Depression Treatment: Hill-Sachs Lesion on FDG PET/CT.

Hill-Sachs Lesion on FDG PET/CT.

Filed under: Depression Treatment

Clin Nucl Med. 2013 Jan; 38(1): 65-6
Ulaner GA, Tewari S

ABSTRACT: A woman with colon cancer underwent FDG PET/CT. Images demonstrated an FDG-avid lytic defect in the posterosuperior right humeral head, without other suspicious lesions. Because it is rare for bone to be the first metastatic site in patients with colon cancer, additional clinical history was sought. The patient experienced chronic right-shoulder anterior dislocations. The diagnosis of Hill-Sachs lesion was made. A Hill-Sachs lesion is a depression in the posterosuperior aspect of the humeral head caused by impaction of the humeral head against the anterior scapular glenoid during anterior shoulder dislocation. FDG-avid Hill-Sachs lesions must be distinguished from malignancy.
HubMed – depression


Predictors of Dementia Caregiver Depressive Symptoms in a Population: The Cache County Dementia Progression Study.

Filed under: Depression Treatment

J Gerontol B Psychol Sci Soc Sci. 2012 Dec 14;
Piercy KW, Fauth EB, Norton MC, Pfister R, Corcoran CD, Rabins PV, Lyketsos C, Tschanz JT

Objectives. Previous research has consistently reported elevated rates of depressive symptoms in dementia caregivers, but mostly with convenience samples. This study examined rates and correlates of depression at the baseline visit of a population sample of dementia caregivers (N = 256).Method. Using a modified version of Williams (Williams, I. C. [2005]. Emotional health of black and white dementia caregivers: A contextual examination. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 60, P287-P295) ecological contextual model, we examined 5 contexts that have contributed to dementia caregiver depression. A series of linear regressions were performed to determine correlates of depression. RESULTS: Rates of depressive symptoms were lower than those reported in most convenience studies. We found fewer depressive symptoms in caregivers with higher levels of education and larger social support networks, fewer health problems, greater likelihood of using problem-focused coping, and less likelihood of wishful thinking and with fewer behavioral disturbances in the persons with dementia.Discussion.These results suggest that depression may be less prevalent in populations of dementia caregivers than in clinic-based samples, but that the correlates of depression are similar for both population and convenience samples. Interventions targeting individuals with small support networks, emotion-focused coping styles, poorer health, low quality of life, and those caring for persons with higher numbers of behavioral problems need development and testing.
HubMed – depression


Treatment Of Depression In Managed Care (Mental Health Practice Under...

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