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  • Youth obesity programs may promote unintended behaviors :: U-M Psychiatry and Depression Center Newsroom
    says David Rosen M D M P H clinical professor of pediatrics internal medicine and psychiatry chief of teenage and young adult medicine in the Department of Pediatrics and a Depression Center member However Rosen says When obesity interventions are put in place without understanding how they work and what the risks are there can be unintended consequences Well intentioned efforts can go awry when children misinterpret the information they re given Many of these behaviors are often dismissed as a phase says Rosen But given what we know about the association of these behaviors with the development of eating disorders and knowing that eating disorders are increasing in prevalence they should be taken very seriously Parents that report incentive programs at their children s school to increase physical activity are more likely to say their children are too physically active 11 compared with parents who do not report incentives for physical activity at their child s school 4 Otherwise the poll did not find an association between school based obesity prevention programs and other worrisome eating behaviors among children The fact that 30 of parents report at least one worrisome eating behavior in their children is concerning It s much better and safer for parents to respond to worrisome eating behaviors early even if there turns out to be no problem than to wait until there is obviously a big problem Rosen says It is much easier to prevent an eating disorder than it is to treat an eating disorder Rosen offers these suggestions for parents 1 Be attentive to your children s eating habits If you see behaviors that are worrisome to you talk to your children about them If the behaviors escalate involve your child s doctor 2 Find out what your children s schools are doing

    Original URL path: http://ummentalhealth.info/2012/01/25/youth-obesity-programs-may-promote-unintended-behaviors/ (2016-05-02)
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  • Electroconvulsive therapy’s enduring effectiveness :: U-M Psychiatry and Depression Center Newsroom
    depression in people who have failed to find relief through other treatments or who need a more rapid response than medications can provide The article quotes Assistant Professor of Psychiatry Daniel Maixner M D who directs the ECT program at U M Hospital and is also a Depression Center member Read the article here http www freep com article 20120304 FEATURES08 203040327 Therapy electro shock treatments put depressed Clarkston woman back on track odyssey nav 7Chead Recent Entries Dr Monica Starkman professor emeritus publishes novel based on career in psychiatry Who gets hooked on drugs who stays clean Study in rats finds genetic markers that influence addiction UMHS community mourns death of Kenneth Silk M D Taking the fight against risky pain pill use to the ER Study shows promise Fashion design meets U M research in wearable human stem cell images Featured Video Recent Posts Dr Monica Starkman professor emeritus publishes novel based on career in psychiatry Who gets hooked on drugs who stays clean Study in rats finds genetic markers that influence addiction UMHS community mourns death of Kenneth Silk M D Taking the fight against risky pain pill use to the ER Study shows promise Fashion design

    Original URL path: http://ummentalhealth.info/2012/03/05/electroconvulsive-therapys-enduring-effectiveness/ (2016-05-02)
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  • U-M among international group to find genetic variants that may contribute to bipolar disorder, schizophrenia :: U-M Psychiatry and Depression Center Newsroom
    other members of the Michigan group The team found two variants one of which was novel that were associated with increased risk of developing bipolar disorder and possibly other conditions The consortium s findings are published online in two papers in the journal Nature Genetics Together the papers significantly advance understanding of what causes the two devastating brain disorders that each affect about 1 percent of the population Family history which reflects genetic inheritance is a strong risk factor for both disorders and the general assumption is that many genes plus environmental factors contribute to disease risk The bipolar study s great strength truly is the large sample size that was brought together 7 481 cases and 9 250 controls Scott said Scott said the consortium s bipolar paper extends the findings of smaller studies from the Michigan study group and other groups that examined genetic variants that occur frequently in the population Research is underway at U M SPH led by Michael Boehnke with collaborators at HudsonAlpha Institute for Biotechnology to learn about the genetic variants occur less frequently in people The study team will perform whole genome sequencing of 2 000 bipolar cases and controls To our knowledge this is currently the largest whole genome sequencing project for bipolar disorder Scott said The hypothesis is that there are bipolar risk variants that occur infrequently in the population but that these variants may actually have a stronger effect on bipolar disorder than the ones currently identified The genotyping and initial analyses of the samples contributed by Michigan was funded by the Pritzker Neuropsychiatric Research Consortium The consortium research was funded by several European American and Australian funding bodies Funds for coordination of the consortium were provided by the U S National Institute of Mental Health Recent Entries Dr Monica

