PsychiatricTimes Members: Login | Register

|     


 
PATIENT RESOURCES
Psych Central
psychcentral.com - 1/5/12
Surveillance for Violent Deaths
www.cdc.gov - 8/26/11
NIHSeniorHealth: Anxiety Disorders
nihseniorhealth.gov - 12/6/10
 
CLINICAL TRIALS
Study of (Mirapex) Pramipexole for the Early Treatment of Parkinsons Disease
www.clinicaltrials.gov -
Cognitive Behavioral Therapy Plus Motivational Interviewing for Treatment of Obsessive-Compulsive Disorder
www.clinicaltrials.gov -
Sexual Functioning Study With Antidepressants
www.clinicaltrials.gov -


 
CONNECT WITH US
Become a fan on
Facebook
Add us on
Google Plus
Follow us on
Twitter
Join us on
Linked in
Sign up for our
Newsletters
Subscribe to our
RSS Feed

Sexual Addiction
 
LATEST FEATURES
May 26, 2009
Sexual Addiction Update Assessment, Diagnosis, and Treatment
Addiction has been defined as a condition in which a behavior that can function both to produce pleasure and to reduce painful affects is used in a... More »
Showing 1 result.
 
JOURNAL SCAN
Impact of Dopamine Agonists on Compulsive Behaviors: A Case Series of Pramipexole-Induced Pathological Gambling [CASE REPORTS]
psy.psychiatryonline.org - 5/19/10

BACKGROUND: Dopamine agonists (DAs), long used in treating Parkinson’s disease and effective in relieving symptoms of restless legs syndrome, have frequently been reported to induce problematic compulsive behaviors (e.g., obsessive gambling, hypersexuality) in individuals who had never had difficulties with such behaviors before. OBJECTIVE: The authors report two cases that add to a small-but-growing literature suggesting that these drugs be dispensed with appropriate caution.

Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis.
pubmed.gov - 7/1/10
To systematically assess the evidence for an association between sexual abuse and a lifetime diagnosis of psychiatric disorders.|We performed a comprehensive search (from January 1980-December 2008, all age groups, any language, any population) of 9 databases: MEDLINE, EMBASE, CINAHL, Current Contents, PsycINFO, ACP Journal Club, CCTR, CDSR, and DARE. Controlled vocabulary supplemented with keywords was used to define the concept areas of sexual abuse and psychiatric disorders and was limited to epidemiological studies. Six independent reviewers extracted descriptive, quality, and outcome data from eligible longitudinal studies. Odds ratios (ORs) and 95% confidence intervals (CIs) were pooled across studies by using the random-effects model. The I(2) statistic was used to assess heterogeneity.|The search yielded 37 eligible studies, 17 case-control and 20 cohort, with 3,162,318 participants. There was a statistically significant association between sexual abuse and a lifetime
Meta-analysis of the symptom structure of obsessive-compulsive disorder.
pubmed.gov - 12/1/08
OCD is a clinically heterogeneous condition. This heterogeneity has the potential to reduce power in genetic, neuroimaging, and clinical trials. Despite a mounting number of studies, there remains debate regarding the exact factor structure of OCD symptoms. The authors conducted a meta-analysis to determine the factor structure of the Yale-Brown Obsessive Compulsive Scale Symptom Checklist.|Studies were included if they involved subjects with OCD and included an exploratory factor analysis of the 13 Yale-Brown Obsessive Compulsive Scale Symptom Checklist categories or the items therein. A varimax-rotation was conducted in SAS 9.1 using the PROC FACTOR CORR to extract factors from sample-size weighted co-occurrence matrices. Stratified meta-analysis was conducted to determine the factor structure of OCD in studies involving children and adults separately.|Twenty-one studies involving 5,124 participants were included. The four factors generated were 1) symmetry: symmetry obsessions and
The met(158) allele of catechol-O-methyltransferase (COMT) is associated with obsessive-compulsive disorder in men: case-control study and meta-analysis.
pubmed.gov - 6/1/07
Existing data suggest a genetic association between the met(158) allele of catechol-O-methyltransferase (COMT) and obsessive-compulsive disorder (OCD). However, the results are inconclusive and complicated by possible gender differences. We sought to resolve the question in two ways. First, we carried out a new case-control study in 87 adults with OCD and 327 healthy comparison subjects. The study replicated reports of an increased met(158) allele frequency in men with OCD (odds ratio (OR)=1.91, 95% confidence interval (CI) 1.07-3.40, P=0.026), with no effect in women (OR=1.13, 95% CI 0.74-1.72, P=0.56). Second, we performed a meta-analysis of all published case-control data (n=1908 subjects). This revealed an association of COMT met(158) with OCD (OR=1.23, 95% CI 1.06-1.42, P=0.005) and an interaction with gender (z=4.27, P<0.0001). The association between COMT met(158) and OCD was present in men (OR=1.88, 95% CI 1.45-2.44, P<0.001) but not in women (OR=0.98, 95% CI 0.78-1.22, P=0.83)
Cognitive behavioural therapy was effective for adolescent depression after controlling for adverse predictors of outcome
ebmh.bmj.com - 5/1/99
Exclusion criteria were psychotic, bipolar, or obsessive-compulsive disorder; eating disorder; substance abuse; or ongoing physical or sexual abuse.
 
