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NEWS
Watching CPR Helps Ease Family's Grief (CME/CE)
www.medpagetoday.com - 3/13/13
ACC: PTSD Linked to Metabolic Syndrome (CME/CE)
www.medpagetoday.com - 3/12/13
PTSD Often Seen With Breast Cancer Diagnosis (CME/CE)
www.medpagetoday.com - 2/28/13

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PATIENT RESOURCES
Post-Traumatic Stress Disorder: MedlinePlus
www.nlm.nih.gov - 3/14/13
Mental Disorders: MedlinePlus
www.nlm.nih.gov - 3/13/13
NIHSeniorHealth: Anxiety Disorders
nihseniorhealth.gov - 12/12/12

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CLINICAL TRIALS
Characteristics of Post-Traumatic Stress Disorder (PTSD) and Non-PTSD Subjects
www.clinicaltrials.gov -
Role of Substance P in Post-Traumatic Stress Disorder
www.clinicaltrials.gov -
Treatment for Women With Post-Traumatic Stress Disorder Related to Childhood Abuse
www.clinicaltrials.gov -

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Traumatic Stress Disorders
 
LATEST FEATURES
May 17, 2013
Cultural Psychiatry and the 'No-Chicken' Doctor
This psychiatrist has learned to ask if his Hmong patients have also consulted a shaman to help with their depressive symptoms and with their PTSD. More »
April 24, 2013
Developmental Psychopathology Comes of Age
Traumatic brain injury, criminal responsibility, traumatic stress, and autism spectrum/neurodevelopmental disorders slideshow More »
April 8, 2013
Helping Victims of Sexual Assault and Rape
Because the aftermath of sexual violence can result in suicidal feelings, depression, PTSD, and other mental disorders, clinicians play an important... More »
February 22, 2013
The Soldier’s Private War and Invisible Wounds
PTSD is a psychiatric illness resulting from a physical or psychological trauma that is sometimes related to warfare, but of course occurs in the case... More »
December 11, 2012
ACR2012 Highlights: Fibromyalgia
New studies explore the neurology and psychology of pain in FM, patient knowledge, and evidence-based practice. The 2012 Canadian Fibromyalgia... More »
November 14, 2012
Managing Post-traumatic Stress Disorder: The Pharmacotherapy Option
First-line agents include selective serotonin reuptake inhibitors and venlafaxine. More »
April 16, 2012
Traumatic Brain Injury and Therapeutic Creativity
More »
February 13, 2012
The Science and Politics of PTSD
More »
Showing 1 - 8 of 112 results.
Page of 14
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JOURNAL SCAN
The Environment of Health Care Primum Non Nocere Comment on The Association of Emergency Department Crowding During Treatment for Acute Coronary Syndrome With Subsequent Posttraumatic Stress Disorder Symptoms The Environment of Health Care
archinte.jamanetwork.com - 3/25/13
As a profession, we tend to neglect to reflect on the impact our environments of care may have on patients' experiences of illness. In particular, our emergency departments and inpatient wards tend to be chaotic maelstroms of human activity with few boundaries. To the unacculturated, these environments can be extremely frightening. Couple that with the terror of severe, life-threatening illness, and one can only imagine how distressing that might be. In this issue of the jou
The Association of Emergency Department Crowding During Treatment for Acute Coronary Syndrome With Subsequent Posttraumatic Stress Disorder Symptoms
archinte.jamanetwork.com - 3/25/13
Our recent meta-analysis of 24 studies (N=2383 patients) found that 12% of patients with acute coronary syndrome (ACS) (including patients with ST-segment elevation myocardial infarction [STEMI], non-STEMI, and unstable angina [UA]) develop posttraumatic stress disorder (PTSD) symptoms owing to their ACS, and that these PTSD symptoms 1 month post-ACS are associated with a doubling of risk for ACS recurrence or mortality in the subsequent 1 to 3 years. Although we rev
One year outcomes in patients with acute lung injury randomised to initial trophic or full enteral feeding: prospective follow-up of EDEN randomised trial | BMJ
www.bmj.com - 3/19/13
AbstractObjective To evaluate the effect of initial low energy permissive underfeeding (trophic feeding) versus full energy enteral feeding (full feeding) on physical function and secondary outcomes in patients with acute lung injury.Design Prospective longitudinal follow-up evaluation of the NHLBI ARDS Clinical Trials Networks EDEN trialSetting 41hospitals in the United States.Participants 525 patients with acute lung injury.Interventions Randomised assignment to trophic or full feeding fo
Annals of Internal Medicine | Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: U.S. Preventive Services Task Force Recommendation Statement
annals.org - 3/19/13
Intimate partner violence in pregnant women is associated with preterm birth, low birthweight, and decreased gestational age (Individuals experiencing IPV often develop chronic mental health conditions, such as depression, posttraumatic stress
Violent offending by UK military personnel deployed to Iraq and Afghanistan: a data linkage cohort study : The Lancet
www.thelancet.com - 3/16/13
Violent offending by UK military personnel deployed to Iraq and Afghanistan: a data linkage cohort study. By - Dr Deirdre MacManus MRCPsych, Prof Kimberlie Dean PhD, Margaret Jones BA, Roberto J Ro...

