415 posts · 641,912 views
This is the personal blog of a Dutch psychiatrist working in a University hospital. His specialty in psychiatry is the treatment of depression. This explains his interest in electroconvulsive therapy and the development of new forms of neurostimulation for the treatment of depression. He is also involved in medical education. He does research in the treatment and neuroscience of depression. He mostly writes about these topics on this blog for fun and to keep up with recent developments. Besides writing about his work he also writes about other subjects that (neuro)stimulates him such as chocolate, computer gaming, gadgets, and Internet. The postings are based on what I want to write about and what I feel will be interesting to read.
Playing a video game increases cognitive performance, this increase is similar with a non violent and a violent video game. The cognitive ability increase was similar for both types of video games, which suggests that content does not seem to affect the overall cognitive outcomes of video game play.
Participants were randomly assigned to three [...]... Read more »
C BARLETT, C VOWELS, J SHANTEAU, J CROW, & T MILLER. (2008) The effect of violent and non-violent computer games on cognitive performance. Computers in Human Behavior. DOI: 10.1016/j.chb.2008.07.008
Internet based learning clearly has a substantial benefit on the knowledge of participants compared with no learning intervention. Higher interactivity, ongoing access to course material, online discussion, or the presence of practice exercise did not have a substantial influence on the benefit of Internet-based learning when compared with no intervention. The quality of the study [...]... Read more »
D. A. Cook, A. J. Levinson, S. Garside, D. M. Dupras, P. J. Erwin, & V. M. Montori. (2008) Internet-Based Learning in the Health Professions: A Meta-analysis. JAMA: The Journal of the American Medical Association, 300(10), 1181-1196. DOI: 10.1001/jama.300.10.1181
Internet access has increased for all minority groups, narrowing the digital divide, but not entirely diminishing it. Seeking online health information does not significantly vary by ethnicity.
But among all Internet users, Whites had higher levels of discussing Internet health information with a health care provider about Internet health information than Blacks and Asians, moreover this [...]... Read more »
Hong, Traci. (2008) Internet Health Information in the Patient–Provider Dialogue. CyberPsychology , 11(5). DOI: 18771392
Internet has an important place in our lives. People search the Internet for important information, especially health or medical information. They sometimes use this information for important decisions such as which physician to consult or which treatment options to choose from. Internet users do perceive the Internet as an alternative resource of information for health [...]... Read more »
Leung, Louis. (2008) Internet Embeddedness: Links with Online Health Information Seeking, Expectancy Value/Quality of Health Information Websites, and Internet Usage Patterns. CyberPsychology , 11(5), 1-5. DOI: 18771393
Provocative title, no? The observed increases over the time period 2000-2003 were 49 (53%) and 21 (22%) DDD/1000 beneficiaries/day inNova Scotia and Australia, respectively.
Defined Daily Doses (DDDs)
This standard measure is set at the average maintenance dose per day of a drug when used for its major indication. It overcomes difficulties in comparing prescriptions of different [...]... Read more »
Alesha J Smith, Ingrid Sketris, Charmaine Cooke, David Gardner, Steve Kisely, & Susan E Tett. (2008) A comparison of antidepressant use in Nova Scotia, Canada and Australia. Pharmacoepidemiology and Drug Safety, 17(7), 697-706. DOI: 10.1002/pds.1541
E-health is the use of Internet technology and electronic communication to support the delivery and management of health care services. Despite the advantages of the Internet and advances in electronic communication, utilization of the Internet among older adults is relatively low. Improving computer skills of the elderly can enable them to access health information on [...]... Read more »
MIMI M. Y. TSE, KIM C. Y. CHOI, & RINCY S.W. LEUNG. (2008) E-Health for Older People: The Use of Technology in Health Promotion. CyberPsychology , 11(4), 475-479.
Ever heard of apomediation? This term got me curios and interested in a recent publication about Medicine 2.0 in the Journal of Medical Internet Research.
