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Distinguishing Rumination From Worry in Clinical Insomnia☆
ScienceDirect Publication: Behaviour Research and TherapyPublication year: 2010
Source: Behaviour Research and Therapy, In Press, Accepted Manuscript, Available online 11 March 2010
Colleen E., Carney , Andrea L., Harris , Taryn G., Moss , Jack D., Edinger
Research has found that repetitive thought processes, such as worry and rumination, play an important role in several disorders; however, these cognitive processes have not yet been examined in insomnia. This study explores rumination and worry in insomnia by examining: 1) whether those high and low on rumination and worry differ on subjective sleep measures, and 2) whether rumination and worry are distinct processes in insomnia. Participants (N=242) were diagnosed with an insomnia disorder by sleep experts. Participants completed measures of worry and rumination and maintained a 2-week daily sleep log. Results of a multivariate analysis of variance found no... -
Attributions for Relatives’ Behavior and Perceived Criticism: Studies With Community Participants and Patients With Anxiety Disorders
Publication year: 2010
Source: Behavior Therapy, In Press, Accepted Manuscript, Available online 11 March 2010
Dianne L., Chambless , Kimberly D., Blake , Rachel A., Simmons
The relationship between perceived criticism from one’s relative and attributions about that relative’s behavior was examined in two studies. In Study 1, 50 community couples volunteered to participate in a study of marital interaction. Participants rated their interaction-specific perceived criticism after a 10-min problem-solving interaction and their attributions for their spouses’ behavior during a review of the videotaped interaction. In Study 2, 70 outpatients with obsessive-compulsive disorder (n= 41) or panic disorder with agoraphobia (n= 29) completed a measure of global perceived criticism in their relationship with their spouse or other family member and on another occasion participated in a... -
Early Identification and Intervention for Behavior Problems in Primary Care: A Comparison of Two Abbreviated Versions of Parent-Child Interaction Therapy
ScienceDirect Publication: Behavior TherapyPublication year: 2010
Source: Behavior Therapy, In Press, Accepted Manuscript, Available online 11 March 2010
Michelle D., Berkovits , Kelly A., O’Brien , Carolyn G., Carter , Sheila M., Eyberg
Behavioral screening and preventive intervention were implemented for 3-to 6-year-olds in pediatric primary care with subclinical behavior problems. One hundred eleven children were screened with the Eyberg Child Behavior Inventory. Thirty children who scored within one standard deviation of the normative mean whose mothers indicated wanting help for their child’s behavior were randomized to one of two abbreviated versions of Parent-Child Interaction Therapy (PCIT) for use in pediatric primary care: (a) a 4-session group preventive intervention called Primary Care PCIT (PC-PCIT); or (b) written materials describing basic steps of PCIT and guidelines for practice, called PCIT Anticipatory Guidance (PCIT-AG). Decreases... -
Effects of functional relaxation and guided imagery on IgE in dust-mite allergic adult asthmatics: a randomized, controlled clinical trial.
Related Articles Effects of functional relaxation and guided imagery on IgE in dust-mite allergic adult asthmatics: a randomized, controlled clinical trial.
J Nerv Ment Dis. 2010 Feb;198(2):125-30
Authors: Lahmann C, Henningsen P, Schulz C, Schuster T, Sauer N, Noll-Hussong M, Ronel J, Tritt K, Loew T
Although relaxation and imagination techniques have repeatedly proven their effectiveness in asthma, nothing is known about the immunological effects of these complementary interventions. Therefore, the aim of this study is to investigate the effects of the brief relaxation technique of functional relaxation (FR) with guided imagery (GI) on serum IgE in adult patients with dust mite allergic asthma in a randomized, controlled trial. Sixty-four patients were treated over a 4-week period and assessed at baseline, after treatment and after 4 months for follow-up. Due to its significant role in the pathophysiology of allergic asthma, the serum IgE was employed as outcome measure in this investigation. Participation in FR, GI, and FR/GI led to decreases in serum IgE (IU/mL) of -54.7 +/- 67.1, -49.5 +/- 93.4, and -28.4 +/- 93.9 compared with an increase of 27.7 +/- 43.2 in CI. Our study confirmed a positive and clinically relevant effect of FR and GI on total serum IgE levels.
