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MDNG Psychiatry, August 2008, Volume 8, Issue 8

//The Educated Patient


This site offers information and day-to-day tips designed to help visitors understand depression and available treatments. In the “Understanding Depression” section is an animation that coincides with a narration on the biochemical process of depression throughout the body. Types of depression, including dysthymia and seasonal depressive disorder, are discussed here, as well as causes, and action plans.


Understanding Depression

This resource overviews the signs and symptoms that might indicate depression, noting that patients may have depression if “you can’t sleep or you sleep too much,” “you can’t concentrate or find that previously easy tasks are now difficult,” and “you feel hopeless and helpless.” The site also breakdowns how depression may be experienced differently in specific gender and age populations, such as teens, older adults, men, and women. The various types of depression are also explored.


Depression Quiz: Test Your Medical IQ

Provided by MedicineNet.com on the main depression page, this quiz will help patients determine how much they know about depression and possibly shed some light on what they have yet to uncover.


//Online CME

Managing Depression in Older Adults: Practical Approaches to Complex PatientsCredits:1.00


Expires:September 3, 2011


This activity focuses on assessing depression in older adults, identifying co-morbidities, implementing multimodal treatment plans, and implementing psychosocial interventions.


Chronic Pain and Depression



Expires:Dec. 28, 2011


The “association between chronic pain and depression,” the longitudinal relationship between the two, and the use of anti-depressants are reviewed in this program.


//From the Literature

Sleep Problems Early in Life may Predict Anxiety or Depression

Researchers studied sleep problems in infancy and early toddlerhood to examine whether they could predict the development of anxiety or depression at age 3 years. The study included data on the sleep patterns of 4,682 children age 2-24 months. The results demonstrated that attention should be placed on sleep problems in young children early on.


Sensitivity to Peer Rejection may Predict Adolescent Depression

Adolescents with increased activity in the subgenual region of the anterior cingulated cortex (subACC) may have a heightened sensitivity to peer rejection. Increased activity of the subACC has also been linked to depression. The researchers sought to directly test the “hypothesis that adolescents' subACC responses are predictive of their risk for future depression.” They found that “subACC responsivity to social exclusion may serve as a neural marker of adolescents' risk for future depression.”


Positive Feedback Activates Amygdala in Young Depressed Adults

Whereas past studies have demonstrated that depressed patients respond to negative social feedback with increased amygdala activation, the researchers for this study demonstrated that the same patients respond with increased amygdala activation for positive stimuli as well. “Amaygdala hyperresponsivity in depression is not restricted to negatively-valenced stimuli.” The researchers sought to test whether aberrant activity is demonstrated in the amygdala during both positive and negative stimuli.


//Clinical Trials

Depression Management at the Workplace


Effectiveness of a Web-based Prevention Program for Postpartum Depression


Effectiveness of Behavioral Treatments for Obesity and Major Depression in Women


Psychosocial Treatment for Women With Depression and Pain