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Economic Crisis Takes Toll on Emotional Health (HealthDay)
8 Oct 2008 at 10:49pm
HealthDay - WEDNESDAY, Oct. 8 (HealthDay News) -- Wall Street's roller coaster ride is costing Americans more than money: It's costing them sleepless nights and a heap of emotional distress, experts say.

Children as Young as 4 Can Develop OCD (HealthDay)
8 Oct 2008 at 10:49pm
HealthDay - WEDNESDAY, Oct. 8 (HealthDay News) -- Children as young as 4 can develop obsessive-compulsive disorder (OCD), a new study says.

Signs Of Heart Disease Are Attributed To Stress More Frequently In Women Than...
11 Oct 2008 at 11:00pm
Coronary heart disease symptoms presented in the context of a stressful life event were identified as psychogenic in origin when presented by women and organic in origin when presented by men. The study could help explain why there is often a delay in the assessment of women with heart disease.

Learning How Not To Be Afraid
9 Oct 2008 at 7:00pm
Scientists are showing how the brain changes when mice learn to feel safe and secure in situations that would normally make them anxious. The mice developed a conditioned inhibition of fear that squelches anxiety as effectively as antidepressant drugs, such as Prozac.

Assisted Suicide Laws May Overlook Depressed Patients
8 Oct 2008 at 10:00pm
One in four terminally-ill patients in the State of Oregon who opt for physician assisted suicide have clinical depression and the Death with Dignity Act may not be adequately protecting them, concludes a new study.

Individuals With Social Phobia See Themselves Differently
7 Oct 2008 at 7:00am
Magnetic resonance brain imaging reveals that patients with generalized social phobia respond differently than others to negative comments about themselves, according to a new report.

Soothing Music Reduces Stress, Anxiety And Depression During Pregnancy
5 Oct 2008 at 11:00pm
Music therapy can reduce psychological stress among pregnant women, according to research just published in a special complementary and alternative therapy medicine issue of the UK-based Journal of Clinical Nursing.

Adolescent Insomnia Linked To Depression And Substance Abuse During Adolescen...
5 Oct 2008 at 1:00pm
A new study shows that adolescent insomnia symptoms are associated with depression, suicide ideation and attempts, and the use of alcohol, cannabis and other drugs such as cocaine.

Antisocial Behavior May Be Caused By Low Stress Hormone Levels
5 Oct 2008 at 7:00am
A link between reduced levels of the "stress hormone" cortisol and antisocial behavior in male adolescents has been discovered. Levels of cortisol in the body usually increase when people undergo a stressful experience, such as public speaking, sitting an exam, or having surgery.

Whether Combat Or Peacekeeping, PTSD Impacts Veterans' Well-being
3 Oct 2008 at 7:00pm
Deployed peacekeeping veterans with post traumatic stress disorder (PTSD) have significant impairments in health-related quality of life according to new research. The stud found anxiety disorders such as PTSD are associated with impaired emotional well-being, and this applies just as much to peacekeeping veterans as to combat veterans.

Acupressure Calms Children Before Surgery
2 Oct 2008 at 10:00pm
An acupressure treatment applied to children undergoing anesthesia noticeably lowers their anxiety levels and makes the stress of surgery more calming for them and their families, anesthesiologists have learned.

Getting Help For Depression And Anxiety Has Significant Long-term Benefits
2 Oct 2008 at 7:00am
Researchers have recently studied the long term effects of taking antidepressants or anti-anxiety medications. They found people who were not using antidepressants or anti-anxiety medications were three times more likely to be suffering from depression or anxiety 10 years later.

Restless Nights Put Older Adults At Risk For Depression Recurrence
1 Oct 2008 at 10:00pm
Poor sleep among the elderly is common, but it may also be a precursor of the first signs of depression.

Young Children Can Develop Full-blown Obsessive Compulsive Disorder (OCD)
1 Oct 2008 at 1:00pm
Children as young as four can develop full-blown obsessive compulsive disorder (OCD) and often exhibit many of the same OCD characteristics typically seen in older kids, according to new research.

Post-traumatic Stress Experienced By Family Members Months After Loved One's ...
26 Sep 2008 at 4:00pm
Family members may experience post-traumatic stress as many as six months after a loved one's stay in a hospital's intensive care unit (ICU), according to a new study. The study found that symptoms of anxiety and depression in family members of ICU patients diminished over time, but high rates of post-traumatic stress and complicated grief remained.

Coming Soon: Self-guided, Computer-based Depression Treatment
26 Sep 2008 at 4:00am
Depression is a problem that could affect astronauts during long-duration spaceflights. Scientists are now developing a self-guided, multimedia program that will assist astronauts in recognizing and effectively managing depression and other psychosocial problems. In addition to protecting astronaut health, the system could have applications for health care on Earth, especially in rural locations where access to professional help is limited.

