415 posts · 640,386 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.
If you want to know which doctor is the most trustworthy, ask the nurse. The nurse-rated patient doctor relationship (PDR) and the Emotional Intelligence (EI) score for the doctor were positively associated with patient trust at a significant level.A doctor’s self reported Emotional Intelligence did not correlate with patient-rated trust, or the patient rated ... Read more »
Hui-Ching Weng, Hung-Chi Chen, Han-Jung Chen, Kang Lu, & Shin-Yuan Hung. (2008) Doctors’ emotional intelligence and the patient–doctor relationship. Medical Education, 42(7), 703-711. DOI: 10.1111/j.1365-2923.2008.03039.x
What is it with psychiatrists and photography. Something comparable to psychiatrists and detectives?
As you may well have noticed Dr Shock photo’s can be viewed on Flickr, at least some of them. Another Belgian psychiatrist on his blogroll does the same. Well may be more on this topic of psychiatrists and photography later.
Psychiatrists are not the ... Read more »
Minsun Shim, Min Ju Lee, & Sang Hee Park. (2008) Photograph Use on Social Network Sites among South Korean College Students: The Role of Public and Private Self-Consciousness. CyberPsychology , 2147483647-5. http://www.liebertonline.com/doi/abs/10.1089/cpb.2007.0104
The authors of this systematic review included only the serious mental illness of schizophrenia, bipolar disorder, major depressive disorder (MDD), and posttraumatic stress disorder (PTSD). As if the other mental illnesses are not serious?
Well lets stop moaning their initiative is praiseworthy. They performed a systematic literature search of Medline (1966–August 2007) and a review ... Read more »
Laurel A. Copeland, John E. Zeber, Mary Jo Pugh, Eric M. Mortensen, Marcos I. Restrepo, & Valerie A. Lawrence. (2008) Postoperative Complications in the Seriously Mentally Ill A Systematic Review of the Literature. Annals of Surgery, 248(1), 31-38. http://www.annalsofsurgery.com/pt/re/annos/abstract.00000658-200807000-00006.htm;jsessionid
An example of disclosure is written in a comment on a recent post by Vicarious Therapy (see comments on empathy). Her pdoc tells her he has Multiple Sclerosis. Apparently the pdoc figured that in this treatment on this moment disclosing his illness was appropriate. Several apparent reasons might contribute to the disclosure. MS has an ... Read more »
Susan MacDaniel. (2007) Physician Self-disclosure in Primary Care Visits. Archives of Internal Medicine, 1321-1326. http://archinte.ama-assn.org/cgi/content/full/167/12/1321
I wasn’t to keen on a Cases Journal. Since recent their are two cases journals. But I have to admit that some of these cases are very informative.
I didn’t know what the Ekbom syndrome was until I read: A postmenopausal woman presenting with Ekbom syndrome associated with recurrent depressive disorder: a case report, (full ... Read more »
Courtney Mahler, Glenda MacQueen, & Zainab Samaan. (2008) A postmenopausal woman presenting with Ekbom syndrome associated with recurrent depressive disorder: a case report. Cases Journal, 1(1), 54. http://www.casesjournal.com/content/1/1/54
No I don’t think so. For several reasons. Empathy is a process with different steps. Especially feeling what the patients feels is a quality not every doctor has. And if they do it is not always appropriate nor possible to be sensitive enough to use it. Moreover this process not only needs the quality it ... Read more »
Jochanan Benbassat, & Ruben Baumal. (2004) What Is Empathy, and How Can It Be Promoted during Clinical Clerkships?. Academic Medicine, 79(9), 832-839. info:PMID/15326005
A recent systematic review and meta-analysis shows that at worse antidepressants are not effective for juvenile depression and at best better research might proof this conclusion wrong.Juvenile meaning depression among children and adolescents.The figure above is the forest plot of this systematic review:Forest plot of rate ratios (RR, with 95% CI) of responses to drug or placebo in 30 randomised double-blind placebo-controlled comparisons of rates of ‘response’ to antidepressants v. placebo, with overall pooled RR (1.22; 95% CI 1.15–1.31; blue diamond).Anti... Read more »
