Cognitive Behavioral Therapy for Anxiety in Parkinson's Disease: A Randomized Controlled Trial.

Background: Anxiety disorders are among the most prevalent and disabling neuropsychiatric syndromes in patients with Parkinson's disease (PD), but no randomized controlled treatment trials of anxiety have been published to date.

Objective: The aim of this study was to assess the effectiveness of cognitive behavioral therapy (CBT) in the treatment of anxiety in patients with PD.

Methods: Forty-eight patients with PD with anxiety were randomized 1:1 between CBT and clinical monitoring only (CMO).

A blended cognitive behavioral intervention for patients with adjustment disorder with anxiety: A randomized controlled trial.

Adjustment disorder with anxiety (ADA) is a common psychiatric pathology worldwide, but it is often undertreated. Cognitive behavioral therapy (CBT) is the first-line treatment, but very few studies have been carried out for the treatment of ADA. Internet-delivered CBT (iCBT) appears to be an effective treatment option, with the potential to reach a larger proportion of individuals suffering from ADA.

[Non-pharmacological treatment for anxiety disorders].

NON-PHARMACOLOGICAL TREATMENT FOR ANXIETY DISORDERS Anxiety disorders are the most common psychiatric condition presenting to primary care practitioners. Efficacious treatments for these disorders exist, including pharmacotherapy and psychotherapy. Cognitive behavioral therapy (CBT) is the psychotherapy of first choice in most patients with anxiety disorders.

[Elaboration and psychometric properties of a well-being scale at work. The Serenat study among employees in occupational medicine unit].

Background: Well-being at work is nowadays a major public health challenge. It includes, among others, absence of psychological (anxio-depressive) symptoms, perceived positive work conditions (environment and organization), happiness and good quality of life at work. Many studies have shown that social support and control at work protect mental health while high job demands and effort-reward imbalance are risk factors for anxiety and depression.

Systematic review of the efficacy of non-pharmacological interventions in people with Lewy body dementia.

Unlabelled: ABSTRACTBackground:Pharmacological interventions for Lewy body dementia (LBD), especially for its non-cognitive symptoms, are limited in their efficacy and tolerability. Clinicians are often uncertain about non-pharmacological interventions and their efficacy in managing cognitive and non-cognitive symptoms of LBD. Therefore, we aimed to systematically review the existing literature on non-pharmacological interventions for people with LBD.

Efficacy of Seren@ctif, a Computer-Based Stress Management Program for Patients With Adjustment Disorder With Anxiety: Protocol for a Controlled Trial.

Background: Adjustment disorder with anxiety (ADA) is the most frequent and best characterized stress-related psychiatric disorder. The rationale for prescription of benzodiazepine monotherapy is a public health issue. Cognitive behavioral stress management programs have been studied in many countries.

[Interest of computer-based cognitive behavioral stress management. Feasability of the Seren@ctif program].

Introduction: Cognitive-behavioural stress management programs have been studied in many countries. Many reports have shown beyond a doubt their efficacy to reduce perceived stress, anxiety symptoms and to improve quality of life of patients. Considering the very large number of people who could benefit from such programs but are unable to reach them, self-help programs have been offered.

[An integrative and transdiagnostic relaxation protocol for anxious patients. Results of a pilot study].

Introduction: The literature data show that relaxation practice is effective in reducing anxiety symptoms. Different techniques such as progressive muscular relaxation, autogenic training, applied relaxation and meditation have been evaluated independently for anxiety disorders. The question is to know whether the combination of various techniques may be of interest in the transdiagnostic treatment of anxiety disorders.

[Adjustment disorders with anxiety. Clinical and psychometric characteristics in patients consulting a general practitioner].

Background: The DSM-IV and ICD-10 descriptions of adjustment disorders are broadly similar. Their main features are the following: the symptoms arise in response to a stressful event; the onset of symptoms is within 3 months (DSM-IV) or 1 month (ICD-10) of exposure to the stressor; the symptoms must be clinically significant, in that they are distressing and in excess of what would be expected by exposure to the stressor and/or there is significant impairment in social or occupational functioning (the latter is mandatory in ICD-10); the symptoms are not due to another axis I disorder (or bereavement in DSM-IV); the symptoms resolve within 6 months, once the stressor or its consequences are removed. Adjustment disorders are divided into subgroups based on the dominant symptoms of anxiety, depression or behaviour.

Prevalence of fibromyalgia in France: a multi-step study research combining national screening and clinical confirmation: The DEFI study (Determination of Epidemiology of FIbromyalgia).