PMID: 20145487 [PubMed - indexed for MEDLINE]
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Process and outcome in psychodynamic hospitalization-based treatment for patients with a personality disorder.
pubmed: psychotherapy and ((...Related Articles Process and outcome in psychodynamic hospitalization-based treatment for patients with a personality disorder.
J Nerv Ment Dis. 2010 Feb;198(2):110-5
Authors: Vermote R, Lowyck B, Luyten P, Vertommen H, Corveleyn J, Verhaest Y, Stroobants R, Vandeneede B, Vansteelandt K, Peuskens J
This study examined the relationship between the psychotherapeutic process and outcome in 44 patients who completed hospitalization-based psychodynamic treatment for personality disorders. Using self-report and interview ratings, outcome was assessed in terms of symptoms and personality functioning, and the psychotherapeutic process in terms of self and object relations, felt safety, and reflective functioning. Symptom and process measures were administered at intake, every 3 months during treatment, and at 3 and 12 months follow-up. Personality measures were collected at intake, the end of treatment, and at 3 and 12 months follow-up. Using Piecewise Linear Growth Curve Analysis results showed improvement in symptoms, personality functioning, self and object relations and felt safety, but not in reflective functioning. Linear changes in self and object representation and felt safety, but not in reflective functioning, predicted improvement in outcome.
PMID: 20145485 [PubMed - indexed for MEDLINE]
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The course of nonspecific chest pain in primary care: symptom persistence and health care usage.
pubmed: psychotherapy and ((...Related Articles The course of nonspecific chest pain in primary care: symptom persistence and health care usage.
Arch Intern Med. 2010 Feb 8;170(3):251-5
Authors: Glombiewski JA, Rief W, Bösner S, Keller H, Martin A, Donner-Banzhoff N
BACKGROUND: Nonspecific chest pain is common in primary care, yet knowledge is sparse about its course and outcome and how they relate to optimum health care usage. We investigated the following observations: (1) many patients who present with nonspecific chest pain in primary care show symptom persistence for 6 months, (2) many patients with nonspecific chest pain showed signs of overinvestigation, and (3) many patients with chronic chest pain were referred to mental health specialists. METHODS: We conducted a prospective, general physician-based cohort study with 6-week and 6-month follow-ups in 74 primary care offices in Hessen, Germany. Of approximately 190 000 consecutive patients who visited their general physicians from October 1, 2005, to July 31, 2006, 807 patients with nonspecific chest pain were identified by an expert committee (delayed-type reference standard). The dropout rate was 2.7%. Main outcome measures were persistent chest pain at a 6-month follow-up visit and health care usage at 6 months. RESULTS: The rate of persistent chest pain was 55.5%. A total of 10.7% of patients had inappropriate health care usage, defined as 2 or more visits to a cardiologist or 3 or more cardiac diagnostic investigations. Most patients with persistent nonspecific chest pain were referred to a cardiologist, and less than 2% were referred to mental health specialists. CONCLUSIONS: For most patients with nonspecific chest pain, standard medical care does not offer sufficient help for symptom relief. One-tenth of patients with persistent chest pain underwent additional diagnostic testing of no known clinical benefit. Psychological referrals were rarely given.
PMID: 20142569 [PubMed - indexed for MEDLINE]
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[Efficacy and tolerability of choline alphoscerate (cereton) in patients with Parkinson's disease with cognitive disorders]
pubmed: (cognitive behavior ...Related Articles [Efficacy and tolerability of choline alphoscerate (cereton) in patients with Parkinson's disease with cognitive disorders]
Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(11):42-6
Authors: Levin OS, Batukaeva LA, Anikina MA, Iunishchenko NA
An open 10-day study of treatment effect of cereton in comparison to piracetam has been conducted. Cereton was used in 40 patients (main group) in dosage 1000 mg, piracetam - in 20 patients (control group) in dosage 2000 mg. Both drugs were used intravenous in drops in 200 ml of physiologic saline along with antiparkinsonian medications. Patient's state was assessed with a battery of psychometric scales and neuropsychological tests as well as with instruments for measuring intensity of parkinsonian symptoms, side-effects and quality of life. Marked and moderate improvement of cognitive functions was found in patients of the main group compared to the control one (40% and 25%, respectively, p<0,05). Deterioration of cognitive functions was seen less often in the main group than in the control group (5% and 15%, respectively, p<0,05). Cereton was well-tolerated by patients. Side effects (brief and short-term) were found only in 6 (15%) patients.
