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Primary care physicians
do not consistently ask their depressed patients about suicide,
according to new research.
"Suicide is a preventable cause of mortality," first author Dr.
Mitchell D. Feldman from University of California, San Francisco
noted in comments to Reuters Health. "Patients frequently visit
their doctor when they are depressed and while they may not feel
comfortable initiating a conversation about suicide, they will
usually share their thoughts and feelings with their doctor if it
is broached in a respectful and sensitive manner."
To see how often doctors confronted with depressed patients
bring up the topic of suicide, Feldman and colleagues had trained
"patients" portraying depression or adjustment disorder make visits
to 152 primary care doctors between May 2003 and May 2004. During
some of these visits, they asked for an antidepressant
medication.
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If your mood, energy level, and motivation decline in November but
bounce back to normal in April, you may have seasonal affective
disorder (SAD), one expert says.
"SAD is thought to be related to a chemical imbalance in the brain
brought on by lack of light due to winter's shorter days and typically
overcast skies," says Dr. Angelos Halaris, chief of the psychiatry and
behavioral sciences department at Loyola University Health System.
As many as 10 percent to 20 percent of Americans may experience a
mild form of SAD, according to the American Psychiatric Association.
Certain people may have a genetic vulnerability to developing the
condition, which affects more women than men and tends to start
appearing in the teen years.
"This condition, characterized by depression, exhaustion and lack of
interest in people and regular activities, interferes with a person's
outlook on life and ability to function properly," Halaris said.
You can take steps to reduce the risk of developing SAD.
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Scientists from France have
found that anorexia and the highly addicting club-drug ecstasy
activate some of the same brain pathways, a finding that may
help explain the addictive nature of anorexia and other eating
disorders and lead to new treatments.
In a paper published this week, Dr. Valerie Compan of
Centre National de la Recherche Scientifique, Montpellier, and
colleagues report that both anorexia and ecstasy reduce the
drive to eat by stimulating the same subset of receptors for
the neurotransmitter serotonin.
These so-called 5-HT4 receptors are located in a brain
structure associated with feelings of reward called the nucleus
accumbens.
In mice, Compan and colleagues stimulated these receptors,
which are known to play a role in addictive behavior, and found
that this led to anorexic-like behavior -- food-fed mice ate
less and food-deprived mice showed a reduced drive to eat.
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A marked fall in antidepressant
use occurs when women first learn that they are pregnant,
according to a report.
"It is alarming to see that there is still a fear regarding
antidepressant use during pregnancy. We knew that some women
were going to discontinue using their antidepressants during
pregnancy but we didn't think it would be so prevalent and
inappropriately used (amongst those who remain on it)," senior
author Dr. Anick Berard told Reuters Health.
"The risks of untreated depression during pregnancy are
significant," Berard, from the CHU Sainte-Justine Hospital in
Montreal, said. "Given the safety of most antidepressants
during pregnancy, a careful evaluation of the risk/benefit
ratio should be done before deciding to discontinue their use.
Although physicians and women think they are protecting their
unborn child, they might be doing just the contrary."
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People who feel chronically
stressed on the job may face an increased risk of depression, a
large study suggests.
Researchers found that among more than 24,000 working
Canadian adults, nearly 5 percent had suffered from major
depression in the past year. Those under heavy stress at work
appeared to be at particular risk, according to findings in the
American Journal of Public Health.
A number of studies have found health risks associated with
chronic job stress, including high blood pressure and heart
disease, as well as depression. However, the depression studies
have been limited to either certain occupations or single
companies, noted Dr. Emma Robertson Blackmore, the lead author
of the new study and an assistant professor of psychiatry at
the University of Rochester Medical School in New York.
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