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  • November 21, 2016
  • 04:48 AM
  • 466 views

On C-reactive protein and bipolar disorder

by Paul Whiteley in Questioning Answers

"CRP [C-reactive protein] concentrations are increased in bipolar disorder regardless of mood state, but are higher during mania than in depression and euthymia, suggesting an increased inflammatory burden in mania."So said the systematic review and meta-analysis published by Brisa Fernandes and colleagues [1] who surveyed the peer-reviewed literature on the topic of "measured serum and plasma CRP concentrations in adult patients with bipolar disorder (as defined by DSM-IV-TR) and........ Read more »

Fernandes BS, Steiner J, Molendijk ML, Dodd S, Nardin P, Gonçalves CA, Jacka F, Köhler CA, Karmakar C, Carvalho AF.... (2016) C-reactive protein concentrations across the mood spectrum in bipolar disorder: a systematic review and meta-analysis. The lancet. Psychiatry. PMID: 27838212  

  • November 19, 2016
  • 04:13 AM
  • 497 views

Low gestational age is associated with risk for autism

by Paul Whiteley in Questioning Answers

The results published by Robert Joseph and colleagues [1] provide some blogging fodder today, observing that as part of the ELGAN (Extremely Low Gestational Age Newborns) Research Study, gestational age might matter when it comes to offspring risk of autism spectrum disorder (ASD).Gestational age is a measure of how far along a pregnancy is but in the context of the Joseph study refers to premature birth or those "born at least 3 months early." Researchers included data for nearly 1000........ Read more »

  • November 18, 2016
  • 10:30 AM
  • 472 views

Who is afraid of IBS?

by Aurametrix team in Aurametrix Blog

I don’t mean to brag, but I’ve got irritable bowel syndrome, says a character of a sitcom.
Irritable bowel syndrome used to be a rare condition, but became a problem of epidemic proportions, until the disease "came out of the closet". Then Internet searches and doctor visits started to dwindle down and less than halved compared to earlier decades.
Is IBS no longer a problem? [...]... Read more »

  • November 18, 2016
  • 04:40 AM
  • 415 views

Acute psychosis and urinary tract infection (again)

by Paul Whiteley in Questioning Answers

Consider this short blog post an extension of some previous discussions (see here and see here) on a rather peculiar 'association' between urinary tract infections (UTIs) and psychosis. UTIs basically refer to an infection in any part of the urinary system (kidneys, bladder, etc) typically treated with antibiotics. Psychosis is a state that causes a person to perceive or interpret things around them in an atypical way, usually accompanied by delusions or hallucinations. For a while now........ Read more »

  • November 17, 2016
  • 11:00 AM
  • 556 views

Missed Opportunities in Stroke Prevention

by William Yates, M.D. in Brain Posts

Rates of myocardial infarction and stroke have been declining over the last decade in the U.S. and Europe. However, a recent manuscript suggests there are still significant missed opportunities to prevent stroke.This manuscript presents results of review of electronic primary care records in the United Kingdom.The authors examines a group of over 29,000 subjects with a diagnosis of stroke or transient ischemic attack over a 10 year period.Records were reviewed to assess for compliance with guide........ Read more »

  • November 17, 2016
  • 02:57 AM
  • 432 views

Caring for the carer: what the science suggests

by Paul Whiteley in Questioning Answers

Papers such as the one published by Nikko Da Paz & Jan Wallander [1] I think represent one of the most important areas of autism research and practice when it comes to the practical translation of science to real-life. Tackling a very important topic - caring for the carers - the authors provide a "narrative review" of the peer-reviewed science literature looking at how "treatments that directly target parents' psychological well-being" in the context of autism are doing so far.Personally, I........ Read more »

  • November 16, 2016
  • 02:58 AM
  • 405 views

PACE-gate!

by Paul Whiteley in Questioning Answers

With all rights reserved for Keith Geraghty and his publication in the Journal of Health Psychology [1] (open-access) I want to reproduce his abstract relevant to the PACE trial commenting on the ups-and-downs of this study looking at the use of CBT (cognitive behaviour therapy) and GET (graded exercise therapy) for chronic fatigue syndrome (CFS) (also known as myalgic encephalomyelitis, ME):"Science is not always plain sailing and sometimes the voyage is across an angry sea. A recent ........ Read more »