PMID: 20032953 [PubMed - indexed for MEDLINE]
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Explicit and Implicit Anxiety: Differences Between Patients with Hypochondriasis, Patients with Anxiety Disorders, and Healthy Controls
Cognitive Therapy and ResearchAbstractEmpirical research has found comparable levels of anxiety in patients with hypochondriasis and those with various anxiety
disorders. However, the majority of these investigations were based exclusively on questionnaires (Q-data). In the present
study, we included the implicit association task-anxiety (IAT-anxiety; Egloff and Schmukle in J Personal Soc Psychol, 83:1441–1455
2002) as an implicit test (T-data) of anxiety. Results showed that patients with hypochondriasis (n = 36) and those with anxiety disorders (n = 25) did not differ with respect to explicit (brief symptom inventory) or implicit measures (IAT-anxiety) of anxiety, with
both groups exhibiting higher values than healthy controls (n = 34). For measures of hypochondriacal attributes (illness attitude scales), patients with hypochondriasis exhibited the
highest values, and the values of patients with anxiety disorders lay between those of healthy controls and those of hypochondriacal
patients. The results indicate a clear overlap between hypochondriasis and anxiety disorders with respect to explicit and
implicit measures of anxiety.- Content Type Journal Article
- Category Original Article
- DOI 10.1007/s10608-010-9303-5
- Authors
- Florian Weck, University of Frankfurt Department of Clinical Psychology and Psychotherapy Varrantrappstraße 40-42 60486 Frankfurt Germany
- Gaby Bleichhardt, University of Marburg Department of Clinical Psychology and Psychotherapy Marburg Germany
- Michael Witthöft, University of Mainz Department of Clinical Psychology and Psychotherapy Mainz Germany
- Wolfgang Hiller, University of Mainz Department of Clinical Psychology and Psychotherapy Mainz Germany
- Journal Cognitive Therapy and Research
- Online ISSN 1573-2819
- Print ISSN 0147-5916
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Criminal Justice Involvement, Behavioral Health Service Use, and Costs of Forensic Assertive Community Treatment: A Randomized Trial
Community Mental Health JournalAbstractJail diversion and forensic community treatment programs have proliferated over the past decade, far outpacing evidence regarding
their efficacy. The current study reports findings from a randomized clinical trial conducted in California for frequent jail
users with serious mental illness that compares a forensic assertive community treatment (FACT) intervention with treatment
as usual (TAU). Outcomes are reported at 12 and 24 months post-randomization for criminal justice outcomes, behavioral health
services and costs. At 12 months, FACT vs. TAU participants had fewer jail bookings, greater outpatient contacts, and fewer
hospital days than did TAU participants. Results of zero-inflated negative binomial regression found that FACT participants
had a higher probability of avoiding jail, although once jailed, the number of jail days did not differ between groups. Increased
outpatient costs resulting from FACT outpatient services were partially offset by decreased inpatient and jail costs. The
findings for the 24 month period followed the same pattern. These findings provide additional support for the idea that providing
appropriate behavioral health services can reduce criminal justice involvement.- Content Type Journal Article
- Category Original Paper
- DOI 10.1007/s10597-010-9299-z
- Authors
- Karen J. Cusack, University of North Carolina at Chapel Hill Department of Psychiatry and Cecil G. Sheps Center for Health Services Research Chapel Hill NC USA
- Joseph P. Morrissey, University of North Carolina at Chapel Hill Department of Health Policy and Management, Gillings School of Global Public Health and Cecil G. Sheps Center for Health Services Research Chapel Hill NC USA
- Gary S. Cuddeback, University of North Carolina at Chapel Hill School of Social Work and Cecil G. Sheps Center for Health Services Research Chapel Hill NC USA
- Annabel Prins, Prins, Williams, & Associates LLC. San Jose CA USA
- David M. Williams, Prins, Williams, & Associates LLC. San Jose CA USA
- Journal Community Mental Health Journal
- Online ISSN 1573-2789
- Print ISSN 0010-3853
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Somatic, Affective and Behavioral Distress Reactions Across Cultures
International Journal for the Advancement of CounsellingAbstractThe purpose of the present study was to compare the expression and frequency of somatic, affective and cognitive symptoms
of distress across Turkish and U.S. university students. An open-ended free-list question was used to elicit distress responses
from 827 Turkish and U.S. participants. The coding was done using classical content analysis. It was found that Turkish students
reported equal amounts of affective, cognitive, behavioral, somatic, interpersonal and coping responses, whereas the U.S.
