Dr Shock MD PhD

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414 posts · 422,627 views

Dr Shock is a pseudonym for a psychiatrist working in a University Hospital. His main topics of interest are the treatment of depression and electro convulsive therapy. Other subjects for this personal blog are research, article reviews, book reviews and education. He loves computers and Internet.

Dr Shock
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  • September 23, 2008
  • 12:48 AM
  • 2,134 views

Gender Bias in Medical Textbooks

by Dr Shock in Dr Shock MD PhD

Current medical textbooks do not consistently integrate gender-related aspects of coronary heart disease, depression and alcohol abuse, thereby omitting information. When it is available, information mainly applies to epidemiological data and reproduction.

This is not limited to text books but also applies to guidelines and medical curriculum.

The authors selected medical textbooks recommended by at least [...]... Read more »

  • September 19, 2008
  • 12:03 AM
  • 2,124 views

Emotional Intelligence and Medical Education

by Dr Shock in Dr Shock MD PhD

Why should emotional intelligence be important in medical education?

It could develop a better understanding of the competency interpersonal and communications skills. Communications skills of a medical student are easier to define and observe than interpersonal skills. You can use a one way screen, and rating scales. Successful interaction needs more than communications skills and this [...]... Read more »

D. Grewal, & H. A. Davidson. (2008) Emotional Intelligence and Graduate Medical Education. JAMA: The Journal of the American Medical Association, 300(10), 1200-1202. DOI: 10.1001/jama.300.10.1200  

  • December 4, 2008
  • 11:28 PM
  • 2,098 views

Prevention of the onset of Depression

by Dr Shock in Dr Shock MD PhD

Methods for preventing the onset of new cases of depression are manifold. The most researched prevention methods are:

Cognitive Behavioral Therapy, the number of sessions can vary from 6-15 sessions. It can be given in a group or individual treatment.

Problem Solving. In short: Problem solving treatment has three main steps: patients’ symptoms are linked with their [...]... Read more »

Pim Cuijpers, Ph.D., Annemieke van Straten, Ph.D., Filip Smit, Ph.D., Cathrine Mihalopoulos,, B.B.Sc.(Hons), & Aartjan Beekman, M.D., Ph.D. (2008) Preventing the Onset of Depressive Disorders: A Meta- Analytic Review of Psychological Interventions. American Journal of Psychiatry, 1272-1280. DOI: 18765483  

  • October 28, 2008
  • 12:51 AM
  • 2,096 views

Sex and Neuroscience, a new series

by Dr Shock in Dr Shock MD PhD

The coming week I will post articles about gender and/or sex and neuroscience. Topics with sex or gender and brains will be chocolate, computer game play, depression, medical education and brain sex differences, so stay tuned.

Now what is the difference between gender and sex?

Sex = male and female

Gender = masculine and feminine

So in essence:

Sex refers [...]... Read more »

Larry Cahill. (2006) Why sex matters for neuroscience. Nature Reviews Neuroscience, 7(6), 477-484. DOI: 10.1038/nrn1909  

  • November 20, 2008
  • 11:16 PM
  • 2,089 views

More Than 50% of the European Population use Internet for eHealth

by Dr Shock in Dr Shock MD PhD

More than 52.2% of the European population use the Internet for health related purposes. In 2005 this percentage was 43.2%

Significant growth in the use of Internet for health purposes was found in all the seven countries participating in the survey, with an average growth of 9.9% (8.5 - 11.3). Highest growth was noted in Germany [...]... Read more »

Per Egil Kummervold, Catherine E Chronaki, Berthold Lausen, Hans-Ulrich Prokosch, Janne Rasmussen, Silvina Santana, Andrzej Staniszewski, & Silje Camilla Wangberg. (2008) eHealth Trends in Europe 2005-2007: A Population-Based Survey. Journal of Medical Internet Research, 10(4). DOI: 10.2196/jmir.1023  

  • September 5, 2008
  • 01:24 AM
  • 2,083 views

You’re never to old to learn computer skills

by Dr Shock in Dr Shock MD PhD

E-health is the use of Internet technology and electronic communication to support the delivery and management of health care services. Despite the advantages of the Internet and advances in electronic communication, utilization of the Internet among older adults is relatively low. Improving computer skills of the elderly can enable them to access health information on [...]... Read more »

MIMI M. Y. TSE, KIM C. Y. CHOI, & RINCY S.W. LEUNG. (2008) E-Health for Older People: The Use of Technology in Health Promotion. CyberPsychology , 11(4), 475-479.

