Research Topics
Genomes and GenesSpecies | Dan J SteinSummaryAffiliation: University of Stellenbosch Country: South Africa Publications
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Publications
The Truth and Reconciliation Commission in South Africa: relation to psychiatric status and forgiveness among survivors of human rights abusesD Kaminer
Department of Psychiatry, University of Stellenbosch, Tygerberg, South Africa
Br J Psychiatry 178:373-7. 2001..Lack of forgiveness may be an important predictor of psychiatric risk in this population...
Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762]Paul D Carey
MRC Research Unit on Anxiety Disorders, University of Stellenbosch, Cape Town, South Africa
BMC Psychiatry 5:5. 2005..Quetiapine is generally well tolerated and previous open-label data has produced mixed results in OCD and additional controlled data is needed...
Pharmacological challenge with a serotonin 1D agonist in alcohol dependenceBavanisha Vythilingum
MRC, Dept of Psychiatry, University of Stellenbosch, South Africa
BMC Psychiatry 5:31. 2005..Administration of sumatriptan should therefore produce a craving for alcohol and the desire to drink...
Comparison of pain, cortisol levels, and psychological distress in women undergoing surgical termination of pregnancy under local anaesthesia versus intravenous sedationSharain Suliman
MRC Research Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Tygerberg, Cape Town, South Africa
BMC Psychiatry 7:24. 2007..This study compared the effects of local anaesthesia and intravenous sedation, administered for elective surgical termination, on outcomes of pain, cortisol, and psychological distress...
Functional brain imaging and pharmacotherapy in trichotillomania. Single photon emission computed tomography before and after treatment with the selective serotonin reuptake inhibitor citalopramDan J Stein
Department of Psychiatry, University of Stellenbosch, P O Box 19063, Tygerberg 7505, Cape Town, South Africa
Prog Neuropsychopharmacol Biol Psychiatry 26:885-90. 2002..Pharmacotherapeutic response to SSRIs in trichotillomania may not be as robust as in OCD. Further research is necessary to determine the neurobiological underpinnings of these differences...
Obsessive-compulsive disorderDan J Stein
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
Lancet 360:397-405. 2002..In the future we can expect more precise delineation of the origins of this disorder, with integration of data from neuroanatomical, neurochemical, neuroethological, neurogenetic, and neuroimmunological research...
Moclobemide is effective and well tolerated in the long-term pharmacotherapy of social anxiety disorder with or without comorbid anxiety disorderD J Stein
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
Int Clin Psychopharmacol 17:161-70. 2002..These data confirm and extend previous findings on the value of moclobemide in the treatment of social anxiety disorder, and strengthen the range of therapeutic options for managing this important disorder...
Social anxiety disorder and generalized anxiety disorder: serotonergic and dopaminergic neurocircuitryDan J Stein
Medical Research Council Unit on Anxiety Disorders, The University of Stellenbosch, Tygerberg, Cape Town, South Africa
J Clin Psychiatry 63:12-9. 2002..Future work will undoubtedly clarify how genetic and environmental factors interact to fashion the neurocircuitry that mediates anxiety symptoms...
Depression and anxiety in the developing world: is it time to medicalise the suffering?Dan J Stein
Department of Pyschiatry, University of Stellenbosch, Cape Town 7505, South Africa
Lancet 364:233-4. 2004
Fluvoxamine CR in the long-term treatment of social anxiety disorder: the 12- to 24-week extension phase of a multicentre, randomized, placebo-controlled trialDan J Stein
MRC Unit on Anxiety Disorders, University of Stellenbosch, Cape Town, South Africa, and University of Florida, Gainesville, FL, USA
Int J Neuropsychopharmacol 6:317-23. 2003....
Algorithm for the pharmacotherapy of anxiety disordersDan J Stein
Medical Research Council Research Unit on Anxiety Disorders, University of Stellenbosch, Cape Town, PO Box 19063, Tygerberg 7505, South Africa
Curr Psychiatry Rep 5:282-8. 2003..However, such algorithms run the risk of oversimplifying complex clinical realities, and are only as good as the data on which they rest. In this article, an algorithm for the pharmacotherapy of anxiety disorders is presented...
Efficacy of paroxetine for relapse prevention in social anxiety disorder: a 24-week studyDan J Stein
University of Stellenbosch, Fransie van Zyl Dr, Tygerberg 7505, Cape Town, South Africa
Arch Gen Psychiatry 59:1111-8. 2002..The efficacy of selective serotonin reuptake inhibitors in the acute treatment of social anxiety disorder (social phobia) is well established...
