Therapy Recommended As First Line Treatment for Depression
Following an extensive systematic review of treatments for major depression, the American College of Physicians (ACP) issued a recommendation to clinicians suggesting cognitive behavioral therapy (CBT) as a first-line treatment for major depressive disorder along with second-generation antidepressants. The results of the review revealed that CBT and antidepressants have similar levels of effectiveness but that antidepressants present serious side-effects and higher relapse rates.
Editorial Takes On Conflicts of Interest and Propaganda in Psychiatry
In a scathing editorial in this month’s Psychotherapy and Psychosomatics, Dr. Giovanni Fava takes aim at prominent medical experts who have downplayed the role...
BMJ Editorial Calls for Regulations to Address Medical Fraud in UK
Richard Smith, the chair of the board of trustees at BMJ, penned an editorial yesterday bringing increased scrutiny to research misconduct and medical fraud in the UK. Smith identifies denial about the seriousness of the problem and the reluctance of universities to submit themselves to reviews as the two major reasons that Britain has failed to address these issues.
Psychologist Rethinks Psychotropic Medications, Calls for Renewed Dialogue
Psychologist and Professor Amber Gum has published the story of her personal journey of rethinking psychotropic medication in a special issue on "The Politics of Mental Health" in The Journal of Medicine and the Person. Influenced by Mad in America and the work of Robert Whitaker, Gum became aware of evidence that “suggests that psychotropic medications are less effective and more harmful than most believe” and now hopes to encourage other mental health professionals and researchers to engage in open-minded, critical self-assessment of standard practices.
“Pharma Executives Worry About Presidential Candidates Demanding Reform”
Reporting for The Intercept, Lee Fang reveals that pharma executives "have told investors that they are working actively to influence the political debate.” After...
“Missing in Action: Did US Journalists Miss a Huge Opportunity to Critically Examine Mental...
Last week, after the US Preventative Services Task Force (USPSTF) made a recommendation for increased mental health and depression screening “stories in the New York Times,...
“Financial Conflicts of Interest in Medicine”
Citing the work of Lisa Cosgrove and Robert Whitaker in Psychiatry Under the Influence, Giovanni A. Fava, MD, provides an analysis of some subtle...
Large German Anti-Stigma Campaign Shows Little Effect on Attitudes
“Overall, this study showed that the information and awareness campaign had almost no significant effects on the general public's attitudes toward people affected by either schizophrenia or depression,” the researchers, led by German medical sociologist Anna Makowski, wrote. “One could assume that deeply rooted convictions cannot be modified by rather time-limited and general activities targeted at the public.”
“What Journalists Get Wrong about Social Science”
Vox interviews twenty scientists about their biggest gripes with the journalists who report on their studies. For example, “journalists often want clear answers to...
The Genetics of Schizophrenia: A Left Brain Theory about a Right Brain Deficit in...
In recent months, two teams of researchers in the UK and the US published complementary findings about the epigenetic origins of schizophrenia that have scientific communities who indulge in ‘genetic conspiracy theories’ abuzz. While these results are intriguing, and no doubt involve pathbreaking research methodologies, this line of thought represents a decontextualized understanding both of the symptoms that are typically associated with schizophrenia, and their causes.
Mental Health Disability Claims Continue to Climb
According to new research by Joanna Moncrieff and Sebastião Viola, mental health problems have become the leading cause of disability claims in the UK. While the overall number of claims for other conditions has decreased by 35%, claims related to “mental disorders” have increased 103% since 1995.
Different Forms of Childhood Adversity Related to Specific Psychosis Symptoms
In this month’s issue of Psychological Medicine, researchers from King’s College London found evidence for associations between different types of childhood adversity and specific symptoms associated with psychosis. As current categorical approaches to psychosis and schizophrenia diagnoses come under increasing scrutiny, this study adds support to sociological and psychological theories and treatments.
“6 Hospitalized, One of Them Brain-Dead, After Drug Trial in France”
Six men were hospitalized and one was pronounced brain dead after participating in a phase 1 clinical drug for a mood, anxiety, and motor dysfunction drug manufactured by Bial and administered by Biotrial. Carl Elliott, a bioethicist at the University of Minnesota, said investigators should look into questions like how much the men were paid and whether they properly consented to the trial. “Many Phase 1 trial volunteers are poor and unemployed, and they volunteer for trials like this because they are desperate for money,” he said. “This means they are easily exploited.”