Background: Fibromyalgia is a common disease, but little is known on its real prevalence in France. This epidemiological study aimed to assess fibromyalgia (FM) prevalence in the French metropolitan population, based on a multi-step sampling analysis, combining national screening and clinical confirmation by trained specialists.

Methods: a sampling method on the entire national territory was used: patients over 18 years of age accepting to take part in the study were contacted by telephone using the LFES Questionnaire, a screening test for FM.

How frequently are atypical antipsychotics used to treat OCD in a British community mental health team?

Obsessive compulsive disorder (OCD) is a condition with a prevalence of around 1-2% (3-4% in some studies) with a recognised protocol for its treatment produced by the national institute for health and clinical excellence (NICE). NICE recommends that all patients with OCD are first offered treatment with cognitive behavioural therapy (CBT) concentrating on exposure and response prevention (ERP) before proceeding to selective serotonin re-uptake inhibitors (SSRIs). Treatment may later be augmented with clomipramine and/or an antipsychotic.

[Heart rate variability. Applications in psychiatry].

Background: The autonomic nervous system sends messages through the sympathetic and parasympathetic nervous system. The sympathetic nervous system innervates the cardioaccelerating center of the heart, the lungs (increased ventilatory rhythm and dilatation of the bronchi) and the non-striated muscles (artery contraction). It releases adrenaline and noradrenaline.

[Clinical and therapeutic characteristics of social phobia in French psychiatry (Phoenix study)].

Only few clinical epidemiologic studies have been conducted on social phobia in France to date. It is however a frequent disorder, with often severe alteration of social adaptation and quality of life, and for which effective treatments exist. Thus, it seems really important to further explore how these patients are nowadays identified and treated in psychiatry.

[The early maladaptive schemas: a study in adult patients with anxiety disorders].

The theory of early maladaptive schemas was initiated by Young, who postulated that each pathology is supported by one or several schemas. Adults with anxiety disorders more activate schemas that controls. This hyper activate schemas would go back the childhood.

Efficacy and safety of hydroxyzine in the treatment of generalized anxiety disorder: a 3-month double-blind study.

Background: The prevalence of generalized anxiety disorder (GAD) represents an important public health issue. Hydroxyzine, an antagonist of histamine receptors, showed both efficacy and safety in previous short-term double-blind studies over placebo in this pathology. The aim of the current study was to confirm those positive results over a 3-month period in adult outpatients.

Personality dimensions in social phobics with or without depression.

Objective: This study investigated the personality traits of social phobics using the Temperament and Character Inventory (TCI).

Method: A sample of 178 social phobics was assessed with the TCI, and compared with controls. The patients were classified into two groups, according to the absence (SP group) or to the presence (SP+D group) of depression.

[Psychotherapy and education of anxious patients].

Psychotherapy and education are and main component of the management of anxious patient. Psychoanalysis and cognitive behaviour therapies are the most indicate in anxiety. Because of the formation and the time required by their practice, they are a specialist field.

[Diagnosis and management of panic disorder in psychiatry (PANDA Study)].

Panic disorder is a genuine public health problem given by their frequency and the various and repeated consultations that they involve. PD is underdiagnosed in primary care and in medical specialist. A public campaign might lead to improved diagnosis and better treatment of panic disorder, with a beneficial effect on medico-economic indicators.

[Is there an interpretational bias for childhood events in anxious adult patients?].

During anamnesis, we attempted often to include the events reported by the patients in our own functional explanation of the disorder. We forget on one hand that the patient reports events intrinsically linked to his pathology, and on the other hand, that an event could not be understood without its context. Concerning the links between the pathology and what is narrated, it is known for a long time that the anxious disorders modify the perception of world by some processes, like the fast detection of the threat in the environment.

[Treatment of adjustment disorder with anxiety: efficacy and tolerance of etifoxine in a double-blind controlled study].

Adjustment disorder with anxiety is defined as a clinically significant anxiety that occurs within 3 months after the onset of an identifiable psychological stressor. Recent studies indicate that this disorder is not uncommon and must be quickly identified and treated. However, few therapeutic trials have been done in relation with this disorder.

[What role does psychosocial environment play in anxiety?].

Recent literature dealing with environmental life stress and anxiety is reviewed in this article. The role of psychosocial environment in both etiological and outcome factors of anxiety is evident and has been suggested by many theories. However, few studies have been conducted to explain this relation between life stress and anxiety.