  • April 9, 2009
  • 02:20 AM
  • 2,049 views

Chocolate improves maths and recovery from endurance capacity

by Dr Shock in Dr Shock MD PhD

Chocolate milk after intensive prolonged exercise helps recovery much better than a carbohydrate replacement drink or a fluid replacement drink. After my 10 kilometer run on Sunday I’ll have some chocolate milk.

This was tested in a study in which during recovery from prolonged exercise (cycling) the participants ingested chocolate milk, carbohydrate replacement drink or a [...]... Read more »

  • July 22, 2009
  • 03:27 AM
  • 2,046 views

Cyberbullying in the Workplace

by Dr Shock in Dr Shock MD PhD

What is cyberbullying?

Cyberbullying techniques use modern communication technology to send derogatory or threatening messages directly to the victim or indirectly to others, to forward personal and confidential communication or images of the victim for others to see, and to publicly post denigrating messages

Cyberbullying has been in the news mostly for children and young adults. There [...]... Read more »

Privitera, C., & Campbell, M. (2009) Cyberbullying: The New Face of Workplace Bullying?. CyberPsychology , 2147483647. DOI: 10.1089/cpb.2009.0025  

  • April 6, 2009
  • 02:01 AM
  • 2,022 views

Depression and Coronary Heart Disease in Women

by Dr Shock in Dr Shock MD PhD

In a recent study published in the Journal of the American College of Cardiology, depressive symptoms were associated with an increased risk of fatal coronary Heart Disease (CHD) in relatively healthy women with no prior coronary disease. Depressive symptoms especially antidepressant use were also associated with sudden cardiac death (SCD).

One of the main advantages [...]... Read more »

  • September 12, 2008
  • 12:22 AM
  • 2,002 views

The Digital Divide exists for discussing health information with your physician

by Dr Shock in Dr Shock MD PhD

Internet access has increased for all minority groups, narrowing the digital divide, but not entirely diminishing it. Seeking online health information does not significantly vary by ethnicity.

But among all Internet users, Whites had higher levels of discussing Internet health information with a health care provider about Internet health information than Blacks and Asians, moreover this [...]... Read more »

  • January 2, 2009
  • 11:21 PM
  • 1,994 views

STAR*D Trial Sheds Little Light on how to manage Depression in Clinical Practice

by Dr Shock in Dr Shock MD PhD

Dr Shock stayed out of the discussions about the STAR*D trials. The choice of treatments was absolutely not evidence based and the results could never by generalized to Europe or The Netherlands for that matter. A recent publication in Evidence Based Mental Health Care summarizes the difficulties of the STAR*D trials.

Difficulties with STAR*D

There was [...]... Read more »

  • April 1, 2009
  • 01:56 AM
  • 1,944 views

Good characters make good motivated medical students?

by Dr Shock in Dr Shock MD PhD

Intrinsic motivation occurs when people engage in an activity without obvious external incentives. Research has found that it is usually associated with high educational achievement and enjoyment by students. Intrinsic academic motivation has been shown to be related to better academic achievement in medical students. Extrinsic motivation refers to the desire to do something because [...]... Read more »

  • December 8, 2008
  • 11:20 PM
  • 1,878 views

5 Differences between Psychotic and Nonpsychotic Depression

by Dr Shock in Dr Shock MD PhD

There are considerable data to indicate that psychotic depression is not just a severe form of depression but a distinct form of depression. Mostly in terms of clinical symptoms, course, biology, treatment response and outcomes. However, not every difference is indisputable, there are inconsistencies among studies and these differences might not be strong enough to [...]... Read more »

  • April 7, 2009
  • 01:32 AM
  • 1,870 views

Cinemeducation Improves Communication Skills of Residents

by Dr Shock in Dr Shock MD PhD

Teaching communication skills is an important component in undergraduate and postgraduate medical education. It is one of the core competencies of physicians. But how to teach these communication skills?

