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RESEARCH ARCHIVE

Research Articles

Articles related to: anxiety, anxiety disorder, anxiety disorders, anxiety-disorders-in-children-and-adolescents, generalized anxiety disorder

Research Articles

ORIGINAL RESEARCH

Comparison of Stress, Anxiety and Depression in Preclinical and Clinical Dental Students

Objective To compare factors correlating with stress, anxiety, and depression between dental students (DS) in preclinical (PP) and clinical programs (CP). Method This study involved 165 DS, utilizing the DASS-21, GAD-7, PSS-10, and PHQ-9 assessments....
Psychopharmacology Bulletin 55(4): 55-67, 2025/07/04
LETTER TO THE EDITOR

Before Attributing Catatonia to Autism with Anxiety, All Other Causes should be Carefully Excluded, Especially in a Patient with Meningioma

We recently read an interesting case report in your Journal about the complete disappearance of catatonia after a single intravenous lorazepam challenge test in a patient with autistic features and a small meningioma.1 We would...
Psychopharmacology Bulletin 55(2): 110-111, 2025/02/03
REVIEW ARTICLE

Stellate Ganglion Blocks for Post-Traumatic Stress Disorder: A Review of Mechanisms, Efficacy, and Complications

Post-traumatic stress disorder (PTSD) stands as a pervasive psychiatric condition, exerting a profound impact on millions across the globe. Despite the availability of traditional therapeutic modalities, many individuals continue to grapple with suboptimal treatment outcomes,...
Psychopharmacology Bulletin 54(4): 106-118, 2024/08/19
REVIEW ARTICLE

The Ham-D is not Hamilton’s Depression Scale

Introduction This article will demonstrate that the most widely used versions of the Hamilton Rating Scale for Depression (HAM-D) used in randomized clinical trials, the Guy 1976 HAM-D 1 and the SIGH-D, 2 have response...
Psychopharmacology Bulletin 52(2): 117-153, 2022/05/31
REVIEW ARTICLE

Cannabis Use and its Association with Psychological Disorders

Purpose of Review: This is a comprehensive review of the association between cannabis use and psychological disorders. It reviews the latest and seminal evidence that is available and attempts to conclude the strength of such...
Psychopharmacology Bulletin 50(2): 56-67, 2020/05/19
ORIGINAL RESEARCH

Asenapine in the Treatment of Bipolar Depression

Objectives: Asenapine, a potent serotonin 7 (5-HT 7 ) receptor antagonist, was examined for efficacy as an antidepressant in depressed bipolar subjects. It was predicted that subjects with the genetic variant of the short form...
Psychopharmacology Bulletin 50(1): 8-18, 2020/03/12
EVIDENCE-BASED MEDICINE

A Pilot Evaluating Clinical Pharmacy Services in an Ambulatory Psychiatry Setting

Objectives A pilot of clinical services provided by psychiatric clinical pharmacists in an outpatient clinic are described and evaluated. The primary objective was to evaluate the difference in change of Patient Health Questionnaire (PHQ)-9 and/or...
Psychopharmacology Bulletin 48(2): 18-28, 2018/02/05
ORIGINAL PRESENTATIONS

Single Dose and Repeat Once-Daily Dose Safety, Tolerability and Pharmacokinetics of Valbenazine in Healthy Male Subjects

Valbenazine (VBZ) is a vesicular monoamine transporter 2 (VMAT2) inhibitor approved for the treatment of tardive dyskinesia. The safety, tolerability and pharmacokinetics of VBZ following single and repeat once-daily (QD) dosing were evaluated in 2...
Psychopharmacology Bulletin 47(3): 44-52, 2017/08/01
ORIGINAL RESEARCH

Extended Release Quetiapine Fumarate (Quetiapine XR) as Adjunct Therapy in Patients with Generalized Anxiety Disorder and a History of Inadequate Treatment Response: A Randomized, Double-Blind Study

Objective To evaluate the efficacy and tolerability of adjunct extended release quetiapine fumarate (quetiapine XR) in patients with generalized anxiety disorder (GAD) and inadequate response to selective serotonin reuptake inhibitors/ serotonin norepinephrine reuptake inhibitors (SSRI/SNRIs)....
Psychopharmacology Bulletin 44(2): 5-31, 2011/05/15
ORIGINAL RESEARCH

Predictors of Non-Stabilization during the Combination Therapy of Lithium and Divalproex in Rapid Cycling Bipolar Disorder: A Post-hoc Analysis of Two Studies

To study predictors of non-stabilization (i.e., not bimodally stabilized for randomization or not randomized due to premature discontinuation) during open-label treatment with lithium and divalproex in patients with rapid-cycling bipolar disorder (RCBD) with or without...
Psychopharmacology Bulletin 41(1): 23-38, 2010/05/21
ORIGINAL RESEARCH

