Psychotherapy Effectiveness for Depression Inflated by Publication Bias
While publication bias has been known to overestimate the efficacy of antidepressant treatments, a new study suggests that research on the use of psychotherapy in depression suffers from a similar bias.
Antidepressants’ Superiority to Placebo in Major Depression Challenged By Reanalysis
The October edition of the Journal of World Psychiatry, the 3rd ranked journal of Psychiatry, will publish a reanalysis of antidepressant efficacy versus placebo in major depression. When the researchers, Arif Khan and Walter Brown, analyzed the data from the FDA archives for antidepressants approved between 1985 and 1997, âit was evident that the conventional wisdom of 70% response with antidepressants was at best an overestimate.â In fact, âthe magnitude of symptom reduction was about 40% with antidepressants,â compared to âabout 30% with placebo.â
Psychologists for Social Responsibility Oppose APA CEO Search
Psychologists for Social Responsibility (PsySR), one of the groups that led the push for changes to the American Psychological Associationâs (APA) collusion in the CIA torture program (as detailed in the Hoffman report), is again calling on the APA for a change in policies.
Prescription Stimulant Use is Associated with Earlier Onset of Psychosis
Individuals diagnosed with psychotic disorders have an earlier onset of psychosis if they have previously been exposed to prescription stimulants, according to new research currently in press in the Journal of Psychiatric Research.
Antidepressants Not Superior to Psychotherapy for Severe Depression
On Wednesday, JAMA Psychiatry released a meta-analysis comparing the results of cognitive-behavioral therapy and antidepressant medication in severely depressed populations. Currently, many practice guidelines suggest that antidepressants be used over psychotherapy for major depressive disorder. The analysis, however, found that âpatients with more severe depression were no more likely to require medications to improve than patients with less severe depression.â
JAMA Editorial: âConfluence, Not Conflict of Interestâ
Yesterday, the Journal of the American Medical Association (JAMA) released an editorial entitled âConfluence, Not Conflict of Interest: Name Change Necessary.â The authors argue that the phrase âconflict of interest is pejorative,â and a better term âwould be confluence of interest, implying an alingnment of primary and secondary interests.â
Evidence for Chile’s School-Based Mental Health Program
Chileâs Skills for Life (SFL) program, the largest school-based psychosocial intervention program in the world, has demonstrated improved behavioral and academic outcomes for elementary students identified as âat risk.â A team of Chilean and U.S. researchers assessed the SFL program and will publish their results in the October issue of the Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP).
Infants Exposed to Psychotropic Drugs During Pregnancy At Risk
New research published in the July issue of The Journal of Clinical Psychiatry found that the use of mood stabilizers, antipsychotics, antidepressants, and hypnotics during pregnancy is associated with increased health risks to the infant.
Nominee for FDA Commissioner Has Strong Industry Ties
On Tuesday, the Obama administration nominated Dr. Robert Califf to be the new commissioner of the Food and Drug Administration (FDA). In a statement, director of the Public Citizenâs Health Research Group, Dr. Michael Carome called on the Senate to reject the nomination. He contends that Califf âracked up a long history of extensive financial ties to multiple drug and medical device companies, including Amgen, AstraZeneca, Eli Lilly, Johnson & Johnson, Merck Sharp & Dohme and Sanofi-Aventis, to name a few.â
Study Links SSRIs to Violent Crime in Youth
Individuals between the ages of 15 and 24 are more likely to commit a violent crime if they are taking an SSRI antidepressant than if they are not, according to new research out of Sweden. The study published in PLoS Medicine on Tuesday, suggests "warnings about the increased risk of violent behavior among young people taking SSRIs might be needed.â
Drug Treatment for Borderline Personality Disorder Not Supported By Evidence
New research published in the August issue of Psychiatric Annals evaluates the results of randomized control trials on the use of various psychotropic drugs for patients diagnosed with borderline personality disorder (BPD). Despite the âAmerican Psychiatric Associationâs practice guidelines endorsement of SSRIs as first-line therapies for BPD,â the results of the meta-analysis reveal that pharmacotherapy in BPD is ânot supported by the current literature,â and âshould be avoided whenever possible.â
Gallup: âAmericans’ Views of Pharmaceutical Industry Take a Tumbleâ
âIn Gallup's annual measure of 25 major U.S. business sectors, the percentage of Americans with a positive view of the pharmaceutical industry dropped from 40% in 2014 to 35% this year, while the percentage with a negative view rose from 36% to 43%.â
Long-Term Social Supports Needed After Onset of Psychosis
New data on the effects of social support after early onset of psychosis suggests that patients with intense social support function better than those without such help, but than once supports are removed the effects diminish.
