Volume 15 • 2013 • Number 6
Effects of Milnacipran on Neurocognition, Pain, and Fatigue in Fibromyalgia: A 13-Week, Randomized, Placebo-Controlled, Crossover Trial
- Milnacipran was well tolerated and showed beneficial improvement in pain and mood and thus can be effective in treatment of patients with fibromyalgia with depression, but further studies are needed.
- This milnacipran study was the first to use standardized and systematic cognitive batteries to evaluate the effect on cognition in fibromyalgia.
Pilot Study of Implementation of an Internet-Based Depression Prevention Intervention (CATCH-IT) for Adolescents in 12 US Primary Care Practices: Clinical and Management/Organizational Behavioral Perspectives
- Motivational interview training of physicians in primary care accompanied by an Internet-based self-managed depression prevention/intervention demonstrates potential for significant public health impact.
- Shifting the focus to the patient (motivational interview plus Internet-based program) and minimizing changes in practice work flow could address barriers to implementation of interventions for depressive disorders in primary care.
“It’s Like Being a Well-Loved Child”: Reflections From a Collaborative Care Team
- Implementation of an essential tool of collaborative care, the depression screening instrument, can be used to enrich clinical encounters with patients and give physicians a reliable method for monitoring their patients by reframing depression as a set of symptoms in need of amelioration.
- Depression care managers in a collaborative care model can monitor outcomes, discuss and support treatment recommendations, and provide brief counseling using evidence-based techniques.
- The development of collaborative care teams is a core tenet of health reform, which involves transdisciplinary collaboration that advances team work from an interdisciplinary approach to one in which team members from various disciplines develop a common language and loosen hierarchical structures, pool bodies of knowledge and theories, and jointly develop new methods and analytic techniques within a philosophy of whole person care.
Are Antidepressants Effective in the Treatment of Postpartum Depression? A Systematic Review [Free PDF]
- Postpartum depression is a heterogeneous entity.
- Women should be evaluated to clarify the nature and severity of depression prior to antidepressant treatment.
- There is a paucity of randomized controlled data in the pharmacologic treatment of postpartum depression.
Evaluation of Trazodone and Quetiapine for Insomnia: An Observational Study in Psychiatric Inpatients
- Patients with psychiatric diagnoses are more likely to experience insomnia.
- In this inpatient psychiatric setting, trazodone was a more effective alternative to quetiapine for insomnia. However, patients receiving trazodone reported more gastrointestinal side effects than those receiving quetiapine.
- Clinicians can help distinguish which sleep-inducing agent may work best for a patient on the basis of patient-specific criteria.
Using Measurement-Based Care With Patient Involvement to Improve Outcomes in Depression [CME]
- Use guideline-concordant, measurement-based care with assessment tools for treating patients with MDD.
- Encourage patients with depression to be active partners in their care.
- Refocus patients to continue treatment if they have not regained full remission and functioning.
Dealing With the End of Life
Rounds in the General Hospital
Helplessness in the Helpers: Etiology and Management
- Certain clinical situations (eg, patients and illnesses) can make a caregiver feel helpless.
- Clinicians can overcome their helplessness by dividing an overwhelming situation into its smaller and more manageable components and by understanding the situation with which they are faced.
- By analyzing and interpreting their own psychological reactions, clinicians can often gain valuable insights into their patients.
Letters to the Editor
Vaptans Are Effective in Treating Hyponatremia in Psychotic Patients: But We Need Treatment Guidelines
Dr Bhardwaj and Colleagues Reply
Psychogenic Non-Epileptic Seizures in a Second-Trimester Pregnant Woman With a Previous Child Loss
Neurotoxicity With Combined Use of Lithium and Haloperidol Decanoate
Stress-Induced Cardiomyopathy and Possible Link to Cerebral Executive Function: A Case Report
A Case of Intentional Asenapine Overdose
A Case of Acute Psychosis Secondary to Coricidin Overdose
Stimulant-Induced Psychosis: Importance of Patient Education and Compliance