Differential Efficacy of Memantine for Obsessive-Compulsive Disorder vs. Generalized Anxiety Disorder: An Open-Label Trial

Objective: A substantial proportion of patients with obsessive-compulsive disorder (OCD) and generalized anxiety disorder (GAD) do not respond to, or are intolerant of, standard treatments. Additional treatment strategies are therefore necessary. Excessive action of the...
Psychopharmacology Bulletin 42(1): 81-93, 2009/02/03
EVIDENCE-BASED MEDICINE

A Major Change of Prescribing Pattern in Absence of Adequate Evidence: Benzodiazepines Versus Newer Antidepressants in Anxiety Disorders

We performed a systematic review of controlled trials on anxiety disorders treatment (generalized anxiety disorder, panic disorder, social phobia, and post-traumatic stress disorder) published from 1980 to 2006, and identified trials comparing the efficacy of...
Psychopharmacology Bulletin 41(3): 39-47, 2008/07/28
EVIDENCE-BASED MEDICINE

Psychometric Evaluation of a Patient-Rated Troubling Symptom Scale for Generalized Anxiety Disorder Clinical Trials

The majority of clinical outcome assessments developed for generalized anxiety disorder (GAD) may not efficiently and sensitively reflect heterogeneous symptom clusters from a patient perspective. The Patient-Rated Troubling Symptoms Scale for Anxiety (PaRTS-A) instrument was...
Psychopharmacology Bulletin 41(2): 68-90, 2008/07/28
ORIGINAL RESEARCH

Switching from Other Agents to Extended-Release Carbamazepine in Acute Mania

To compare the efficacy and safety of bupropion XL (150–300 mg/day) with the selective serotonin reuptake inhibitor escitalopram (10–20 mg/day) in outpatients diagnosed with generalized anxiety disorder (GAD). Methods: Twenty-four participants with GAD between 18...
Psychopharmacology Bulletin 41(1): 52-58, 2008/02/12
NEGATIVE AND FAILED TRIAL REPORTS

An Open-Label Study of Tiagabine in Panic Disorder

γ-Aminobutyric acid (GABA) has been implicated in the pathophysiology of anxiety disorders, including panic. Tiagabine, a selective GABA reuptake inhibitor (SGRI), has been shown to reduce symptoms of anxiety. This pilot study evaluated the efficacy...
Psychopharmacology Bulletin 40(3): 32-40, 2007/11/06
BRAIN IMAGING

Fear, Anxiety, and the Neuroimaging of PTSD

The clinical manifestations of Posttraumatic Stress Disorder (PTSD) include both fear and anxiety symptoms. Animal studies provide significant information about the neurobiological pathways involved in fear and anxiety and are relevant to the study of...
Psychopharmacology Bulletin 40(3): 82-97, 2007/11/06
NEGATIVE AND FAILED TRIAL REPORTS

Adjunctive Risperidone in the Treatment of Generalized Anxiety Disorder: A Double-Blind, Prospective, Placebo-Controlled, Randomized Trial

Background: Residual symptoms despite treatment are common in generalized anxiety disorder (GAD). The Patient-Rated Troubling Symptoms for Anxiety (PaRTS-A) is a newly created and validated instrument that measures the symptoms most troublesome to each individual...
Psychopharmacology Bulletin 40(3): 41-54, 2007/11/06
EVIDENCE-BASED MEDICINE

Current Approaches to the Pharmacologic Treatment of Anxiety Disorders

Despite their high prevalence, the anxiety disorders are underdiagnosed and undertreated. Benzodiazepines, once the first line of treatment, have been superseded by SSRIs as the treatment of choice. Preclinical studies, however, suggest that CRF antagonists...
Psychopharmacology Bulletin 40(1): 98-109, 2007/01/19

Late-Life Anxiety Disorders

The prevalence, natural course, risk profile, and treatment of anxiety disorders in the elderly are remarkably understudied. Anxiety disorders are less prevalent in the elderly than in younger adults, but rates of subsyndromal anxiety disorders...
Psychopharmacology Bulletin 38(Suppl. 1): 25-30, 2004/03/24

Unmet Needs in the Treatment of Anxiety Disorders

There are a number of unmet needs in the treatment of anxiety disorders including the need for more effective, rapidly acting, and better tolerated medications; early identification of nonresponse; effective treatments for refractory disorders; prevention...
Psychopharmacology Bulletin 38(Suppl. 1): 31-37, 2004/03/24