Why do physicians have to learn these communication skills? Because they have to discuss important topics with their patients such as:

Discussing end-of life issues

Delivering bad news

They have [...]... Read more »

  • May 18, 2009
  • 02:54 AM
  • 1,870 views

Depression in General Practice

by Dr Shock in Dr Shock MD PhD

In the recent numbers of British Journal of General Practice articles were published about depression in General Practice. In The Netherlands about 80% of patients with a depression visit the GP. In The Netherlands it’s estimated that in 2003 about 856.000 people in a year suffer from depression. That’s 6.3% on a population of 16 [...]... Read more »

  • August 11, 2009
  • 03:06 AM
  • 1,865 views

The Neuroanatomy of Psychopathy

by Dr Shock in Dr Shock MD PhD


Lombroso believed that 40% of criminals were ‘born criminals’ who could be distinguished by physical features including relatively long arms, prehensile feet with mobile big toes, low and narrow forehead, large ears, thick skull, large jaw, etc. The main objection to his hypotheses were his campaign on the basis of his theory for a preventive [...]... Read more »

Benning, T. (2003) Neuroimaging psychopathy: lessons from Lombroso. The British Journal of Psychiatry, 183(6), 563-564. DOI: 10.1192/bjp.183.6.563  

Blair, R. (2003) Neurobiological basis of psychopathy. The British Journal of Psychiatry, 182(1), 5-7. DOI: 10.1192/bjp.182.1.5  

Craig, M., Catani, M., Deeley, Q., Latham, R., Daly, E., Kanaan, R., Picchioni, M., McGuire, P., Fahy, T., & Murphy, D. (2009) Altered connections on the road to psychopathy. Molecular Psychiatry. DOI: 10.1038/mp.2009.40  

Yang, Y., Raine, A., Colletti, P., Toga, A., & Narr, K. (2009) Abnormal temporal and prefrontal cortical gray matter thinning in psychopaths. Molecular Psychiatry, 14(6), 561-562. DOI: 10.1038/mp.2009.12  

  • May 29, 2009
  • 03:25 AM
  • 1,861 views

Major enhancements to Electroconvulsive therapy

by Dr Shock in Dr Shock MD PhD

//

The major recent enhancements to ECT technique are:

Right Unilateral electrode placement. The cognitive side-effects of ECT such as retrograde and anterograde amnesia are significantly less compared to Bilateral electrode placement.

Brief pulse stimulus currents. The characteristics of the electrical stimulus affect the effectiveness and cognitive outcomes of the seizure. Sine wave stimuli have been [...]... Read more »

SACKEIM, H., PRUDIC, J., NOBLER, M., FITZSIMONS, L., LISANBY, S., PAYNE, N., BERMAN, R., BRAKEMEIER, E., PERERA, T., & DEVANAND, D. (2008) Effects of pulse width and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy. Brain Stimulation, 1(2), 71-83. DOI: 10.1016/j.brs.2008.03.001  

  • November 12, 2008
  • 11:34 PM
  • 1,820 views

Virtual Reality Exposure Therapy for Post Traumatic Stress Disorder

by Dr Shock in Dr Shock MD PhD

Civilians can be exposed to traumatic events. Most notably terrorist bombing attacks. In Israel, civilians are a frequent target of terrorist suicide bombers (e.g., attacks on civilians riding on public buses).

BusWorld is a simulation of a terrorist suicide bus-bombing attack designed to treat survivors for PTSD.

What is Post Traumatic Stress Disorder?

Patients with PTSD commonly [...]... Read more »

  • August 22, 2008
  • 01:05 AM
  • 1,817 views

Adolescent Violence Prevention

by Dr Shock in Dr Shock MD PhD

In the United States adolescents presenting to an inner-city emergency department (ED) are more likely to die from violence than from any other condition for which they seek ED care. They also lack a primary care physician and irregularly attend their school. They use Internet more often than adults.

This makes their visits to the [...]... Read more »

  • November 6, 2008
  • 11:47 PM
  • 1,811 views

Gender Differences in Depression and it’s Treatment

by Dr Shock in Dr Shock MD PhD

Women are more often affected by depression and this gender difference is consistent across all age groups.

Women are more likely than men to attempt suicide, but men are more likely to actually kill themselves.

Women are more likely than men to have what are termed atypical symptoms of depression.

Women are somewhat more likely than men to [...]... Read more »

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