Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Ten children with trichotillomania (hair pulling) were systematically evaluated with structured psychiatric interviews and rating scales assessing anxiety, depression, life events, self-esteem, and family functioning. Six of the subjects met diagnostic criteria for overanxious disorder on the Diagnostic Interview for Children and Adolescents--Revised--Child or Adolescent Version and/or Diagnostic Interview for Children and Adolescents--Revised--Parent Version. Two met the criteria for dysthymia, including one of the subjects with overanxious disorder. No children reported associated obsessions or compulsions. Only one subject experienced tension before hair pulling and relief associated with hair pulling. The DSM-III-R criteria for trichotillomania, which currently require an increasing sense of tension before hair pulling and gratification with hair pulling, may be overly restrictive and in need of redefinition. Additional research with increased sample size is necessary to define diagnostic criteria for trichotillomania and clarify its relationship with other psychiatric diagnoses.
 ...
PMID:Clinical characteristics and psychiatric comorbidity in children with trichotillomania. 1059 42

Trichotillomania (TM) recently has been conceptualized as a variant of obsessive-compulsive disorder (OCD). However, no systematic data have compared the clinical features of these two disorders. Here we report data from 8 TM and 13 OCD patients which suggest important clinical differences between groups. First, TM patients reported a significantly greater degree of pleasure during hair-pulling than OCD patients reported during performance of ritualistic behaviors. Second, TM was accompanied by significantly fewer associated obsessive-compulsive symptoms. Third, the groups differed with regard to other clinical features including anxiety, depression, and personality characteristics. We conclude that TM is not conceptualized best as a variant of OCD.
 ...
PMID:A comparison of clinical features in trichotillomania and obsessive-compulsive disorder. 154 Jan 11

Trichotillomania is a behavioral disorder characterized by the recurrent failure to resist removing one's own hair from the scalp, eyelashes, eyebrows, beard, axillary areas or pubic area. Patients report an increasing sense of tension immediately before the impulse to pull out their hair and a sense of gratification or relief during the act. On initial presentation, patients may deny that their hair loss is due to such behavior. The diagnosis of trichotillomania is excluded when there is a preexisting skin disorder or when the behavior results from underlying psychosis. Behavior modification training, psychotherapy, hypnosis and family counseling are common treatment approaches. Antidepressant medications such as amitriptyline and clomipramine are effective when depression or an obsessive-compulsive disorder coexists.
 ...
PMID:Trichotillomania. 204 45

In addition to being effective in depressive disorders, monoamine oxidase inhibitors (MAOIs) have been shown to be effective in controlled studies of patient with panic disorder with agoraphobia, social phobia, atypical depression or mixed anxiety and depression, bulimia, posttraumatic stress disorder (PTSD) and borderline personality disorder. Uncontrolled case reports have noted MAOI efficacy in obsessive-compulsive disorder (OCD), trichotillomania, dysmorphophobia and avoidant personality disorder. Reversible inhibitors of MAO-A (RIMAs) appear safer than the classical irreversible MAOIs since they have less potential to increase blood pressure. They have not been studied as yet, however, in most of the conditions responsive to MAOIs. If RIMAs are found effective in these disorders, they would probably achieve wider use than MAOIs because they are safer and tend to cause fewer side effects.
 ...
PMID:Reversible and irreversible monoamine oxidase inhibitors in other psychiatric disorders. 224 64

1. The functional morphological study of the jaw muscles of 2 species of Imperial Pigeons, Ducula aenea nicobarica and Ducula badia insignis has revealed that the structural variations of the bill, osteological and connective tissue elements, and muscles of the jaw apparatus may be correlated to functional diversity in the fruit-eating adaptation of these birds. 2. Both the species of Ducula possess moderately long, thick and stout bill with flexion zones inside, elongated orbital process of the quadrate, stout pterygoid, broad palatine and wide mandibular ramus on either side with increased retroarticular space. Such skeletal modifications together with increased orbital space indicate wide attachment-sites for the muscles, aponeuroses, tendons, and ligaments. 3. The morphology of the quadrato-mandibular joints suggests possible 'coupled kinesis' of the upper jaw, along with depression of the lower jaw. However, in a rhynchokinetic upper jaw as possessed by these birds, the kinesis is just moderate. Hence the gape of the mouth is mainly effected by the depression of the lower jaw, rather less so by the protraction of the upper jaw. 4. Among the functional groups of muscles, M. depressor mandibulae, M. adductor mandibulae externus, M. pseudotemporalis profundus, and M. pterygoideus are especially well developed. The various components of these muscles are provided with stiff as well as wide aponeuroses and tendons (much stronger than those observed in Columba), indicating forceful opening and closure of the beaks for plucking off the fruit, grasping it hard and manipulating it with the help of the beaks before swallowing. 5. The fleshy insertion of the outer slip of M. pseudotemporalis profundus extends ventrally over the dorsolateral surface of the mandible much more than it does in Columba. Further, 2 short and stiff aponeuroses at the rostral insertion of the inner slip of the muscle increase the force of adduction on the mandible. 6. M. adductor mandibulae posterior has not only wider origin and insertion, but also greater mass of fibres than that observed in Columba. 7. M. adductor mandibulae externus and M. pterygoideus form muscle-complexes with the predominance of bipinnate and multipinnate arrangements of fibres and with occasional joining fibres between their components. Such arrangements of fibres indicate sustained force-production, rather than faster movements of the jaw apparatus. 8. M. pterygoideus ventralis lateralis has a well developed 'venter externus' slip which has its thick and fleshy insertion on the outer lateral angular and articular mandible.(ABSTRACT TRUNCATED AT 400 WORDS)
 ...
PMID:Functional morphology of the jaw muscles of two species of imperial pigeons, Ducula aenea nicobarica and Ducula badia insignis. 259 98