    Original URL path: http://ummentalhealth.info/2011/09/20/u-m-among-international-group-to-find-genetic-variants-that-may-contribute-to-mental-illness/ (2016-05-02)
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  • Stressors raise depression risk in people with gene allele :: U-M Psychiatry and Depression Center Newsroom
    as childhood maltreatment or the presence of a medical condition were better able to detect the interaction between the 5 HTTLPR variant and depression Also studies that did in depth interviews with subjects as opposed to studies that use questionnaires or phone interviews were more likely to detect the association The Caspi study has been cited thousands of times in the scientific literature and generated enormous excitement about the possibility for gene by environment research But in 2009 Neil Risch Ph D of the Institute for Human Genetics at the University of California San Francisco and colleagues published an analysis of 14 studies in JAMA The report titled Interaction Between the Serotonin Transporter Gene Stressful Life Events and Risk of Depression yielded no evidence that the gene either alone or in interaction with stressful events was associated with depression But in an interview with Psychiatric News Sen explained that the JAMA study focused on studies that simply asked subjects to report the number of stressful life events they had experienced and did not include many other studies that looked at the interaction between variations in the serontonin gene and specific life stressors Caspi in comments to Psychiatric News noted that a 2007 report in Molecular Psychiatry The Moderation by the Serotonin Transporter Gene of Environmental Adversity in the Aetiology of Mental Illness Review and Methodological Analysis by Uher and Mcguffin had illuminated a pattern that was appearing in analyses replicating his original 2003 finding studies that ascertained stress and depression via sensitive face to face clinical interviews usually replicated the finding but studies that collected data via postal questionnaire or telephone often did not replicate the finding This was the first tip off that measurement mattered Caspi said Yet the 2009 JAMA analysis employed the same approach of including studies that used the least sensitive measures of stress and Caspi said subsequent publicity about the analysis including in the New York Times had a chilling effect on gene by environment research in depression He said he hopes the new Archives analysis will renew research interest in the area Sen s analysis is important because it is entirely independent of our team and because he made an effort to include all available human observational studies and systematically evaluated research into a variety of different objective stressors not just checklists of stress events ascertained through the mail or by phone Caspi told Psychiatric News Sen noted that the analysis will advance research on how genes and various environmental factors interact in depression 5 HTTLPR is not the depression gene he cautioned It accounts for only a small amount of the risk for depression The next step is to find better ways to study gene by environment interactions and as we accumulate more and more research we will likely have a panel of genes that together might have real meaning for who might respond to antidepressant medication or to CBT information that can really help clinicians APA Treasurer David Fassler M D echoed

    Original URL path: http://ummentalhealth.info/2011/02/08/stressors-raise-depression-risk-in-people-with-gene-alleles/ (2016-05-02)
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  • Greden appointed board president of national suicide prevention organization :: U-M Psychiatry and Depression Center Newsroom
    programs for professionals and the public promoting public policies that impact suicide and prevention and providing programs and resources for survivors of suicide loss and those at risk In 2001 Greden became a vocal advocate and champion of U M s Depression Center the first of its kind in the nation He is also founder and chair of the National Network of Depression Centers which today has grown to include 21 other academic depression centers Greden was elected to the AFSP Board of Directors in 2008 serves as a member of the AFSP Scientific Council and previously served as the board s vice president In 2010 he was featured in AFSP s film Depression and Bipolar Awareness From Diagnosis to Remission which is widely used throughout the country to educate patients family members and caregivers about these illnesses their treatment and recovery Greden s research and clinical activities have emphasized the study of the longitudinal course of depression linkages between stress hormones and depressive recurrences and clinical strategies for preventing such recurrences He has published more than 268 scientific papers edited a number of scientific books including Treatment Recurrent Depression A Roadmap for Effective Care published in 2011 Greden has also been acknowledged in various listings of The Best Doctors and the Top 100 Psychiatrists in America The AFSP board is comprised of leading scientists business and community leaders and individuals who have been personally touched by mental illness and or suicide The board is responsible for setting policy shaping strategic directions approving the budget financial reports and other initiatives as well as helping to raise needed resources for AFSP s mission Recent Entries Dr Monica Starkman professor emeritus publishes novel based on career in psychiatry Who gets hooked on drugs who stays clean Study in rats finds genetic markers

    Original URL path: http://ummentalhealth.info/2012/02/24/greden-appointed-board-president-of-national-suicide-prevention-organization/ (2016-05-02)
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  • Postpartum depression common in developing countries :: U-M Psychiatry and Depression Center Newsroom
    important for mothers of sick infants who have additional medical problems impacting their health In low and middle income nations maternal depression has been linked to poor infant nutritional status diarrhea and respiratory illness critical factors of child survival Children with mothers who are depressed are also nearly twice as likely to be underweight and experience growth stunting Growing evidence indicates that children of depressed women have higher health risks ranging from low birth weight spontaneous abortion stillbirth and preterm delivery to reductions in breastfeeding infant sleep behavior disorders and attachment problems Lack of perceived social support poor self rated health history of interpersonal violence with a current partner and home delivery are important risk factors for postpartum depression among mothers of sick infants in Ghana the study says These risks are very similar to risk for postpartum depression in the United States In places like Ghana however there are significant challenges to providing adequate mental health care for new moms including a lack of trained staff funding barriers lack of affordable medications and social stigma Postpartum depression is well known in the United States and we recognize that pregnancy and the postpartum period are vulnerable times for maternal mental health says Gold But in low income nations many people view symptoms of depression as spiritual or personal issues rather than a psychiatric condition which could be treated Additional Authors Kathryn Spangenberg Family Medicine Polyclinic Directorate Komfo Anokye Teaching Hospital Kumasi Ghana Priscilla Wobil Department of Child Health Komfo Anokye Teaching Hospital Kumasi Ghana Thomas L Schwenk M D former chair of U M s Department of Family Medicine now dean of the University of Nevada School of Medicine and vice president of the University of Nevada Reno Division of Health Sciences Funding University of Michigan GlobalREACH National Institutes of