Escitalopram versus paroxetine for social anxiety disorder: an analysis of efficacy for different symptom dimensionsDan J Stein
University of Cape Town, South Africa and University of Florida, Gainesville, USA
Eur Neuropsychopharmacol 16:33-8. 2006..This paper examines data from a fixed-dose trial of escitalopram versus paroxetine, in order to determine the differential effects of these agents on symptom dimensions in social anxiety disorder (SAD)...
WCA Recommendations for the long-term treatment of posttraumatic stress disorderDan J Stein
Medical Research Council Research Unit on Anxiety Disorder, University of Stellenbosch, Cape Town, Tygerberg, South Africa
CNS Spectr 8:31-9. 2003..Only SSRIs have been proven effective and safe in long-term randomized controlled trials. Current guidelines from the Expert Consensus Panel for PTSD recommend treatment of chronic PTSD for a minimum of 12-24 months...
Escitalopram in the treatment of social anxiety disorder: analysis of efficacy for different clinical subgroups and symptom dimensionsDan J Stein
MRC Unit on Anxiety Disorders, University of Stellenbosch, Cape Town, South Africa
Depress Anxiety 20:175-81. 2004..A six-factor model of social anxiety symptoms is supported by the distinctive association between these symptom dimensions and different areas of disability, but did not predict differential response to escitalopram...
The selective serotonin reuptake inhibitor paroxetine is effective in more generalized and in less generalized social anxiety disorderD J Stein
MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
Psychopharmacology (Berl) 158:267-72. 2001..There are, however, few data to address whether more generalized and less generalized subgroups of social anxiety disorder differ in response to medication...
Efficacy of pregabalin in depressive symptoms associated with generalized anxiety disorder: a pooled analysis of 6 studiesDan J Stein
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Eur Neuropsychopharmacol 18:422-30. 2008..In conclusion, pregabalin, an alternative treatment option for GAD with a novel mechanism of action, also demonstrated efficacy in treating depressive symptoms typically encountered in GAD patients...
The social anxiety disorder spectrumDan J Stein
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
J Clin Psychiatry 65:27-33; quiz 34-6. 2004..Nevertheless, phenomenological and psychobiological data have led to the hypothesis that social anxiety symptoms and disorders lie on various dimensions...
Hoarding in obsessive-compulsive disorder: clinical and genetic correlatesChristine Lochner
MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
J Clin Psychiatry 66:1155-60. 2005..The clinical and genetic correlates of hoarding in OCD therefore deserve additional investigation...
Subtyping social anxiety disorder in developed and developing countriesDan J Stein
Department of Psychiatry, University of Cape Town, Cape Town, South Africa
Depress Anxiety 27:390-403. 2010..We aimed to determine whether this holds across a broader set of developed and developing countries, and whether subtyping according to number of performance versus interactional fears would be more useful...
Cluster analysis of obsessive-compulsive spectrum disorders in patients with obsessive-compulsive disorder: clinical and genetic correlatesChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, PO Box 19063, Tygerberg, 7505, Cape Town, South Africa
Compr Psychiatry 46:14-9. 2005..Comorbidity of the putative OCSDs in OCD has, however, not often been systematically investigated...
Genetic correlates in trichotillomania--A case-control association study in the South African Caucasian populationSian M J Hemmings
MRC US Centre for Molecular and Cellular Biology, University of Stellenbosch, Tygerberg, South Africa
Isr J Psychiatry Relat Sci 43:93-101. 2006..Some have argued, however, that TTM is an obsessive-compulsive spectrum disorder (OCSD). There is some evidence that both disorders (OCD and TTM) are mediated by serotonergic (5-HT) and dopaminergic pathways...
Gender in obsessive-compulsive disorder: clinical and genetic findingsChristine Lochner
MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, P O Box 19063, Tygerberg 7505, Cape Town, South Africa
Eur Neuropsychopharmacol 14:105-13. 2004..There is increasing recognition that obsessive-compulsive disorder (OCD) is not a homogeneous entity. It has been suggested that gender may contribute to the clinical and biological heterogeneity of OCD...
Early- versus late-onset obsessive-compulsive disorder: investigating genetic and clinical correlatesSian M J Hemmings
MRC Unit on Anxiety and Stress Disorders, University of Stellenbosch, Medical School, PO Box 19063, Tygerberg 7505, South Africa
Psychiatry Res 128:175-82. 2004..These data support a role for the dopaminergic system, which may be relevant to the development of early-onset OCD...
