Showing posts with label Anxiety. Show all posts
Showing posts with label Anxiety. Show all posts

Sleep Deprivation May Help Treat PTSD

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Sleep deprivation may be therapeutic for some people with post-traumatic stress syndrome (PTSD) and other anxiety disorders, a new study suggests. Previous research has shown that sleep plays a crucial role in the consolidation of memories, and that the development of fear-related memories is an important part of anxiety disorders such as PTSD. In this study, researchers investigated what happened when they deprived people of sleep after they had seen disturbing images. Healthy volunteers were shown video clips of both safe driving and traffic crashes.

Half of the participants were then deprived of sleep while the others got a normal night's sleep. Follow-up assessments showed that sleep deprivation eliminated the fear-associated memories. The study appears in the journal Biological Psychiatry. "Sleep deprivation after exposure to a traumatic event, whether intentional or not, may help prevent PTSD. Our findings may help to clarify the functional role of acute insomnia and to develop a prophylactic strategy of sleep restriction for prevention of PTSD," corresponding author Dr. Kenichi Kuriyama said in a journal news release.

"It would be nice if the benefits of sleep deprivation upon fear learning could be produced more easily for survivors of extreme stress," journal editor Dr. John Krystal, professor and chair of psychiatry at Yale University, said in the news release. "New insights into the neurobiology of sleep-dependent learning may make it possible for these people to take a medication that disrupts this process while leaving restorative elements of sleep intact," he added.
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Depression, Anxiety May Raise Surgery Risks

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People with depression and anxiety have a slightly increased risk of death after undergoing surgery, a new study suggests. U.S. researchers analyzed data from 35,539 surgical patients admitted to intensive care units between Oct. 1, 2003 and Sept. 30, 2006. Of those patients, 8,922 had an existing psychiatric condition, including 5,500 with depression, 2,913 with post-traumatic stress disorder, 2,473 with anxiety, 793 with bipolar disorder, and 621 with psychosis. Initial analysis showed that the death rates within 30 days after surgery were similar for patients with and without psychiatric illness 3.8 percent and 4 percent, respectively.

when the researchers adjusted for other factors, the death rate was higher for patients with a psychiatric condition, according to the report in the October issue of the journal Archives of Surgery. Further analysis showed that the increased risk of death was associated with depression and anxiety, but not any other psychiatric condition. Also, death rates were higher among patients with psychiatric conditions who had respiratory or digestive system surgery, but not for those who had surgery involving the circulatory, nervous or musculoskeletal systems.

"Several potential mechanisms exist to explain these findings," Dr. Thad E. Abrams, of the Iowa City Veterans Affairs Medical Center and University of Iowa Carver College of Medicine in Iowa City, and colleagues wrote in a news release from the journal's publisher. "First, studies indicate that patients with depression frequently do not adhere to medical recommendations for underlying medical conditions," the study authors noted. "It is therefore plausible that such undertreated conditions may affect postoperative care and outcomes. Second, patients with existing psychiatric comorbidity may be more likely to undergo surgery by a lower-quality surgeon or hospital. Third, pre-existing psychiatric comorbidity may serve as an indicator for greater severity of surgical risk."
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