Seniors With Vocal Problems Want Treatment But Aren't Getting It
22 Sep 2008 at 11:00pm
The breathy, hoarse voice of senior citizens is often thought to be a normal sign of aging. But doctors at the Duke Voice Care Center say that's a false perception that needs to change. And they've discovered that it may partially explain why seniors who want treatment for the condition aren't seeking it.

New Survey Reveals How The Credit Crunch Is Affecting Our Mental Health, UK
13 Oct 2008 at 5:00am
A new survey out today on World Mental Health Day has revealed that whilst the credit crunch has understandably made many people a little more depressed and anxious, just 8% had become a lot more depressed and anxious. The YouGov survey commissioned by mental healthcare specialists Affinity found that overall 51% of people surveyed said that they were in fact unaffected by the current financial circumstances, and a further 37% had been a little more anxious or depressed.

Access To Psychological Support And Self-Management Courses Could Ease The Em...
13 Oct 2008 at 4:00am
An online survey for World Arthritis Day (WAD), completed by over 3,600* respondents revealed that access to psychological support and self-management courses could help people with arthritis/rheumatism cope more effectively with their condition and achieve better quality of life. Healthcare professionals, people with rheumatic disease and their carers, who responded to the survey, highlight the importance of integrating psychological support into the standard treatment regime.

BBC Headroom Is Cracking Up For World Mental Health Day
13 Oct 2008 at 4:00am
This week, as the world's attention turns to issues of good mental health for Friday's World Mental Health Day, BBC Learning's own mental health and wellbeing campaign - BBC Headroom - celebrates with the transmission of Alastair Campbell's moving film, Cracking Up, some new faces at bbc.co.uk/headroom and a dedicated action line: 08000 933 193[i].

More City High Flyers Seeking Help As Credit Crunch Bites, London, England
10 Oct 2008 at 3:00am
The Priory Group has issued a list of top ten indicators for stressed City executives which should act as warning signs that professional help should be sought. As the global economy goes into meltdown, experts at the Priory Group are coping with escalating levels of depression and related conditions amongst staff in the financial sector, also leading to a rise in people seeking treatment for drink and drug abuse.

40 Million Americans Endure Anxiety Everyday
10 Oct 2008 at 2:00am
Despite anxiety and stress being one of today's most common disorders, it is regularly under diagnosed by medical professionals. Most of us experience occasional feelings of anxiety -- muscle tension, headache, nausea, fatigue, or trembling -- before important events such as exams, public speaking, first dates, or during times of stress such as a divorce, job change or a change in residence.

During These Times Of Economic Crisis A Cardiologist Warns Against Signs Of A...
9 Oct 2008 at 7:00am
Rising unemployment rates, the worst Wall Street crises since the end of World War II, record home foreclosures. There is plenty of stress to go around. What effect is stress having on our health and what can we do about it? "Prolonged stress, both emotional and physical, impacts the overall cardiovascular status of our patients, particularly their blood pressure," said Keith Churchwell, M.D., executive medical director of the Vanderbilt Heart and Vascular Institute.

Time Management -- Tips To Reduce Stress
9 Oct 2008 at 2:00am
Many women know the overwhelmed feeling caused by too much to do and too little time. Better time management can help you do more. And it has health benefits, such as less stress and a better quality of life. The October issue of Mayo Clinic Women's HealthSource offers tips to improve time management. The recommendation is to try one strategy for two to four weeks to see if it helps. If it does, add another. If not, try a different one.

Trauma And The Brain, Mind And Body: International Conference
8 Oct 2008 at 12:00pm
Ute Lawrence is a survivor of one of the most horrific car pile-ups in Canadian history, involving 87 vehicles and killing eight people. The trauma changed her life, bringing personal distress and the end of her 22-years as a magazine publisher.

Compassion Meditation May Improve Physical And Emotional Responses To Psychol...
8 Oct 2008 at 6:00am
Data from a new study suggests that individuals who engage in compassion meditation may benefit by reductions in inflammatory and behavioral responses to stress that have been linked to depression and a number of medical illnesses. The study's findings are published online at http://www.sciencedirect.com/ and in the medical journal Psychoneuroendocrinology.

APA Poll Finds Economic Stress Taking Toll On Women, Hispanics
8 Oct 2008 at 2:00am
The declining state of the Nation's economy is taking a physical and emotional toll on all people nationwide, yet financial stress is impacting women and Hispanics in particular, according to data from the American Psychological Association's newly released 2008 Stress in America survey.

Anxious Pregnant Women Are More Likely To Have Asthmatic Children
7 Oct 2008 at 5:00am
Pregnant women who are stressed, particularly late in pregnancy, have an increased risk of their child going on to develop asthma. So finds a British study conducted on a cohort of over 5,800 families and presented in Berlin at the Annual Congress of the European Respiratory Society (ERS). Very anxious pregnant women are 65% more likely to have a child who later develops asthma than mothers with a lower level of anxiety.