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MEDLINE
Post-traumatic stress symptoms correlate with smaller subgenual cingulate, caudate, and insula volumes in unmedicated combat veterans.
pubmed.gov - 10/7/12
Prior studies have examined differences in brain volume between patients with post-traumatic stress disorder (PTSD) and control subjects. Convergent findings include smaller hippocampus and medial prefrontal cortex volumes in PTSD. However, post-traumatic stress symptoms (PTSS) exist on a spectrum, and neural changes may occur beyond the diagnostic threshold of PTSD. We examined the relationship between PTSS and gray matter among combat-exposed U.S. military veterans. Structural brain magnetic resonance imaging (MRI) was obtained on 28 combat veterans from Operations Enduring and Iraqi Freedom. PTSS were assessed using the Clinician-Administered PTSD Scale (CAPS). Thirteen subjects met criteria for PTSD. Subjects were unmedicated, and free of major comorbid psychiatric disorders. Images were analyzed using voxel-based morphometry, and regressed against the total CAPS score and trauma load. Images were subsequently analyzed by diagnosis of PTSD vs. non-PTSD. CAPS scores were inversely
The science of resilience: implications for the prevention and treatment of depression.
pubmed.gov - 10/4/12
Human responses to stress and trauma vary widely. Some people develop trauma-related psychological disorders, such as posttraumatic stress disorder (PTSD) and depression; others develop mild to moderate psychological symptoms that resolve rapidly; still others report no new psychological symptoms in response to traumatic stress. Individual variability in how animals and humans respond to stress and trauma depends on numerous genetic, developmental, cognitive, psychological, and neurobiological risk and protective factors.
Risk factors for missed HIV primary care visits among men who have sex with men.
pubmed.gov - 10/1/12
Benefits of anti-retroviral therapy (ART) depend on consistent HIV care attendance. However, appointment non-adherence (i.e. missed appointments) is common even in programs that reduce financial barriers. Demographic, health/treatment, and psychosocial contributors to appointment non-adherence were examined among men who have sex with men (MSM) attending HIV primary care. Participants (n = 503) completed questionnaires, and HIV biomarker data were extracted from medical records. At 12 months, records were reviewed to assess HIV primary care appointment non-adherence. Among MSM, 31.2% missed without cancellation at least one appointment during 12-month study period. Independent predictors (P < 0.05) were: low income (OR = 1.87); African American (OR = 3.00) and Hispanic/Latino (OR = 4.31) relative to non-Hispanic White; depression (OR = 2.01); and low expectancy for appointments to prevent/treat infection (OR = 2.38), whereas private insurance (OR = 0.48) and older age (OR = 0.94)
Postdeployment alcohol use, aggression, and post-traumatic stress disorder.
pubmed.gov - 9/30/12
Current military personnel are at risk of developing serious mental health problems, including chronic stress disorders and substance use disorders, as a result of military deployment. The most frequently studied effect of combat exposure is post-traumatic stress disorder (PTSD). High-risk behaviors, including alcohol use and aggression, have been associated with PTSD, but the optimal cutoff score on the PTSD Checklist (PCL) for determining the risk for these behaviors has not been clearly delineated. Using postdeployment active duty (AD) and Reserve component military personnel, the relation between various cutoff scores on the PCL and engaging in high-risk behaviors was examined. AD personnel, for every outcome examined, showed significantly greater odds for each problem behavior when PCL scores were 30 or higher compared to those with PCL scores in the 17 to 29 range. A similar pattern was shown for Reserve component personnel with respect to several problem behaviors, although not
Use of healthcare services 8 years after the war in Kosovo: role of post-traumatic stress disorder and depression.
pubmed.gov - 9/30/12
The aim of the present study was to examine the use of health-care services and medication, as well as health risk behaviours such as smoking, in relation with post-traumatic stress disorder (PTSD) and major depressive episode (MDE) in post-war Kosovo.|A sample of 864 adults was interviewed in 2007 of which 551 took part in a 2001 survey. They were assessed using the PTSD and MDE sections of the Mini International Neuropsychiatric Interview (MINI) and the Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Use of health-care services, alcohol and tobacco were also recorded.|Respondents were predominantly female (56.6%) with a median age of 36 years and a primary educational level (44.6%). While 11.9% of participants met diagnostic criteria for PTSD, MDE prevalence was 30.6%. Both PTSD and MDE were significantly associated with lower scores on the SF-36 physical component summary. After adjustment for sex, age, education, unemployment, municipality and SF-36 perceived

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PRACTICE GUIDELINES
ACP-ASIM Bioterrorism Resource Center
www.acponline.org -
The core symptoms of PTSD include re-experiencing of the traumatic event with intrusive thoughts and dreams, avoidance of reminders of the event, emotional numbing, hypervigilance, excessive startle response, and chronic ... 2. Yehuda R. Post-traumatic
National Guideline Clearinghouse | Guidelines by Topic: Stress Disorders, Traumatic
www.guidelines.gov -
NGC is the National Guideline Clearinghouse.
National Guideline Clearinghouse | Trauma and post-traumatic stress disorder in patients with HIV/AIDS.
www.guidelines.gov -
Trauma and post-traumatic stress disorder in patients with HIV/AIDS.



 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 
 
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