students reported more affective and somatic symptoms than other response categories. U.S. students reported more affective
and somatic symptoms than the Turkish students and the Turkish students listed more behavioral, interpersonal, and coping
responses than the U.S. students. Turkish students’ tendency to report more behavioral, coping, and interpersonal responses
is consistent with the collectivist nature of Turkish society. U.S. students’ tendency to report higher levels of somatic
symptoms contradicts the findings from the WHO primary care study (Gureje et al. American Journal of Psychiatry 154:989–995, 1997). Limitations of the study and research and counseling implications of
the findings are discussed.- Content Type Journal Article
- Category Original Article
- DOI 10.1007/s10447-010-9094-0
- Authors
- Deniz Canel-Çınarbaş, University of Alberta Department of Educational Psychology 6-131 Education North Edmonton AB T6G 2G5 Canada
- Stefanía Ægisdóttir, Ball State University Department of Counseling Psychology and Guidance Services Muncie IN 47306 USA
- Journal International Journal for the Advancement of Counselling
- Online ISSN 1573-3246
- Print ISSN 0165-0653
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Psychotherapy for self-stigma among rural clients
The stigma of mental disorders and psychological treatment afflicts rural clients more than most. This article provides practitioners with guidance in selecting and utilizing effective treatments for self-stigma in rural settings. We review both public stigma and self-stigma. Public stigma explains society's negative impact on individuals, while self-stigma describes an individual's internalization of public stigma. We review treatment principles and empirical research on psychotherapy for self-stigma rural settings. We finish with a case illustration of cognitive therapy with a rural client suffering from self-stigma. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1-13, 2010.
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Ethical challenges of practicing in rural areas
Journal of Clinical PsychologyMental health professionals practicing in rural areas face ethical dilemmas different from those experienced by their urban counterparts and may find that the existing ethics literature and American Psychological Association (APA, ) ethics code not particularly helpful. We highlight parts of five standards from the APA ethics code to illustrate the dilemmas rural practitioners frequently confront and offer suggestions for how to handle them. We discuss competence, human relations, and confidentiality as specific areas and then examine assessment and therapy as broader situations in which dilemmas may occur. We use case examples to highlight complications that may arise in rural areas. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1-12, 2010.
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Psychotherapy with rural religious fundamentalist clients
Journal of Clinical PsychologySuccessful psychotherapy with rural fundamentalist Christians requires psychologists to understand the clients' culture and worldview. They often rely heavily on religious authorities, interpret Scriptures literally, adhere to strict moral codes of behavior, and believe that they should evangelize those around them. Common therapeutic challenges include: spiritualizing problems, relational conflicts related to gender role expectations, addiction problems, and the religious agendas of family and clergy. We recommend that psychotherapists evaluate their own attitudes, collaborate with community gatekeepers, sensitively address clients' rigid beliefs, address religious differences, and take a holistic approach to treatment. A case example illustrates this approach. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1-11, 2010.
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Rural mental health and psychological treatment: a review for practitioners
Journal of Clinical PsychologyPractitioners in rural areas face particular challenges in providing psychological services, ranging from disparate rates of mental disorders to unique circumstances in treating special populations. In this article, we discuss the burden of mental disorders in rural areas, current trends in integration of mental health care and primary care, and unique concerns practitioners face in treating two special populations in rural areas (children and families, and older adults and their caregivers). Implications for practice are also discussed. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1-11, 2010.
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Pravastatin and cognitive function in the elderly. Results of the PROSPER study.
Clinical Psychology: Science and PracticeRelated Articles Pravastatin and cognitive function in the elderly. Results of the PROSPER study.
