References for "Assertive community treatment"

Bertelsen M, et al. "Five-Year Follow-Up of a Randomized Multicenter Trial of Intensive Early Intervention vs. Standard Treatment for Patients with a First Episode of Psychotic Illness: The OPUS Trial," Archives of General Psychiatry (July 2008): Vol. 65, No. 7, pp. 762–71. Burns T. "The Rise and Fall of Assertive Community Treatment?" International Review of Psychiatry (Feb. 2010): Vol. 22, No. 2, pp. 130–37. Cusack KJ, et al. "Criminal Justice Involvement, Behavioral Health Service Use, and Costs of Forensic Assertive Community Treatment: A Randomized Trial," Community Mental Health Journal (Aug. 2010): Vol. 46, No. 4, pp. 356–63. (Locked) More »

References for "New insights into the nocebo response"

Amanzio M., et al. "A Systematic Review of Adverse Events in Placebo Groups of Anti-Migraine Clinical Trials," Pain (Dec. 2009): Vol. 146, No. 3, pp. 261–69. Barsky A., et al. "Nonspecific Medication Side Effects and the Nocebo Phenomenon," Journal of the American Medical Association (Feb. 6, 2002): Vol. 287, No. 5, pp. 622–27. Benedetti F., et al. "When Words Are Painful: Unravelling the Mechanisms of the Nocebo Effect," Neuroscience (June 29, 2007): Vol. 147, No. 2, pp. 260–71. (Locked) More »

References for "Women and depression"

Bromberger JT, et al. "Longitudinal Change in Reproductive Hormones and Depressive Symptoms across the Menopausal Transition: Results from the Study of Women's Health Across the Nation (SWAN)," Archives of General Psychiatry (June 2010): Vol. 67, No. 6, pp. 598–607. Kessler RC. "Epidemiology of Women and Depression," Journal of Affective Disorders (March 2003): Vol. 74, No. 1, pp. 5–13. Kessler RC, et al. "The Epidemiology of Major Depressive Disorder: Results from the National Comorbidity Survey Replication (NCS-R)," Journal of the American Medical Association (June 18, 2003): Vol. 289, No. 23, pp. 3095–105. (Locked) More »

Women and depression

Women are about twice as likely as men to develop major depression. They also have higher rates of seasonal affective disorder, depressive symptoms in bipolar disorder, and dysthymia (chronic depression). More than mere sadness, depression can make someone feel as though work, school, relationships, and other aspects of life have been derailed or indefinitely put on hold. It can sap the joy out of once-pleasurable activities and leave someone feeling continuously burdened. This mood disorder may also cause physical symptoms, such as fatigue, pain, and gastrointestinal problems. It remains unclear why a gender gap exists in depression. Researchers have examined genes, hormones, stress, and other factors in an effort to find an explanation for the discrepancy. More »

Assertive community treatment

Assertive community treatment (ACT) offers individualized, multidisciplinary care to the more severely mental ill, allowing them the opportunity to live and function in their communities instead of in institutions. The multidisciplinary team of professionals may plan and monitor treatment, accompany patients to medical and dental appointments, represent them at hearings, and help them manage money, pay bills, and apply for services. Patients also receive help with housekeeping, shopping, cooking, transportation, finding and keeping jobs, and obtaining housing. Team members educate the patients about mental illness, provide drug abuse counseling, and help patients cope with psychotic episodes and other psychiatric crises. They may also order, deliver, and supervise the use of medications. Most of these services are provided not in a clinic but in a patient's home or, for homeless patients, in a shelter or on the streets. The staff meets daily to coordinate its work, and at least one member is available at all times. The team takes referrals but may also reach out to patients on its own. Team members try to develop a long-term relationship with patients, following them for years if necessary, even as they pass through hospitals, jails, and homeless shelters. (Locked) More »

New insights into the nocebo response

All drugs cause side effects, but it turns out that placebo pills also cause them. This is puzzling, because placebo pills are usually made of sugar or some other inert substance and so theoretically should have no biological effect. Even more intriguing, the research suggests that the type of side effect a placebo causes will vary depending on the active drug being tested. For example, researchers analyzed the findings of 69 randomized clinical trials that compared different classes of migraine drugs with placebos. All studies were "blinded" so that neither the researchers nor the participants knew who was receiving the placebo. In studies evaluating nonsteroidal anti-inflammatory drugs (NSAIDs), patients assigned to the placebo arm most often reported nausea, vomiting, and other gastrointestinal problems — side effects that can occur after taking NSAIDs. In studies assessing anticonvulsants, patients taking placebo most often reported loss of appetite, memory problems, and upper respiratory infections — all side effects of anticonvulsants. More »

Ask the doctor: What is agoraphobia?

My daughter tells me her new roommate is afraid to leave a 10-block area around their apartment in New York City. She has something called agoraphobia. What is that? (Locked) More »