Psychiatry

U.S. National Longitudinal Lesbian Family Study: two reports

 

The U.S. National Longitudinal Lesbian Family Study (NLLFS) is a large prospective cohort study of lesbian families and their children conceived through donor insemination (www.nllfs.org). Between 1986 and 1992, 154 lesbian mothers volunteered for the study with data collected through interviews and questionnaires. Additional data were obtained from offspring at ages 10 and 17 years through interviews. questionnaires and Child Behavior Checklists completed by the mother.

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St. John’s wort: expectations influence response

 

Report from the 163rd annual meeting of the American Psychiatric Association, New Orleans LA, May 22-26, 2010 – Almost a decade ago, a large double-blind multicentre trial reported that the efficacy of St. John’s wort (Hypericum perforatum) extract and an active comparator (sertraline 50-100 mg/day) was not significantly different from placebo in the treatment of major depression (Hypericum Depression Trial Study Group. JAMA 2002; 287: 1807-1814; free full text athttp://jama.ama-assn.org/cgi/content/full/287/14/1807).  A full response occurred in 23.9% of patients in the St. John’s wort group, 24.8% in the sertraline group, and 31.9% in the placebo group.

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Bipolar risk factors in depressed patients

 

Report from the 163rd annual meeting of the American Psychiatric Association, New Orleans LA, May 22-26, 2010 -A large study of patients with major depressive episode (n=5635) has identified key risk factors for bipolar disorder (Bowden et al. APA 2010, abstract NR4-14).

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Neuroleptic malignant syndrome: new diagnostic criteria proposed

 

Report from the 163rd annual meeting of the American Psychiatric Association, New Orleans LA, May 22-26, 2010 – Neuroleptic malignant syndrome is currently defined as severe muscle rigidity and elevated temperature associated with the use of neuroleptic medication, and includes  >2 of the following features: diaphoresis, dysphagia, tremor, incontinence, changes in level of consciousness ranging from confusion to coma, mutism, tachycardia, elevated/labile blood pressure, leucocytosis and laboratory evidence of muscle injury (APA. DSM-IV TR, Washington DC, 2000).

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