Drug Development for Anxiety Disorders: New Roles for Atypical Antipsychotics

Anxiety disorders are prevalent and frequently comorbid with depression. Rates of response and remission for anxiety disorders are low despite marked improvements in treatment in the past several decades. Antidepressants and anxiolytics remain the most...
Psychopharmacology Bulletin 38(Suppl. 1): 38-45, 2004/03/24
DRUG DISPOSITION & PHARMACOKINETICS

Bupropion Sustained Release for Panic Disorder

Despite anecdotal reports suggesting that bupropion may be effective for panic disorder, both clinical lore and the results of one small controlled study suggest otherwise. There remains a paucity of systematic prospective data addressing this...
Psychopharmacology Bulletin 37(4): 66-72, 2004/02/27
GENERAL PSYCHOPHARMACOLOGY

The Role of GABA in the Pathophysiology and Treatment of Anxiety Disorders

Mechanisms underlying the pathological characteristics of the various anxiety disorders have yet to be fully elucidated. One of the most widely accepted mediators known to play a central role in the pathophysiology of anxiety disorders...
Psychopharmacology Bulletin 37(4): 133-146, 2004/02/27

Paroxetine Treatment of Generalized Anxiety Disorder

Generalized anxiety disorder (GAD) is a prevalent and disabling anxiety disorder, conservatively believed to affect at least 5% of the general population. Cardinal symptoms of GAD include chronic and uncontrollable worry, anxiety, and tension, which...
Psychopharmacology Bulletin 37(Suppl. 1): 64-74, 2003/04/22

Neurobiology and Mechanisms of Antidepressant Treatment Response in Anxiety

The functional anatomy of anxiety focuses on a central fear response system, with the amygdala serving as a pivotal hub. Critical to understanding the different forms of human anxiety is the relationship of the amygdala...
Psychopharmacology Bulletin 36(Suppl. 3): 67-77, 2002/11/20

New Developments in Depression and Anxiety Disorders

Burgeoning advances in the neurosciences have been increasingly applied to psychopharmacology, and the reports that follow provide a glimpse into this process. Several of the leading investigators on the cutting edge of this rapidly evolving...
Psychopharmacology Bulletin 36(Suppl. 3): 5-6, 2002/11/20

New Advances in the Management of Anxiety Disorders

Anxiety disorders are highly prevalent and associated with significant symptomatic distress, increased morbidity, and increased mortality. Although efficacious pharmacologic and psychosocial therapies for anxiety disorders are available, many patients who improve with treatment remain at...
Psychopharmacology Bulletin 36(Suppl. 3): 79-93, 2002/11/20

Unraveling the Diagnostic Clues of Depression and GAD: The Primary Care Challenge

Anxiety and depression are commonly encountered in primary care, with a prevalence ranging from 5% to 10%. These disorders are associated with significant and persistent impairment in functioning, risk of suicide, and substantial economic cost....
Psychopharmacology Bulletin 36(Suppl. 2): 150-157, 2002/10/02

Generalized Anxiety Disorder: Raising the Expectations of Treatment

Anxiety disorders are prevalent and associated with an increase in morbidity and mortality, particularly when present with additional psychiatric disorders. They represent a public health and economic burden, yet they are commonly underrecognized and undertreated....
Psychopharmacology Bulletin 36(Suppl. 2): 68-78, 2002/10/02

New Developments in the Neurobiological Basis of Anxiety Disorders

Generalized anxiety disorder (GAD) is a chronic disorder that often precedes the development of, and is comorbid with, depression. Investigation of the neurobiological basis of GAD has provided suggestive evidence implicating dysfunction of serotonergic and...
Psychopharmacology Bulletin 36(Suppl. 2): 49-67, 2002/10/01

Can We Distinguish Anxiety From Depression?

It is becoming increasingly apparent that although anxiety and depression are separate syndromes and can be identified as such, there is considerable overlap of clinical symptoms and pathophysiological processes. Data indicate that comorbid anxiety and...
Psychopharmacology Bulletin 36(Suppl. 2): 158-165, 2002/10/01
GENERAL PSYCHOPHARMACOLOGY

Citalopram for the Treatment of Adolescent Anxiety Disorders: A Pilot Study

Charts of 17 adolescent patients treated naturalistically with citalopram for various anxiety disorders were reviewed. Patients were retrospectively assessed using the Clinical Global Impression (CGI)-Severity scale at the beginning and end of treatment. Eighty-two percent...
Psychopharmacology Bulletin 36(3): 100-107, 2002/07/15
GENERAL PSYCHOPHARMACOLOGY

The 5-HT1B Receptor: Behavioral Implications

5-HT1B receptors are expressed throughout the mammalian central nervous system. These receptors are located in the axon terminals of both serotonergic and nonserotonergic neurons, where they act as inhibitory autoreceptors or heteroreceptors, respectively. 5-HT1B receptors...
Psychopharmacology Bulletin 35(4): 170-185, 2001/10/15