J Neurol. 2010 Jan;257(1):85-90
Authors: Trompet S, van Vliet P, de Craen AJ, Jolles J, Buckley BM, Murphy MB, Ford I, Macfarlane PW, Sattar N, Packard CJ, Stott DJ, Shepherd J, Bollen EL, Blauw GJ, Jukema JW, Westendorp RG
Observational studies have given conflicting results about the effect of statins in preventing dementia and cognitive decline. Moreover, observational studies are subject to prescription bias, making it hard to draw definite conclusions from them. Randomized controlled trials are therefore the preferred study design to investigate the association between statins and cognition. Here we present detailed cognitive outcomes from the randomized placebo-controlled PROspective Study of Pravastatin in the Elderly at Risk (PROSPER). Cognitive function was assessed repeatedly in all 5,804 PROSPER participants at six different time points during the study using four neuropsychological performance tests. After a mean follow-up period of 42 months, no difference in cognitive decline at any of the cognitive domains was found in subjects treated with pravastatin compared to placebo (all p > 0.05). Pravastatin treatment in old age did not affect cognitive decline during a 3 year follow-up period. Employing statin therapy in the elderly in an attempt to prevent cognitive decline therefore seems to be futile.
PMID: 19653027 [PubMed - indexed for MEDLINE]
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Trauma Type and Posttrauma Outcomes: Differences Between Survivors of Motor Vehicle Accidents, Sexual Assault, and Bereavement
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High School Teachers' Experiences With Suicidal Students: A Descriptive Study
Journal of Loss and Trauma: Articles recently published in -
Generational Trauma, Attachment, and Spiritual/Religious Interventions
Journal of Loss and Trauma: Articles recently published in -
Trauma and Natural Disaster: The Case of Earthquakes in Greece
Journal of Loss and Trauma: Articles recently published in
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Video Games (in Moderation) May Help Teens
Psych Central NewsMore conflicting data has emerged about the effects of video games on a child’s development. Spanish researchers found in a study of young teens that video games can have a positive effect in a child’s educational development and academic performance, when used in moderation.
The new study investigated whether attitudes of users toward video games and how they use them have a significant impact on certain cognitive tasks. The researchers specifically targeted brain skills in spatial intelligence, self-efficacy and academic performance.
Spanish researcher Llorca Díez looked at 266 participants ages 11 and 16. All children were given a semi-structured interview, a survey of use and preferences in video games, two intelligence tests and an inventory of self-efficacy. Parents filled out a survey on opinions, knowledge and attitudes toward video games.
Results revealed that boys not only play more than girls, but they start earlier, an outcome that could be related to a clearly cultural influence.
The researchers also found that as kids play more often, they do it for longer periods of time, which in the opinion of Llorca Díez “confirms the concern of some researchers about the possibility that some video games are addicting.”
There are also gender differences not only in the use that young people make of video games, but also in what they demand of them. Thus, boys are more stringent than girls, and prefer realistic, challenging, impressive and competitive games. They also like games with a very elaborate plot, containing a high level of artificial intelligence and with quite sophisticated graphic and sound elements.
More than half of parents have an unfavorable opinion about games, but, nevertheless, continue to acquire this type of entertainment for their children. Furthermore, they often do not take protection criteria into consideration at the time of purchase.
Regarding the variable of academic performance, the researcher points out that “it is not only affected by the use of video games, but also hours of study and self-efficacy perception have demonstrated predictors of school success.” There are more chances that students will obtain high grades if they believe in their own ability, and the learning process did not produce anxiety.
Other conclusions emerging from this research reveal that almost a third of teens play only on weekends, and, in fact, as the author of this work points out, “very few kids play every day, an encouraging result that indicates a certain degree of control.”
Over 40% of children play between one and two hours “each time they play” (not on a daily or weekly basis) and only 7% of them play more than three hours. Boys not only play more often, but when they do play, the do it for longer periods of time. Finally, young people prefer “non-sports strategy” games, followed by sports and the so-called “platform” games.
About 40% of respondents have problems arising from the use of video games (usually two or three problems at once). Nevertheless, the highest percentage of problems arises from the fact that “someone tells him that he plays too much” followed by “discussions with parents.” It is noteworthy that a significant number of the participants admitted sleeping less and not doing well at school work.
Yet Ángeles Llorca thinks that video games can represent “a very useful pedagogical tool” to encourage self-efficacy, a variable that improves academic performance. Therefore, it is necessary to encourage parents, teachers and advisers to get acquainted with this type of entertainment technology, which they should consider as part of visual communication. Likewise, motivation of children to play video games should be used as a pedagogical tool in the field of education.
