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Depression and Bipolar Disorder
Although the association between stroke and depression is well known and prevalent, it is often overlooked.
The latest installment of the top 20 research studies for primary care physicians includes studies on cardiovascular disease and hypertension, infections, diabetes mellitus, musculoskeletal problems, and cancer screening, among other topics. The five highest-rated practice guidelines are also summarized.
A combination of three probiotic species slightly improves symptoms in patients with major depressive disorder. Lactobacillus casei alone does not affect depressive symptoms in patients with chronic fatigue syndrome, but it does improve anxiety.
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.
Oct 15, 2017 Issue
Social Media Use and Mood Disorders: When Is It Time to Unplug? [Curbside Consultation]
Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an “invaluable resource for fulfilling the basic human need for social connection.” However, rather than enhancing well-being by fulfilling communic...
This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.
In adolescents who eschew drug treatment of major depression, short-term CBT is more effective than treatment as usual in inducing recovery, with a number needed to treat of 4 to 10. CBT also produced faster results.
A.B., a 29-year-old man, presents to your office for a routine visit. He has a history of being overweight and has hypertension that is controlled by diet and exercise.
Aug 15, 2016 Issue
Screening for Depression in Adults: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
All women should be screened for depression during and shortly after pregnancy, and depression symptoms should be distinguished from normal baby blues. Learn about available screening questionnaires and commonly prescribed antidepressants.