Corrigendum to "gender in obsessive-compulsive disorder: clinical and genetic findings" [Eur. Neuropsychopharmacol. 14 (2004) 105-113]Christine Lochner
MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Tygerberg, Cape Town, South Africa
Eur Neuropsychopharmacol 14:437-45. 2004..There is increasing recognition that obsessive-compulsive disorder (OCD) is not a homogeneous entity. It has been suggested that gender may contribute to the clinical and biological heterogeneity of OCD...
Characterization of HIV-Associated Neurocognitive Disorders among individuals starting antiretroviral therapy in South AfricaJohn A Joska
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
AIDS Behav 15:1197-203. 2011..In a regression model, a lower level of education and male gender were predictive of HIV-D. These findings suggest that HAND are highly prevalent in primary care settings in South Africa where clade C HIV is predominant...
Catechol-o-methyltransferase genotype and childhood trauma may interact to impact schizotypal personality traitsJonathan Savitz
MRC UCT Human Genetics Research Unit, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa
Behav Genet 40:415-23. 2010..We raise the possibility that genetically-driven variation in COMT may interact with childhood trauma to contribute to the risk of developing schizotypal personality traits...
Exercise increases BDNF levels in the striatum and decreases depressive-like behavior in chronically stressed ratsLelanie Marais
Division of Medical Physiology, Stellenbosch University, Tygerberg, PO Box 19063, 7505, South Africa
Metab Brain Dis 24:587-97. 2009..The mechanism by which depressive-like behavior was improved may have been mediated through increased striatal BDNF levels, resulting in increased neuroplasticity and the prevention of neuronal death...
Comorbid obsessive-compulsive personality disorder in obsessive-compulsive disorder (OCD): a marker of severityChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, South Africa
Prog Neuropsychopharmacol Biol Psychiatry 35:1087-92. 2011..It remains unclear, however, whether OCPD in OCD represents a distinct subtype of OCD or whether it is simply a marker of severity in OCD...
Disability and treatment of psychiatric and physical disorders in South AfricaSharain Suliman
MRC Anxiety and Stress Disorders Unit, Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
J Nerv Ment Dis 198:8-15. 2010..Despite high rates of mental disorders and associated disability in South Africa, they are less likely to be treated than physical disorders...
Perpetration of gross human rights violations in South Africa: association with psychiatric disordersDan J Stein
Department of Psychiatry and Mental Health, University of Cape Town
S Afr Med J 99:390-5. 2009..Prior work has suggested an association between perpetration and post-traumatic stress disorder (PTSD), but this remains controversial...
Is trichotillomania a stereotypic movement disorder? An analysis of body-focused repetitive behaviors in people with hair-pullingDan J Stein
University of Cape Town, Rondebosch, South Africa
Ann Clin Psychiatry 20:194-8. 2008..Comorbidity of symptoms might support the idea that they are indicative of an underlying stereotypic disorder, and we therefore explored their frequency in people with hair-pulling...
Altered prefrontal cortical function during processing of fear-relevant stimuli in pregnancyAnnerine Roos
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, P O Box 19063, Tygerberg 7505, South Africa
Behav Brain Res 222:200-5. 2011....
A proteomic analysis of the ventral hippocampus of rats subjected to maternal separation and escitalopram treatmentLelanie Marais
Division of Medical Physiology, University of Stellenbosch, PO Box 19063, Tygerberg, 7505, South Africa
Metab Brain Dis 24:569-86. 2009..The results indicate which cytosolic proteins are changed by early life stress and may therefore be involved in the development of depression...
The impact of the Truth and Reconciliation Commission on psychological distress and forgiveness in South AfricaDan J Stein
University of Cape Town, Cape Town, South Africa
Soc Psychiatry Psychiatr Epidemiol 43:462-8. 2008..However, there was also a concern that individuals with TRC relevant experience would simply be re-traumatized by participation in the process. To date, there has been little empirical data for either hypothesis...
Single photon emission computed tomography (SPECT) of anxiety disorders before and after treatment with citalopramPaul D Carey
MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Tygerberg, 7505, Cape Town, South Africa
BMC Psychiatry 4:30. 2004..This paper further examines the notion of overlap in the neurocircuitry of treatment and indeed treatment response across anxiety disorders with SSRI treatment...
