D.
"These data indicate substantial, and largely unmet, mental health and
social service needs among vulnerable individuals presenting with facial
injury to inner-city trauma centers," says Dr.
Previous research has shown that the psychological symptoms following a
facial injury due to violence may be intrusive enough to meet the diagnostic
criteria for post -traumatic stress disorder (PTSD) and can impair social and
occupational functioning for extended periods, Dr. They also urge
oral and maxillofacial surgeons to probe for signs of psychosocial distress
and be prepared to refer patients to appropriate resources."
Koran, lead investigator on the study , said he believes treatment
is important to relieve unnecessary suffering, to improve functioning
in work and family roles, to allow normal enjoyment of life's rewards
and to prevent the onset of major depression, with its great risk of
total disability and suicidal behaviors. "Teens enter the sites
promoting eating disorders possibly to gain solidarity and to express
their pride in and publicize what they see as a lifestyle choice. At
the same time they are cautioning others not to follow in their
footsteps."

About Lucile Packard Children's Hospital

Lucile Packard Children's Hospital at Stanford is a 264-bed
hospital devoted to the care of children and expectant mothers.

nurse suffer

It affects 3 to 6
percent of the adult population in the United States and differs from
"regular depression" -- what is commonly referred to as major
depression -- in having fewer symptoms present at one time (three to
five vs. While the Food and Drug Administration has
approved this drug for the treatment of depression, it has not been
approved for treatment of dysthymia.
To sign up or to obtain additional information, please contact the
research study line at (650) 725 -5180.
"This is the first study that begins to examine the health effects
of frequenting these sites, which outnumber those dedicated to
recovery by five to one," said Stanford's Jenny Wilson .
"These Web sites are founded on the mistaken belief that eating
disorders are not a disease, but a way of life," said LPCH adolescent
medicine specialist Rebecka Peebles, MD. Patients and parents were asked to fill out separate
forms documenting their struggles with the condition.

mood accomplishments

Volunteers will be prescreened and, if eligible, will receive the
drug duloxetine for 12 weeks. Eli Lilly + Co, the maker of duloxetine,
is funding the study.stanford.

obsessive compulsive

Business Editors/Health/Medical Writers

STANFORD, Calif.
Perhaps as a result, teens visiting the pro-eating disorder sites were
more likely to describe themselves as recovering from their disorder
than were their peers who did not visit the sites. For more
information about LPCH, please visit www.

caterpillars ocd

The vast majority of facial injuries resulted from physical violence
(82 percent), with the rest resulting from a fall or accident (14 percent) or
a motor vehicle accident (4 percent). The trauma and non-trauma groups
consisted predominantly of African-American and Latino males. LPCH
adolescent medicine specialist Iris Litt, MD, was the senior advisor
for the work. For more information, please visit the
Office of Communication + Public Affairs site at
http://mednews.

doubt exercize

The authors recommend training for trauma care providers in administering
brief psychological assessments to facial trauma patients .

Volunteers Needed for Stanford Study of Drug for Mild Depression

on May 16.edu

mood sufferers

According to the
study, published in the January 2005 issue of the Journal of Oral and
Maxillofacial Surgery , these problems often go untreated and may interfere
with recovery., a
research associate with the VA Greater Los Angeles Health Care System at the
time of the study. One study
found PTSD symptoms in patients up to seven weeks following facial injury.
This is an open-label study with no placebo, meaning that everyone
in the study will receive the drug. While many people believe the
Web sites should be shut down, it could be a very isolating experience
for the users.

disorder mood

Web Sites Promoting Eating Disorders Are Widely Used by Adolescents with the Condition Say Researchers at Stanford and Lucile Packard Children's Hospital; Tee

"There is a profound ambivalence that embodies the pro -eating
disorder sites," said Peebles.

anxiety panic

ROSEMONT, Ill.
Although adolescents who visited the pro -eating disorder sites
reported spending less time on school work and more time in the
hospital , they did not differ from those who didn't visit these sites
in a number of other health measures: how their weight compared with
their ideal body weight, the duration of their eating disorder, the
number of missed menses and the presence or absence of osteoporosis. Adolescents
typically use the sites promoting eating disorders as a forum to
express their innermost thoughts and feelings , say the researchers.org

About Stanford University Medical Center

Stanford University Medical Center integrates research, medical
education and patient care at its three institutions -- Stanford
University School of Medicine, Stanford Hospital + Clinics and Lucile
Packard Children 's Hospital.

conditon struggles

doubt panic

Dysthymia is defined as chronic sad or depressed mood, accompanied
by additional symptoms such as sleep disturbances, low self-esteem,
difficulty concentrating or making decisions, low energy , feelings of
hopelessness and/or weight or appetite change. "There are discussions in chat rooms
and on bulletin boards about how much the disorder pains sufferers and
cautioning others against trying too hard to lose weight. Teens in the midst of an eating disorder need to voice what
they want: to continue to lose weight."
The researchers caution that the results of this study are
preliminary .

suffering creativity

Lento notes. five to 12). The drug acts to increase the
availability of two chemical messengers in the brain, serotonin and
norepinephrine, both of which are involved in the abnormal physiology
that gives rise to depression and dysthymia.
"Since dysthymia usually starts before age 21, most people who
have it think it's just 'part of my personality -- I have always been
that way,'" said Lorrin Koran, MD, professor of psychiatry and
behavioral sciences. They cannot be pregnant or
breastfeeding , have problems with drugs or alcohol or have other major
psychiatric diagnoses such as bipolar disorder . Many of the
sites are designed and maintained by teens or young adults with eating
disorders .
About one quarter frequented both types of sites, and half the
respondents had visited neither .
"Medical professionals need to recognize the important role the
Internet is playing in the education and mis-education of their
patients," said Litt.
Providing pediatric and obstetric medical and surgical services and
associated with Stanford School of Medicine, LPCH offers patients
locally , regionally and nationally the full range of health-care
programs and services -- from preventive and routine care to the
diagnosis and treatment of serious illness and injury.

suffer exercize

Facial Trauma Patients Have Unmet Needs for Mental Health and Social Services Study Shows

edu

Visitors to these sites are using them to obtain tips on weight
loss and how to hide their food avoidance tactics from friends and
family members, the researchers say. Fifty-two
adolescents and 77 parents responded .
Wilson and Peebles found that 40 percent of the adolescents who
responded had visited Web sites promoting eating disorders, and 34
percent had visited sites dedicated to recovery from the condition .

panic struggles

To be eligible for the study, subjects must be age 18 or older,
and in relatively good health .
Stanford University Medical Center integrates research, medical
education and patient care at its three institutions -- Stanford
University School of Medicine, Stanford Hospital + Clinics and Lucile
Packard Children's Hospital at Stanford.

brainphysics obsessive

The study points to the need for a more comprehensive , "case management"
approach to facial injury care that links patients with mental health and
social services while providing surgical treatment and follow-up, Dr.

Business Editors/Health /Medical Writers

WASHINGTON----Web sites that actively
promote anorexia and bulimia are used by a significant number of
adolescents with eating disorders, according to a forthcoming study
from the Stanford School of Medicine and Lucile Packard Children's
Hospital (LPCH) researchers. "They are well-designed and
alluring, often with a gateway emphasizing the danger of the site that
can be attractive to teens.

suffering accomplishments

newscom.
The Journal of Oral and Maxillofacial Surgery is the peer-reviewed journal
of the American Association of Oral and Maxillofacial Surgeons (AAOMS), the
professional organization representing more than 7,000 oral and maxillofacial
surgeons in the United States, supports its members' ability to practice their
specialty through education, research, and advocacy. "In fact , it is not part of personality at all."
Peebles, who studies both eating disorders and obesity, and
Wilson, a Stanford medical student, co-authored the research, which
will be presented in poster format at the annual meeting of the
Pediatric Academic Societies in Washington, D.C.

obsessive sufferer

Despite the group's relatively high service needs,
however, their service use was less than half that of the control.
It is just an illness that starts early in life and persists.
The researchers' study underscores how dependent teens are on the
Internet for health information and peer support.
"It's such a dichotomy," said Peebles. They plan a larger, prospective study designed to more
closely follow health outcomes in newly diagnosed eating disorder
patients who visit the sites.

struggles nurse

Although the intensity of some psychological symptoms, such as depression,
declined over time within the trauma group, patients continued to report
higher levels of mental health and social service needs than the control group
at all assessment intervals, notes principal author Jennifer Lento, Ph.
The current study administered brief psychological and mental
health/social service needs assessments to 336 facial trauma patients and
119 non-trauma patients 10 days, 6 months and 12 months after treatment .
Participants are required to make 10 visits to the clinic over a
period of 13 weeks, and participants will be interviewed at those
times.
The research is the culmination of a preliminary study conducted
through an anonymous survey of medical histories and internet use sent
to the families of adolescents diagnosed with an eating disorder at
LPCH since 1997.

obsessively illnesses

The two groups
did not differ significantly in rates of high school graduation, employment,
marital status or ethnicity. Lento
says. Dysthymia sufferers are less likely to go to
college, complete college and get a job consistent with their
educational level, and the condition is associated with increased loss
of work time as well as decreased life satisfaction. Of course, they learned similar
tactics from sites promoting eating disorders: more than 60 percent of
adolescents visiting those sites tried new techniques as a result . But in the meantime, they hope their
results will serve as a wake-up call for physicians treating
adolescents with eating disorders, who may underestimate the influence
the Web sites may be having on their patients.

compulsive suffer

(Logo: http://www. Lento, who is currently an
assistant professor of psychology at the University of San Diego. For more information, please
visit the Web site of the medical center 's Office of Communication +
Public Affairs at http://mednews.

theories anxiety

lpch.

disorder panic

Each visit should last about an hour, except for the initial
screening visit, which will last approximately three hours and will
include a physical examination and laboratory tests that involve
providing a blood sample.stanford . Litt is the Marron and Mary Elizabeth Kendrick Professor
in Pediatrics at the Stanford University School of Medicine and former
editor-in-chief of the Journal of Adolescent Health. "These websites offer peer group support, which
can be used for good or for evil.

obsessive sufferers

com/cgi-bin/prnh/20050125/CGTU021LOGO )
Facial trauma patients, most of whom had been involved in interpersonal
violence, showed significantly higher rates of depression, anxiety, hostility
and phobic and obsessive-compulsive tendencies than a control group of
patients undergoing elective wisdom tooth surgery, according to the study of
adults treated for mandible (lower jaw) fractures between 1996 and 2001 at
King/Crew Medical Center, a hospital serving the socioeconomically
disadvantaged, predominantly minority populations of South-Central Los
Angeles.
The trauma group also reported a significantly higher incidence of current
or previous mental health and social problems, such as alcohol and drug use,
problems with the law, unemployment, school suspensions, suicide attempts and
homelessness. Parents of teens who visited the
sites promoting the disorder were more likely to know about the sites
and to be concerned about the information their child accessed online
than were parents of non-users."
The researchers also found that about one quarter of those
visiting sites intended to help teens recover from eating disorders
actually learned about and tried new weight loss techniques or diet
aids as a result of their visit.

nurse illnesses

AAOMS members comply
with rigorous continuing education requirements and submit to periodic office
examinations, ensuring the public that all office procedures and personnel
meet stringent national standards.----Having trouble
making decisions? Struggling with feelings of hopelessness? Suffering
from low self-esteem?
Researchers at the Stanford University School of Medicine need
volunteers who are suffering from these and other symptoms to test the
safety and efficacy of a drug for the treatment of dysthymia, a
low-grade and long-lasting type of depression .
While the sites provide 'thinspiration' in the form of pictures,
body weight goal charts, exercises and low-calorie recipes, they don't
uniformly tout the perceived advantages of eating disorders.

anxiety panic

, Facial injuries caused by physical
assault can intensify existing mental health and social problems , a study of
indigent patients at an inner-city trauma center shows. The study also finds that these
teens are spending less time on schoolwork than their peers and more
time in the hospital than those who do not use the sites.

suffer brainphysics

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- - kjjkjk

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