Depression symptoms and reasons for gambling sequentially mediate the associations between insecure attachment styles and problem gambling.

In this study, we aimed to evaluate this and to this end predicted that depression severity and coping motives for gambling would conjointly mediate the relations between insecure attachment styles and PG. Data came from a larger investigation of PG within mood disorders. Participants exhibited a lifetime depressive or bipolar disorder and endorsed a mood episode within the past ten years. Participants (N=275) completed self-report measures during a two-day assessment. Path analysis supported two main indirect effects. First, anxious attachment predicted elevated depression, which in turn predicted increased coping motives for gambling, which subsequently predicted greater PG severity. Second, this double mediational pathway was also observed for avoidant attachment. Results suggest that insecure attachment relates to PG via depressive symptoms and coping-related gambling motives. Mood symptoms and associated gambling motives are malleable and are promising targets of gambling interventions for insecurely attached individuals. PMID: 29175293 [PubMed - as supplied by publisher]
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research

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Okun (2012).New England Journal of Medicine.Deep brain stimulation (DBS) of the subthalamic nucleus inParkinson's disease (PD) has been highly successful in controlling the motor symptoms of this disorder, which include tremor, slowed movement (akinesia), and muscle stiffness or rigidity. The figure above shows the electrode implantation procedure for PD, where a stimulating electrode is placed in either thesubthalamic nucleus, (STN), a tiny collection of neurons within the basal ganglia circuit, or in the internal segment of theglobus pallidus, another structure in the basal ganglia (Okun, 2012). DBS of the STN is more co...
Source: The Neurocritic - Category: Neuroscience Authors: Source Type: blogs
AbstractPurposeTo review the epidemiology, diagnosis, and treatment of co-occurring mood disorders (bipolar disorder and major depression) and stimulant use disorders (SUD), which includes cocaine and methamphetamine use disorders.Recent FindingsEpidemiological studies support frequent co-occurrence between mood and SUD. Multiple studies support a bidirectional negative impact between mood and SUD for clinical outcomes and treatment response. Only a few clinical trials were conducted in individuals with mood and SUD comorbidity. The majority of trials for mood disorders have excluded patients with comorbid substance use di...
Source: Current Addiction Reports - Category: Addiction Source Type: research
AbstractPurpose of ReviewThe present review will provide an overview of the neurobiology, epidemiology, clinical impact, and treatment of cannabis use disorder (CUD) in mood disorders.Recent FindingsPatients with mood disorders including major depressive disorder (MDD) and bipolar disorder (BD) have higher rates of cannabis use, and CUD compared to the general population. Reasons for this association are not clear, nor are the putative therapeutic effects of cannabis use, or its components delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), in these illnesses. The evidence surrounding treatments for patients with thi...
Source: Current Addiction Reports - Category: Addiction Source Type: research
Day three of APA ’s Annual Meeting included an address by the first assistant secretary for mental health and substance use in HHS; the release of a study in theAmerican Journal of Psychiatry, which found a family history of psychiatric disorders increases the risk of postpartum depression; and the results of an APA poll, which found Americans are concerned about gun violence and the opioid crisis.From now through May 9,Psychiatric News will deliver an evening digest of some of the day ’s highlights. Whether you are here in New York or at home, these reports will convey the excitement and outstanding scientific...
Source: Psychiatr News - Category: Psychiatry Tags: AJP APA annual meeting APA Gives Back Bolivar Award Elinore McCance-Katz gun violence Juan Bustillo national poll opioid crisis Patricia Newton postpartum depression Solomon Carter Fuller Award Source Type: research
It can be both devastating and a relief to receive a diagnosis. It’s validating to finally know what’s been ailing you. It’s empowering to know what you can do to feel better. At the same time, a diagnosis changes a life. It changes the way you view your present and future self. Give yourself time to accept a diagnosis. Let yourself grieve for the who you thought you were and will be. Schedule time with a compassionate friend or therapist. Do what you need to do to nurture yourself and you will gain the energy to take action and begin the process of healing. Addiction and Shame (Addiction &Mental Hea...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Best of Our Blogs Source Type: blogs
Stigma is a sticky, two-sided issue, one that we talk about often in our field of psychiatry.  Many things are stigmatized. While mental illness is an obvious one --and I'll come back to this-- many other things are stigmatized as well.  To name just a few: drug use, smoking, being a criminal, going to jail, behaving in a disruptive way, smelling badly and being physically unkempt in certain settings, begging for money in public, being on public assistance (in certain circles), beating your children (again, in certain circles), incest (in all cultures), being morbidly obese (especially when it happens in someone ...
Source: Shrink Rap - Category: Psychiatry Authors: Source Type: blogs
Conclusion Migration was associated with a higher prevalence of all anxiety disorders, in the first, second and third generation, and associated with more psychiatric comorbidities. Moreover, the prevalence increased across generations, and was significantly higher among third-generation migrants, in comparison to first-generation.
Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
I never go anywhere without a drink in my hand. My nosey neighbor had the nerve to ask me if I was an alcoholic. I’m not an alcoholic. I just love ice water, huge, plastic glasses of ice water. The lithium did that to me. Lithium carbonate, which used to be a medication of choice for bipolar individuals, is a salt. It makes you ridiculously thirsty. For over 15 years, I ingested a lot of it daily. The result was a constant, unquenchable thirst. I don’t physically need water anymore, but I’m kind of addicted to it psychologically. Funny, I don’t want juice or coffee or pop. I want water. This drinkin...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Antidepressant Bipolar Creativity Depression Habits Medications Personal Adverse Side Effects Bipolar Disorder Lithium Medication Side Effects Mood Stabilizer Sex Drive Sexual Dysfunction Weight Gain Source Type: blogs
Publication date: October 2018 Source:Current Opinion in Behavioral Sciences, Volume 23 Author(s): Katherine N .Wright, Mohamed Kabbaj Sub-anesthetic ketamine produces rapid antidepressant effects in patients with bipolar and unipolar major depression where conventional monoaminergic-based antidepressant drugs have been ineffective or ridden with side effects. A single ketamine infusion can produce antidepressant effects lasting up to two weeks, and multiple ketamine infusions prolong this effect. Pre-clinical studies are underway to uncover ketamine's mechanisms of action, but there are still many questions unanswered re...
Source: Current Opinion in Behavioral Sciences - Category: Psychiatry & Psychology Source Type: research
We examined the relationship of translocator protein (TSPO) total distribution volume (VT), a marker of microglial activation, with duration of untreated major depressive disorder, and with total illness duration and antidepressant exposure. Methods In this cross-sectional study, we recruited participants aged 18–75 years from the Toronto area and the Centre for Addiction and Mental Health (Toronto, ON, Canada). Participants either had major depressive episodes secondary to major depressive disorder or were healthy, as confirmed with a structured clinical interview and consultation with a study psychiatrist. To be en...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
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