E Tsapakis*, F Soldani*, L Tondo, & R J Baldessarini. (2008) Efficacy of antidepressants in juvenile depression: meta-analysis. The British Journal of Psychiatry, 193(1), 10-17. DOI: 10.1192/bjp.bp.106.031088
Chocolate rich in ï¬‚avanols reverses vascular dysfunction in diabetes type 2 diabetic patients between ages 50 and 80 years, highlighting therapeutic potentials in cardiovascular disease. Moreover, flavanol-containing chocolate was well tolerated.The chocolate condition was a cocoa drink with 321 mg of flavanols thrice daily for 30 days, not your average candy bar. The control condition only contained 25 mg flavanols. In this research CocoaPro cocoa powder made by Mars was used.How does it work?We observed the absorption of flavanols in diabetic patients, a... Read more »
J BALZER, T RASSAF, C HEISS, P KLEINBONGARD, T LAUER, M MERX, N HEUSSEN, H GROSS, C KEEN, & H SCHROETER. (2008) Sustained Benefits in Vascular Function Through Flavanol-Containing Cocoa in Medicated Diabetic PatientsA Double-Masked, Randomized, Controlled Trial. Journal of the American College of Cardiology, 51(22), 2141-2149. DOI: 10.1016/j.jacc.2008.01.059
U CAMPIA, & J PANZA. (2008) Flavanol-Rich CocoaA Promising New Dietary Intervention to Reduce Cardiovascular Risk in Type 2 Diabetes?⁎. Journal of the American College of Cardiology, 51(22), 2150-2152. DOI: 10.1016/j.jacc.2008.02.058
When both SSRIs and NSAIDs are concomitantly used, it would be sufficient to treat 250 patients per year for 1 case of upper gastrointestinal (GI) tract bleeding to be attributed to such combination, and 500 patients per year if SRIs are concomitantly used with antiplatelet drugs.SRIs: SSRIs, including sertraline hydrochloride, fluoxetine hydrochloride, fluvoxamine maleate, paroxetine hydrochloride, citalopram hydrobromide, and escitalopram oxalate; selective serotonin and norepinephrine reuptake inhibitors (SNRIs), including venlafaxine and duloxetine hydrochloride.... Read more »
Francisco de Abajo. (2008) Risk of Upper Gastrointestinal Tract Bleeding Associated With Selective Serotonin Reuptake Inhibitors and Venlafaxine Therapy. Archives of General Psychiatry, 65(7), 795-803. http://archpsyc.ama-assn.org/cgi/content/short/65/7/795
Physical fatigue or loss of energy is included as a single item in the DSM–IV criteria for major depressive disorderSome think of lack of concentration as a mental form of fatigue and lack of concentration is also a symptom of depressionAnhedonia is an inability to experience pleasure from normally pleasurable life events. This is considered to be a core symptom of depression. Some describe it as emotional fatigueAtypical depression is associated with hypersomnia, weight gain or increase in appetite, inertia, and leaden paralysis (i.e., severe lethargy and fatig... Read more »
L Arnold. (2008) Understanding Fatigue in Major Depressive Disorder and Other Medical Disorders. Psychosomatics, 49(3), 185-190. DOI: 10.1176/appi.psy.49.3.185
Transcranial direct current stimulation (TDCS) could improve memory in participants asked to learn and then recall a list of 12 words. The effect was significant in the early learning stages: in the first few trials, in which participants were given the same list over and over again, people in the treatment group could remember more words. But the learning curve for those working without the device quickly caught up to the zapped learners.This conclusion of a recent research on TDCS published on Technology Review: Want to Enhance Your Brain Power? At first the enc... Read more »
U PALM, D KEESER, C SCHILLER, Z FINTESCU, E REISINGER, F PADBERG, & M NITSCHE. (2008) Skin lesions after treatment with transcranial direct current stimulation (tDCS). Brain Stimulation. DOI: 10.1016/j.brs.2008.04.003