Intermittent explosive disorder in South Africa: prevalence, correlates and the role of traumatic exposuresDylan Fincham
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa
Psychopathology 42:92-8. 2009..In South Africa, given the high rates of violence and trauma, there is particular interest in traumatic exposures as potential risk factors for IED...
Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescentsSharain Suliman
Department of Psychiatry, Stellenbosch University, Cape Town, South Africa
Compr Psychiatry 50:121-7. 2009..Against the backdrop of stressful life events and childhood abuse and neglect, we investigated the cumulative effect of multiple trauma exposure on PTSD, anxiety, and depression in an adolescent sample...
Early childhood adversity and later hypertension: data from the World Mental Health SurveyDan J Stein
Department of Psychiatry, University of Cape Town, Groote Schur Hospital, Anzio Road, Cape Town, South Africa
Ann Clin Psychiatry 22:19-28. 2010....
Changes in regional brain volumes in social anxiety disorder following 12 weeks of treatment with escitalopramNaseema Cassimjee
Department of Psychiatry, University of Stellenbosch, PO Box 19063, Tygerberg 7505, South Africa
Metab Brain Dis 25:369-74. 2010..These preliminary findings require replication to determine their reliability, and extension to determine whether or not they are disorder specific...
Early maternal separation alters the response to traumatization: resulting in increased levels of hippocampal neurotrophic factorsJacqueline Faure
Department of Medical Physiology, University of Stellenbosch, Tygerberg, Western Cape, South Africa
Metab Brain Dis 22:183-95. 2007....
Knowledge of and stigma associated with mental disorders in a South african community sampleKatherine R Sorsdahl
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
J Nerv Ment Dis 198:742-7. 2010..Further effort is required to educate the public about the psychobiological underpinnings of psychiatric disorders and about the value of effective treatments...
Depression and anxiety in multisomatoform disorder: prevalence and clinical predictors in primary careJacqueline E Muller
Medical Research Council Unit on Anxiety Disorders, Department of Psychiatry, Stellenbosch University, Tygerberg, W Cape
S Afr Med J 98:473-6. 2008..The aim of this study was to evaluate the prevalence of depressive and anxiety disorders in a South African sample MSD, and to compare demographic and clinical outcomes in those patients with and without co-morbidity...
Persistence of psychiatric disorders in a cohort of HIV/AIDS patients in South Africa: a 6-month follow-up studyBenjamin O Olley
Department of Psychiatry, MRC Unit on Anxiety Disorders, University of Stellenbosch, Cape Town, South Africa
J Psychosom Res 61:479-84. 2006..However, there are few prospective studies on the rates of psychiatric disorders in HIV/AIDS, particularly in the context of the developing world...
Dissociative experiences in obsessive-compulsive disorder and trichotillomania: clinical and genetic findingsChristine Lochner
Medical Research Council Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenboch, Cape Town, South Africa
Compr Psychiatry 45:384-91. 2004..g., lower age) and comorbidity profile (e.g., increased incidence of impulse dyscontrol disorders). Additional work is necessary before conclusions about the role of monoaminergic systems in mediating such dissociation can be drawn...
Life stress and mental disorders in the South African stress and health studySoraya Seedat
MRC Stress and Anxiety Disorders Unit, Department of Psychiatry, Stellenbosch University, Tygerberg, W Cape
S Afr Med J 99:375-82. 2009..We examined the association of recent life events and past adversities to mood, anxiety, substance use and impulse control disorders in South Africa...
The relationship between childhood abuse and dissociation. Is it influenced by catechol-O-methyltransferase (COMT) activity?Jonathan B Savitz
MRC UCT Human Genetics Research Unit, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, South Africa
Int J Neuropsychopharmacol 11:149-61. 2008..The current findings support the involvement of the COMT Val158Met polymorphism in mediating the relationship between trauma and psychopathology...
Cluster analysis of obsessive-compulsive symptomatology: identifying obsessive-compulsive disorder subtypesChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, South Africa
Isr J Psychiatry Relat Sci 45:164-76. 2008..There is increasing evidence that obsessive-compulsive disorder (OCD) is a heterogeneous disorder. Different clinical subtypes may be characterized by differing pathophysiological mechanisms and treatment outcomes...
Neuropsychological task performance in bipolar spectrum illness: genetics, alcohol abuse, medication and childhood traumaJonathan B Savitz
Division of Human Genetics, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa
Bipolar Disord 10:479-94. 2008....
Evidence for fractional anisotropy and mean diffusivity white matter abnormalities in the internal capsule and cingulum in patients with obsessive-compulsive disorderChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, South Africa
J Psychiatry Neurosci 37:193-9. 2012..In this study, we used diffusion tensor imaging (DTI) to examine white matter integrity in specific regions of interest (ROIs) in patients with OCD...
Recall of early non-fatal suicidality in a nationally representative sample of South AfricansErmien van Pletzen
Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa
Ethn Health 17:149-59. 2012..We investigated the prevalence of self-reported early suicidality (suicidal ideation, planning and attempts) in a nationally representative sample of South Africans...
Obsessive-compulsive disorder and trichotillomania: a phenomenological comparisonChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
BMC Psychiatry 5:2. 2005..Nevertheless, there is evidence of important differences between these two disorders. Some authors have conceptualized the disorders as lying on an OCD spectrum of conditions...
Escitalopram in obsessive-compulsive disorder: response of symptom dimensions to pharmacotherapyDan J Stein
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
CNS Spectr 13:492-8. 2008..The response of OCD symptom dimensions to 12 weeks of treatment with escitalopram or placebo was investigated...
WCA recommendations for the long-term treatment of generalized anxiety disorderChrister Allgulander
Department of Psychiatry, Harvard University School of Medicine, Boston, Massachusetts, USA
CNS Spectr 8:53-61. 2003..Treatment gains after a 12-week course of CBT may be maintained for up to 1 year. Currently, no guidelines exist for the long-term treatment of GAD...
Psychopharmacology of maternal separation anxiety in vervet monkeysLelanie Marais
Department of Medical Physiology, University of Stellenbosch and MRC Unit on Anxiety Disorders, Tygerberg, South Africa
Metab Brain Dis 21:201-10. 2006..Although limited by a small sample size, this study demonstrates the possibility of investigating the psychopharmacology of early adversity in a non-human primate model...
Investigating SAPAP3 variants in the etiology of obsessive-compulsive disorder and trichotillomania in the South African white populationLeigh Boardman
Division of Molecular Biology and Human Genetics, Department Biomedical Sciences, Faculty of Health Sciences, University of Stellenbosch, Tygerberg, South Africa
Compr Psychiatry 52:181-7. 2011..Results from a recent knockout animal model suggest that SAP90/PSD95-associated protein 3 (SAPAP3) may be involved in the pathophysiology of both disorders...
White matter correlates of apathy in HIV-positive subjects: a diffusion tensor imaging studyJacqueline Hoare
Department of Psychiatry and Mental Health, University of Cape Town, Anzio Road Observatory, 7925, Cape Town, South Africa
J Neuropsychiatry Clin Neurosci 22:313-20. 2010..Results of the study confirmed the hypothesis which anticipated changes associated with apathy in white matter tracts that relay through the medial prefrontal cortex...
Mental health service use among South Africans for mood, anxiety and substance use disordersSoraya Seedat
MRC Stress and Anxiety Disorders Unit, Department of Psychiatry, Stellenbosch University, Tygerberg, W Cape
S Afr Med J 99:346-52. 2009..Europe and North America have low rates of mental health service use despite high rates of mental disorder. Little is known about mental health service use among South Africans...
Reliability of the lay adherence counsellor administered substance abuse and mental illness symptoms screener (SAMISS) and the International HIV Dementia Scale (IHDS) in a primary care HIV clinic in Cape Town, South AfricaErica Breuer
Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Rondebosch, Cape Town, South Africa
AIDS Behav 16:1464-71. 2012....
Neuropsychological outcomes in adults commencing highly active anti-retroviral treatment in South Africa: a prospective studyJohn A Joska
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
BMC Infect Dis 12:39. 2012..To date, there have been no cohort studies of the impact of highly active anti-retroviral treatment (HAART) in South Africa where clade C HIV is predominant...
Investigating the possible effects of trauma experiences and 5-HTT on the dissociative experiences of patients with OCD using path analysis and multiple regressionChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, Tygerberg, South Africa
Neuropsychobiology 56:6-13. 2007..Here, two different but related statistical techniques (multiple regression and partial least squares), confirmed that physical neglect and the 5-HTT genotype jointly play a role in predicting dissociation in OCD...
Investigating the role of the brain-derived neurotrophic factor (BDNF) val66met variant in obsessive-compulsive disorder (OCD)Sian M J Hemmings
MRC US Centre for Molecular and Cellular Biology, University of Stellenbosch, Tygerberg, South Africa
World J Biol Psychiatry 9:126-34. 2008..The present investigation forms part of ongoing research to elucidate the genetic components involved in the aetiology of OCD and OCD-related characteristics...
Should OCD be classified as an anxiety disorder in DSM-V?Dan J Stein
Department of Psychiatry, University of Cape Town, Cape Town, South Africa
Depress Anxiety 27:495-506. 2010..If this change is made, the name of this category should be changed to reflect this proposed change...
Genetics and personality traits in patients with social anxiety disorder: a case-control study in South AfricaChristine Lochner
MRC Unit on Anxiety and Stress Disorders, Department of Psychiatry, University of Stellenbosch, South Africa
Eur Neuropsychopharmacol 17:321-7. 2007..to compare differences in temperament dimensions between carriers of different (dominant vs. recessive) alleles for selected polymorphisms in SAD patients...
Measuring anxiety in patients with schizophreniaSoraya Seedat
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
J Nerv Ment Dis 195:320-4. 2007..Accurate assessment is challenging yet important. More reliable measures of anxiety disorders in patients with schizophrenia and other psychotic disorders are clearly needed to allow for timely identification and treatment...
Social anxiety disorder: psychobiological and evolutionary underpinningsDan J Stein
Department of Mental Health and Psychiatry, University of Cape Town, South Africa
CNS Spectr 12:806-9. 2007....
Common mental disorders among HIV-infected individuals in South Africa: prevalence, predictors, and validation of brief psychiatric rating scalesLandon Myer
Infectious Diseases Epidemiology Unit, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
AIDS Patient Care STDS 22:147-58. 2008..More generally, HIV care and treatment services represent an important venue to identify and manage individuals with common mental disorders in resource-limited settings...
Trauma and posttraumatic stress disorder in an urban Xhosa primary care population: prevalence, comorbidity, and service use patternsPaul D Carey
MRC Unit for Stress and Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, PO Box 19063, Tygerberg 7505, Cape Town, South Africa
J Nerv Ment Dis 191:230-6. 2003..In this population, trauma and PTSD were highly prevalent and associated with significant unidentified morbidity and comorbidity. Patients remain untreated for years in the current system of primary care consultations...
Single photon emission computed tomography in posttraumatic stress disorder before and after treatment with a selective serotonin reuptake inhibitorSoraya Seedat
Department of Psychiatry, University of Stellenbosch, Tygerberg, 7505, Cape Town, South Africa
J Affect Disord 80:45-53. 2004..However, the neural substrates of PTSD remain poorly understood and the effect of selective serotonin reuptake inhibition on regional cerebral activity is deserving of further investigation...
Psychobiology of mindfulnessDan J Stein
Department of Psychiatry and Mental Health at the University of Cape Town, Cape Town, South Africa
CNS Spectr 13:752-6. 2008..A number of rigorous studies of mindfulness-based cognitive therapy for depression have been positive. However, much remains to be discovered about the underlying mechanisms of and clinical indications for mindfulness-based approaches...
Evaluating the behavioural consequences of early maternal separation in adult C57BL/6 mice; the importance of timeJohan H van Heerden
Department of Molecular and Cell Biology, University of Cape Town, Private Bag 7701, Rondebosch, South Africa
Behav Brain Res 207:332-42. 2010..The extension of conventional analysis strategies, to include time as a significant dimension of behaviour on the EPM, identified behavioural nuances, which could reflect adaptive aspects of stress-driven behaviours in MS mice...
Posttraumatic stress disorder and occupational disability in South African Security Force membersRobin A Emsley
Department of Psychiatry and Medical Research Council Unit for Anxiety and Stress Disorders, University of Stellenbosch, PO Box 19063, Tygerberg 7505, Cape Town, South Africa
J Nerv Ment Dis 191:237-41. 2003..These findings suggest that posttrauma factors may be as important as pretrauma and peritrauma variables in the development of PTSD...
Betting on dopamineDan J Stein
University of Stellenbosch, Cape Town, South Africa
CNS Spectr 10:268-70. 2005
Response of symptom dimensions in obsessive-compulsive disorder to treatment with citalopram or placeboDan J Stein
University of Cape Town, Cape Town, South Africa
Rev Bras Psiquiatr 29:303-7. 2007..There is increasing evidence that the symptoms of obsessive-compulsive disorder lie on discrete dimensions. Relatively little work has, however, explored the relationship between such factors and response to pharmacotherapy...
Social anxiety disorderMurray B Stein
Department of Psychiatry, University of California San Diego 92093 0855, USA
Lancet 371:1115-25. 2008....
