Shy Passions

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Mood and Substance Use Disorders Among Adults Seeking Speech Treatment for Stuttering.
Published July 18, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
CONCLUSIONS: Although adults who stutter in the present study were characterized by significantly higher rates of mood disorders than matched controls, they do not appear to self-medicate with substances such as alcohol. Results are discussed in terms of treatment implications, and possible reasons why adults who stutter may avoid alcohol. PMID: 20643799 [PubMed - as supplied by publisher] (Source: Journal of speech, language, and hearing research : JSLHR)


Is Mental Illness a Laughing Matter?
Published July 9, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
Arlin Cuncic, About.com's Guide to Social Anxiety Disorder, wrote this interesting blog post on comedians using mental health issues as material. While BPD is not well-known and thus unlikely to become fodder for a comedic routine, related conditions like depression can often become the butt of jokes. What do you think of Arlin's example-- funny or offensive? (Source: About.com Borderline Personality Disorder)


Social anxiety level in Turkish adolescents
Published July 7, 2010, 11:33 am in MedWorm: Social Anxiety Disorder Tags:
This study was a school-based cross-sectional study. Students in grades 6–8 (aged 10–16) from 12 schools in Kocaeli/Turkey were screened by the Social Anxiety Scale for Adolescents (SAS-A). The correlations of sociodemographic parameters with the SAS-A scores were examined. Data from a sample of 1,713 students (865 boys 50.4% and 848 girls 49.5%) were analyzed. A significant gender difference in the SAS-A points was found. Boys reported higher SAS-A total and subscale scores (except social avoidance and distress-general subscale score) than did girls. A significant negative correlation was found between socioeconomic status and social anxiety level. SAS-A scores were higher in those with a low socioeconomic level, and who were going to rural schools. The result of this study show...


Augmentation of Cognitive Behavioral Therapy with Pharmacotherapy
Published July 6, 2010, 3:00 am in MedWorm: Social Anxiety Disorder Tags:
There has long been interest in combining pharmacotherapy with psychotherapy, including cognitive behavioral therapy (CBT). More recently, basic research on fear extinction has led to interest in augmentation of CBT with the N-methyl Daspartate (NMDA) glutamate receptor partial agonist D-cycloserine (DCS) for anxiety disorders. In this article, the literature on clinical trials that have combined pharmacotherapy and CBT is briefly reviewed, focusing particularly on the anxiety disorders. The literature on CBT and DCS is then systematically reviewed. A series of randomized placebo-controlled trials on panic disorder, obsessive-compulsive disorder, social anxiety disorder, and specific phobia suggest that low dose DCS before therapy sessions may be more effective compared with CBT alone in c...


Duloxetine for the Treatment of Generalized Social Anxiety Disorder: A Preliminary Randomized Trial of Increased Dose to Optimize Response.
Published June 30, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
Conclusions: Though with limited power, these data provide preliminary support for the efficacy of duloxetine for GSAD, and suggest continued improvement but limited remission overall at 24 weeks for individuals remaining symptomatic at week 6. These observations warrant further controlled study. PMID: 20625362 [PubMed - as supplied by publisher] (Source: CNS Spectrums)


The total failure of modern psychiatry
Published June 27, 2010, 2:00 am in MedWorm: Social Anxiety Disorder Tags:
(NaturalNews) Modern psychiatry went wrong when it embraced the idea that the mind should be treated with drugs, says Edward Shorter of the University of Toronto, writing in the Wall Street Journal. Shorter studies the history of psychiatry and medicine.Modern U.S. psychiatry has adopted a philosophy that psychological diseases arise from chemical imbalances and therefore have a very specific cluster of symptoms, he says, in spite of evidence that the difference between many so-called disorders is minimal or nonexistent. These "disorders" are then treated with expensive drugs that are no more effective than a placebo."Psychiatry seems to have lost its way in a forest of poorly verified diagnoses and ineffectual medications," he writes.Shorter calls for U.S. psychiatry to abandon its emph...


Effects of safety behaviour on the maintenance of anxiety and negative belief social anxiety disorder. - Okajima I, Kanai Y, Chen J, Sakano Y.
Published June 27, 2010, 1:55 am in MedWorm: Social Anxiety Disorder Tags:
BACKGROUND: Safety behaviour plays an important role in the maintenance of social anxiety disorder (SAD). SAD patients engage in various safety behaviours in social situations in order to decrease the risk of negative evaluations from others. AIMS: The pre... (Source: SafetyLit: All (Unduplicated))


