Publications by authors named "S Starkstein"

Background: Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed to manage anxiety in adults with an autism diagnosis. However, their effectiveness and adverse effect profile in the autistic population are not well known. This trial aims to determine the effectiveness and cost-effectiveness of the SSRI sertraline in reducing symptoms of anxiety and improving quality of life in adults with a diagnosis of autism compared with placebo and to quantify any adverse effects.

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Background: The nosological position and clinical relevance of the concept of diabetes distress (DD) are uncertain. The aim of this study was to use latent class analysis (LCA) to categorise classes of people with type 2 diabetes and to compare their characteristics.

Methods: Data from 662 participants in the longitudinal observational Fremantle Diabetes Study Phase II were analysed.

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The presence of neuropsychiatric disorders after stroke has been recognized for more than 100 years, but controlled systematic studies did not begin until the 1970s. The most clinically important advances, however, have been in the treatment and prevention of poststroke depression (PSD). Recent meta-analyses of randomized controlled trials (RCTs) for the treatment of PSD have demonstrated the efficacy of antidepressants.

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Article Synopsis
  • The Fremantle Diabetes Study (FDS) aimed to determine if the mortality gap related to schizophrenia and type 2 diabetes improved from Phase I (FDS1) to Phase II (FDS2) over 15 years.
  • Participants from both phases were compared, revealing a higher mortality rate for those with both conditions, which was particularly pronounced in FDS1 and FDS2 subgroups with type 2 diabetes and schizophrenia.
  • The findings indicate that the combination of type 2 diabetes and schizophrenia continues to be linked to a significant mortality risk, highlighting an increasing concern over the years.
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This study explored the feasibility and effectiveness of a short-term (10-week) intervention trial using Donepezil administered alone and combined with intensive language action therapy (ILAT) for the treatment of apathy and depression in ten people with chronic post-stroke aphasia. Outcome measures were the Western Aphasia Battery and the Stroke Aphasia Depression Questionnaire-21. Structural magnetic resonance imaging and fluorodeoxyglucose positron emission tomography were acquired at baseline and after two endpoints (Donepezil alone and Donepezil-ILAT).

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