  • November 15, 2016
  • 11:38 AM
  • 522 views

Celebrex Boosts Antidepressant Response

by William Yates, M.D. in Brain Posts

I ran into an interesting article at ScienceDaily providing data on a small sample size study of the anti-inflammatory drug celecoxib (Celebrex) in depression.Access the ScienceDaily report on this study by clicking HERE.This study focused on subjects with bipolar depression. All subjects were in a depressed phase and received the antidepressant drug escitalopram (Lexapro).Although only 55 subjects participated in this study, the results were significant and large. Adding Celebrex to escitalopra........ Read more »

  • November 15, 2016
  • 02:56 AM
  • 417 views

Autism, ESSENCE and the question of reassessment

by Paul Whiteley in Questioning Answers

I talked about ESSENCE - Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations - only yesterday (see here) and here I am covering the topic again on this blog. There is good reason however that this concept appears once more, as I draw your attention to the paper by Anne-Katrin Kantzer and colleagues [1] and the specific observation that: "Co-existence with other conditions was the rule" when it comes to the diagnosis of autism.OK, it's nothing new to say that the l........ Read more »

  • November 14, 2016
  • 03:13 AM
  • 459 views

ESSENCE meets connective tissue disorders?

by Paul Whiteley in Questioning Answers

ESSENCE referred to in the title of this post concerns 'Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations', a concept championed by the ever-intrepid Prof. Christopher Gillberg and colleagues. Combined with some rather important discussions about the research validity of the concept of a singular 'autism' (see here) [part of the ESSENCE issues described] I'm drawn to quite a few of the proposals put forward by this research group it has to be said.It is with ESSENCE ........ Read more »

Baeza-Velasco C, Grahame R, & Bravo JF. (2016) A connective tissue disorder may underlie ESSENCE problems in childhood. Research in developmental disabilities. PMID: 27802895  

  • November 12, 2016
  • 04:17 AM
  • 462 views

Bifidobacterium longum 1714 attenuates stress?

by Paul Whiteley in Questioning Answers

It's been quite a week hasn't it? Indeed for quite a few people it's been a stressful few days so perhaps timely that I'm talking about the 'attenuation of stress' in today's post.Despite the relatively small sample size included in the paper by by AP Allen and colleagues [1] there is something rather tantalising about their results suggesting that in healthy volunteers "consumption of B. longum [Bifidobacterium longum 1714] 1714 is associated with reduced stress and improved memo........ Read more »

  • November 11, 2016
  • 03:04 AM
  • 446 views

"While you're here, I just want to talk about your weight"

by Paul Whiteley in Questioning Answers

The important Doctor-Patient relationshipIn a slight departure from the typical material discussed on this blog, I want to briefly direct readers to the paper by (Prof) Paul Aveyard and colleagues [1] and results suggesting that: "A behaviourally-informed, very brief, physician-delivered opportunistic intervention is acceptable to patients and an effective way to reduce population mean weight."The title of this post comes from some of the media coverage of the Aveyard study summarising how ........ Read more »

Aveyard, P., Lewis, A., Tearne, S., Hood, K., Christian-Brown, A., Adab, P., Begh, R., Jolly, K., Daley, A., Farley, A.... (2016) Screening and brief intervention for obesity in primary care: a parallel, two-arm, randomised trial. The Lancet. DOI: 10.1016/S0140-6736(16)31893-1  

  • November 10, 2016
  • 06:14 AM
  • 551 views

This Month in Blatstocystis Research (OCT 2016)

by Christen Rune Stensvold in Blastocystis Parasite Blog

Highlights of the month include a Special Issue on Blastocystis appearing in Parasitology International, a study of mitochondrial genomes, relationships between gut parasites and gut bacteria, and a announcement of an EMBO anaerobic protist conference next year in the UK.... Read more »

Dogruman-Al F, Stensvold CR, & Yoshikawa H. (2016) Editorial - PAR INT - special issue on Blastocystis. Parasitology international, 65(6 Pt B), 749. PMID: 27742000  

Iebba V, Santangelo F, Totino V, Pantanella F, Monsia A, Di Cristanziano V, Di Cave D, Schippa S, Berrilli F, & D'Alfonso R. (2016) Gut microbiota related to Giardia duodenalis, Entamoeba spp. and Blastocystis hominis infections in humans from Côte d'Ivoire. Journal of infection in developing countries, 10(9), 1035-1041. PMID: 27694739  

  • November 10, 2016
  • 03:09 AM
  • 386 views

Atopy increases vulnerability to affective and anxiety issues?