Do Comedians Go Too Far Making Fun of Mental Illness?
Published June 24, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
Mental illness is no laughing matter, but that doesn't stop comedians from poking fun at it.  The question is, should they?  Do they minimize the pain that these illnesses cause and make people less likely to ask for help?  Or do they provide some much needed comic relief?  Share your opinion with our Social Anxiety Disorder Guide Arlin Cuncic. (Source: About.com Depression)


Cross-Ethnic Measurement Equivalence of Measures of Depression, Social Anxiety, and Worry
Published June 24, 2010, 5:31 pm in MedWorm: Social Anxiety Disorder Tags:
This study compared response patterns of African American and Asian American undergraduates to White undergraduates on measures of depression, social anxiety, and worry. On the Beck Depression Inventory—II, response patterns for African American participants were roughly equivalent to the response patterns of White participants. On measures of worry and social anxiety, there were substantial differences, suggesting that the use of these measures in African American and Asian American populations may lead to biased conclusions. (Source: Assessment)


Recognition of irrationality of fear and the diagnosis of social anxiety disorder and specific phobia in adults: Implications for criteria revision in DSM-5
Published June 22, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
Conclusion: Few patients were excluded from a phobia diagnosis because of criterion C. We suggest that in DSM-5 this criterion be eliminated from the SAD and specific phobia criteria sets. Depression and Anxiety 0:1-6, 2010. © 2010 Wiley-Liss, Inc. (Source: Depression and Anxiety)


Combined Pharmacotherapy and Psychotherapy for Social Anxiety Disorder
Published June 21, 2010, 11:13 am in MedWorm: Social Anxiety Disorder Tags:
Content Type Journal ArticleCategory CLINICAL TRIAL REPORTDOI 10.1007/s11920-010-0130-xAuthors Dan J. Stein, University of Cape Town Department of Psychiatry and Mental Health, Groote Schuur Hospital Anzio Road, Observatory Cape Town South AfricaJonathan C. Ipser, University of Cape Town Department of Psychiatry and Mental Health, Groote Schuur Hospital Anzio Road, Observatory Cape Town South Africa Journal Current Psychiatry ReportsOnline ISSN 1535-1645Print ISSN 1523-3812 (Source: Current Psychiatry Reports)


Cross-prevalence of migraine and bipolar disorder
Published June 20, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
Discussion: Migraine is prevalent within the BD population, particularly among BD II subjects. It is associated with an increased risk of suicidal behaviour and comorbid anxiety disorders. Conversely, migraine sufferers have high rates of current and lifetime psychopathology. A greater understanding of this comorbidity may contribute to our knowledge of the underlying mechanisms of BD. (Source: Bipolar Disorders)


Lipopolysaccharide-induced cytokine production in obsessive–compulsive disorder and generalized social anxiety disorder
Published June 19, 2010, 2:46 am in MedWorm: Social Anxiety Disorder Tags:
In this study, we investigated the lipopolysaccharide (LPS)- stimulated cytokine levels of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-8 (IL-8) by peripheral blood leukocytes in 26 OCD patients, 26 GSAD patients, and 52 healthy controls. We found that leukocytes of OCD patients produced less IL-6 compared with matched controls, whereas no cytokine differences were found between GSAD patients and matched controls. When both patient groups were compared, a trend toward lower IL-6 levels in OCD patients was observed. This supports the idea of immunological involvement in the pathophysiology of OCD and suggests that GSAD and OCD might be different in immunological respect. (Source: Psychiatry Research)


Anxious Times
Published June 18, 2010, 1:10 pm in MedWorm: Social Anxiety Disorder Tags:
Even if you’ve thus far managed to avoid a personal crisis via economic downturn, domestic or foreign violence, or plain-out natural disaster, the cultural pulse of dread that dominates our times is inescapable. We’re still slogging through the aftermath of the worst financial crisis since the Great Depression. Our landscapes -- literal, financial, and emotional -- have been shaken by earthquake and oil spill. Job losses and home foreclosures continue to ripple through the media headlines, with no clear end in sight. It seems that by the millions, Americans are facing agonizingly uncertain futures. In times of trouble, heightened anxiety is an appropriate response, one that can spark positive action. A few sleepless nights of fretting over impending layoffs may well drive someone to mo...


Internet Addiction or Excessive Internet Use.
Published June 14, 2010, 6:00 pm in MedWorm: Social Anxiety Disorder Tags:
Conclusions and Scientific Significance: Although Internet-addicted individuals have difficulty suppressing their excessive online behaviors in real life, little is known about the patho-physiological and cognitive mechanisms responsible for Internet addiction. Due to the lack of methodologically adequate research, it is currently impossible to recommend any evidence-based treatment of Internet addiction. PMID: 20545603 [PubMed - as supplied by publisher] (Source: The American Journal of Drug and Alcohol Abuse)