American Journal Of Psychiatry Audio

This audio program discusses the relationship between remission of depression in mothers and psychiatric symptoms in their children; brain structure in childhood- versus adolescent-onset conduct disorder; an apparent case of postpartum psychosis that turned out to be a late-onset urea cycle disorder; how stress affects decision making in patients who’ve been abstinent from heroin; ADHD and deficient emotional self-regulation; early outcomes for first-episode schizophrenia treated with oral or depot antipsychotics; and clarifying the use of interpersonal psychotherapy for major depressive disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses treatment for dependence on prescription painkillers; the effect of national health insurance reform on coverage of individuals with severe mental illnesses; predictors of suicide attempts and nonsuicidal self-injury in depressed adolescents; long-term follow-up of deep brain stimulation for treatment-resistant depression; the association of antidepressants with stroke. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses repetitive transcranial magnetic stimulation for depression; nicotine replacement for agitation in schizophrenia patients who smoke; outcomes of mental health screening of soldiers before deployment; a functionally relevant measure in clinical trials of drugs to improve cognition in schizophrenia. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the outcome of risperidone nonadherence in early schizophrenia, a pharmacogenetic approach to treatment for alcohol dependence, the relationship of personality disorders to the course of depression, and new perspectives on the neural processing of emotion in schizophrenia. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses severe mood dysregulation and bipolar disorder in children; a longitudinal study of cortical development in children with varying degrees of hyperactivity; whether gray matter volume in adults being treated for alcohol dependence is related to the time until relapse; a schizophrenia study comparing mortality rates for ziprasidone and olanzapine; use of technology to obtain real-time assessments of symptoms and substance use in schizophrenia patients. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a follow-up investigation of patients with major depression over intervals as long as 31 years to determine whether subclinical hypomanic symptoms at baseline were related to the later emergence of bipolar disorder; a 7-year study examining whether children who experience abuse, bullying, or accidents are more likely to develop psychotic symptoms; baseline number of glucocorticoid receptors as a possible biomarker of posttraumatic stress symptoms, tested in military personnel with and without high levels of PTSD symptoms after 6 months of deployment; a further examination of the association between suicide and high altitude that included the influence of gun ownership and rural location; and whether the relationship between paternal age and schizophrenia risk is the result of de novo mutations or later fatherhood for men with a predisposition to schizophrenia. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses deep brain stimulation for treatment of depression; personalized medicine for depression; national trends in outpatient psychotherapy; the relationship of childhood bullying to outcomes in young adulthood; and an intervention for parents of young children with behavioral inhibition to alter the risk of subsequent anxiety disorders. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses public perceptions of mental illness, research on the neural circuitry of postpartum depression, the genetics of autism, and psychotherapy for older adults with major depression and executive dysfunction. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses delirium in infants in critical care settings; a study of suicidal women with borderline personality disorder comparing subgroups with and without PTSD; subthreshold hypomania in major depressive disorder patients; effect of hypertension and body mass index on cognition in schizophrenia; and the relationship of antidepressant step therapy to overall medical utilization and spending. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses psychiatric manifestations of paraneoplastic disorders; prenatal and neonatal brain structure in children at high risk for schizophrenia; prediction of psychosis by negative and disorganized symptoms in adolescents and young adults; and how histamine-related genes influence the effects of food additives on children’s ADHD symptoms. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses two-phase psychotherapy for PTSD related to childhood abuse, rapid versus gradual discontinuation of antidepressants, augmentation of antidepressants with SAMe, and endogenous opioid function in borderline personality disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the clinical case of a patient with both psychotic and obsessive-compulsive symptoms; the treatment of adolescent depression including 24-week outcomes of the TORDIA study; use of long-term fluoxetine versus lithium for relapse prevention in bipolar II disorder patients; the rationale and features of the Research Domain Criteria, a proposed framework for research on pathophysiology to inform future schemes for classification of mental disorders. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the use of medications for three different types of alcohol dependence; a clinical trial of treatment for comorbid alcohol dependence and depression in which the combination of sertraline and naltrexone was compared with the individual drugs and placebo; a trial of risperidone for maintenance treatment of schizophrenia; recommendations for antipsychotic dosing based on international expert consensus; a 10-year prospective study that tracked remission and recovery from borderline personality disorder in a group of hospitalized patients; a review of the evidence for a dissociative subtype of posttraumatic stress disorder. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a long-term study examining how the depressive state affects the assessment of personality disorder; the pharmacogenetics of antidepressant response; the association between depression and incident diabetes; how brain activity of patients with generalized anxiety disorder reacts to emotional conflict; and the neuropsychiatric aspects of lupus in a patient case that also involved erotomania and the Geschwind syndrome. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a study on structural abnormalities of the thalamus in youth with ADHD, along with an editorial about neuroanatomic findings for the disorder; an 11-year longitudinal study of adult outcomes for girls with ADHD; a study demonstrating that variation in a proto-oncogene is associated with schizophrenia and general cognitive ability; the relationship between neurocognitive functioning and schizophrenia in African Americans. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses a case in which a patient attacked a resident to illustrate diagnostic, assessment, and treatment considerations in dealing with violent patients; a clinical trial that compared fluoxetine monotherapy and three combinations of mirtazapine and other antidepressants; recovery from bipolar depression, specifically the impact of substance use disorders; the effect of modafinil on sleep in chronic cocaine users; psychiatric conditions following traumatic injury. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the case of a young woman with catatonia who was treated with ECT; the results of a clinical trial that examined an intervention designed to improve provision of primary medical care for patients in community mental health settings; the results of a clinical trial that compared several doses of long-acting injectable olanzapine for maintenance treatment of patients with schizophrenia; a 30-year prospective study of a New Zealand birth cohort that was able to create a timeline of cognitive deficits during the childhood and early adolescence of subjects who later developed schizophrenia; a long-term study that compared the suicide rates of people with HIV in the years before and after the introduction of highly active antiretroviral therapy; a genetic study that found a relationship between suicidal events and two polymorphisms of a gene affecting the HPA axis in adolescents being treated for depression. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses the successful treatment of persistent methamphetamine-induced psychosis with electroconvulsive therapy; using functional MRI to differentiate activation of the amygdala in children with ADHD, bipolar disorder, and severe mood dysregulation; a longitudinal study finding criminality at age 23 to be related to poor fear conditioning at age 3; a long-term study showing that having a mother who experienced depressed mood during pregnancy increases the risk of schizophrenia in offspring with a family history of psychosis; and a clinical trial of integrated treatment for PTSD and substance use that tracked the temporal relationship of improvement in the two conditions. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses cultural aspects of pathological gambling treatment for a woman whose beliefs about gambling are tied to her Haitian background; a longitudinal study of mortality rates for eating disorders that in addition to anorexia nervosa also included bulimia nervosa and diagnoses of “eating disorders not otherwise specified,” which are sometimes considered less severe; predicting depression in the elderly through analyses that identified high-risk individuals for whom prevention was likely to have the greatest health benefit with the lowest implementation burden; a randomized, placebo-controlled clinical treatment trial of adjunctive divalproex for persistent aggressive behavior in children with ADHD following an initial optimized stimulant regimen. Articles can be viewed online at www.ajp.psychiatryonline.org.

This audio program discusses bipolar II postpartum depression; whether a collaborative care program for veterans with bipolar disorder increased adherence to treatment guidelines over 3 years; how the design of the CATIE study affects the clinical interpretations that can be made; the relationship between neighborhood characteristics and outcomes for dually diagnosed patients; a clinical trial of vigabatrin for cocaine dependence and the ethical issues encountered in the trial. Articles can be viewed online at www.ajp.psychiatryonline.org.