Soothing Music Reduces Stress, Anxiety And Depression During Pregnancy Says S...
6 Oct 2008 at 6:00am
Music therapy can reduce psychological stress among pregnant women, according to research just published in a special complementary and alternative therapy medicine issue of the Journal of Clinical Nursing. Researchers from the College of Nursing at Kaohsiung Medical University, Taiwan, randomly assigned 116 pregnant women to a music group and 120 to a control group.

Self-Confidence Of Medical Students Varies By Gender
3 Oct 2008 at 1:00pm
Despite performing equally to their male peers in the classroom and the clinic, female medical students consistently report decreased self-confidence and increased anxiety, particularly over issues related to their competency. A new study published in the September 2008 issue of Patient Education and Counseling found that female medical students also appeared less confident to patients.

New Poll Shows American's Stress Levels Rising
3 Oct 2008 at 2:00am
Americans are feeling more stress than they did six months ago, according to a new national stress study. The survey of 1,000 men and women, ages 18 and older, revealed that 47 percent of respondents currently feel more stress than they did six months ago. And no surprise, the #1 source of stress reported is personal finance concerns, the top response for almost half (49%) of those surveyed.

PTSD Impacts Veterans' Well-Being In Both Combat And Peacekeeping Situations
2 Oct 2008 at 7:00am
Deployed peacekeeping veterans with post traumatic stress disorder (PTSD) have significant impairments in health-related quality of life according to research by Dr. J. Donald Richardson of The University of Western Ontario and his co-investigators.

People with social phobia have different self-image
by Health Behavior News Digest
10 Oct 2008 at 4:47pm
The brains of people with generalized social phobia actually respond differently than those of other people when reading criticism about themselves, a new report says. (Source: Health Behavior News Digest)

 

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Psych drug handbook written with drug industry ties
by NaturalNews.com
10 Oct 2008 at 1:00am
(NaturalNews) An analysis by the Center for Science in the Public Interest (CSPI) has revealed widespread conflicts of interest among the experts overseeing the next revision of the American Psychiatric Association's (APA's) diagnostic manual.On its Web site "Integrity in Science," CSPI reports that 16 of the 28 members of the task force charged with producing the fifth edition of the APA's Diagnostic and Statistical Manual of Mental Disorders (DSM) have reported some financial connection to the drug or medical device industries. The analysis was based on financial disclosures published on the APA's Web site."We have made every effort to ensure that DSM-V will be based on the best and latest scientific research, and to eliminate conflicts of interest in its development," said APA President Carolyn B. Robinowitz.The DSM-V, being developed along with the National Institute of Mental Health, is expected to be complete in 2012.APA regulations allow task force members to accept financial contributions from drug and device companies while working on the DSM-V, but total individual income from such contributions cannot exceed $10,000 per year. There are no limits on money that can be accepted before the members' appointment to the task force or after the completion of the manual.CSPI described the conflicts of interest as ranging "from small to extensive." The record for the highest number of drug industry financial ties was William Carpenter, Jr., director of the Maryland Psychiatric Research Center at the University of Maryland. During the past five years, Carpenter has accepted consulting money from 13 different pharmaceutical companies, including Astra Zeneca, Bristol-Myers Squibb, Eli Lilly, Merck, Pfizer and Wyeth.The degree of conflict of interest - more than 50 percent - reported by CSPI is similar to that found in a 2006 study of the 170 experts who worked on the DSM-IV, which was released in 1994. Because the APA had no disclosure policy at that time, the researchers had to compile data from legal and patient records, journal articles, conflict-of-interest databases and other sources to uncover these statistics. They found that 56 percent of contributors had received money from a drug company at least once between 1989 and 2004. While many had only received research support, 22 percent of contributors had received consulting income and 16 percent had served on company speaking bureaus, both of which tend to be more financially rewarding.For certain sections of the manual devoted to severe mental illnesses like schizophrenia, the conflict of interest rate was even higher, up to 100 percent in some cases.Some mental health professionals and patient advocates have criticized recent DSM revisions for classifying too much normal human variation as disorder, such as social phobia. These "disorders" are then often treated with drugs such as antidepressants.And since a disorder's inclusion is heavily influenced by political factors and testimony from experts in the field, conflicts of interest can have a distorting influence on the content of the manual.The DSM is the most widely used mental disorder diagnostic manual in the United States, and many insurance companies require adhesion to its criteria before they will accept a diagnosis as valid. John M. Grohol, Psy.D., said that given psychiatry researchers' close ties with the drug industry, conflict of interest in the DSM-V was unavoidable. "While I'm disappointed to see the pharmaceutical industry influence in the DSM-V, I think it was inevitable without an outright ban by the APA on such professionals participating," he said. But with drug industry money so "prevalent, widely available, and accepted," such a ban would be impossible, he added. The number of mental health professionals with financial ties to the pharmaceutical industry has increased by 14 percent since the last revision of the DSM in 1994. The conflicts of interest inherent in the DSM go beyond financial connections to drug companies, Grohol warned. "Remember, many of the experts chosen to sit on these committees are the same professionals who have made their livelihood studying these disorders," he said. "Nobody's career is going anywhere if the disorder they've dedicated their life to researching is suddenly downsized or kicked out the DSM altogether." Because the professional careers of the task force members (and the people in the APA who pick the task force members) are invested in the expansion of certain disorders, Grohol said, it is very hard for skeptics to make it onto DSM committees. "So by its very nature, the DSM emphasizes growth of mental disorders, and the APA naturally seeks out experts who will help it achieve that goal," Grohol said. The DSM has long been controversial, largely due to its premise that mental disorders can and should be classified on a symptom-based model. Many professionals have argued that this fails to account for the fact that symptoms may be produced by an unhealthy environment rather than an internal disorder that requires medical treatment. For example, evolutionary psychologists have argued that certain emotional responses, such as anxiety or sexual jealousy, may be evolved responses to specific situations. While some reactions may be inappropriate in a modern environment, these experts argue, that does not mean they are disorders. Likewise, depression and other "mood disorders" may arise from an unhealthy physical or social environment, rather than from nervous system malfunction. The DSM has also been criticized for assuming that there is one model of "normal" human behavior, and that everything else should be classified as a "disorder." Sources for this story include: www.cspinet.org, psychcentral.com. (Source: NaturalNews.com)

