Depressive sysmtoms linked to therapy uptake

Cognitive Depressive Symptoms and Antiretroviral Therapy Uptake:

Possible Link Between Cognitive Depressive Symptoms, Antiretroviral Therapy Uptake

Possible Link Between Cognitive Depressive Symptoms, Antiretroviral Therapy Uptake

 

The impact of depressive symptoms on antiretroviral therapy are being widely studied , studies have investigated the impact of these symptoms at ART initiation . According to researchers, understanding factors associated with ART initiation may be particularly useful where it is not as commonly prescribed , such as Russia , which has experienced a dramatic increase in rates of HIV infection in the past decade .

Jeffrey Samet, professor of internal medicine and principal investigator of the study, the researchers recruited participants in the evolution of the HIV epidemic in Russia – Mitigating Infection Transmission and Alcoholism in a growing epidemic study . The 133 eligible participants had their severity measured at six and 12 months of brands depressive symptoms.

The results do not provide evidence that the severity of depressive symptoms alone had no statistically significant effect on the initiation of ART , the findings suggest a possible role of cognitive depressive symptoms in decisions to initiate ART. According to investigators, the cognitive symptoms of depression are often regarded as an index of depression that is less influenced by the symptoms of HIV . In addition , the study showed findings consistent with existing studies showing participants with excessive alcohol co – morbid and injection drug use appears to have delayed the start of ART .

” Depressive symptoms have been shown to influence the progression of HIV and have been associated with poor virologic response to treatment and an increased immune failure,” said Tracie Goodness , a doctoral student in clinical psychology at the CAS and corresponding author of the study. “Starting the timely ART has been associated with many positive health effects , such as decreased mortality , increased immune function and lower rates of HIV transmission,” he added.

More research is needed, these results provide initial evidence for the role of depressive symptoms and may contribute to the understanding of the initiation of ART in HIV  infected populations

Asperger’s syndrome dropped from DSM

Asperger’s syndrome dropped from psychiatrists’ handbook the DSM:

 

Gary McKinnon, the British hacker who is diagnosed with Asperger's syndrome. The condition is to be removed from American psychiatric handbook the DSM and its symptoms covered by autism spectrum disorder.

Gary McKinnon, the British hacker who is diagnosed with Asperger’s syndrome. The condition is to be removed from American psychiatric handbook the DSM and its symptoms covered by autism spectrum disorder.

 

Asperger’s syndrome is to be dropped from the psychiatrists’ Diagnostic and Statistical Manual (DSM) of Mental Disorders, the American publication that is one of the most influential references for the profession around the world. The term “Asperger’s disorder” will not appear in the DSM-5, the latest revision of the manual, and instead its symptoms will come under the newly added “autism spectrum disorder”, which is already used widely. That umbrella diagnosis will include children with severe autism, who often do not talk or interact, as well as those with milder forms. The British hacker Gary McKinnon is diagnosed with Asperger’s and it contributed to a government decision not to extradite him from Britain to the US on cybercrime charges. The DSM is used in a number of countries to varying degrees. Psychiatrists in some countries including Britain use the International Classification of Diseases (ICD) published by the World Health Organisation or a combination of both handbooks. In other changes to the DSM, abnormally bad and frequent temper tantrums will be diagnosed as DMDD, meaning disruptive mood dysregulation disorder. Supporters say it will address concerns about too many children being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. The term “gender identity disorder”, for children and adults who strongly believe they were born the wrong gender, is being replaced with “gender dysphoria” to remove the stigma attached to the word “disorder”. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual decades ago. The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by psychiatrists in the US and other countries. The changes were approved on Saturday. Full details of all the revisions will come in May 2013 when the American Psychiatric Association’s new diagnostic manual is published. The changes will affect the diagnosis and treatment of millions of children and adults worldwide, as well as medical insurance and special education services. The aim was not to expand the number of people diagnosed with mental illness but to ensure those affected were more accurately diagnosed so they could get the most appropriate treatment, said Dr David Kupfer, the University of Pittsburgh psychiatry professor who chaired the revision committee. One of the most hotly argued changes was how to define the various ranges of autism. Some on the panel opposed the idea of dropping the specific diagnosis for Asperger’s. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some Asperger’s families opposed any change, fearing their children will lose a diagnosis and no longer be eligible for special services, but experts have said this will not be the case. People with dyslexia also were closely watching for the update. Many with the reading disorder did not want their diagnosis dropped, and it will not be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognising written words. The shorthand name for the new edition, the organisation’s fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders say specifics will not be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.