work hours.

615 Extract of Ginkgo biloba Treatment for Tardive Dyskinesia in Schizophrenia: A Randomized, Double-Blind, Placebo-Controlled Trial

[Abstract] [Full Text]

622 Treatment of Veterans With Depression Who Died by Suicide: Timing and Quality of Care at Last Veterans Health Administration Visit

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630 Can Personality Disorder Experts Recognize DSM-IV Personality Disorders From Five-Factor Model Descriptions of Patient Cases?

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640 Binge Drinking and Axis I Psychiatric Disorders in Community-Dwelling Middle-Aged and Older Adults: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)

[Abstract] [Full Text]

648 Psychological Characterization of Demoralization in the Setting of Heart Transplantation

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671 Poor Long-Term Prognosis in Mixed Bipolar Patients: 10-Year Outcomes in the Vitoria Prospective Naturalistic Study in Spain

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677 Exercise as an Augmentation Treatment for Nonremitted Major Depressive Disorder: A Randomized, Parallel Dose Comparison

[Abstract] [Full Text] [Clinical Points]

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Clinical Points

  • Exercise is a viable augmentation strategy for depressed patients who are nonresponsive to selective serotonin reuptake inhibitors.
  • Depressed patients are willing and able to complete a structured exercise program with behavioral support.
  • Exercise treatment dose should be tailored to the individual.

685 Emotion Dysregulation and Negative Affect: Association With Psychiatric Symptoms [CME]

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For Clinical Use

  • Emotion dysregulation is inherent in a number of forms of psychopathology and may present in extremes of either overly restricted emotional expression and avoidance or heightened and excessive emotionality and excitement-seeking.
  • Treatment goals for individuals with emotion dysregulation may include reduction of affective arousal, increase in affect tolerance, and development of psychosocial coping skills to be used in times of increased emotional distress.
  • Techniques focusing on social-perspective–taking and cognitive reappraisal of negative affect states, causes, and consequences may be beneficial for individuals with emotion dysregulation.

692 Subsyndromal Depressive Symptoms After Symptomatic Recovery From Mania Are Associated With Delayed Functional Recovery

[Abstract] [Full Text]

698 Filicide in Offspring of Parents With Severe Psychiatric Disorders: A Population-Based Cohort Study of Child Homicide

[Abstract] [Full Text]

716 Double-Blind, Placebo-Controlled Trial of Topiramate Augmentation in Treatment-Resistant Obsessive-Compulsive Disorder

[Abstract] [Full Text]

Letters To the Editor

722 Suicidal Risk During Antidepressant Treatment

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• Reply by Susanne Stübner, Renate Grohmann, and Waldemar Greil

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722 Voltage-Gated Potassium Channel/LGI1 Antibody–Associated Encephalopathy May Cause Brief Psychotic Disorder

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723 Integrated Medical Care for Patients With Bipolar Disorder: Who Will Be the Principal Physician?

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724 Sleep and Circadian Rhythm Disturbances in Bipolar Disorder: An Urgent Need for Objective Assessment and Systematic Follow-Up

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724 Does Combat Trauma Cause a Majority of PTSD Symptoms in Combat Veterans?

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• Reply by Mark W. Gilbertson and Roger K. Pitman

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Book Reviews

726 Handbook of Clinical Child Neuropsychology, 3rd ed

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726 Successful Cognition and Emotional Aging

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727 Psychiatric Pharmacogenomics

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727 The Treatment of Eating Disorders: A Clinical Handbook

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online CME Activities

These online CME activities are available for free to all our users. You must register to view them, even if you have institutional access.

e16 Bipolar Disorder Self-Assessment

[Abstract]

e17 Assessing Adolescents Using ADHD Rating Scales

[Abstract]

e18 Treatment-Resistant Depression: Prevalence, Risk Factors, and Treatment Strategies

[Abstract]

information for authors

see www.psychiatrist.com/author.htm