Medicine 2 is the medical implementation of Web 2.0. This is open Web standards leading to improved collaboration and communication across applications. Social networking approaches and Web 2.0 technologies such [...]... Read more »
Gunther Eysenbach. (2008) Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness. Journal of Medical Internet Research, 10(3). DOI: 10.2196/jmir.1030
Long-term psychodynamic psychotherapy is superior in the long term to short-term psychodynamic psychotherapy. Short-term produces benefits more quickly than long-term therapies. After 3 years of follow-up, however, the situation was reversed with a stronger treatment effect in the long-term psychodynamic treatment group both for patients with depressive and anxiety symptoms.
If a patient is capable [...]... Read more »
P Knekt, O Lindfors, T Härkänen, M Välikoski, E Virtala, M A Laaksonen, M Marttunen, M Kaipainen, & C Renlund. (2008) Randomized trial on the effectiveness of long-and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up. Psychological Medicine, 38(05). DOI: 10.1017/S003329170700164X
I guess not. Although African American males were the least intense users of computers and the Internet, length of time using computers and the Internet was a positive predictor of academic performance. So he probably didn’t waist his time with videogames because the amount of time spent playing videogames was a negative predictor.
For your information [...]... Read more »
LINDA A. JACKSON, YONG ZHAO, ANTHONY KOLENIC, HIRAM E. FITZGERALD, RENA HAROLD, & ALEXANDER VON EYE. (2008) Race, Gender, and Information Technology Use: The New Digital Divide. CyberPsychology , 11(4), 437-442. DOI: http://www.liebertonline.com/doi/abs/10.1089/cpb.2007.0157
Dr Shock is not very impressed with these new antipsychotics. Most research is done with comparison to high dose haloperidol, not very honest. Anyway the most dreaded side-effect of these new antipsychotics is weight gain. And I mean really weight gain, not just a few kilo’s. Clozapine and olanzapine produce the most weight gain followed [...]... Read more »
M. Alvarez-Jimenez, S. E. Hetrick, C. Gonzalez-Blanch, J. F. Gleeson, & P. D. McGorry. (2008) Non-pharmacological management of antipsychotic-induced weight gain: systematic review and meta-analysis of randomised controlled trials. The British Journal of Psychiatry, 193(2), 101-107. DOI: 10.1192/bjp.bp.107.042853
In the United States adolescents presenting to an inner-city emergency department (ED) are more likely to die from violence than from any other condition for which they seek ED care. They also lack a primary care physician and irregularly attend their school. They use Internet more often than adults.
This makes their visits to the [...]... Read more »
M WALTON, R CUNNINGHAM, Y XUE, M TROWBRIDGE, M ZIMMERMAN, & R MAIO. (2008) Internet Referrals for Adolescent Violence Prevention: An Innovative Mechanism for Inner-city Emergency Departments. Journal of Adolescent Health, 43(3), 309-312. DOI: 10.1016/j.jadohealth.2008.01.016
A person 90 years old or between 90 and 100 years old has a high risk of losing independence, but the
prevalence of independence still declines only very modestly from age 92 to 100 years.This has the advantage of little societal care cost. So with the expansion of the life span at high age, above 90 [...]... Read more »
K. Christensen, M. McGue, I. Petersen, B. Jeune, & J. W. Vaupel. (2008) Exceptional longevity does not result in excessive levels of disability. Proceedings of the National Academy of Sciences. DOI: 10.1073/pnas.0804931105
On the Internet psycho education is as effective as cognitive behavior therapy in reducing symptoms of depression. The INTERNET is a useful tool in delivering interventions for depression. Cognitive behavior therapy was predicted to improve symptoms of depression and dysfunctional thoughts more than psycho education but depression literacy was found to be as effective as [...]... Read more »
H Christensen. (2004) Delivering interventions for depression by using the internet: randomised controlled trial. BMJ, 328(7434), 265. DOI: 10.1136/bmj.37945.566632.EE
Electroshock or Electro convulsive therapy is often depicted negatively in Hollywood films. It encourages stigmatization and discourages patients from its use. So if your About To Have ECT? Fine, but Don’t Watch It in the Movies: The Sorry Portrayal of ECT in Film. You can read more about electroshock in Hollywood productions in this prior [...]... Read more »
Ulrike Hoffman-Richter, B. Alder, & . (1998) Die Elektrokrampftherapie und die Defibrillation in der Zeitung. Nervenartz, 622-628.
