When 25 percent of the payments to community health clinics were based on quality of care, patients received better care and had better depression outcomes. The results of this initiative are published in the American Journal of Public Healt h in the paper, "Quality Improvement with Pay-for-Performance Incentives in Integrated Behavioral Health Care." University of Washington researchers examined records from almost 8, 000 patients treated for depression in 29 community health clinics in the Washington State Mental Health Integration Program before and after the implementation of a pay-for-performance incentive. After the incentive was started, patients were seen more quickly and were more likely to receive consultation from a psychiatrist. They were also more likely to show improvements in their depression.
Approximately one third of adults with arthritis in the USA aged 45+ years suffer from anxiety or depression, researchers from the CDC reported in the journal Arthritis Care & Research. The authors added that the prevalence of anxiety in adults with arthritis is almost twice as high as depression, in spite of more studies focusing on the arthritis-depression link. 27 million patients aged 25+ years have been diagnosed with osteoarthritis, and another 1.3 million with rheumatoid arthritis, according to data US health authorities. The CDC (Centers for Disease Control and Prevention) estimates that approximately 50 million people are affected by arthritis in the USA. The illness is the leading cause of disability in the country. According to prior research, depression is common among patients with arthritis and other chronic illnesses and conditions.
A cellular protein called HDAC6, newly characterized as a gatekeeper of steroid biology in the brain, may provide a novel target for treating and preventing stress-linked disorders, such as (PTSD), according to research from the Perelman School of Medicine at the University of Pennsylvania. Glucocorticoids are natural steroids secreted by the body during stress. A small amount of these hormones helps with normal brain function, but their excess is a precipitating factor for stress-related disorders. Glucocorticoids exert their effects on mood by acting on receptors in the nucleus of emotion-regulating neurons, such as those producing the neurotransmitter serotonin. For years, researchers have searched for ways to prevent deleterious effects of stress by blocking glucocorticoids in neurons.
Commonly prescribed anti-depressants appear to be doing patients more harm than good, say researchers who have published a paper examining the impact of the medications on the entire body. "We need to be much more cautious about the widespread use of these drugs, " says Paul Andrews, an evolutionary biologist at McMaster University and lead author of the article, published in the online journal Frontiers in Psychology. "It's important because millions of people are prescribed anti-depressants each year, and the conventional wisdom about these drugs is that they're safe and effective." Andrews and his colleagues examined previous patient studies into the effects of anti-depressants and determined that the benefits of most anti-depressants, even taken at their best, compare poorly to the risks, which include premature death in elderly patients.
Researchers from the Centers for Disease Control and Prevention (CDC) found that one-third of U.S. adults with arthritis, 45 years and older, report having anxiety or depression. According to findings that appear today, April 30th, in Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology (ACR), anxiety is nearly twice as common as depression among people with arthritis, despite more clinical focus on the latter mental health condition. In the U.S. 27 million individuals, 25 years of age and older, have doctor diagnosed osteoarthritis (OA) and 1.3 adults have rheumatoid arthritis (RA) according to prevalence data from the ACR. The CDC estimates that all forms of arthritis affect 50 million Americans and is the leading cause of disability nationwide.