The UGR researcher considers “essential” a dissemination of new technologies among educators and parents. They should acknowledge “the reality of children in this field, its use and enjoyment, in order to make the most of these games, and, at the same time, protect them from possible abuses and dangers.”
The research was conducted by Ángeles Llorca Díez from the Department of Didactics of Musical, Plastic and Corporal Expression at the University of Granada, and directed by professors Mª Dolores Álvarez Rodríguez (University of Granada) and Mª Ángeles Díez Sánchez (University of Salamanca).
Source: University of Granada
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Dimebon Disappoints: Is There Hope for Novel Alzheimer's Agent?
Medscape Psychiatry & Mental Health HeadlinesThe great hope for serendipitous transformation of a shelved antihistamine into an Alzheimer's treatment has been dashed by negative results in phase 3 trials. Medscape Neurology polls experts on what went wrong.
Medscape Medical News -
Doctors Need More Training in Communication
Psych Central NewsA new study shows that when it comes to communicating important information to other doctors, first year residents apparently fail to communicate effectively the most important information about their patients.
Even more disturbing is that doctors don’t realize they aren’t communicating effectively, and rate their own abilities far greater than what researchers found.
Suggesting needed changes in medical school training, the study points to the problems in a common medical practice in training, the “hand off.”
As shifts change in a hospital, outgoing physicians must hand off important information to their replacements in a brief meeting.
The research highlights the importance of educating doctors about successful communication skills during hand-offs.
“When resident hours are shortened, you have more hand-offs,” said Vineet Arora, MD, assistant professor of medicine at the University of Chicago Medical Center. “You could have concerns about either a tired physician who knows the patient or a well-rested physician that may not know the patient. The tradeoff is between fatigue and familiarity.”
Conducted through a unique collaboration between physicians and psychologists at the University of Chicago, the study observed hand-off communication between pediatric interns — first-year residents — at Comer Children’s Hospital at the University of Chicago. Interns at the end of an overnight shift would spend a total of 10-15 minutes sharing information about hospitalized patients with the resident relieving them in a designated hand-off room.
Both the outgoing and incoming interns were then asked by researchers about what they thought was the most important information conveyed during the hand-off about each patient. Surprisingly, what the outgoing intern identified as the most important information was not successfully communicated to the incoming intern 60 percent of the time. The rationale for certain medical decisions – such as why a patient is on a particular drug or why the primary care physician should be contacted – was also not understood by the receiving intern in a majority of cases.
But despite these miscommunications, interns on both sides of the hand-off consistently rated the quality of their communication as very high. Boaz Keysar, PhD, a professor of psychology at the University of Chicago and co- author of the paper, said that this disconnect between perceived and actual success of communication is common in other settings.
“You would imagine the kind of miscommunication we discover elsewhere actually might be reduced when the stakes are high in a clinical setting, because it matters so much,” Keysar said. “But the opposite is true, which I think is counter-intuitive and important to know.”
The results were even more striking given the optimal hand-off conditions for interns at Comer Children’s Hospital. In each hand-off, a conversation takes place in a designated room under supervision by more experienced physicians. In previous research, Arora found that many hospitals and programs have much less organized hand-off procedures – if they occur at all.
In illustrating the communication breakdowns that plague even best-case hand-off conditions, Arora and Keysar hope to inform medical centers and schools of the need for better education about hand-offs.
The study found that “anticipatory guidance” — offering to-do items or if-then advice — was a more effective way of communicating information between interns than passing on knowledge items in bulk. Currently, Arora and colleagues are working on a simulation exercise for fourth-year medical students to train more effective hand-off communication skills.
Such training, they hope, will be more effective than relying upon computer programs and electronic medical records to facilitate hand-off communication. A verbal exchange of information remains important so that young doctors can make quick, informed decisions about patients, Arora said.
“IT solutions cannot substitute for a successful communication act,” Arora said. “We aren’t at the point where computers are going to do that for us.”
“Technology solutions can help so that you have the information that you need when you need it, but to look at that information and be able to make a judgment about what to do, that is what the hand-off conversation is for.”
The research was published in the March issue of Pediatrics.