After remission on ECT for psychotic depression the combination of nortriptyline and ECT prevented relapse or recurrence in 11 of 16 patients during follow-up of 2 years, of the 17 nortriptyline treated patients only 5 were considered without relapse or recurrence. The mean survival time until relapse was 23 months in the ECT with nortriptyline group and 16 months in the nortriptyline group.ECT or electroshock is the only treatment in psychiatry that is stopped when successful. Usually treatment is continued with an antidepressant or the combination of an antidepressant with ... Read more »
Victor Navarro. (2008) Continuation/Maintenance Treatment with Nortriptyline Versus Combined Nortriptyline and ECT in Late-Life Psychotic Depression: A Two-Year Randomized Study. American Journal of Geriatric Psychiatry, 16(6), 498-505. info:PMID/18515694
Drug use does not appear to be related to drug policy, as countries with more stringent policies (e.g., the US) did not have lower levels of illegal drug use than countries with more liberal policies (e.g., The Netherlands).This is the conclusion in a recent publication in PLoS Medicine: Toward a Global View of Alcohol, Tobacco, Cannabis, and Cocaine Use: Findings from the WHO World Mental Health Surveys.The researchers set out to collect basic patterns of alcohol, tobacco, cannabis, and cocaine use in different countries. They documented lifetime use of these sub... Read more »
Louisa Degenhardt, Wai-Tat Chiu, Nancy Sampson, Ronald Kessler, James Anthony, Matthias Angermeyer, Ronny Bruffaerts, Giovanni de Girolamo, Oye Gureje, Yueqin Huang.... (2008) Toward a Global View of Alcohol, Tobacco, Cannabis, and Cocaine Use: Findings from the WHO World Mental Health Surveys. PLoS Medicine, 5(7). DOI: 10.1371/journal.pmed.0050141
A number of studies have shown cardiovascular benefits of eating flavanol rich cocoa. In this post I will discuss the possible underlying mechanisms of these cardioprotective properties of chocolate as published in a recent review article: Flavanol-rich cocoa, a cardioprotective nutriceutical.Cocoa flavanols as antioxidants. Antioxidants are substances that may protect cells from the damage caused by unstable molecules known as free radicals.Oxidation of low-density lipoprotein (LDL) has been implicated in atherogenesis. Or LDL, a form fat in your blood that plays an im... Read more »
Light and depression is of interest in recent scientific publications. On Science Daily the use of bright light elderly group care facilities in the Netherlands leads to improvements. The use of daytime bright lighting to improve the circadian rhythm of elderly persons was associated with modest improvement in symptoms of dementia, and the addition of the use of melatonin resulted in improved sleep, according to a new study.According to one of the authors dr Eus van Someren: "elderly are somewhat less depressed and more active due to the use of bright light in the facilities for th... Read more »
R Riemersma-van der Lek, D F Swaab, J Twisk, E M Hol, W J Hoogendijk, & E J Van Someren. (2008) Effect of Bright Light and Melatonin on Cognitive and Noncognitive Function in Elderly Residents of Group Care Facilities: A Randomized Controlled Trial. JAMA: The Journal of the American Medical Association, 299(22), 2642-2655. DOI: 10.1001/jama.299.22.2642
C EVEN, C SCHRODER, S FRIEDMAN, & F ROUILLON. (2008) Efficacy of light therapy in nonseasonal depression: A systematic review. Journal of Affective Disorders, 108(1-2), 11-23. DOI: 10.1016/j.jad.2007.09.008
In the years 2006 and 2007 the rates of usage of ECT in Edinburgh were only 0.82 and 0.88 patients per 10 000 total population. This is approximately a third less than the rate in 2005, and three-quarters less than the rate in 1993For comparison in Belgium in 2000, the ECT rate was 4.8/10,000 inhabitants. By 2006 it had increased to 6.6/10,000 inhabitants. In Spain in 2007 the ECT rate, measured in patients per 10,000 inhabitants, was 0.61. In Portugal in 2007 the ECT-rate was 0.5-1.2/10.000 inhabitants. In The Netherlands in 2000 it was 0.22 per 10.000 inhabitants... Read more »