Individuals with social phobia see themselves differently
by ScienceDaily Headlines
7 Oct 2008 at 1:11am
Magnetic resonance brain imaging reveals that patients with generalized social phobia respond differently than others to negative comments about themselves, according to a new report. (Source: ScienceDaily Headlines)

Brain response to negative comments observed in social phobia patients
by Neurology / Neuroscience News From Medical News Today
7 Oct 2008 at 1:00am
Patients with generalized social phobia respond with different brain imaging patterns when they make negative comments about themselves, according to a report released on October 6, 2008 in Archives of General Psychiatry, one of the JAMA/Archives journals. Generalized social phobia generally involves fear and avoidance of social situations, paired with fear of negative judgment from others, according to the authors. (Source: Neurology / Neuroscience News From Medical News Today)

 

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The role of parental psychopathology and family environment for social phobia...
by Depression and Anxiety
6 Oct 2008 at 10:00pm
Background: To examine the role of parental psychopathology and family environment for the risk of social phobia (SP) in offspring from childhood to early adulthood, encompassing the high risk period for SP. Methods: A community sample of 1,395 adolescents was prospectively followed-up over 10 years. Offspring and parental psychopathology were assessed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) using the Munich Composite International Diagnostic Interview (M-CIDI), and direct diagnostic interviews in parents were supplemented by family history reports. Parental rearing was assessed by the Questionnaire of Recalled Rearing Behavior administered to offspring. Family functioning was assessed by the McMaster Family Assessment Device administered to parents. Results: Parental SP was associated with offspring's risk to develop SP (OR=3.3, 95%CI:1.4-8.0). Other parental anxiety disorders (OR=2.9, 95%CI:1.4-6.1), depression (OR=2.6, 95%CI:1.2-5.4), and alcohol use disorders (OR=2.8, 95%CI:1.3-6.1) were also associated with offspring SP. Parental rearing styles of overprotection, rejection, and lack of emotional warmth were associated with offspring SP. Family functioning measures were not associated with offspring SP. Analyses of interaction of parental psychopathology and parental rearing indicated combined effects on the risk for offspring SP. Conclusions: Parental psychopathology and rearing were associated with offspring SP, independently as well as in their interaction. Further delineation of these associations is warranted as malleable components of these risk factors may provide potential targets for prevention programs. In addition, parent-to-offspring transmission of other internalizing disorders should be considered to examine the degree of diagnostic specificity. Depression and Anxiety 0:1-8, 2008. © 2008 Wiley-Liss, Inc. (Source: Depression and Anxiety)

