0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
In This Issue   |    
In This Issue
Am J Psychiatry 2009;166:A20-A20. doi:10.1176/appi.ajp.2009.166.7.A20
text A A A

The rate of depression was 10% in children, adolescents, and young adults 21 months after the death of a parent, compared to 2% in nonbereaved comparison subjects. Depression at 21 months was most strongly related to depression at the 9-month follow-up conducted previously by Brent et al. (p. 786). Depression during the second year after the loss was associated with parental death by suicide, loss of a mother, severe grief reaction, negative coping strategies, low self-esteem, and blaming others for the parent’s death. Subjects whose parent died by suicide also had a higher rate of alcohol or substance abuse than nonbereaved subjects. Dr. Katherine Shear clarifies grief and depression in an editorial on p. 746.

Romanian children living in institutions who were randomly assigned to foster care at age 6–30 months were only half as likely to develop anxiety or other inward-focused psychiatric disorders as children who remained in the institutions. Both groups had higher rates of psychiatric disorders than noninstitutionalized children at 4.5 years of age. Zeanah et al. (CME, p. 777) also found gender-related differences. Only girls had better outcomes in foster care than in the institutions, and boys in both settings had higher rates of anxiety, depression, ADHD, and oppositional defiant or conduct disorder than girls. Dr. Franklin Miller examines ethical aspects of this research in an editorial on p. 743.

Computerized training in auditory discrimination and verbal learning led to greater cognitive gains in patients with schizophrenia than did computer games. Fisher et al. (p. 805) based their program on research suggesting that efficient auditory processing is crucial to encoding and retrieving verbal information. Patients participated up to 50 hours over the 10-week study. The exercises progressed in difficulty but adjusted to the user’s performance to maintain an 85% accuracy rate. The patients who received the training had greater gains in overall cognition and in verbal working memory, verbal learning, and verbal memory than those who were assigned to computer games. An editorial by Dr. Michael Green on p. 749 focuses on this study.

A 4-year follow-up of 413 children and adolescents with a bipolar episode demonstrated that most recovered but more than half had a recurrence. Birmaher et al. (p. 795) also report that symptoms were present more than half the time on average. During the follow-up, 25% of the bipolar II cases converted to bipolar I and 38% of the diagnoses of bipolar disorder not otherwise specified converted to bipolar I or II. Early onset, long duration, low socioeconomic status, and family history of mood disorders were associated with poorer outcomes.

Two receptors for the neurotransmitter glutamate that were previously implicated in schizophrenia jointly have now been differentiated in post-mortem brain tissue. Using receptor-specific antibodies, Ghose et al. (p. 812) detected lower levels of metabotropic glutamate receptor 3 (mGluR3), but not mGluR2, in the dorsolateral prefrontal cortex of patients with schizophrenia than in comparison subjects. The patients also had higher levels of glutamate carboxypeptidase II, an enzyme that metabolizes an endogenous mGluR3 agonist. Drs. Barbara Wroblewska and David Lewis discuss glutamate neurotransmission in an editorial on p. 753.

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 44.  >
Manual of Clinical Psychopharmacology, 7th Edition > Chapter 1.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 38.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 38.  >
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 11.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles