Mood disorders in multiple sclerosis and the effects on cognitionAnthony Feinstein
Department of Psychiatry, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5
J Neurol Sci 245:63-6. 2006
..However, it is unclear whether depression may cause or exacerbate cognitive problems as data remain equivocal. The current review attempts to clarify the relationship between these behavioral disorders...
Multiple sclerosis and depressionAnthony Feinstein
Department of Psychiatry, University of Toronto, Sunnybrook Health Sciences Centre, Canada
Mult Scler 17:1276-81. 2011
..These positive findings are offset by data showing that depression in a neurological setting is often overlooked and under treated...
The neuropsychiatry of multiple sclerosisAnthony Feinstein
Department of Psychiatry, University of Toronto, Ontario
Can J Psychiatry 49:157-63. 2004
..The importance of future research addressing this imbalance is emphasized, for neuropsychiatric sequelae add significantly to the morbidity associated with MS...
Neuropsychiatric syndromes associated with multiple sclerosisAnthony Feinstein
Dept of Psychiatry, University of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
J Neurol 254:II73-6. 2007
..This article summarizes these mental state changes, their pathogenesis and treatment. Correct diagnosis and treatment can substantially improve the quality of life for MS patients...
Embedded journalists in the Iraq war: are they at greater psychological risk?Anthony Feinstein
Department of Psychiatry, Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada
J Trauma Stress 18:129-32. 2005
..There is no evidence from the recent war in Iraq suggesting that embedded journalists are at increased risk for psychological problems...
Early somatosensory evoked potential grades in comatose traumatic brain injury patients predict cognitive and functional outcomeDavid A Houlden
Department of Surgical Neuromonitoring, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Crit Care Med 38:167-74. 2010
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Traumatic brain injury, Apolipoprotein E-epsilon4, and cognition in older adults: a two-year longitudinal studyMark Rapoport
Sunnybrook Health Sciences Centre Geriatric Psychiatry, Toronto, Ontario, Canada
J Neuropsychiatry Clin Neurosci 20:68-73. 2008
..Traumatic brain injury was not associated with higher rates of amnestic mild cognitive impairment or dementia, and APOE-epsilon4 was not associated with cognition...
Genetic predictors of response to treatment with citalopram in depression secondary to traumatic brain injuryKrista L Lanctot
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
Brain Inj 24:959-69. 2010
..To determine which serotonergic system-related single nucleotide polymorphisms (SNPs) predicted variation in treatment response to citalopram in depression following a traumatic brain injury (TBI)...
A randomized controlled trial of antidepressant continuation for major depression following traumatic brain injuryMark J Rapoport
Sunnybrook Health Sciences Center, University of Toronto, Ontario, Canada
J Clin Psychiatry 71:1125-30. 2010
..This study examines whether continuation therapy with citalopram can prevent a relapse following remission of major depression due to traumatic brain injury...
Outcome after traumatic brain injury sustained in older adulthood: a one-year longitudinal studyMark J Rapoport
Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Ontario, Canada
Am J Geriatr Psychiatry 14:456-65. 2006
..The clinical significance of this may become more evident with time in this vulnerable population...
Self-assessment of cognition in Multiple Sclerosis: the role of personality and anxietyNadine Akbar
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Cogn Behav Neurol 24:115-21. 2011
..To investigate the role of personality and anxiety to self-report measures of cognition in patients with multiple sclerosis (MS)...
Factor analysis of the Rivermead Post-Concussion Symptoms Questionnaire in mild-to-moderate traumatic brain injury patientsNathan Herrmann
Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, M4N 3M5, Canada
J Neuropsychiatry Clin Neurosci 21:181-8. 2009
..These results suggest that depression post-TBI may influence patient perception of postconcussion symptoms...
Predicting employment status in multiple sclerosis patients: the utility of the MS functional compositeKimia Honarmand
University of Toronto, 27 King s College Circle, Toronto, ON, M5S 1A1, Canada
J Neurol 258:244-9. 2011
..The findings highlight the utility of the MSFC as a predictor of unemployment in MS. Furthermore, a strong association was found between unemployment and the personality construct "Agreeableness", and severity of depression...
The serotonin transporter polymorphisms and major depression following traumatic brain injuryFlorance Chan
Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Brain Inj 22:471-9. 2008
..The purpose of this study was to examine the role of the serotonin transporter gene polymorphisms on the risk of major depression following traumatic brain injury (TBI)...
Effects of cannabis on cognitive function in patients with multiple sclerosisKimia Honarmand
University of Toronto, 27 King s College Circle, Toronto, Ontario, Canada M5S
Neurology 76:1153-60. 2011
..Given that MS is associated with cognitive deterioration, the aim of this study was to determine the neuropsychological effects of cannabis use in this population...
The utility of the mini-mental status exam in older adults with traumatic brain injuryAnil Srivastava
Department of Psychiatry, University of Toronto, Ontario, Canada
Brain Inj 20:1377-82. 2006
..To assess the utility of the Mini-Mental Status Examination (MMSE) among the older TBI population...
Cognitive impairment associated with major depression following mild and moderate traumatic brain injuryMark J Rapoport
Department of Psychiatry and Traumatic Brain Injury Clinic, FG37, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada
J Neuropsychiatry Clin Neurosci 17:61-5. 2005
..4%), compared to those without, were found to have significantly lower scores on measures of working memory, processing speed, verbal memory and executive function. Potential mechanisms and implications for treatment are discussed...
Validation of the Hospital Anxiety and Depression Scale for use with multiple sclerosis patientsKimia Honarmand
University of Toronto, Toronto, Ontario, Canada, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
Mult Scler 15:1518-24. 2009
..913), but for generalized anxiety disorder only. The study confirms the usefulness of the HADS as a marker of major depression and generalized anxiety disorder, but not other anxiety disorders, in multiple sclerosis patients...
Validity of an Internet version of the Multiple Sclerosis Neuropsychological QuestionnaireNadine Akbar
Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada
Mult Scler 16:1500-6. 2010
..The informant version of the scale has proven to be a useful screen for cognitive impairment in multiple sclerosis (MS)...
Imaging genetics in multiple sclerosis: a volumetric and diffusion tensor MRI study of APOE ε4Omar Ghaffar
Brain Sciences Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Neuroimage 58:724-31. 2011
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Validity of a computerized version of the symbol digit modalities test in multiple sclerosisNadine Akbar
Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada
J Neurol 258:373-9. 2011
..Good test-retest reliability for the c-SDMT was shown (ICC = 0.94). The results support the validity of this version of the c-SDMT as a sensitive measure of cognitive dysfunction in MS. The methodology is also fMRI compatible...
Looking anew at cognitive dysfunction in multiple sclerosis: the gorilla in the roomAnthony Feinstein
Sunnybrook Health Sciences Centre, Toronto, Canada
Neurology 79:1124-9. 2012
..Our hypothesis was that difficulty sustaining attention in patients with MS would paradoxically be associated with less inattentional blindness...
The neuropsychiatry of multiple sclerosis: a review of recent developmentsOmar Ghaffar
Neuropsychiatry Division, Department of Psychiatry, Sunnybrook Health Sciences Centre and University of Toronto, Toronto, Ontario, Canada
Curr Opin Psychiatry 20:278-85. 2007
..The aim of this review is to summarize the current literature on the neuropsychiatry of multiple sclerosis (MS)...
Neuroanatomy of pseudobulbar affect : a quantitative MRI study in multiple sclerosisOmar Ghaffar
Neuropsychiatry Division, Dept of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, FG08 2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada
J Neurol 255:406-12. 2008
..The lesion data support a widely-dispersed neural network involving frontal, parietal, and brainstem regions in the pathophysiology of PBA...
Diffusion tensor imaging abnormalities in cognitively impaired multiple sclerosis patientsNadine Akbar
Department of Psychiatry, Sunnybrook Health Sciences Centre University of Toronto, Canada
Can J Neurol Sci 37:608-14. 2010
..The aim of this study was to assess the relative importance of diffusion tensor imaging (DTI) indices derived from normal appearing white matter (NAWM) and grey matter (NAGM) in determining cognitive dysfunction in MS patients...
A hazardous profession: war, journalists, and psychopathologyAnthony Feinstein
Department of Psychiatry, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, Ont, Canada
Am J Psychiatry 159:1570-5. 2002
..War journalists often confront situations of extreme danger in their work. Despite this, information on their psychological well-being is lacking...
Six-month recovery from mild to moderate Traumatic Brain Injury: the role of APOE-epsilon4 alleleLaury Chamelian
University of Toronto, Toronto, ON, Canada
Brain 127:2621-8. 2004
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The effect of major depression on subjective and objective cognitive deficits in mild to moderate traumatic brain injuryLaury Chamelian
Sunnybrook and Women, s College Health Sciences Centre, Department of Psychiatry, Toronto, ON, M4N 3M5
J Neuropsychiatry Clin Neurosci 18:33-8. 2006
..In mild to moderate TBI, subjective cognitive deficits are linked in large measure to comorbid major depression. However, other mechanisms may also account for these deficits...
Age and major depression after mild traumatic brain injuryMark J Rapoport
Department of Psychiatry and Traumatic Brain Injury Clinic, FG37 Sunnybrook and Women's College Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada
Am J Geriatr Psychiatry 11:365-9. 2003
..RESULTS: Older patients (age 60-plus) had lower rates of major depression than younger patients. CONCLUSION: Older patients seem to be relatively resilient to major depression shortly after mild TBI...
Detecting cognitive dysfunction in multiple sclerosis with a magnetic resonance imaging rating scale: a pilot studyLaury Chamelian
Department of Psychiatry, University of Toronto, Toronto, Canada
CNS Spectr 10:394-401. 2005
..Total CHIPS score and total hyperintense lesion load were correlated (sigma = 0.82, P < .0001). CONCLUSION: CHIPS is helpful in clinically predicting cognitive impairment in MS...
Randomized treatment trial in mild traumatic brain injuryOmar Ghaffar
Department of Psychiatry, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada M4N 3M5
J Psychosom Res 61:153-60. 2006
..01). CONCLUSIONS: These findings suggest that routine treatment of all MTBI patients offers little benefit; rather, targeting individuals with preinjury psychiatric problems may prove a more rational and cost-effective approach...
The role of injury severity in neurobehavioral outcome 3 months after traumatic brain injuryMark Rapoport
Department of Psychiatry, Sunnybrook and Women s College Health Sciences Center, University of Toronto, Toronto, Ontario, Canada
Neuropsychiatry Neuropsychol Behav Neurol 15:123-32. 2002
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The clinical significance of major depression following mild traumatic brain injuryMark J Rapoport
Department of Psychiatry and Traumatic Brain Injury Clinic, University of Toronto, Ont M4N 3M5, Canada
Psychosomatics 44:31-7. 2003
..CONCLUSIONS: Major depression is associated with poor outcome across multiple domains. This study highlights the need for the early diagnosis and prompt treatment of major depression following mild traumatic brain injury...
The clinical neuropsychiatry of multiple sclerosisAnthony Feinstein
Department of Psychiatry, University of Toronto, Toronto, Canada
CNS Spectr 10:362. 2005
Multiple sclerosis and alcohol: a study of problem drinkingSusan Quesnel
Department of Psychiatry, University of Toronto and Sunnybrook and Women's College Health Science Centre, 2075 Bayview Ave, Ontario, Canada, M4N 3M5
Mult Scler 10:197-201. 2004
..Clues to problem drinking in MS patients are the presence of a positive family history of mental illness and prominent anxiety...
The impact of major depression on outcome following mild-to-moderate traumatic brain injury in older adultsMark J Rapoport
Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Canada
J Affect Disord 92:273-6. 2006
..Major depression is common following traumatic brain injury (TBI), yet no studies to date have explored its relationship to psychosocial outcome in older adults with TBI...
Multiple sclerosis and cannabis: a cognitive and psychiatric studyOmar Ghaffar
Department of Psychiatry, Sunnybrook Health Sciences Centre, FG08 2075 Bayview Avenue, Toronto, ON, Canada
Neurology 71:164-9. 2008
..A significant minority of patients with multiple sclerosis (MS) use cannabis, yet no study has examined the possible effects on mentation. Here, we report the emotional and cognitive correlates of street cannabis use in patients with MS...
APOE epsilon4 and cognitive dysfunction in multiple sclerosis: a reviewOmar Ghaffar
Department of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada M4N 3M5
J Neuropsychiatry Clin Neurosci 22:155-65. 2010
..No study has yet combined neuropsychological inquiry, brain imaging, and genetic determination, an approach that has the potential to pull together various pieces of the puzzle...
An examination of suicidal intent in patients with multiple sclerosisAnthony Feinstein
Department of Psychiatry, University of Toronto and Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
Neurology 59:674-8. 2002
..To examine neurologic and psychiatric correlates of suicidal intent in a community sample of 140 patients with MS...