Source: University of Chicago Medical Center
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Children, Alcohol and R-Rated Movies
Psych Central NewsDespite the fact that R-rated movies are movies targeted toward adults, many teens still view such movies with permission from their parents or guardians.
But a new study finds one more reason why parents should not let their kids watch those movies: adolescents who watch R-rated movies are more likely to try alcohol at a young age.
In a study of 6,255 children, researchers examined the relationship between watching R-rated movies and the probability of alcohol use across different levels of “sensation seeking,” which is a tendency to seek out risky experiences.
“The study found that watching R-rated movies affected the level of sensation seeking among adolescents,” noted James D. Sargent, a pediatrician at Dartmouth Medical School.
“It showed that R-rated movies not only contain scenes of alcohol use that prompt adolescents to drink, they also jack up the sensation seeking tendency, which makes adolescents more prone to engage in all sorts of risky behaviors.”
“There is another take home point in the findings. When it comes to the direct effect on alcohol use, the influence of R-rated movies depends on sensation seeking level.”
“High sensation seekers are already at high risk for use of alcohol, and watching a lot of R-rated movies raises their risk only a little. But for low sensation seekers, R-rated movies make a big difference. In fact, exposure to R-rated movies can make a low sensation seeking adolescent drink like a high sensation seeking adolescent,” Sargent explained.
The Dartmouth pediatrician said that one possible explanation is high sensation seeking adolescents tend to get their experiences out on the street. They hang around other high sensation seekers, who are also engaging in risky behaviors, so there is less room for movies to make a difference in their risk for alcohol use.
“The message to parents is clear. Take the movie ratings literally. Under 17 should not be permitted to see R-rated movies,” Sargent said.
The study was based on telephone surveys of 6,522 adolescents aged 10-14 years. The children were surveyed every 8 months for a period of two years from 2003 through 2005.
Parental consent and adolescent consent was obtained prior to interviewing each respondent. To protect confidentiality, adolescents indicated their answers to sensitive questions by pressing numbers on the telephone, rather than speaking aloud. The study sample mirrored the U.S. adolescent population with respect to age, sex, household income and census region, but with a slightly higher percentage of Hispanics and a slightly lower percentage of Blacks.
Sensation seeking was based on how individual subjects identified with statements like: “I like to do scary things, I like to do dangerous things, I often think there is nothing to do, and I like to listen to loud music.” Adolescents were also asked if they had ever tried alcohol that their parents were not aware of. This excluded adolescents who initiated drinking with sips of alcohol provided by parents. R-rated movie watching was measured by asking respondents if they had watched a random selection of movie titles drawn from box office hits during 2003 that had grossed at least $15 million. The movie titles included movies that had G (general audience), P/G (parental guidance) and R (restricted) ratings.
The study was funded by the National Institute on Alcohol Abuse and Alcoholism.
The study was published in the March issue of Prevention Science.
Source: Society for Prevention Research
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Years Smoking May Reduce Risk of Parkinson’s
Psych Central NewsSmoking reduces the risk of Parkinson’s disease, but it appears to be the length of time a person’s smokes, not the amount of cigarettes smoked per day.
Smoking a larger number of cigarettes per day may not reduce the risk.
“These results could guide the development of studies on various tobacco components with animal models to help understand the relationship between smoking and Parkinson’s disease,” said study author Honglei Chen, MD, PhD, of the National Institute of Environmental Health Sciences in Research Triangle Park, N.C.
“Research to reveal the underlying chemicals and mechanisms is warranted; such studies may lead to a better understanding of the causes of Parkinson’s disease. However, given the many adverse consequences of smoking, no one would suggest smoking in order to prevent Parkinson’s disease.”
The study involved 305,468 AARP members age 50 to 71 who completed a survey on diet and lifestyle at the time and again about 10 years later. During that time, 1,662 of the people had developed Parkinson’s disease, or about one-half of one percent.
Current smokers were 44 percent less likely to develop Parkinson’s disease than people who had never smoked. People who had smoked in the past and quit were 22 percent less likely to develop Parkinson’s than people who had never smoked.
People who smoked for 40 or more years were 46 percent less likely to develop Parkinson’s disease than people who never smoked. Those who smoked for 30 to 39 years were 35 percent less likely to have the disease than nonsmokers. In contrast, those who smoked for one to nine years were only eight percent less likely to get the disease.