The mental health impact of AIDS-related mortality in South Africa: a national studyL Myer
School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Cape Town, South Africa
J Epidemiol Community Health 63:293-8. 2009..Few data exist on how the HIV/AIDS epidemic may influence population mental health. The associations were examined between knowing someone who died of HIV/AIDS and common mental disorders among South African adults...
Violence in male patients with schizophrenia: risk markers in a South African populationL Koen
Department of Psychiatry, PO Box 19063, Tygerberg, 7505, South Africa
Aust N Z J Psychiatry 38:254-9. 2004....
Community attitudes toward and knowledge of mental illness in South AfricaCharmaine J Hugo
MRC Unit on Anxiety Disorders, Dept. of Psychiatry, University of Stellenbosch, Tygerberg 7505, South Africa
Soc Psychiatry Psychiatr Epidemiol 38:715-9. 2003..A better understanding of these disorders amongst the public would presumably lessen stigmatisation and encourage the use of currently available and effective interventions...
Clinical correlates of HIV-associated neurocognitive disorders in South AfricaJohn A Joska
Department of Psychiatry and Mental Health, University of Cape Town, South Africa, Anzio Road, Observatory, Cape Town 7925, South Africa
AIDS Behav 14:371-8. 2010..This underlines the impact of HIV on the nervous system and the importance of screening for co morbid mental health conditions...
Anxiety symptom severity and functional recovery or relapseDan J Stein
Department of Psychiatry, University of Cape Town, Groote Schuur Hospital J 2, Anzio Rd, Observatory 7925, Cape Town, South Africa
Ann Clin Psychiatry 21:81-8. 2009..Recovery could potentially be defined as a lack of disability, with an associated reduction in symptom severity. Conversely, relapse could potentially be defined in terms of either increased disability or increased symptoms...
Efficacy of sertraline in posttraumatic stress disorder secondary to interpersonal trauma or childhood abuseDan J Stein
Department of Psychiatry, University of Cape Town, Cape Town, South Africa
Ann Clin Psychiatry 18:243-9. 2006..This analysis was conducted to specifically assess the efficacy of sertraline in the treatment of PTSD secondary to interpersonal trauma or childhood abuse...
Escitalopram for the treatment of GAD: efficacy across different subgroups and outcomesDan J Stein
University of Stellenbosch, Department of Psychiatry, P.O. Box 19063, Tygerberg, 7505, South Africa
Ann Clin Psychiatry 17:71-5. 2005..It is equally effective in GAD patients, with an above-median level of depressive symptoms. Further research is needed to determine whether these results can be extrapolated to GAD patients with comorbid major depression...
Psychopathology and coping in recently diagnosed HIV/AIDS patients--the role of genderBenjamin O Olley
Medical Research Council Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Tygerberg, W Cape
S Afr Med J 93:928-31. 2003..Clinicians should be aware of the high prevalence of mood disorders in both men and women, and of gender-different responses such as increased alcohol and substance use and more risky sexual behaviour in men...
Predictors of response to pharmacotherapy with citalopram in obsessive-compulsive disorderD J Stein
Department of Psychiatry, University of Stellebosch, Tygerberg, Cape Town, South Africa
Int Clin Psychopharmacol 16:357-61. 2001..The data here emphasize the crucial importance of early diagnosis and treatment of OCD, and of pharmacotherapy with appropriate dose and duration...
Emotional regulation: implications for the psychobiology of psychotherapyDan J Stein
Department of Mental Health and Psychiatry, University of Cape Town, South Africa
CNS Spectr 13:195-8. 2008..It may be hypothesized that during interventions such as psychotherapy there are improvements in emotional regulation, together with the normalization of related psychobiological mechanisms...
Specific phobia: a disorder of fear conditioning and extinctionDan J Stein
Department of Psychiatry, University of Cape Town, Cape Town, South Africa
CNS Spectr 11:248-51. 2006..Advances in the cognitive-affective neuroscience of fear processing may ultimately lead to new approaches to the clinical management of phobias...
Brain-derived neurotrophic factor: the neurotrophin hypothesis of psychopathologyDan J Stein
Department of Psychiatry and Mental Health at the University of Cape Town, Cape Town, South Africa
CNS Spectr 13:945-9. 2008..Nevertheless, the neurotrophin hypothesis has already given impetus to a range of valuable research...