This is the first post about mass media and psychiatry. Trends in the newspapers in the United States on reporting topics of mental illness:
Most stories in newspapers in relation to mental illness were mostly about dangerousness (39%). Not danger to others but mostly stories with text related to violent crime (25%). Thirteen percent of the ... Read more »
Patrick W. Corrigan, Psy.D., Amy C. Watson, Ph.D., Gabriela Gracia, B.A., B.S., Natalie Slopen, A.M., Kenneth Rasinski, Ph.D., & Laura L. Hall, Ph.D. (2005) Newspaper Stories as Measures of Structural Stigma. Psychiatric Services, 56(5), 551-556. http://ps.psychiatryonline.org/cgi/content/full/56/5/551?maxtoshow
Our prospective study does not support the assumption that paroxetine can cause a prolonged PFA-closure (bleeding) time during paroxetine therapy due to a serotonin transporter polymorphism. Old age, use of platelet inhibitors and a history of gastrointestinal bleeding remain the focus for SSRI-induced bleeding complications.
Selective Serotonin Reuptake Inhibitors (SSRIs) are the most commonly used antidepressants. ... Read more »
Dahlia M. C. Hougardy, Toine C. G. Egberts, Fedde van der Graaf, Vincent J. Brenninkmeijer, & Luc J. J. Derijks. (2008) Serotonin transporter polymorphism and bleeding time during SSRI therapy. British Journal of Clinical Pharmacology, 65(5), 761-766. http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2125.2008.03098.x
Patients should be informed that the only systematic and critical appraisal of RCTs demonstrates that there is currently no robust evidence to recommend a course of MT to alleviate symptoms of depression.
This is the conclusion from a systematic review evaluating the evidence, from randomised clinical trials (RCTs), for the effectiveness of multiple sessions of classical ... Read more »
H. F. Coelho, K. Boddy, & E. Ernst. (2008) Massage therapy for the treatment of depression: a systematic review. InternationalJournal of Clinical Practice, 62(2), 325-333.
Dark chocolate reduces risks of cardiovascular disease by means of lowering systolic and diastolic blood pressure as well as increasing flow mediated dilatation after acute and chronic intake. Acute black tea consumption increased systolic and diastolic blood pressure. Green tea reduced LDL cholesterol. Soy protein isolate but not other soy products also reduces LDL cholesterol, ... Read more »
Lee Hooper, Paul A Kroon, Eric B Rimm, Jeffrey S Cohn, Ian Harvey, Kathryn A Le Cornu, Jonathan J Ryder, Wendy L Hall, and Aedín Cassidy. (2008) Flavonoids, flavonoid-rich foods, and cardiovascular risk: a meta-analysis of randomized controlled trials . The American Journalof Clinical Nutrition, 88(12), 38-50. http://www.ajcn.org/current.shtml
The opinion that humanism and professionalism are one and the same carries the risk of isolating the physician from the lay public.
What is humanism in the medical profession?
The accordance of deep respect to humans individually, and to humanity collectively, and concern for their general welfare and flourishing
In other words it is taking care of all ... Read more »
Judah Goldberg. (2008) Humanism or Professionalism? The White Coat Ceremony and Medical Education. Academic Medicine, 715-722. http://www.academicmedicine.org/pt/re/acmed/currenttoc.htm;jsessionid
In a prior post on this blog about empathy sometimes a distinction is made between cognitive and affective empathy. These two concepts refer to our ability to put ourselves in the shoes of another person, be it in their mental or emotional shoes. These concepts are difficult to differentiate. Especially for cognitive empathy this is ... Read more »
T SINGER. (2006) The neuronal basis and ontogeny of empathy and mind reading: Review of literature and implications for future research. Neuroscience , 30(6), 855-863. http://linkinghub.elsevier.com/retrieve/pii/S0149763406000522
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