Collaborative Care Model Manages Depression, Anxiety in Patients with Heart Disease

Main Point:

A telephone-based collaborative care model helped manage depression and anxiety, and improved health-related quality of life in patients with heart disease.

Published in:

JAMA Internal Medicine

Author:

Jeff C. Huffman, M.D., of Massachusetts General Hospital, Boston, and colleagues.

Background:

Depression following acute cardiac conditions is common and generalized anxiety and panic disorders occur at higher rates in patients with heart conditions. Depression and anxiety are determinants of health-related quality of life (HRQoL). Collaborative care (CC) models use nonphysician care managers to coordinate treatment recommendations between mental health professionals and primary care physicians. There has been limited use of CC interventions among patients hospitalized for cardiac conditions.

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Remission of Pediatric Anxiety Disorders More Likely With Response to Treatment

JAMA Psychiatry Study Highlights

Youths who responded to treatment during the acute phase of a pediatric anxiety disorder in a clinical trial were more likely than those who did not to be in remission from those disorders an average six years later, according to a study by Golda S. Ginsburg, Ph.D., of The Johns Hopkins University School of Medicine, Baltimore, and colleagues.

Pediatric anxiety disorders are prevalent in childhood and can disrupt development and be associated with adult mental health problems, according to the study background.

The authors examined long-term outcomes among youths diagnosed with an anxiety disorder and randomized to one of four treatments (cognitive behavioral therapy, the medication sertraline, a combination of both or a placebo) as part of the Child/Adolescent Anxiety Multimodal Study (CAMS), an anxiety treatment study. The follow-up study included 288 youths (11-26 years, average age 17) who were evaluated an average six years after randomization. Continue reading

Meditation can reduce as much as 39% of anxiety

Anxiety (Credit: tetsuyayamatashi/Deviantart)Main Points:

Scientists have found that anxiety can be reduced by about 39% with the help of meditation. They have also successfully found the executive brain areas/functions involved in this relief from anxiety.

Published in:

Social Cognitive and Affective Neuroscience

Study Further:

“Although we’ve known that meditation can reduce anxiety, we hadn’t identified the specific brain mechanisms involved in relieving anxiety in healthy individuals,” said Fadel Zeidan, Ph.D., postdoctoral research fellow in neurobiology and anatomy at Wake Forest Baptist and lead author of the study. “In this study, we were able to see which areas of the brain were activated and which were deactivated during meditation-related anxiety relief.”

In the present study, researchers worked with 15 healthy volunteers with normal levels of everyday anxiety. Participants were trained for the mindfulness meditation – a technique in which individuals were taught to concentrate on breath and body feelings and to non-judgmentally assess disturbing thoughts and emotions. Brain activity of the participants was examined used arterial spin labeling magnetic resonance imaging.

After training, participants reported as much as 39% reduced anxiety ratings.

“This showed that just a few minutes of mindfulness meditation can help reduce normal everyday anxiety,” Zeidan said.

The imaging studies showed that the activation of the anterior cingulate cortex and ventromedial prefrontal cortex, areas of the brain concerned with the executive-level function is involved in the anxiety relief from meditation.

“Mindfulness is premised on sustaining attention in the present moment and controlling the way we react to daily thoughts and feelings,” Zeidan said. “Interestingly, the present findings reveal that the brain regions associated with meditation-related anxiety relief are remarkably consistent with the principles of being mindful.”

Source:

Wake Health

Reference:

Zeidan, F., Martucci, K., Kraft, R., McHaffie, J., & Coghill, R. (2013). Neural correlates of mindfulness meditation-related anxiety relief Social Cognitive and Affective Neuroscience DOI: 10.1093/scan/nst041

Trying hard to make your children perfect can decrease their performance

Child StudyingResearchers have found that the parents who try to make their children perfect get opposite results in the form of poorer performance from their children.

This research has been published in the Journal of Experimental Child Psychology.

Researchers worked on 75 children and divided them into two groups of different conditions that were clinically anxious children and non-anxious children. They randomly gave the children high or non-perfectionistic rearing conditions from their parents during the copy task that was designed to check the perfectionistic behaviors.

Researchers found that when the parents were relaxed and didn’t interrupted much, children performed better whether they were anxious or not, while the children performed worse, when the parents intervened or worried about the mistakes. In the second situation, children tried to become perfectionistic but didn’t come with the required results.

The chilled-out children – ”non-anxious in the non- perfectionistic rearing condition” – worked less but did best. Continue reading