Original article: neural response to self- and other referential praise and c...
by Archives of General Psychiatry
5 Oct 2008 at 10:00pm
Context  Generalized social phobia (GSP) is characterized by fear/avoidance of social situations. Previous studies have examined the neural responses in GSP to one class of social stimuli, facial expressions. However, studies have not examined the neural response in GSP to another equally important class of social stimuli, the communication of praise or criticism. Objective  To examine the neural response to receipt of praise or criticism in GSP; specifically, to determine whether patients with GSP show an increased response to the receipt of both praise and criticism and whether self-relevance modulates this relationship. Design  Case-control study. Setting  Government clinical research institute. Participants  Unmedicated individuals with GSP (n = 17) and age-, IQ-, and sex-matched healthy comparison individuals (n = 17). Main Outcome Measure  Blood oxygenation level–dependent signal, as measured via functional magnetic resonance imaging. During functional magnetic resonance imaging scans, individuals read positive (eg, You are beautiful), negative (eg, You are ugly), and neutral (eg, You are human) comments that could be either about the self or about somebody else (eg, He is beautiful). Results  Hypothesized significant group x valence x referent interactions were observed within regions of the medial prefrontal cortex and bilateral amygdala. In these regions, the patients with GSP showed significantly increased blood oxygenation level–dependent responses, relative to comparison individuals, to negative comments (criticism) referring to themselves. However, in contrast, there were no significant group differences with respect to negative comments referring to others or neutral or positive comments referring to self or others. Conclusions  These results implicate the medial prefrontal cortex, involved in the representation of the self, together with the amygdala, in the pathophysiology of GSP. Further, findings demonstrate a meaningful effect of psychological context on neural-circuitry hyperactivity in GSP. (Source: Archives of General Psychiatry)

Incidence of social phobia and identification of its risk indicators: a model...
by Acta Psychiatrica Scandinavica
5 Oct 2008 at 10:00pm
Acarturk C, Smit F, de Graaf R, van Straten A, ten Have M, Cuijpers P. Incidence of social phobia and identification of its risk indicators: a model for prevention.Objective: This study seeks to examine the incidence of social phobia in the general population and to establish a number of risk indicators.Method: Data were derived from the Netherlands Mental Health Survey and Incidence Study (NEMESIS) which is a population based prospective study (n = 7076). A sample of adults aged 18[ndash]64 years (n = 5618) were re-interviewed 1 year later using Composite International Diagnostic Interview (CIDI).Results: The 12-month incidence of DSM-III-R social phobia was 1.0%. Low education, low mastery, low self-esteem, emotional neglect in childhood and ongoing difficulties were found to be risk indicators. After including other mental disorders as risk indicators in the model, the incidence was found to be more common among those with low mastery, major depression, subthreshold social phobia, emotional neglect, negative life events, and low education.Conclusion: The incidence of social phobia can be predicted relatively well with psychosocial variables and comorbidity. (Source: Acta Psychiatrica Scandinavica)

Perceived helpfulness of websites for mental health information
by Social Psychiatry and Psychiatric Epidemiology
2 Oct 2008 at 3:28am
Abstract Background  Despite the high risk of developing a mental disorder during adolescence, many young people fail to receive appropriate treatment from mental health professionals. Recent studies have found certain mental health information websites have improved mental health literacy and reduced symptoms of depression. However, studies exploring young people’s perceptions of such resources still remain scarce. The current paper compared young people’s preference for a website with self-help books and two face-to-face services—counselling and mental health services. The factors associated with believing in the perceived helpfulness of each intervention were also explored. Method  A national telephone survey was carried out with 3,746 people aged 12–25 years and 2005 co-resident parents. Perceived helpfulness of each intervention was assessed in relation to four vignettes (depression, social phobia, psychosis and depression with alcohol misuse). Results  Approximately 71% of respondents rated websites and books as likely to be helpful, which was less than for counselling, but more than for mental health services. Predictors of rating a website as likely to be helpful were older age (18–25 years), belief in seeking help, less social distance from peers like the one in the vignette, and being presented with the vignettes depicting either social phobia or depression with alcohol misuse. Predictors of rating a book as helpful included belief in seeking help, awareness of the national depression initiative beyondblue, less social distance, being presented with the social phobia vignette, and the belief that the person in the vignette is ‘weak not sick’. Conclusion  Most young people are open to the idea of accessing mental health information online, especially for disorders that are often perceived as behavioural problems. These young people also believe in help-seeking in general and are more willing to associate with peers who have mental health problems. Content Type Journal ArticleCategory ORIGINAL PAPERDOI 10.1007/s00127-008-0443-9Authors Elizabeth Oh, University of Melbourne ORYGEN Research Centre Locked Bag 10 Parkville VIC 3052 AustraliaAnthony F. Jorm, University of Melbourne ORYGEN Research Centre Locked Bag 10 Parkville VIC 3052 AustraliaAnnemarie Wright, University of Melbourne ORYGEN Research Centre Locked Bag 10 Parkville VIC 3052 Australia Journal Social Psychiatry and Psychiatric EpidemiologyOnline ISSN 1433-9285Print ISSN 0933-7954 (Source: Social Psychiatry and Psychiatric Epidemiology)

 

