Wing of Madness Depression Guide
Patients Turn to the Internet for Health Information
The Internet is changing not just the way patients get medical information, but the way they interact with doctors, their families, and even with strangers.

A new report from the Pew Internet & American Life Project gives a glimpse of some of that change. It studies people with disabilities and chronic conditions, who are some of the most avid users of Internet health sites. Fewer of them go online than the overall population, probably because many are elderly, a group that is still less likely to use the Internet. But when people with disabilities and chronic conditions do use the Internet, they are more likely than other users to look up health information and use that knowledge to question a doctor, manage pain or change the way they cope with a chronic condition.

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Winter blues: When to consider drugs

Bupropion (Wellbutrin XL) is the first drug approved by the Food and Drug Administration for the prevention of seasonal affective disorder, or winter depression. About 5 percent of Americans, three-quarters of them women, experience SAD each year. But do you need medication to prevent or treat it? Here are answers to five questions about this type of depression.

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Military Bars Soldiers with 'Personality Disorders'
Thousands of military personnel have been dismissed for "personality disorders" since the war in Iraq began.

The military says the soldiers had pre-existing mental conditions that it is not responsible for treating. But soldiers, their families and veterans' groups counter that the mental condition is post-traumatic stress disorder caused by their experiences in Iraq and Afghanistan.

Daniel Zwerdling says if a soldier's medical unit diagnoses him with PTSD, the treatment could last months and make the military liable for the soldier's disability benefits. But if the soldier is diagnosed with a personality disorder — a condition that predates his military service — then the treatment would only last a couple weeks and the military would not be liable for the disability benefits.

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Elderly benefit from depression maintenance therapy
Among elderly patients who have recovered from an episode of major depression, maintenance treatment with antidepressant drugs is superior to placebo in preserving the improvements in health-related quality of life, according to a recent report.

"Depression is one of the major causes of decline in the health-related quality of life (HR-QOL) of elderly persons," write Dr. Alexandre Y. Dombrovski and colleagues, in the Journal of the American Geriatrics Society.

The researchers, from University of Pittsburgh, Pennsylvania, examined the effectiveness of antidepressant maintenance therapy with paroxetine and interpersonal psychotherapy in retaining the gains in HR-QOL achieved during initial short-term treatment in patients 70 years or older with depression.

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A Tragic Risk of Weight-Loss Surgery

A review of thousands of patient records has turned up a previously unknown risk associated with a popular weight loss operation — suicide.

In bariatric surgery, the stomach is made smaller so as to speed weight loss. The risk of dying from bariatric surgery is about 1 ipercent, most studies show, and complications strike up to 40 percent of patients. In addition to being overweight, these patients often have health problems like diabetes and heart disease, so it’s no surprise they also have higher death rates from natural causes.

But a review of nearly 17,000 weight-loss surgeries performed in Pennsylvania from 1995 to 2004 has yielded a surprising finding. Of the 440 deaths in the group, 16 were due to suicide or drug overdose, according to the University of Pittsburgh researchers who reviewed the data. Based on the suicide rate in the general population, no more than three suicides should have occurred in the group, the study authors say. More troubling is the fact that another 14 of the drug overdoses that were reported likely include some suicides, suggesting that the real suicide rate was even higher. “There is a substantial excess of suicide deaths, even excluding those listed only as drug overdose,'’ the researchers noted.

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