Role of the Workplace in Migraine Disease Management

Migraine is a highly prevalent, nonfatal disorder typically characterized by recurrent episodes of headache associated with such symptoms as nausea, vomiting, photophobia, phonophobia and impaired functioning. The attacks may be infrequent and relatively mild; more often they are frequent, severe and disabling. They are 3 times more common in women than in men and occur most often between the ages of 25 and 45 years, the prime working years. As a result, the burden placed on employers and on society due to lost and impaired productivity is far greater than the not-inconsiderable costs of healthcare. A large variety of treatments are effective in aborting and in preventing or minimizing the attacks. Patients with migraine whose attacks are infrequent and mild do quite well on self-treatment with simple remedies. Those with attacks that are more frequent and severe require professional supervision and may need a long period of trial and error until a satisfactory regimen can be evolved. Unfortunately, a large proportion of patients with migraine, even some of those with severe attacks, have either not sought medical care or have been misdiagnosed and mismanaged. Particularly for these, disease management, an evolving strategy which features evidence-based treatment and continuing close collaboration between the patient with migraine and his/her physician, offers the best approach for control of this disease. Because of the high prevalence of migraine in the workforce and the burden of disruptions and/or impaired productivity that it places on the organization, the employer has a vested interest in using the workplace as an arena for activities (e.g. patient education and improving access to healthcare) that will contribute to the success of disease management in mitigating the impact of the disease.Antimigraines, Disease management programmes, Migraine, Migraine, Patient education, Pharmacoeconomics

Fluoxetine increases suicide ideation less than placebo during treatment of adults with minor depressive disorder

10.1016/j.jpsychires.2013.05.025Journal of Psychiatric Research4791199-1203JPYR

Workplace Violence

This multidisciplinary volume assembles current findings on violent crime, behavioral, biological, and sociological perspectives on its causes, and effective methods of intervention and prevention. Noted experts across diverse fields apply a behavioral criminology lens to examine crimes committed by minors, extremely violent offenses, sexual offending, violence in families, violence in high-risk settings, and crimes of recent and emerging interest. The work of mental health practitioners and researchers is shown informing law enforcement response to crime in interrogation, investigative analysis, hostage negotiations, and other core strategies. In addition, chapters pay special attention to criminal activities that violate traditional geographic boundaries, from cyberstalking to sex trafficking to international terrorism. Among the topics in the Handbook: Dyadic conceptualization, measurement, and analysis of family violence. School bullying and cyberbullying: prevalence, characteristics, outcomes, and prevention. A cultural and psychological perspective on mass murder. Young people displaying problematic sexual behavior: the research and their words. Child physical abuse and neglect. Criminal interviewing and interrogation in serious crime investigations. Violence in correctional settings. Foundations of threat assessment and management. The Handbook of Behavioral Criminology is a meticulous resource for researchers in criminology, psychology, sociology, and related fields. It also informs developers of crime prevention programs and practitioners assessing and intervening with criminal clients and in correctional facilities.https://nsuworks.nova.edu/cps_facbooks/1560/thumbnail.jp