The Mediated and Moderated Effects of Family Support on Child Maltreatment.

The Mediated and Moderated Effects of Family Support on Child Maltreatment.

Filed under: Depression Treatment

J Fam Issues. 2012 Jul; 33(7): 920-941
Martin A, Gardner M, Brooks-Gunn J

Previous research has linked parents’ social support to decreased child maltreatment but questions remain surrounding the mechanisms explaining this association. Further, it is unclear whether this association applies to support provided by family alone (and not friends), and whether it is moderated by the presence of neighborhood violence. Based on a sample of parents of children aged 3-15 in Chicago, we find that parents’ family support is associated with a lower risk of child maltreatment. This association is partly mediated by reduced parental depression, but only in neighborhoods with average or high levels of violence. In neighborhoods with low levels of violence, the inverse association between family support and maltreatment is equally strong, but it is not mediated by reduced depression.
HubMed – depression


Problem-Solving Therapy for Psychological Distress in Japanese Early-stage Breast Cancer Patients.

Filed under: Depression Treatment

Jpn J Clin Oncol. 2012 Oct 17;
Hirai K, Motooka H, Ito N, Wada N, Yoshizaki A, Shiozaki M, Momino K, Okuyama T, Akechi T

OBJECTIVE: The current report provides the result of a Phase II clinical trial regarding the effectiveness and feasibility of problem-solving therapy for psychological distress experienced by Japanese early-stage breast cancer patients. METHODS: Participants were 36 post-surgery Japanese breast cancer patients in a university hospital located in Osaka Prefecture, Japan. After screening for psychological distress using the Distress and Impact Thermometer and the Hospital Anxiety and Depression Scale, highly distressed patients were exposed to 5 weekly sessions of the problem-solving therapy program. RESULTS: Nineteen patients completed the intervention and follow-up. There was a significant difference between the pre-intervention and the 3-month follow-up in the total Hospital Anxiety and Depression Scale score (P = 0.02), and the mean change score from the pre-intervention to the follow-up was 6.05 (SD = 1.94). The intervention had a large effect size (d = 0.82). There were also significant changes in worry, self-efficacy and quality of life measures. CONCLUSIONS: The findings of our study suggest that the problem-solving therapy program has potential to be effective for alleviating psychological distress experienced by Japanese early-stage breast cancer patients. The true effectiveness of the program should be confirmed by a future randomized control trial.
HubMed – depression


Cognitive impairment, health-related quality of life and vocational status at early stages of multiple sclerosis: a 7-year longitudinal study.

Filed under: Depression Treatment

J Neurol. 2012 Oct 19;
Ruet A, Deloire M, Hamel D, Ouallet JC, Petry K, Brochet B

The association between cognitive impairment, health-related quality of life (HRQoL) and vocational status has been studied in recent years in cross-sectional studies in multiple sclerosis (MS), but longitudinal data are still lacking. This study assesses this association in a sample of 65 newly diagnosed MS patients followed longitudinally. Each patient underwent a standardised clinical assessment, cognitive tests and the HRQoL SEP-59 questionnaire six months after the MS diagnosis (baseline) and seven years later (y7).Vocational status was also established at baseline and at y7 in MS patients. The HRQoL at baseline was severely reduced in MS patients compared with healthy subjects. The independent predictors for HRQoL composite scores at y7 were the baseline depression score and the memory Z-score. Accordingly, 81.5 % of MS patients worked at baseline and only 54.4 % worked at y7. Among the MS patients who did not work at y7, 72.7 % of them were cognitively impaired, while 27.3 % were unimpaired at baseline. The vocational status at y7 was significantly associated with the baseline IPS Z-score, EDSS and age. Vocational status at y7 and its change over 7 years was significantly associated with cognitive deterioration. IPS or memory dysfunction in the early stages of MS is correlated with a decreased level in health perception, independent of fatigue, depression and physical disability. Cognitive impairment at the diagnosis of MS increases the risk of changing vocational status in MS patients seven years later.
HubMed – depression



Healthy Living Magnetic depression treatment – YNN, Your News Now4.mp4 – Randy I. Pardell MD DFAPA, Director of the TMS Center of the Hudson Valley, Martha Rhodes TMS, Advocate discuss Transcranial Magnetic Stimlulation Therapy a breakthrough treatment for Depression. Marcie Fraser interviews Martha and Dr. Pardell at the TMS Center of the Hudson Valley’s newest site in Saratoga Springs, NY. Martha and Dr. Pardell will be publishing their book 3000 Pulses in the Summer 2012.


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