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Screening capacity of the multidimensional anxiety scale for children (masc) ...
by Depression and Anxiety
1 Oct 2008 at 10:00pm
Background: The Multidimensional Anxiety Scale for Children (MASC) is a widely used self-report questionnaire for the assessment of anxiety symptoms in children and adolescents. Methods: This study used receiver operating characteristic analyses to investigate the predictive value of the MASC total and scale scores for DSM-IV anxiety diagnoses in a referred sample. Eight- to 18-year-olds (n=212) were assessed with the MASC and Anxiety Disorders Interview Schedule for Children (ADIS-C). Results: The MASC total score did not exceed the threshold for being judged as fair in predicting any ADIS-C/DSM-IV anxiety diagnosis. The Separation Anxiety scale and the Physical Symptoms scale predicted Panic Disorder (PAD) and Agoraphobia fairly accurately. The Social Anxiety scale predicted Social Phobia, and the Separation Anxiety scale predicted PAD to a moderate degree. The MASC scale Harm Avoidance did not predict any ADIS-C/DSM-IV diagnosis. Conclusions: These results suggest that the MASC may not be a valid screening instrument for DSM-IV diagnoses. Depression and Anxiety 0:1-7, 2008. © 2008 Wiley-Liss, Inc. (Source: Depression and Anxiety)

She’s so shy
by Psych Central
1 Oct 2008 at 7:53am
Pages: 1 2 Next » MJ’s mother is worried. “She’s so shy. Whenever we get together with people, I mean even one or two people, she hangs behind me. I don’t know how to encourage her.” MJ is four years old. When I first meet her, I see what her mother means. MJ stands behind her mom. She sneaks a peak at me. She retreats. When she finally does come forward, she holds tight to her mom’s hand. I ask her to tell me her whole name. “MaryJane,” she whispers. I tell her that her mom and I are going to talk a bit and that it’s okay if she decides she’d like to see what’s in the toy corner. Mom and I talk. Sure enough, in about 10 minutes, MJ is exploring the books and toys. Normal Shyness MJ is perfectly normal. What looks to her mom like shyness is a developmental stage. Many preschoolers are reticent when confronted with new people, new situations, or new demands. They hang back a bit and observe what is going on rather than jump right in. Once MJ had time to survey the room and to decide that I was probably a benign grownup, she felt confident enough to explore new territory. As kids like MJ get more accustomed to meeting new people and mastering new challenges, their “shyness” often naturally fades away. Other children are “shy” by temperament. Ask any mother of two or more children. Children are different from the time they start moving in the womb. Some are active and bouncy. Others quietly shift from one position to another. Once they pop out into the world, they are still very much themselves with temperaments to match the activity their mothers felt while they were getting ready to be born. Quieter infants often become the children who are more comfortable being with one or two friends instead of a large group, who are uncomfortable with unexpected social demands, and who are sensitive to how others are behaving. Often they are more easily upset by transitions and change and take longer to settle down. This shy temperament is as much a part of who a child is as eye color and handedness. Not surprisingly, temperamentally shy children often have at least one shy parent. The shy child may have inherited his temperament from his shy and sensitive parent or he may have learned to approach new situations with some caution because that’s what he’s observed his parent doing. Probably, as with most things, it’s a combination of both nature and nurture. Dos and Don’ts for Helping Normally Shy Children Learn to Manage the Social World Don’t consider shyness a character flaw. It’s a difference, not a defect. Shy people are often sensitive observers who provide balance, thoughtfulness, and care to the social mix. Don’t try to cajole, scold, or pep-talk the child out of his shyness. This will only frustrate you and embarrass the child. Some kids even come to believe that their parents don’t like them! Don’t insist that your child show off new skills. Some children are natural performers. Not the shy child. The shy child prefers to be in the audience or stay backstage. Accept that not everyone needs to be in the spotlight. Pages: 1 2 Next » (Source: Psych Central)

Comparability between telephone and face-to-face structured clinical intervie...
by Perspectives In Psychiatric Care
30 Sep 2008 at 10:00pm
Related Articles

Comparability between telephone and face-to-face structured clinical interview for DSM-IV in assessing social anxiety disorder.

Perspect Psychiatr Care. 2008 Oct;44(4):241-7

Authors: Crippa JA, de Lima Osório F, Del-Ben CM, Filho AS, da Silva Freitas MC, Loureiro SR

PURPOSE: This article evaluates the comparability of the telephone and in-person Structured Clinical Interview for DSM-IV (SCID) interviews in assessing patients with social anxiety disorder (SAD) as an independent anxiety diagnosis. DESIGN AND METHODS: One hundred subjects were randomly selected and interviewed with the SCID, once by telephone and once in person (1-3 months later). FINDINGS: The prevalence of SAD assessed with the telephone interviews was 56%, whereas the in-person prevalence was 52%, with no statistically significant difference. The test-retest kappa for the 200 interviews was .84, indication of excellent agreement. PRACTICE IMPLICATIONS: These findings, along with the existing evidence of their validity, should encourage the use of SCID by telephone for SAD diagnostic interviews.

