Depression Treatment: Superficial Musculoaponeurotic System Flap in Partial Parotidectomy and Clinical and Subclinical Frey’s Syndrome. Cosmesis and Quality of Life.

Superficial musculoaponeurotic system flap in partial parotidectomy and clinical and subclinical Frey’s syndrome. Cosmesis and quality of life.

Filed under: Depression Treatment

Head Neck. 2013 Feb 4;
Barberá R, Castillo F, D’Oleo C, Benítez S, Cobeta I

BACKGROUND: Frey’s syndrome (FS), facial depression, and noticeable scar may have an impact on patient’s quality of life after a parotidectomy. The superficial musculoaponeurotic system (SMAS) flap has been used to ameliorate those effects. METHODS: Forty-seven consecutive parotidectomies were analyzed; SMAS flap was performed in 26 of them. We investigated clinical FS, subclinical FS, and cosmetic satisfaction, and compared SMAS flap versus cases where this was not done. RESULTS: By performing the SMAS flap, the occurrence of clinical FS was reduced; however, there was no significant difference. Nonetheless, there was a significant difference in the perspiration intensity in favor of the group with SMAS flaps. In the cases we studied, the cosmetic satisfaction was high, even though facial contour-filling techniques were not used. CONCLUSIONS: Provided that the intensity of sweating is the main factor affecting the quality of life after surgery in patients, performing a SMAS flap renders the intervention worthwhile. © 2013 Wiley Periodicals, Inc. Head Neck, 2013.
HubMed – depression

Panic Disorder in Children and Adolescents with Noncardiac Chest Pain.

Filed under: Depression Treatment

Child Psychiatry Hum Dev. 2013 Feb 3;
Achiam-Montal M, Tibi L, Lipsitz JD

Adults with panic disorder (PD) often present to medical settings with noncardiac chest pain (NCCP), but less is known about children and adolescents with this complaint. We sought to characterize PD in youth with NCCP and compare features with PD in youth in psychiatric outpatient settings. Using a semi-structured diagnostic interview we evaluated 132 youth (ages 8-17) with NCCP recruited from two medical settings. Twenty-seven (20.5 %) met full DSM-IV criteria for PD, eleven of which were children (<13 years). Most frequent panic symptoms were somatic complaints, although cognitive symptoms were also common. Only 14.8 % had clinically significant agoraphobia. Comorbid anxiety disorders and major depression were common. Overall, clinical features of PD among youth with NCCP are similar to PD in psychiatric settings. Interventions for PD may benefit youth who present initially with NCCP. Systematic psychiatric screening could increase detection of PD and improve care for this population. HubMed – depression

Depression and embodiment: phenomenological reflections on motility, affectivity, and transcendence.

Filed under: Depression Treatment

Med Health Care Philos. 2013 Feb 4;
Aho KA

This paper integrates personal narratives with the methods of phenomenology in order to draw some general conclusions about ‘what it means’ and ‘what it feels like’ to be depressed. The analysis has three parts. First, it explores the ways in which depression disrupts everyday experiences of spatial orientation and motility. This disruption makes it difficult for the person to move and perform basic functional tasks, resulting in a collapse or contraction of the life-world. Second, it illustrates how depression creates a situational atmosphere of emotional indifference that reduces the person’s ability to qualitatively distinguish what matters in his or her life because nothing stands out as significant or important anymore. In this regard, depression is distinct from other feelings because it is not directed towards particular objects or situations but to the world as a whole. Finally, the paper examines how depression diminishes the possibility for ‘self-creation’ or ‘self-making’. Restricted by the illness, depression becomes something of a destiny, preventing the person from being open and free to access a range of alternative self-interpretations, identities, and possible ways of being-in-the-world.
HubMed – depression

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

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