The risk of developing Parkinson’s disease did not change based on how many cigarettes a person smoked per day.
Chen noted that studies have shown that smoking is not associated with a slower progression of the disease once Parkinson’s develops or a reduced risk of death, so he said there is no evidence to support the use of nicotine or other smoking-related chemicals in treating the disease.
The new study was published in the March 2010, online issue of Neurology, the medical journal of the American Academy of Neurology.
Source: American Academy of Neurology
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Monkey Study Links Mom’s Flu, Schizophrenia
Psych Central NewsA study of Rhesus monkeys links a mother’s flu while pregnant to changes in their babies’ brains that are similar to changes in brains in humans with schizophrenia. Monkeys do not get schizophrenia.
It is the first study done with monkeys that examines the effects of flu during pregnancy.
Results from this study support findings from rodent studies suggesting this type of infection may increase the risk of schizophrenia in the offspring, said lead author Sarah J. Short, Ph.D.
“This was a relatively mild flu infection, but it had a significant effect on the brains of the babies,” Short said.
“While these results aren’t directly applicable to humans, I do think they reinforce the idea, as recommended by the Centers for Disease Control and Prevention, that pregnant women should get flu shots, before they get sick.”
In the study, 12 rhesus macaques were infected with a mild influenza A virus 1 month before their baby’s due date, early in the third trimester of pregnancy. For comparison, the study also included 7 pregnant monkeys who did not have the flu.
When the babies were 1 year old, magnetic resonance imaging (MRI) scans were taken of their brains. Researchers also assessed the babies’ behavioral development at that time.
The babies born to flu-infected mothers showed no evidence of direct viral exposure. Their birth weight, gestation length and neuromotor, behavioral and endocrine responses were all normal.
However, the MRI scans revealed significant reductions in overall brain size in the flu-exposed babies. In addition, the scans found significant reductions of “gray matter” (the portion of brain tissue that is dark in color) especially in areas of the brain called the cingulate and parietal lobe, and significant reductions of “white matter” (brain tissue that is lighter in color) in the parietal lobe.
The cingulate is located in the middle of the brain, but spans a broad distance from front to back and relays information from both halves of the brain. This structure is important for numerous cognitive function related to emotions, learning, memory, and executive control of these processes to aid in decision-making and anticipation of rewards. In addition this structure also plays a role in regulating autonomic processes, such as blood pressure and respiratory control. The parietal lobe comprises a large section on both sides of the brain between the frontal lobes and the occipital lobes, in the back of the brain. This part of the brain integrates information from all the senses and is especially important for combining visual and spatial information.
“The brain changes that we found in the monkey babies are similar to what we typically see in MRI scans of humans with schizophrenia,” said Gilmore.
“This suggests that human babies whose mothers had the flu while pregnant may have a greater risk of developing schizophrenia later in life than babies whose mothers did not have the flu. Normally that risk affects about 1 of every 100 births. Studies in humans suggest that for flu-exposed babies, the risk is 2 or 3 per 100 births.”
Most of the work of the study was done at the Harlow Center for Biological Psychology, which is part of Wisconsin’s Department of Psychology. The center’s director, Christopher Coe, Ph.D., is senior author of the study. Gilmore, a schizophrenia researcher who has led several studies that used MRI scans of newborn human brains, led the analysis of MRI data in the pregnancy and influenza study.
The study was conducted at the University of Wisconsin-Madison in collaboration with the University of North Carolina at Chapel Hill has found. Short worked on the study while earning her doctorate at Wisconsin and now is a post-doctoral fellow at UNC working with John H. Gilmore, M.D., professor of psychiatry in the UNC School of Medicine.
The study was published online by the journal Biological Psychiatry.
Source: University of North Carolina School of Medicine
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2010-03-12 Spike activity
Mind HacksQuick links from the past week in mind and brain news:
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links from ‘The Twitter Book’
my mind on books -
Insomnia and Anxiety(Carney et al.)
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new book – ‘Wisdom: From Philosophy to Neuroscience’
my mind on books -
new book – ‘See What I’m Saying: The Extraordinary Powers of Our Five Senses’
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new book – ‘Cro-Magnon: How the Ice Age Gave Birth to the First Modern Humans’
my mind on books -
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International Handbook of Anger
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my mind on books -
‘Fascinate’
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