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Focus

  • Volume 8
  • Number 4
  • October 2010

FROM THE GUEST EDITOR

CLINICAL SYNTHESIS

Publication date: 01 October 2010

Pages475–487

Schizophrenia is a serious mental illness responsible for tremendous morbidity and decreases in quality of life and productivity. It is the eighth leading cause of disability-associated life years lost () and accounts for nearly 1.1% of overall losses ...

https://doi.org/10.1176/foc.8.4.foc475

Publication date: 01 October 2010

Pages488–500

Treatment-resistant depression (TRD) is a prevalent, disabling, and costly condition affecting 1%–4% of the U.S. population. Current approaches to managing TRD include medication augmentation (with lithium, thyroid hormone, buspirone, atypical ...

https://doi.org/10.1176/foc.8.4.foc488

Publication date: 01 October 2010

Pages501–524

Anxiety disorders are among the most common and disabling mental illnesses. While effective treatments exist, many patients—possibly even 50–60%—remain symptomatic despite first-line treatments. With the exception of obsessive compulsive disorder (OCD), ...

https://doi.org/10.1176/foc.8.4.foc501

Publication date: 01 October 2010

Pages525–535

To date, most therapies of treatment-refractory psychiatric disorders involve modifications of existing pharmacological treatments and/or cognitive therapies. However, many of these strategies are unable to bring these disorders into remission; therefore, ...

https://doi.org/10.1176/foc.8.4.foc525

Publication date: 01 October 2010

Pages536–539

This exercise is designed to test your comprehension of material presented in this issue of FOCUS as well as your ability to evaluate, diagnose, and manage clinical problems. Answer the questions below, to the best of your ability, on the information ...

https://doi.org/10.1176/foc.8.4.foc536

INFLUENTIAL PUBLICATIONS

Publication date: 01 October 2010

Pages550–553

This section contains a compilation of recent publications that have shaped the thinking in the field as well as classic works that remain important to the subject reviewed in this issue. This bibliography has been compiled by experts in the field and ...

https://doi.org/10.1176/foc.8.4.foc550

Publication date: 01 October 2010

Pages561–569

Purpose: Previous analysis of data from CATIE showed that patients randomly assigned to switch to a new medication were more likely to discontinue study drug than those who stayed on the medication they had been taking prior to randomization. This study ...

https://doi.org/10.1176/foc.8.4.foc561

Publication date: 01 October 2010

Pages570–582

Objective: The authors sought to determine by meta-analysis the efficacy and tolerability of adjunctive atypical antipsychotic agents in major depressive disorder. Method: Searches were conducted of MEDLINE/PubMed (1966 to January 2009), the Cochrane ...

https://doi.org/10.1176/foc.8.4.foc570

Publication date: 01 October 2010

Pages583–591

Background: A preliminary report in six patients suggested that deep brain stimulation (DBS) of the subcallosal cingulate gyrus (SCG) may provide benefit in treatment-resistant depression (TRD). We now report the results of these and an additional 14 ...

https://doi.org/10.1176/foc.8.4.foc583

Publication date: 01 October 2010

Pages592–604

Background: To compare venlafaxine and selective serotonin reuptake inhibitors (SSRIs; fluoxetine, sertraline, paroxetine, fluvoxamine, and citalopram) in the treatment of depression. Methods and Materials: Meta-analysis of 34 randomized, double-blind ...

https://doi.org/10.1176/foc.8.4.foc592

Publication date: 01 October 2010

Pages605–613

Objective: Second-generation antidepressants are commonly used to treat major depression in late-life. This systematic review and meta-analysis was undertaken to assess the evidence for efficacy of second-generation antidepressants in late-life major ...

https://doi.org/10.1176/foc.8.4.foc605

Publication date: 01 October 2010

Pages626–637

Research meta-analyses have found that cognitive-behavioral therapy (CBT) is beneficial for persistent symptoms of schizophrenia. This review describes and updates the evidence base for this statement. A review of the existing literature (Medline, ...

https://doi.org/10.1176/foc.8.4.foc626

Publication date: 01 October 2010

Pages638–646

Objective: Impairments in adaptive life skills are a major source of disability in patients with schizophrenia. The relationship between adaptive life skills in real world settings and performance on neuropsychological tests may be complicated by other ...

https://doi.org/10.1176/foc.8.4.foc638

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