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Depression subtype, age, and prior attempts shaped suicide risk and costs in older adults receiving psychiatric care.
In dark times, many novelists, poets, and performers turn to their work to process and express what they’re feeling. What do these texts born of tragedy offer their audience?
Objective: Depression is known to be highly heterogeneous, with distinct clusters of symptoms. Whether this heterogeneity exists after traumatic brain injury (TBI) and how clusters of depression symptoms after TBI may relate to clinical symptoms, functional outcomes, and underlying neurobiology are largely unknown. Methods: The authors investigated depression symptom clusters after subacute TBI and evaluated their clinical, functional, and neural correlates. Community-dwelling participants with complicated mild, moderate, or severe TBI (N=53) were evaluated on average 5 months postinjury. Participants were administered the 17-item Hamilton Depression Rating Scale (HDRS), the Rivermead Post-Concussion Symptom Questionnaire, the Glasgow Outcome Scale–Extended, and a neuropsychological test battery. A subset of participants completed a resting-state functional MRI scan. Results: Principal component analysis on the HDRS items yielded a two-component solution that accounted for 40% of the variance. Component 1 encompassed mood and affective symptoms as well as agitation and loss of libido, and component 2 encompassed anxiety, insomnia, and most somatic symptoms of the HDRS. Component 2 was associated with greater TBI symptom burden and disability and worse executive functions but not resting-state functional connectivity. Component 1 was not related to TBI symptom burden, neuropsychological function, or disability, but there was a trend-level association between higher negative affect scores and greater functional connectivity between the dorsal attention and default mode networks. Conclusions: The findings suggest that depression after TBI may not be a unitary syndrome but rather may be composed of clusters of symptoms that have different associations with TBI symptom burden, disability, and brain connectivity.
Struggling with Father’s Day after losing your dad? This gentle guide offers ways to honor, remember, and find comfort amid grief.
Psychiatrist.com, a medical publisher, offers peer-reviewed research, clinical guidelines, and CME from the Journal of Clinical Psychiatry and Primary Care Companion
We asked a therapist to share the most infuriating things to say when someone tells you they’re depressed. Plus, what to say instead.
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"Grief, like love, needs no god to be sacred."
Scientific evidence tells us that depression is psychological and should be treated by behavior therapy, not by antidepressant drugs.
Certain groups of physical multimorbidity may be associated with a higher risk of subsequent depression.
Background: Adolescence is a critical period for moral development, and depression significantly impacts this process by altering cognitive and emotiona
Death in the military can be sudden and unexpected. For Memorial Day, here's how grief is different for families of those who served.
Psychiatrist.com, a medical publisher, offers peer-reviewed research, clinical guidelines, and CME from the Journal of Clinical Psychiatry and Primary Care Companion
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Depression is a leading cause of disability worldwide, profoundly impairing occupational, social, and family functioning. We aimed to identify socio-d…
An indie author finds beauty in profound loss.
Funerals, celebrations of life, and other mourning rituals are just one step in the longer, complex journey of grieving
Imagine a quiet morning in a suburban park, where a small group moves slowly along a winding path, their steps deliberate, their faces serene. They’re not just walking—they’re engaging in a practice that ties movement to mindfulness, a method often called walking meditation. For many, this isn’t merely about relaxation; it’s a way to sharpen […] The post The Neuroscience Behind Walking Meditation and Memory appeared first on EgoEase.
The proportion of U.S. children and adolescents with anxiety and depression increased from 2016 to 2022, according to a recent Northwestern Medicine survey analysis published in JAMA Pediatrics.
Most of know the devastation of losing a pet and it can be hard to move forward with a broken heart. Pet Loss Grief Expert Beth Bigler joined us with advice on
A functional freeze is when you appear to be functioning, but you’re emotionally and mentally shut down. Experts identify signs and how to get out of it.
PanCAN Senior Director of Patient Services Fatima Zelada-Arenas talks about the process of working through grief and offers resources to help cope with loss.
Depression doesn't always look like sadness at your job. Don't ignore these subtle warning signs.
Background Health mediation practices are multiform—as they constantly adapt to the context—and multilevel, making any study of health mediation complex. Given this background, some authors in interventional health research working on the complexity of interventions highlighted the need for a solid conceptual framework-upstream of any evaluation-that considers all the specificities of the intervention and the context. The present realist qualitative study aimed to deepen our understanding of how health mediation could foster healthcare utilization. Methods We conducted a realist qualitative study from May 2021 to September 2022 in France using eighteen semi-structured interviews of professionals implementing health mediation. The themes investigated were their professional framework, activities, and perception of factors facilitating and limiting the effect of health mediation on the fostering of healthcare utilization by underserved populations. Data was analyzed to develop a taxonomy of health mediation activities and to hypothesize initial middle-range theories necessary to explain the effect of health mediation on healthcare utilization. Results were amended and adjusted at four consensus seminars in February 2023. Results The taxonomy comprised 59 activities grouped into standardized categories into three dimensions: the territorial structuring of health mediation, the coordination and steering of response actions, and healthcare system navigation. We identified three initial middle-range theories that could explain how health mediation might foster healthcare utilization among underserved populations. Specifically, these theories suggested two prerequisites for effective health mediation. The first would be the need for a community of practice to help the healthcare system adapt to the problems and needs of underserved populations. The second would be the need to foster the intention to use the healthcare system, based on the targeted populations' perceived and unperceived health needs. In turn, this could encourage effective healthcare utilization for these populations. Discussion Health mediators might complement the work of all other healthcare and social workers to respond proportionately to the needs and different vulnerabilities of underserved populations. In this way, health mediation promotes the right to good health and fosters healthcare utilization.
My grief journey: How I got lost in nostalgia to cope with my loss. Finding renewed comfort and understanding in the films, TV, books, and music of my past.
Self-help interventions meant to improve mental health symptoms that are comorbid with eating disorders have a substantial public health impact.
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Depression in men may look different.