    Original URL path: http://ummentalhealth.info/2013/01/08/postpartum-depression-presents-health-risks-for-moms-babies/ (2016-05-02)
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  • Maternal depression is associated with significant sleep disturbance in infants :: U-M Psychiatry and Depression Center Newsroom
    Fund and the Drs Jack and Barbara Berman Depression Research Fund at the U M Depression Center One group was made up of mothers who sought help for depression during pregnancy from the U M Depression Center s Women s Mood Disorders Program The other group had no past or current depression Each group wore devices that measured sleep time at night light exposure and daytime activity rest patterns The moms wore the devices during the last trimester of pregnancy and after their babies were born the team fitted each child with a tiny actigraph at two weeks of age Information was collected monthly until babies were 8 months old Results indicate that infants born to mothers with depression had significant sleep disturbances compared to low risk infants The high risk group took up to 2 hours more to settle for night time sleep woke up more often and had more daytime sleep than infants who were born to mothers without depression at two weeks and 30 weeks post partum We think we may have identified a vulnerability in the initial entrainment of sleep and circadian rhythms that may elevate the risk for these children to develop later depression Armitage says Our task now is to determine if it is modifiable Can we reverse the effects and reduce the risk of developing later depression by enriching sleep and circadian rhythms in infancy Infants and toddlers need to nap during the daytime to get all the sleep they need 11 to 18 hours for newborns in the first two months 11 to 15 hours for the next 10 months and 12 to 14 hours from ages 1 to 3 years And newborns wake up in the night when they need food But going to bed at the same time getting up at the same time establishing rituals around the bedtime helps infants begin to distinguish between night sleep and day sleep says Armitage a professor of psychiatry at the U M Medical School Put the baby in day clothes for naps and in night clothes for night sleep babies pick up these cues Parents can also make sure that babies are regularly around bright light during the day which helps the body develop circadian rhythms linked to light cycles The bright light shouldn t shine directly in babies eyes and they should be shielded from direct sunlight and wear sunscreen outside By four months of age a baby s sleep schedule should have become regular more focused on nighttime sleep and their blocks of sleep more consolidated or longer especially at night The main thing she says is to make sure babies and small children get enough sleep on an increasingly regular schedule and that their moms do too The period immediately after giving birth is a high risk time for depression even in women who have never had depression before Those who have had depression or have relatives who have suffered depression are most at risk This postpartum depression can

    Original URL path: http://ummentalhealth.info/2009/05/07/maternal-depression-is-associated-with-significant-sleep-disturbance-in-infants/ (2016-05-02)
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  • Mom’s mood, baby’s sleep: What’s the connection? :: U-M Psychiatry and Depression Center Newsroom
    first months of life The research that Armitage and her colleagues will present next week and also this fall at the American Academy of Child Adolescent Psychiatry annual meeting is based on sleep studies involving two groups of new mothers and their babies It s funded by the Cohen Sleep Research Fund and the Drs Jack and Barbara Berman Depression Research Fund at the U M Depression Center One group was made up of mothers who sought help for depression during pregnancy from the U M Depression Center s Women s Mood Disorders Program The other group was mothers who had no past or current depression Each group agreed to wear wristwatch like devices called actigraphs which measure sleep time at night light exposure and daytime activity rest patterns The moms began wearing the devices during the last trimester of pregnancy and then after their babies were born the team fitted each child with a tiny actigraph at the age of two weeks Then the team downloaded the information from the devices every month until the babies were eight months old So far the analysis of the data they collected show that babies born to depressed moms had little or no evidence of an in born 24 hour circadian rhythm soon after they were born unlike the babies born to women who weren t depressed This irregular pattern continued until the study ended in the babies eighth month We think we ve identified one of the risk factors that may contribute to these infants going on to develop depression later in life says Armitage Not everybody who has poor sleep or weak circadian rhythms will develop depression but if sleep stays consistently disrupted and circadian rhythms are weak the risk is significantly elevated That s why she says it s so crucial to help all babies and new parents get the sleep they need Those first few months in fact are a kind of training camp for the baby s sleep in the future Armitage says Babies bodies and brains need to be trained to understand that they should sleep when it s dark and be awake when it s light the basic circadian rhythm that governs sleep patterns for a person s entire life This sets the baby s body clock right from the start Of course infants and toddlers need to nap during the daytime to get all the sleep they need 11 to 18 hours for newborns in the first two months 11 to 15 hours for the next ten months and 12 to 14 hours from ages 1 to 3 years And newborns wake up in the night when they need food But going to bed at the same time getting up at the same time establishing rituals around the bedtime helps infants begin to distinguish between night sleep and day sleep says Armitage Put the baby in day clothes for naps and in night clothes for night sleep babies pick up these cues Parents can

    Original URL path: http://ummentalhealth.info/2008/09/02/moms-mood-babys-sleep-whats-the-connection/ (2016-05-02)
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