Obsessive-compulsive disorder: diagnostic and treatment issuesDan J Stein
Deparment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Psychiatr Clin North Am 32:665-85. 2009..There is a growing evidence base on OCD symptom dimensions and subtyping, and it is timely to consider incorporating some of these emerging data into diagnostic classification systems...
Suffer the children: the psychobiology of early adversityDan J Stein
University of Stellenbosch, Cape Town, South Africa
CNS Spectr 10:612-5. 2005
Onset of activity and time to response on individual CAPS-SX17 items in patients treated for post-traumatic stress disorder with venlafaxine ER: a pooled analysisDan J Stein
University of Cape Town, Cape Town, South Africa
Int J Neuropsychopharmacol 12:23-31. 2009..The early and persistent effect of venlafaxine ER over placebo on anger/irritability is noteworthy in view of the clinical significance of these symptoms in PTSD...
The interleukin-6, serotonin transporter, and monoamine oxidase A genes and endurance performance during the South African Ironman TriathlonLiesl de Milander
UCT MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Appl Physiol Nutr Metab 34:858-65. 2009..The neurogenetic basis of the central governor requires further investigation...
Psychobiology of anxiety disorders and obsessive-compulsive spectrum disordersDan J Stein
Department of Psychiatry and Mental Health at the University of Cape Town, Cape Town, South Africa
CNS Spectr 13:23-8. 2008....
Cognitive-affective neuroscience of somatization disorder and functional somatic syndromes: reconceptualizing the triad of depression-anxiety-somatic symptomsDan J Stein
Department of Mental Health and Psychiatry, University of Cape Town, South Africa
CNS Spectr 13:379-84. 2008....
An A-B-C model of habit disorders: hair-pulling, skin-picking, and other stereotypic conditionsDan J Stein
Department of Mental Health and Psychiatry, University of Cape Town, South Africa
CNS Spectr 11:824-7. 2006..An affect regulation, behavioral addiction, and cognitive control (A-B-C) approach is outlined to conceptualizing and managing these conditions...
Problematic internet use: proposed classification and diagnostic criteriaNathan A Shapira
Department of Psychiatry, E f and W L McKnight Brain Institute, University of Florida, Gainesville, Florida 32610 0383, USA
Depress Anxiety 17:207-16. 2003..For these reasons, we propose specific diagnostic criteria that will allow for consistent identification and assist in further study of this behavior...
Self-disclosure of HIV serostatus in recently diagnosed patients with HIV in South AfricaB O Olley
Department of Psychiatry, University of Stellenbosch, Cape-Town, South Africa
Afr J Reprod Health 8:71-6. 2004..83, 1.88) were significantly associated with non-disclosure of HIV serostatus. Preventive strategies among HIV-positive patients should place emphasis on the management of self-disclosure and its importance in safe sexual behaviour...
A comparison of the effects of citalopram and moclobemide on resting brain perfusion in social anxiety disorderJ M Warwick
MRC Unit for Stress and Anxiety Disorders, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa
Metab Brain Dis 21:241-52. 2006..Citalopram had a greater effect on superior cingulate perfusion, an effect that is consistent with evidence of high levels of 5-HT transporters in this region...
Mental health and sexual risk behaviours in a South African township: a community-based cross-sectional studyJ Smit
Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa
Public Health 120:534-42. 2006..Public health interventions are needed to address the dual burden of HIV/AIDS and mental illness in this and similar settings...
A culture-bound syndrome 'amafufunyana' and a culture-specific event 'ukuthwasa': differentiated by a family history of schizophrenia and other psychiatric disordersD J H Niehaus
Department of Psychiatry, University of Stellenbosch, Tygerberg, South Africa
Psychopathology 37:59-63. 2004....
Post-traumatic stress disorder among recently diagnosed patients with HIV/AIDS in South AfricaB O Olley
MRC Unit on Anxiety Disorders, Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
AIDS Care 17:550-7. 2005..In some cases, PTSD is secondary to the diagnosis of HIV/AIDS but in most cases it is seen after other traumas, with sexual violation and intimate partner violence in women being particularly important...
Validity of the Kessler 10 (K-10) in detecting DSM-IV defined mood and anxiety disorders among pregnant womenG Spies
Department of Psychiatry, South African Research Chairs Initiative SARChI, PTSD Program, University of Stellenbosch, Cape Town, South Africa
Arch Womens Ment Health 12:69-74. 2009..66), posttraumatic stress disorder (0.69), panic disorder (0.71), and social phobia (0.76). The K-10 may be a useful screening measure for mood and anxiety disorders in pregnant women...