Trichotillomania is seen in normal children with a variety of psychiatric conditions (Krishnan, 1985). Although an association between depression and trichotillomania has been suggested in adults and adolescents (Krishnan, 1985), its association with DSM-III-R major depressive disorder in a prepubertal child has not been reported. Such a case of trichotillomania occurring with major depressive disorder is reported in this paper. In this prepubertal child, imipramine therapy led to remission of both disorders.
 ...
PMID:Imipramine treatment of trichotillomania and coexisting depression in a seven-year-old. 234 56

Trichotillomania may sometimes be an atypical variant of depressive illness. A case is reported in which the MAO inhibitor isocarboxazid was successfully used to treat both depression and associated trichotillomania. The symptoms recurred upon discontinuation of the drug and were ameliorated by reintroduction of isocarboxazid .
 ...
PMID:MAO inhibitor therapy in trichotillomania associated with depression: case report. 672 19

The clinically tested reversible inhibitors of monoamine oxidase A (RIMAs) include brofaromine, moclobemide and toloxatone. Moclobemide has shown unequivocal antidepressant activity against serious depressive illness in 4 placebo-controlled double-blind trials. It has been compared with amitriptyline, imipramine, clomipramine, desipramine, maprotiline, fluoxetine, fluvoxamine, tranylcypromine, toloxatone, mianserin and amineptine in the treatment of depressive disorders. Meta-analysis showed convincing evidence of moclobemide efficacy, comparable with the most potent antidepressants available. The efficacy of moclobemide has been demonstrated in psychotic and non-psychotic depression, in depression with and without melancholia, in endogenous depression (both unipolar and bipolar), in retarded depression and in agitated depression. The efficacy of moclobemide, allied to the unusually benign side effect profile, has led to exploration of its use in other disorders. Two small studies have given encouraging results in the treatment of attention-deficit hyperactivity disorder. Large placebo-controlled studies have shown the activity of moclobemide in the depression that accompanies dementia (such as senile dementia of Alzheimer type). The results also suggested that, in this patient population, cognitive ability improved in parallel. Social phobia has also been shown to improve on treatment with either moclobemide or brofaromine. Clinical trials are in progress on the effect of moclobemide in chronic fatigue syndrome. Moreover, there are encouraging results with the use of brofaromine and moclobemide in panic disorder. Other disorders in which treatment with RIMA is of interest include agoraphobia, bulimia, borderline personality disorder, post-traumatic stress disorder, compulsive hair pulling (trichotillomania), dysmorphophobia, kleptomania as well as various anxiety syndromes.
 ...
PMID:Reversible and selective inhibitors of monoamine oxidase A in mental and other disorders. 771 94

The case of a ten-year-old boy with a two-year history of trichotillomania and depression is presented. Imipramine was unsuccessful in treating trichotillomania and showed limited success in alleviating depression. Treatment with low-dosage fluoxetine (10 mg daily) led to marked improvement of both trichotillomania and depression.
 ...
PMID:Fluoxetine treatment of trichotillomania and depression in a prepubertal child. 841 12

Cognitive deficits in patients with structural lesions of the basal ganglia (e.g., Huntington's disease) commonly include slowed processing, reduced verbal fluency, difficulty switching set, impaired egocentric spatial ability, poor recall, and impaired acquisition of motor skills. The goal of this study was to determine if patients with obsessive-compulsive disorder (OCD) would have a similar pattern of cognitive dysfunction. A battery of neuropsychological tests, including reaction time-based measures of cognitive processing speed and a test of procedural, motor-skill learning, was administered to 17 unmedicated OCD patients and 16 age-and education-matched normal controls. Eleven individuals with trichotillomania, matched with the OCD patients on age, education, age at symptom onset, depression, and anxiety were also tested. Contrary to expectation, neither the OCD nor trichotillomania patients were impaired on any of the measures in the battery. The essentially normal performance by these patients suggests that the brain regions responsible for cognitive dysfunction in patients with Huntington's disease may differ from those associated with OCD.
 ...
PMID:Lack of evidence for Huntington's disease-like cognitive dysfunction in obsessive-compulsive disorder. 847 92


1 2 3 4 5 6 7 Next >>