MEDLINE
Proposing a tentative cut point for the Compulsive Sexual Behavior Inventory.
pubmed.gov - 12/1/11
Bivariate analyses were utilized in order to identify the relations between scores on the Compulsive Sexual Behavior Inventory (CSBI) and self-report of risky sexual behavior and drug abuse among 482 racially and ethnically diverse men and women. CSBI scores were associated with both risky sexual behavior and drug abuse among a diverse non-clinical sample, thereby providing evidence of criterion-related validity. The variables that demonstrated a high association with the CSBI were subsequently entered into a multiple regression model. Four variables (number of sexual partners in the last 30days, self-report of trading drugs for sex, having paid for sex, and perceived chance of acquiring HIV) were retained as variables with good model fit. Receiver operating characteristic (ROC) curve analyses were conducted in order to determine the optimal tentative cut point for the CSBI. The four variables retained in the multiple regression model were utilized as exploratory gold standards in
Natural rewards, neuroplasticity, and non-drug addictions.
pubmed.gov - 12/1/11
There is a high degree of overlap between brain regions involved in processing natural rewards and drugs of abuse. "Non-drug" or "behavioral" addictions have become increasingly documented in the clinic, and pathologies include compulsive activities such as shopping, eating, exercising, sexual behavior, and gambling. Like drug addiction, non-drug addictions manifest in symptoms including craving, impaired control over the behavior, tolerance, withdrawal, and high rates of relapse. These alterations in behavior suggest that plasticity may be occurring in brain regions associated with drug addiction. In this review, I summarize data demonstrating that exposure to non-drug rewards can alter neural plasticity in regions of the brain that are affected by drugs of abuse. Research suggests that there are several similarities between neuroplasticity induced by natural and drug rewards and that, depending on the reward, repeated exposure to natural rewards might induce neuroplasticity that
Impulsive-compulsive behaviors are common in Asian Parkinson's disease patients: assessment using the QUIP.
pubmed.gov - 12/1/11
There are limited data on the prevalence of impulsive-compulsive behaviors and subsyndromal impulsive-compulsive behaviors in Asian patients with Parkinson's disease, who are treated with lower dosages of dopaminergic medications.|The recently-validated Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease was administered to 200 consecutive patients attending a Malaysian university-based neurology clinic. Informant report was also systematically obtained.|A high rate of Questionnaire positivity was found (35.0% by combined patient and informant report; 24.6% by patient report alone; 27.4% by informant report alone), despite usage of relatively low dosages of dopaminergic medications (mean/median total l-dopa equivalent units of 528/450mg/day; mean/median agonist-only l-dopa equivalent units of 74/37mg/day). Eating, sexual and punding or hobbyism behaviors were relatively common, while gambling and compulsive medication use occurred less frequently. Agreement
Clinical aspects of impulsive compulsive behaviours in Parkinson's disease.
pubmed.gov - 11/15/11
Impulsive-compulsive behaviours (ICBs) are an increasingly well-recognised adverse-effect of dopaminergic medications used to treat Parkinson's disease. ICBs include pathological gambling, compulsive sexual behaviour, compulsive buying, and binge eating, together with punding and the addiction-like compulsive use of dopamine replacement therapy, or dopamine dysregulation syndrome. The prevalence of ICBs was approximately 14% in a large study undertaken in specialist movement disorder clinics. Dopamine dysregulation syndrome is more associated with compulsive l-dopa use, whereas other ICBs are more linked with oral dopamine agonist use. Other mechanisms implicated in the development and perpetuation of ICBs in PD include aberrant learning from reward-related situations, including decreased learning from negative feedback, increased measures of impulsivity or sensation seeking, and strong preference for immediate over future rewards. Treatment options for impulsive-compulsive behaviours
Genetic and environmental risk factors for sexual distress and its association with female sexual dysfunction.
pubmed.gov - 11/1/11
The DSM-V Working Group is currently re-evaluating distress as a primary diagnostic criterion for female sexual dysfunction (FSD). Here, for the first time, we explored the epidemiology of sexual distress and its putative aetiological relationship to FSD by estimating the influence of genetic and environmental risk factors.|Questionnaire data on a representative sample of 930 British female twins using validated scales of FSD and sexual distress were subject to variance components analyses to quantify latent genetic and environmental factors influencing phenotypic variation and covariation. Multiple regression analyses were used to identify other potential risk factors of sexual distress.|Of 319 women with any sexual problems, only 36.5% reported distress. Of women classified as functional, 16.5% felt sexual distress. Sexual distress had a heritability of 44% [95% confidence interval (CI) 0.33-0.54]. Bivariate analysis suggested that the majority (91% CI 86-99%) of the covariance



 
FROM PHYSICIANS PRACTICE
Work-Life Balance Obstacles: Be Smart with Your Medical Charts
Jennifer Frank, MD,  May 22, 2012
Here are 10 tips to improve documentation at your medical practice to get you out of the office and back home to spend time with your family.
Making Public Health Policy and Economics a Priority
Bryan R. Fine, MD, MPH,  May 21, 2012
Public health as an important part of an allopathic, clinical program may be intuitive to some, but implementing it is still a challenge.
Establishing the Chain Of Command at Your Medical Practice
Shelly K. Schwartz,  May 21, 2012
Clear guidelines on practice reporting structures will empower employees to work more effectively.
Using Pinterest to Market Your Medical Practice
Jenny Conviser, PsyD,  May 18, 2012
Pinterest is quickly becoming the next big social media outlet, so here's an easy guide on how your practice can get online and connect with patients.
How to Close Your Medical Practice the Right Way
Sue Jacques,  May 16, 2012
Whether you've decided to retire, relocate, or retreat from practice, you can reduce the pain for your patients and staff by following these five guidelines.
 
COMMENTS
 
Career Center