Pennsylvania Foster Kids Prescribed Too Many Psychotropic Drugs
Amid growing criticism about the over-prescription of psychotropic medication in foster care, Pennsylvania commissioned PolicyLab to conduct an analysis of the use of psychiatric drugs among all of the stateâs Medicaid-enrolled children. The report, released in June, found that the rate of psychotropic prescriptions among youth in Medicaid and foster care was higher than previously reported.
Meta-Analysis Ties Gray Matter Loss to Antipsychotic Dose
Antipsychotics are currently the predominant treatment for individuals diagnosed with schizophrenia, but there is an accumulating body of research that links the use of these drugs to structural abnormalities in the brain. A recent meta-analysis suggests that gray matter loss in the brain may depend on the dose and class of the antipsychotic.
Antipsychotics Prescribed Off-Label for Challenging Behaviors
Antipsychotics are being prescribed to people who may have challenging behaviors but no mental disorder, according to new research published in this monthâs issue of BMJ. âExcessive use of psychotropic drugs has individual and systemic implications,â the researchers write. âAntipsychotics, in particular, are associated with several adverse side effects that can impair quality of life and lead to deleterious health outcomes.â
âAntipsychotic Use in Youth Without Psychosis: A Double-edged Swordâ
This monthâs issue of JAMA Psychiatry ran an editorial commenting on recent research revealing that the majority of youth prescribed antipsychotics have not been diagnosed with a mental disorder.
Members of FDA Advisory Committee Offer Perspectives on Flibanserin Approval in JAMA
In the September issue of The Journal of the American Medical Association (JAMA) three FDA advisory committee members describe the convergence of factors that made the committeeâs recommendation to approve flibanserin especially challenging and politically charged.
âJanssen Accused of Withholding Data on Risperdal Side Effect in Autismâ
MedPageToday reports that Janssen Pharmaceuticals omitted data from a 2003 study that connected Risperdal with serious side effects. Janssen was previously sued by the FDA for marketing Risperdal for off-label uses and settled for $2.2 billion in 2013. Earlier this year, a man with autism was awarded $2.5 million after growing breasts while on Risperdal. According to MedPage, documents from this latest case reveal missing data tables from a 2003 study âdesigned to ferret out potential adverse effects of long-term risperidone use.â The missing tables were related to elevated prolactin levels and side effects, including gynecomastia in men.
Harvardâs Madras Critiques University of Pittsburgh Marijuana Study
Bertha Madras, professor of psychobiology at Harvard Medical School, has printed a critique listing 20 flaws to a recent study finding no differences in physical or mental health problems between users and non-users of marijuana.
Failure to Follow New Research Guidelines Problem for Top Psychiatry Journals
Despite updated standards requiring preregistration of clinical trials aimed at improving transparency, most studies published in the top-5 psychiatry journals from 2009 to 2013 do not meet the new guidelines, according to an analysis published in PloS one.
FDA Approves Controversial “Pink Viagra”
On Tuesday, the U.S. Food and Drug Administration (FDA) approved Flibanserin (Addyi) to treat low sexual desire in women despite concerns about the drug's limited efficacy and doubts over its clinical relevance. That the drug is being called the "pink Viagra" can be misleading as Viagra treats erectile dysfunction by improving blood flow while Flibanserin targets the brain, and must be taken daily.
Omega-3 Fatty Acids May Help Prevent Transition to Psychosis
âWhen people with early-stage symptoms took omega-3 supplements for three months, they had much lower rates of progression than those who did not,â according to research out of Australia covered in this monthâs issue of the New Scientist.
Seniors More Likely to Get Psych Meds, Less Likely to See Psychiatrists or Therapists
Seniors are twice as likely to receive psychotropic prescriptions than younger adults but are much less likely to receive mental health care from psychiatrists or to receive psychotherapy, according to a recent study published in the Journal of the American Geriatrics Society. "Our findings suggest that psychotropic medication use is widespread among older adults in outpatient care, at a far higher rate than among younger patients," the studyâs lead author Dr. Maust said in a press release. âIn many cases, especially for milder depression and anxiety, the safer treatment for older adults who are already taking multiple medications for other conditions might be more therapy-oriented, but very few older adults receive this sort of care."
Eli Lilly Defeats “Bellwether” Cymbalta Withdrawal Lawsuit
The Federal jury hearing the first of 5000 claims against Eli Lilly for hiding the risks of withdrawal symptoms associated with Cymbalta found that Lilly did not...