Depression Treatment: Prevalence of Mental Health Disorders Among Low-Income African American Adolescents.

Prevalence of mental health disorders among low-income African American adolescents.

Filed under: Depression Treatment

Soc Psychiatry Psychiatr Epidemiol. 2013 Feb 6;
Byck GR, Bolland J, Dick D, Ashbeck AW, Mustanski BS

PURPOSE: Data on the prevalence of mental health disorders for low-income, urban African American adolescents are scarce. This study presents data about the burden of mental disorders for this understudied population. METHODS: Mental disorders were assessed using the Diagnostic Interview Schedule for Children (C-DISC), Youth Self-Report (YSR), and Child Behavior Checklist (CBCL) among a sample of adolescents and their caregivers from very impoverished neighborhoods in a Southern city. RESULTS: Based on the C-DISC, 3.8, 5.1 and 7.7 % of adolescents met diagnostic criteria for major depression, post-traumatic stress disorder, and conduct disorder, respectively. There were significant differences among some of the mental health disorders based on adolescent and caregiver characteristics such as sex, school status, caregiver work status, and income level. We found a low prevalence of alcohol, marijuana, and substance abuse and dependence disorders. CONCLUSIONS: Information about the prevalence of mental health disorders in specific communities and populations can assist in addressing unmet needs, planning for services and treatment, and reducing health disparities.
HubMed – depression


Disruptions in ovarian function are related to depression and cardiometabolic risk during premenopause.

Filed under: Depression Treatment

Menopause. 2013 Feb 4;
Bleil ME, Bromberger JT, Latham MD, Adler NE, Pasch LA, Gregorich SE, Rosen MP, Cedars MI

OBJECTIVE: The aim of this study was to evaluate the extent to which mild disruptions in ovarian function, indexed by changes in menstrual cycle length, may relate to cardiometabolic and psychological health in premenopausal women. METHODS: Among 804 healthy, regularly cycling women (aged 25-45 y; mean [SD] age, 35.5 [5.5] y), patterns of any change (shortening, lengthening, or increased variability) versus no change in menstrual cycle length were examined in relation to a composite of cardiometabolic risk and individual risk factors (high-density lipoprotein, triglycerides, waist circumference, glucose, and hypertensive status), as well as in relation to depression indicators (Center for Epidemiological Studies Depression Scale score ?16 [yes/no], lifetime depression diagnosis [yes/no], and lifetime antidepressant medication use [yes/no]). Models were also explored to test whether changes in menstrual cycle length mediated relations between depression history and cardiometabolic risk. RESULTS: In covariate-adjusted models compared with no change, any change in menstrual cycle length was associated with higher cardiometabolic risk composite scores and lower high-density lipoprotein (P < 0.05). In addition, compared with no change, any change in menstrual cycle length was associated with a Center for Epidemiological Studies Depression Scale score of 16 or higher, having received a depression diagnosis, and having used antidepressant medications (P < 0.05). In exploratory analyses, any change in menstrual cycle length partially mediated the relation between depression history and cardiometabolic risk (b = 0.152, P = 0.040), which attenuated (b = 0.129, P = 0.083) when any change in menstrual cycle length was covaried. CONCLUSIONS: Findings suggest that disruptions in ovarian function, marked by subtle changes in menstrual cycle length, may relate to aspects of cardiometabolic and psychological health among healthy, premenopausal women. HubMed – depression


Impacted Stump of Toothbrush in the Throat following a fall: A case report.

Filed under: Depression Treatment

Niger Postgrad Med J. 2012 Dec; 19(4): 250-4
Olajuyin OA, Okunola AB

AIMS AND OBJECTIVES: The objective of this paper is to emphasise the importance of detailed history, thorough physical examination and the need to expose undergraduates to basic Otorhinolaryngological skills of clinical examination as a way of overcoming the diagnostic challenges of foreign body in the throat. Patients and Methods: The case was an 8-year old boy who presented with 1-year history of impacted stump of toothbrush in his throat following a fall. With a high index of suspicion, his throat was examined under bright illumination and a foreign body brought into view by tongue depression was found impacted in his left tonsillar fossa. He was subsequently taken to the operating room for removal under General Anaesthesia. RESULTS: Intra-operatively, the stump of a toothbrush measuring 4.8cm in length was confirmed and removed (Figs 1 & 2). The procedure was uneventful. Conclusion: Foreign body in the throat could pose diagnostic challenge. Detailed history and thorough physical examination are essential to clinch a diagnosis. Early referral in doubtful cases goes a long way to reduce morbidity and mortality associated with delayed removal.
HubMed – depression


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