Psychiatrists Raise Doubts on Brain Scan Studies
In a review article for this month’s American Journal of Psychiatry, Daniel Weinberger and Eugenia Radulescu from John Hopkins University push back against the overreliance on MRI scans in recent psychiatric studies. While acknowledging that they both have contributed to this type of research in the past, the authors warn that “findings” from these studies “pose a serious risk of misinforming our colleagues and our patients.”
“Wage Gap May Help Explain Why More Women Are Anxious and Depressed Than Men”
“According to a new study, the consequences of this wage gap extend beyond the checking account: women who earn less than their male peers...
“How Open Data Can Improve Medicine”
“Those who possess the data control the story.” In the wake of the reanalysis of the infamous Study 329, where scientific data claiming the antidepressant Paxil was safe and effective for teens was egregiously manipulated, researchers are pushing for open access to raw data. “The issue here, scientists argue, is that without independent confirmation, it becomes too easy to manipulate data.”
“Attacks on Hoffman Report From Military Psychologists Obfuscate Detainee Abuse”
Steven Reisner and Stephen Soldz, writing for Counter Punch, take on those who have criticized the Hoffman Report, which found that the APA had actively colluded in the US Torture program. “They have not credibly refuted these core findings of Hoffman’s seven-month investigation, nor have they even attempted to do so.”
“A Decade of Questions over a Paxil Study Vindicated”
Martha Rosenberg calls the reanalysis of Paxil and Study 329 “a victory for safety activists, medical reporters, the public and freedom of the press.” But, she warns, “many pro-pill doctors continue to fight evidence of Paxil’s suicide risks and similar SSRIs.”
“Was Sexism Really Responsible for the FDA’s Hesitancy to Sign Off on Flibanserin?”
“The Food and Drug Administration’s approval of pharmaceutical treatment for low sexual desire in women has launched a heated debate over the dangers and benefits of medicalizing sex,” Maya Dusenbery writes in the Pacific Standard. Is “female Viagra” a feminist victory or a product of clever faux-feminist marketing by Big Pharma?
Researchers Test Harms and Benefits of Long Term Antipsychotic Use
Researchers from the City College of New York and Columbia University published a study this month testing the hypothesis that people diagnosed with schizophrenia treated long-term with antipsychotic drugs have worse outcomes than patients with no exposure to these drugs. They concluded that there is not a sufficient evidence base for the standard practice of long-term use of antipsychotic medications.
“Medication and Female Moods”
Listen: NPR’s On Point with Tom Ashbrook discusses the new book “Moody Bitches: The Truth About the Drugs You’re Taking, The Sleep You’re Missing, the Sex You’re Not Having and What’s Really Making You Crazy,” by the psychiatrist Julie Holland.
“Breaking News Consumer Handbook: Health News Edition”
Listen: NPR’s On the Media talks about how bad health information ripples through the news. Gary Schwitzer of HealthNewsReview.org cautions against other problematic health reporting in a Breaking News Consumer's Handbook: Health News Edition.
Why Some Children with Depressed Parents Show Resilience
Children of parents who suffer from depression have a severely heightened risk of mental health problems, but new research points to several factors that seem to strengthen young peoples’ resilience and predict good mental health.
“Why Does Psychiatry So Often Get a Free Pass on Standards of Evidence?”
Rob Wipond takes HealthNewsReview.org to task for its coverage of a Philadelphia Inquirer article about a medical device designed for people experiencing panic. He writes that “hyperbolic psychiatric and psychological claims frequently get free passes from otherwise thoughtful medical critics.”
Psychiatrists Overestimate Antidepressants, Underestimate Placebo
Recent meta-analyses of antidepressant clinical trials have revealed that up to 82% of the effects associated with the drugs may be attributed to placebo and non-medication factors. A new study examined the attitudes of psychiatrists toward these non-pharmacologic factors and found a large discrepancy between their beliefs and the empirical evidence.