by Paul Whiteley in Questioning Answers

In a year of impossible things...I was rather interested to read the recent paper by Renee Goodwin and colleagues [1] observing that: "Atopy appears to be associated with increased vulnerability to affective and anxiety problems, compared to youth without atopy."Atopy, referring to a predisposition to developing allergic diseases such as eczema, asthma and/or hayfever, is something on the 'up' in research terms when it comes to aspects of psychiatry and/or developmental outcomes (see here f........ Read more »

  • November 9, 2016
  • 06:09 PM
  • 452 views

Lower Social Status Causes Less Social Contact and More Depression in Uni Students

by Mark Rubin in Mark Rubin's Social Psychology Research Blog

A person’s subjective social status reflects how they rank themselves relative to others in their community. Social status can be considered to be a psychological dimension of social class and socioeconomic status, and it has been shown to be positively related to mental health: The higher one’s perceived social status, the better one’s mental health. However, the process underlying this relation is unclear. In some recent research, my colleagues and I considered social contact........ Read more »

  • November 9, 2016
  • 04:16 AM
  • 443 views

A 'frank' presentation of autism?

by Paul Whiteley in Questioning Answers

"Many individuals with ASD [autism spectrum disorder] have a distinctive behavioral presentation that is recognizable within moments, a phenomenon we call "frank" ASD." So said the paper by Ashley de Marchena & Judith Miller [1] who carried out an "empirical study of frank ASD" and by the looks of my Twitter feed when I initially posted about this study, there are quite a few varied opinions about the concept of 'frank' autism.Although 'frank autism' makes up a significant portion ........ Read more »

  • November 8, 2016
  • 02:57 AM
  • 406 views

"A Putative Blood-Based Biomarker for Autism Spectrum Disorder-Associated Ileocolitis"

by Paul Whiteley in Questioning Answers

Contrary to Murphy's Law - 'never repeat a successful experiment' - replication or reproducibility is a cornerstone of good science. Today, I'm blogging about a piece of research that aimed to do just that as per the findings reported by Stephen Walker and colleagues [1] (open-access).The title of this post has been borrowed from the title of the Walker paper to illustrate how moving on from the quite widely known 'fact' that functional gastrointestinal (GI) symptoms are over-represented wh........ Read more »

  • November 7, 2016
  • 03:13 AM
  • 442 views

8.6% of children with autism have epilepsy?

by Paul Whiteley in Questioning Answers

"Epilepsy was reported to co-occur in 8.6 % of ASD [autism spectrum disorder] cases."That was the headline conclusion reported by Shiny Thomas and colleagues [1] as they drew on data from "the most recent U.S. National Survey of Children's Health, 2011-2012" to add to the extensive literature looking at how common epilepsy is when it comes to autism.Including some 1600 children/young adults diagnosed with autism - equivalent to a prevalence of 1.8% of the entire 85,000-strong co........ Read more »

  • November 7, 2016
  • 12:30 AM
  • 513 views

What The Future Will Hold

by Aurametrix team in Aurametrix Blog

Elections are bad for your health. More than half of Americans, independently of their party preference, are stressed about upcoming elections, especially the oldest and the youngest voters. Social media is one of the major factors making this stress even worse. ​... Read more »

Waismel-Manor I, Ifergane G, & Cohen H. (2011) When endocrinology and democracy collide: emotions, cortisol and voting at national elections. European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 21(11), 789-95. PMID: 21482457  

Neiman J, Giuseffi K, Smith K, French J, Waismel-Manor I, & Hibbing J. (2015) Voting at Home Is Associated with Lower Cortisol than Voting at the Polls. PloS one, 10(9). PMID: 26335591  

  • November 5, 2016
  • 04:20 AM
  • 455 views

Sensory subtypes and anxiety and autism

by Paul Whiteley in Questioning Answers

"This is the first study to identify the existence of sensory subtypes among older children and adolescents with ASD [autism spectrum disorder] and explore their association with anxiety levels."Far be it from me to question the above quote provided in the paper by Mirko Uljarević and colleagues [1] but I'm inclined to suggest that there has already been some research published on the link between sensory issues and anxiety in the context of the autism spectrum before (see here and se........ Read more »

Uljarević M, Lane A, Kelly A, & Leekam S. (2016) Sensory subtypes and anxiety in older children and adolescents with autism spectrum disorder. Autism research : official journal of the International Society for Autism Research, 9(10), 1073-1078. PMID: 26765165  

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