A Scott, & T Fraser. (2008) Decreased usage of electroconvulsive therapy: implications. The British Journal of Psychiatry, 192(6), 476-476. DOI: 10.1192/bjp.192.6.476
After almost two years and 500 stories, the Health News Review project has found that journalists usually fail to discuss costs, the quality of the evidence, the existence of alternative options, and the absolute magnitude of potential benefits and harms.In the US as well as Canada and Australia health news is reviewed by non profit organizations because an imbalanced picture of health care interventions may have a profound impact on the decision making of American consumers who rely on these news stories.In a recent article in PLoS Medicine the results of the eva... Read more »
Gary Schwitzer. (2008) How Do US Journalists Cover Treatments, Tests, Products, and Procedures? An Evaluation of 500 Stories. PLoS Medicine, 5(5). DOI: 10.1371/journal.pmed.0050095
Problematic Internet Use (PIU) of male students is higher than that of female students. On the Problematic Internet Usage Scale (PIUS) male students scores are higher compared to female students on all subscales such as negative consequences of Internet (NCI; 17 items), social benefit/social comfort (SB/SC; 10 items), except on excessive use(EU; 6 items). The students with psychological symptoms demonstrate more PIU.The students using the Internet from mostly their homes may feel more also have higher PIU scoresThose students that use the Internet mostly at night ... Read more »
A Ceyhan. (2008) Predictors of Problematic Internet Use on Turkish University Students. CyberPsychology , 11(3), 363-366. DOI: 10.1089/cpb.2007.0112
A large population-based study found an association of depression status and severity with decreased Vitamin D (serum 25(OH)D) levels and increased serum parathyroid hormone (PTH) levels in older individuals.Levels of 25(OH)D were 14%lower in 169 persons with minor depression and 14% lower in 26 persons with major depressive disorder compared with levels in 1087 control individualsVitamin D is produced by your skin in response to exposure to ultraviolet radiation from natural sunlight.It is nearly impossible to get adequate amounts of vitamin D from your diet. Sunlight exposu... Read more »
Witte Hoogendijk. (2008) Depression Is Associated With Decreased 25-Hydroxyvitamin D and Increased Parathyroid Hormone Levels in Older Adults. Archives of General Psychiatry, 65(5), 508-512. info:PMID/18458202
Apart from a transient mild decline in manual motor speed, there seems to be noadverse cognitive effects associated with chronic Deep Brain Stimulation (DBS) in Cg25 for Treatment Resistant Depression (TRD) in this sample of 6 patients with a follow-up of 12 months.Another important conclusion from this research:Several areas of cognition that were below average or impaired at baseline improved over follow-up, and these changes were not correlated with improvements in mood.Broadman Area 25 as target for deep brain stimulation in treatment resistant depressio... Read more »
Heather McNeely, Helen S Mayberg, Andres M Lozano, & Sidney H Kennedy. (2008) Neuropsychological Impact of Cg25 Deep Brain Stimulation for Treatment-Resistant Depression. The Journal of Nervous and Mental Disease, 196(5), 405-410. DOI: 10.1097/NMD.0b013e3181710927
Do you write about peer-reviewed research in your blog? Use ResearchBlogging.org to make it easy for your readers — and others from around the world — to find your serious posts about academic research.
If you don't have a blog, you can still use our site to learn about fascinating developments in cutting-edge research from around the world.
Research Blogging is powered by SMG Technology.
To learn more, visit seedmediagroup.com.