Unexpected reduction in migraine and psychogenic headaches following rTMS treatment for major depression: a report of two cases

Our objective is to report a coincident reduction in headache pain in patients treated with repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder (MDD). Two patients with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of MDD, non-responsive to prior antidepressant treatment who were enrolled in a sham-controlled, double-blind study of rTMS for MDD. After the study, it was revealed that both were in the active-treatment arm. Both patients suffered from near daily headaches and kept logs of headache frequency and severity before, during, and after the study. Headache pain was significantly reduced under double-blind conditions with rTMS treatment, but returned to baseline following cessation of rTMS treatment. Ultimately, when receiving rTMS post-study as a maintenance intervention for MDD (approximately 2 rTMS sessions/week), the positive effects on headache amelioration were sustained. Headache pain is frequently comorbid with mood disorders and has been reported as the most common side effect with rTMS. In these subjects, rTMS was, in fact, associated with relief of depressive symptoms and preexisting headache pain. This indicates that rTMS may be beneficial for both disorders in some patients.     

Pediatric trichotillomania: descriptive psychopathology and an open trial of cognitive behavioral therapy

In study 1, 46 children and adolescents with trichotillomania who sought treatment at 2 specialty outpatient clinics were assessed. Most children reported pulling hair from multiple sites on the body, presented with readily visible alopecia, reported spending 30-60 minutes per day pulling or thinking about pulling, and reported experiencing significant distress about their symptoms. Most were described by their parents as having significant problems in school functioning. Few children met criteria for obsessive-compulsive disorder or tic disorder. Child and family rates of other forms of psychopathology were high. In study 2, 22 of these children were enrolled in an open trial of individual cognitive behavioral therapy with particular attention to relapse prevention. Trichotillomania severity decreased significantly and 77% of children were classified as treatment responders at post-treatment and 64% at 6-month follow-up.     

A randomised controlled trial to assess the effectiveness of providing self-help information to people with symptoms of acute stress disorder following a traumatic injury

BACKGROUND: Patients attending accident and emergency (A&E) may develop long-term psychological difficulties. Psycho-education has been suggested to reduce the risk of post-injury disorders. AIMS: We tested the efficacy of providing self-help information to a high-risk sample. METHODS: A&E attenders were screened for acute stress disorder and randomised to two groups: patients (n=116) receiving a self-help booklet and those who did not (n=111). A sample of 'low' scorers was also included (n=120); they did not receive a booklet. Psychological assessments were completed at baseline (within 1 month post-injury) and 3 and 6 months post-injury. RESULTS: Post-traumatic stress disorder (PTSD), anxiety and depression decreased (p<0.001) across time but there were no group differences in these measures or quality of life. However, subjective ratings of the usefulness of the self-help booklet were very high. CONCLUSIONS: This trial failed to support the efficacy of providing self-help information, as a preventative strategy to ameliorate PTSD.     

Planes, trains, automobiles--and tea sets: extremely intense interests in very young children

Some normally developing young children show an intense, passionate interest in a particular category of objects or activities. The present article documents the existence of extremely intense interests that emerge very early in life and establishes some of the basic parameters of the phenomenon. Surveys and interviews with 177 parents revealed that nearly one third of young children have extremely intense interests. The nature of these intense interests is described, with particular focus on their emergence, commonalities in the content of the interests, and the reactions of other people to them. One of the most striking findings is a large gender difference: Extremely intense interests are much more common for young boys than for girls.     

Foundational Tuning: How Infants' Attention to Speech Predicts Language Development

Orienting biases for speech may provide a foundation for language development. Although human infants show a bias for listening to speech from birth, the relation of a speech bias to later language development has not been established. Here, we examine whether infants' attention to speech directly predicts expressive vocabulary. Infants listened to speech or non‐speech in a preferential listening procedure. Results show that infants' attention to speech at 12 months significantly predicted expressive vocabulary at 18 months, while indices of general development did not. No predictive relationships were found for infants' attention to non‐speech, or overall attention to sounds, suggesting that the relationship between speech and expressive vocabulary was not a function of infants' general attentiveness. Potentially ancient evolutionary perceptual capacities such as biases for conspecific vocalizations may provide a foundation for proficiency in formal systems such language, much like the approximate number sense may provide a foundation for formal mathematics.     

Gender as a Moderator of the Relationship Between Early Separation from Parents and Psychopathic Traits in a Sample of At-Risk Adolescents

This study examined the relationship between early separation from parents and psychopathic traits in a diverse Asian community sample of at-risk adolescents. Specifically, we tested whether gender could moderate this relationship. Data on 113 at-risk adolescents were provided by their parents who participated in this study. These adolescents were between the ages of 11 and 16 years (M = 14.35; SD = 1.10). Parents provided ratings on psychopathic traits with respect to their adolescent and they also provided information on demographic variables, psychosocial and familial information. Results showed that gender moderated the link between early separation from parents and adolescent psychopathy. As hypothesized, boys who experienced early separation from parents were associated with significantly higher levels of psychopathic traits compared with boys who did not experience early separation from parents. Girls who experienced and who did not experience early separation from parents had levels of psychopathic traits that were not significantly different from each other. These findings suggest that boys appear to be more vulnerable to the negative effects of early separation from parents and early emotional parental deprivation. There are important implications of these findings for both researchers and practitioners with respect to attempting to ameliorate the negative trajectory associated with psychopathy. It is critical to pay attention to and work with children and adolescents, especially boys, who have had early disruption to parental caregiving arrangements. Additionally, it is equally important to work with to-be adoptive or foster parents on how to handle and support potentially emotionally damaged children.