The psychological health of contractors working in war zonesAnthony Feinstein
Department of Psychiatry, University of Toronto and Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario
J Trauma Stress 22:102-5. 2009
..This study provides the first empirical data showing that a significant minority of contractors working in war zones are psychologically distressed and not receiving therapy...
Treatment of neuropsychiatric conditions associated with multiple sclerosisStephanie H Ameis
University of Toronto, Sunnybrook Health Sciences Center, 2075 Bayview, Avenue, Toronto, Ontario, M4N 3M5, Canada
Expert Rev Neurother 6:1555-67. 2006
..Thus, all health professionals involved in the care of multiple sclerosis patients should have a good working knowledge of the neurotherapeutics of multiple sclerosis-related behavioral disorders...
Early identification and incidence of mild TBI in OntarioWon Hyung A Ryu
Kunin Lunenfeld Applied Research Unit, Baycrest, Toronto, Ontario, Canada
Can J Neurol Sci 36:429-35. 2009
..1) To examine the variability in diagnosis of mild traumatic brain injury (mTBI) in primary care relative to that of an expert reviewer; and (2) to determine the incidence rate of mTBI in Ontario, Canada...
Evaluating the use of a psychiatric intensive care unit: is ethnicity a risk factor for admission?Anthony Feinstein
Dept of Psychiatry, University of Toronto, Ontario, Canada
Int J Soc Psychiatry 48:38-46. 2002
..This paper presents a descriptive study, undertaken in 1993, of a Psychiatric Intensive Care Unit (PICU) serving a deprived inner-city area, investigating the role of ethnicity as a risk factor for admission to the unit...
Outcome after mild to moderate traumatic brain injury: the role of dizzinessLaury Chamelian
University of Toronto, Toronto, ON, Canada
Arch Phys Med Rehabil 85:1662-6. 2004
..Clinicians need to be alert to the presence of dizziness as an adverse prognostic indicator after mild to moderate TBI...
Epigenetics of personality traits: an illustrative study of identical twins discordant for risk-taking behaviorZachary Kaminsky
The Krembil Family Epigenetics Laboratory, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
Twin Res Hum Genet 11:1-11. 2008
..We found that use of epigenomic microarray profiling in a relatively small number (15-25) of phenotypically discordant twin pairs has sufficient power to detect 1.2 fold epigenetic changes...
Multiple sclerosis, interferon beta-1b and depression A prospective investigationAnthony Feinstein
Department of Psychiatry, University of Toronto and Sunnybrook and Women s College Health Sciences Centre, Room FG38, 2075 Bayview Avenue, Ontario M4N 3M5, Canada
J Neurol 249:815-20. 2002
..The threefold decline in prevalence rates for major depression over the course of a year demonstrates a good response to anti-depressant medication and possible beneficial effects of interferon beta-1b on mood...
Occupational attainment as a marker of cognitive reserve in multiple sclerosisOmar Ghaffar
Neuropsychiatry and Brain Sciences Programs, Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
PLoS ONE 7:e47206. 2012
..Information regarding an individual's occupation is easily acquired and may serve as a useful proxy for cognitive reserve in clinical settings...
Posttraumatic amnesia and recall of a traumatic event following traumatic brain injuryAnthony Feinstein
Department of Psychiatry, Sunnybrook and Women s College Health Science Centre, Toronto, Ontario, Canada
J Neuropsychiatry Clin Neurosci 14:25-30. 2002
..Possible mechanisms that could account for this finding are discussed...
Utility of simultaneous brain, CSF and hyperintensity quantification in dementiaRichard H Swartz
Institute of Medical Science (SEB and RHS, Division of Neurology, Department of Medicine, University of Toronto and Sunnybrook and Women's College Health Sciences Centre, Ontario, Canada
Psychiatry Res 116:83-93. 2002
..Simultaneous quantification of atrophy and anatomically distinct hyperintensities is important for understanding cognitive impairments in dementia...
Unexplained neurologic symptoms: an fMRI study of sensory conversion disorderOmar Ghaffar
Neuropsychiatry Division, Department of Psychiatry, Sunnybrook Health Sciences Centre, FG08-2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada
Neurology 67:2036-8. 2006
..These findings implicate selective alterations in primary sensorimotor cortex activity in conversion disorder, and may also reconcile the discordant results of previous studies...