The way you can Assess the Effectiveness of Depression Treatment [Depression]

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From: supporter on 1 Aug 2008 04:03

An Investigation From British Journal Of psychiatry
witch deal with the assessment of Depression Treatment
To Download The full Investigation :

http://no4depression.blogspot.com/2008/07/how-to-assess-effictiveness-of.html

Best Regards

From: humble.life on 1 Aug 2008 13:53

supporter wrote:
> An Investigation From British Journal Of psychiatry
> witch deal with the assessment of Depression Treatment
> To Download The full Investigation :
>
> http://no4depression.blogspot.com/2008/07/how-to-assess-effictiveness-of.html
>
> Best Regards
>

i just downloaded it.

i notice the governments mental health experts seem to think all of
those remedies are highly successful. i notice that the report is
suspicious of the effect of CBT and counseling.

i'm in two minds. i think the "how to not mention dark things to people
to make them respond to you differently" thing works, but i don't think
it goes beyond that.

still, as long as the middle classes feel their environment is purely
their own there's no problem is there?

From: CJ Dunnaway on 1 Aug 2008 14:31

"supporter" <abo_elyosr1986(a)yahoo.com> wrote in message
news:2fd4b7c9-ad78-4ca3-b23c-fd1ff414f00b(a)f63g2000hsf.googlegroups.com...
>
> An Investigation From British Journal Of psychiatry
> witch deal with the assessment of Depression Treatment
> To Download The full Investigation :
>
> http://no4depression.blogspot.com/2008/07/how-to-assess-effictiveness-of.html
>
> Best Regards

It all falls back to the nature vs. nurture argument, and it seems to be
a variable mix of the two. I suspect the people more affected by their
environment (nurturing) will respond better to counseling, while people
affected more by brain chemistry (nature) will respond better to drug
therapy. Still others will benefit most by a combination of the two
therapies. Until we learn more, trial and error seems to be the best way
to make that determination.

CJ

From: humble.life on 1 Aug 2008 14:36

From: firemonkey on 1 Aug 2008 15:23

CJ Dunnaway wrote:
> "supporter" <abo_elyosr1986(a)yahoo.com> wrote in message
> news:2fd4b7c9-ad78-4ca3-b23c-fd1ff414f00b(a)f63g2000hsf.googlegroups.com...
>>
>> An Investigation From British Journal Of psychiatry
>> witch deal with the assessment of Depression Treatment
>> To Download The full Investigation :
>>
>> http://no4depression.blogspot.com/2008/07/how-to-assess-effictiveness-of.html
>>
>>
>> Best Regards
>
> It all falls back to the nature vs. nurture argument, and it seems to be
> a variable mix of the two. I suspect the people more affected by their
> environment (nurturing) will respond better to counseling, while people
> affected more by brain chemistry (nature) will respond better to drug
> therapy. Still others will benefit most by a combination of the two
> therapies. Until we learn more, trial and error seems to be the best way
> to make that determination.
>
> CJ
>

Seems to there are three groups (1) Endogenous (2) Non endogenous and
(3) A mixed group prone to varying degrees of both 1 and 2.

http://www.inpsychiatry.com/news/article.aspx?id=76691

MedWire News: Stress-sensitive periods during childhood development
increase the risk for psychiatric diagnoses and symptom severity, with
the stress load having a 'dose' effect in certain diagnoses, say German
researchers.

Previous studies have revealed that adverse or traumatic events during
childhood have an impact on adult psychopathology, with an increased
childhood stress load associated with a range of psychiatric disorders.
However, it is not clear whether this relationship is present regardless
of the specific disorder.

The team, led by Brigitte Rockstroh from the University of Konstanz,
studied 39 patients with major depressive disorder, 32 with
schizophrenia, 15 with drug abuse, and 10 with personality disorder,
along with 31 healthy controls. The participants were administered,
among others, the Early Trauma Inventory, the Brief Psychiatric Rating
Scale (BPRS), the Beck Depression Inventory (BDI), and the General
Assessment of Functioning Scale.

The average age of the patients was 36.2 years, compared with 40.3 years
for controls, while the average BDI scores were 17.9 and 3.3,
respectively. The average BPRS score among patients was 50.5. Patients
had significantly higher scores than controls for early life stress
events, pre-pubertal stress events, overall traumatic experiences, and
prenatal stress, at group point differences of 14.84, 24.62, 19.14, and
11.57, respectively.

Looking at the stress domains of trauma, emotional neglect, physical
punishment, and sexual abuse, the team found that patients reported
significantly more emotional neglect, violence in families during
childhood and adolescence, and separation from their biologic mother for
at least 3 months before puberty than controls.

Patients with personality disorders has the highest childhood and
pre-pubertal stress loads on all measures, while those with major
depressive disorder had significantly higher pre-pubertal stress than
patients with schizophrenia or drug abuse. A high stress load was
associated with major depressive disorder and personality disorder,
while patients with schizophrenia and drug abuse tended to have a lower
stress load.

In addition, patients with high stress loads had significantly more
pronounced affective symptoms, while the severity of post-traumatic
stress disorder (PTSD) was linked to stress load in all life periods.
PTSD diagnosis was predicted in linear regression models by emotional
neglect before 6 years of age, sexual abuse between puberty and 18 years
of age, and the number of traumatic events.

The team concludes in the journal BMC Psychiatry: "Present results
support the hypothesis of stress-sensitive periods during development
and show that a 'dose'-effect... is not restricted to traumatic
experiences and PTSD"

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