PMID: 18826462 [PubMed - in process]

(Source: Perspectives In Psychiatric Care)

[prevalence and comorbidity of body dysmorphic disorder in psychiatric outpat...
by Tijdschrift voor Psychiatrie
27 Sep 2008 at 8:20am
Related Articles

[Prevalence and comorbidity of body dysmorphic disorder in psychiatric outpatients]

Tijdschr Psychiatr. 2008;50(9):559-65

Authors: Vinkers DJ, van Rood YR, van der Wee NJ

BACKGROUND: Body dysmorphic disorder (BDD) is a somatoform disorder, characterized by a patient's preoccupation with the belief that some aspect of his/her physical appearance is abnormal. The prevalence of BDD in the general population is 0.7 - 1.7%. The prevalence of BDD in patients attending a Dutch general outpatient clinic has never been examined. AIM: Examine the prevalence of BDD in patients attending a Dutch general outpatient clinic. METHOD: All patients aged 18 to 65 who were referred between September 2003 and July 2007 to six general outpatients clinics for treatment of a depressive disorder, an anxiety disorder, or a somatoform disorder were assessed with the Mini International Neuropsychiatric Interview (mini). Patients with BDD were also assessed by means of the Body Dysmorphic Disorder - Yale- Brown Obsessive Compulsive Scale (BDD-YBOCS). results BDD was diagnosed in 45 out of 5848 patients (0.8% (0.6-1.0%)).The average age of these patients was 31.1. years and 69% were female. A comorbid depressive disorder was present in 35 patients (78%) and a comorbid anxiety disorder in 26 patients (58%). Of the anxiety disorders, social phobia was the most common, with a prevalence of 27%. The average score on the BDD-YBOCS was 22.5 points. The BDD-YBOCS score was significantly higher in patients with a comorbid obsessive-compulsive disorder (35.7 points; p = 0.01). CONCLUSION: The prevalence of BDD in psychiatric outpatients who were referred for treatment of a depressive disorder, an anxiety disorder, or a somatoform disorder was 0.8%. There was a high comorbidity of BDD with depressive and anxiety disorders.

PMID: 18785103 [PubMed - in process]

(Source: Tijdschrift voor Psychiatrie)

Conquering panic and anxiety disorders
by Psych Central
26 Sep 2008 at 11:06am
Conquering Panic and Anxiety Disorders: Success Stories, Strategies, and Other Good News Anxiety disorders are the most common mental health problem in America, affecting one in every nine people. Conquering Panic and Anxiety Disorders brings us triumphant tales by those who have overcome them. Men and women of diverse ages and backgrounds share their individual experiences battling anxiety. Offering hope and inspiration, their essays discuss methods for recovery and techniques to manage symptoms. Each account is followed by a therapist’s explanation of the recovery techniques used and how others can apply these techniques to their lives. This book is an anthology of success stories from 31 women and men who have overcome anxiety disorders, including panic disorder, agoraphobia, obsessive-compulsive disorder, social anxiety disorder, post-traumatic stress disorder, and specific phobias. Each contributor has told the story of what their anxiety disorder was like, then how they overcame it– with specific references to techniques, therapies, medications, books, and programs that helped them. The book is meant to help people with anxiety disorders and the people who love them. After each success story comes commentary by Dr. Paul Foxman, director of the Center for Anxiety Disorders in Vermont and regional coordinator of CHAANGE, an international anxiety treatment network. He’s also the author of Dancing With Fear, and since he’s been through an anxiety disorder himself, he understands both from a psychiatric viewpoint and from experience. Softcover, 288 pages. (Source: Psych Central)

 

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Oxytocin levels in social anxiety disorder.
by CNS Neuroscience and Therapeutics
20 Sep 2008 at 9:24am

Oxytocin levels in social anxiety disorder.

CNS Neurosci Ther. 2008;14(3):165-70

Authors: Hoge EA, Pollack MH, Kaufman RE, Zak PJ, Simon NM

Oxytocin is a neuropeptide recently associated with social behavior in animals and humans, but the study of its function in populations with social deficits such as autism, schizophrenia, and social anxiety disorder has only recently begun. We measured plasma oxytocin in 24 patients with Generalized Social Anxiety Disorder (GSAD) and 22 healthy controls using an enzyme-linked immunosorbent assay. There were no significant differences in oxytocin level (pg/mL) between patients (M = 163.0, SD = 109.4) and controls (M = 145.0, SD = 52.9, z = 0.21, P= 0.8). Within the GSAD sample, however, higher social anxiety symptom severity adjusted for age and gender was associated with higher oxytocin level (R(2)= 0.21, beta= 0.014, SE = 0.006, t = 2.18, P= 0.04). In addition, dissatisfaction with social relationships was associated with higher oxytocin levels (R(2)= 0.18, beta=-0.20, SE = 0.10, t =-2.01, P= 0.05). Our data provide preliminary support for a link between social anxiety severity and plasma oxytocin. These findings may suggest a possible role for oxytocin as a facilitator of social behavior, an effect which may not be fully utilized in individuals with severe social anxiety.

