Special populations: Treatment resistant mood disorders

2014 ◽  
Vol 4 (5) ◽  
pp. 240-245
Author(s):  
Gina M. Guinta ◽  
Rebecca L. Graham

Mood disorders are highly prevalent throughout the United States, and high rates of relapse, recurrence, and treatment failure lead to treatment resistance. This article will review the available literature and treatment recommendations for treatment resistant mood disorders in special populations including: geriatrics, children and adolescents, pregnancy, and comorbid substance use disorders.

Author(s):  
Hans Oh ◽  
Ai Koyanagi ◽  
Jordan DeVylder ◽  
Andrew Stickley

Seasonal allergies have been associated with mental health problems, though the evidence is still emergent, particularly in the United States. We analyzed data from the National Comorbidity Survey Replication and the National Latino and Asian American Survey (years 2001–2003). Multivariable logistic regression models were used to examine the relations between lifetime allergies and lifetime psychiatric disorders (each disorder in a separate model), adjusting for socio-demographic variables (including region of residence) and tobacco use. Analyses were also stratified to test for effect modification by race and sex. A history of seasonal allergies was associated with greater odds of mood disorders, anxiety disorders, and eating disorders, but not alcohol or substance use disorders, after adjusting for socio-demographic characteristics and tobacco use. The associations between seasonal allergies and mood disorders, substance use disorders, and alcohol use disorders were particularly strong for Latino Americans. The association between seasonal allergies and eating disorders was stronger for men than women. Seasonal allergies are a risk factor for psychiatric disorders. Individuals complaining of seasonal allergies should be screened for early signs of mental health problems and referred to specialized services accordingly.


Author(s):  
Jorge Delva ◽  
Sandra L. Momper ◽  
Claudette L. Grinnel-Davis ◽  
Mark B. Padilla

This chapter begins with a description of the role of culture on the etiology of substance use, misuse, and disorders among youth in the United States. This is followed by a discussion of how present constructions of majority-minority groups oversimplify the tremendous diversity individuals experience and how they tend to negate individual agency and fail to critique the structural forces that impact individuals’ drug-using behaviors. The chapter concludes with the thesis that a critical intersectionality framework is necessary to understand how substance use disorders vary as a function of individuals’ multiple dimensions, including how these are manifested and impacted by societies’ social and structural forces.


2016 ◽  
Vol 167 ◽  
pp. 128-139 ◽  
Author(s):  
Noelle E. Fearn ◽  
Michael G. Vaughn ◽  
Erik J. Nelson ◽  
Christopher P. Salas-Wright ◽  
Matt DeLisi ◽  
...  

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