PMID: 18801109 [PubMed - in process]

(Source: CNS Neuroscience and Therapeutics)

Psychometric evaluation of social phobia and anxiety inventory for children (...
by European Child & Adolescent Psychiatry
20 Sep 2008 at 4:03am
Abstract  The study evaluated the psychometric properties of Finnish versions of the Social Phobia and Anxiety Inventory for Children (SPAI-C) and the Social Anxiety Scale for Children-Revised (SASC-R). 352 students (M = 12.2 years) participated in the study and completed the SPAI-C and SASC-R. In addition, 68 participants (M = 12.2 years) and their parents were interviewed with the Schedule for Affective Disorders and Schizophrenia for School Aged Children (K-SADS-PL). The SPAI-C was more sensitive for identifying youth meeting criteria for social phobia (SP), whereas the SASC-R demonstrated greater specificity. The youth in this sample had lower mean total scores on the self-report questionnaires than did those in the original validitation studies of the SPAI-C and SASC-R conducted in America. These findings question whether cross-cultural differences in the expression of SP influence the clinical cut-off scores used in translated versions of social anxiety questionnaires. Content Type Journal ArticleCategory ORIGINAL CONTRIBUTIONDOI 10.1007/s00787-008-0712-xAuthors Kuusikko Sanna, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS FinlandPollock-Wurman Rachel, Harvard Medical School Massachusetts General Hospital Boston MA USAEbeling Hanna, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS FinlandHurtig Tuula, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS FinlandJoskitt Leena, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS FinlandMattila Marja-Leena, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS FinlandJussila Katja, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS FinlandMoilanen Irma, University and University Hospital of Oulu Dept. of Child Psychiatry, Child Psychiatric Clinic P.O.B. 26 90029 OYS Finland Journal European Child & Adolescent PsychiatryOnline ISSN 1435-165XPrint ISSN 1018-8827 (Source: European Child & Adolescent Psychiatry)

Self-consciousness may prevent obese from getting fit
10 Oct 2008 at 9:56am
Self-consciousness, a fear of falling, and feeling too fat to exercise may prevent some obese women from working out, a new study has found.

People With Social Phobia Have Different Self-Image
9 Oct 2008 at 5:00pm
MRI reveals altered brain response to negative comments

Children as Young as 4 Can Develop OCD
8 Oct 2008 at 2:00pm
Full-blown obsessive symptoms seen in both younger, older children, study finds

Why women worry, and what can been done about it
8 Oct 2008 at 11:04am
According to the Anxiety Disorders Association of America, women are twice as likely to suffer from anxiety than men.

Economic Crisis Takes Toll on Emotional Health
8 Oct 2008 at 9:00am
Experts seeing more cases of sleeplessness, anxiety, but they offer tips for coping

Study: Anxiety, depression treatment helps long-term
7 Oct 2008 at 12:15pm
People who take medications for depression or anxiety are less likely to suffer a relapse of these conditions in the future, a new Canadian study suggests.

Health Tip: Boost Your Energy
6 Oct 2008 at 9:00am
Work smarter and slower

Exercise soon after stroke may boost outlook
3 Oct 2008 at 2:26pm
If people who have had a stroke can be got out of bed and walking within 24 hours, their psychological well-being is likely to improve, according to an Australian study.

Extended Work Absences May Signal Risk of Death
3 Oct 2008 at 1:00pm
Problems tied to surgery or circulatory or psychiatric troubles a red flag, study suggests

Expert offers advice on coping with economic anxiety
3 Oct 2008 at 10:12am
Wellness expert Josh Klapow of the University of Alabama at Birmingham has compiled this list of ways people can help themselves cope with anxiety caused by the current economic crisis.

Bizarre skin disorder confounds scientists
2 Oct 2008 at 10:09am
An unusual skin condition that researchers are calling Morgellons syndrome is sparking a debate on whether the symptoms are physical or all in a patient's mind.

Acupressure calms children before surgery-US study
30 Sep 2008 at 4:26pm
Acupressure helps calm anxious children right before they get anesthesia for surgery, without the nausea and other side-effects caused by sedatives, U.S. researchers reported on Tuesday.

Psychotherapy Works Best Over the Long Term
30 Sep 2008 at 3:00pm
Study finds real benefit to continued treatment, but insurance companies often balk at cost

Drugmakers to report fees to doctors
30 Sep 2008 at 10:30am
Two drug companies--Eli Lilly and Merck--have announced that they will begin disclosing their payments to doctors who have offered consulting service beginning in 2009.

Cognitive Behavioral Therapy Best for Traumatized Youths
29 Sep 2008 at 1:00pm
But study also finds too many clinicians still using unproven treatments

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