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Florida gubernatorial hopefuls disagree on whether Trump is a role model for children

CNN - 2 hours 48 min ago
Former GOP Rep. Ron DeSantis and his Democratic challenger in the Florida gubernatorial race, Tallahassee Mayor Andrew Gillum, offered starkly different takes Sunday on whether President Donald Trump is a good role model for children.

Man launches into racist rant on plane

CNN - 2 hours 50 min ago
A European airline is being criticized after a passenger made racist remarks about another passenger that were caught on video.

Trump Claims ‘Criminals and Unknown Middle Easterners’ Are in Caravan of Migrants

NY Times - 2 hours 57 min ago
President Trump blames Democrats and the governments of Mexico and three Central American countries for a group of people trying to immigrate to the United States.

They partied. Then the floor gave way.

CNN - 2 hours 58 min ago
Thirty people were injured when the floor of an apartment clubhouse collapsed during a party in Clemson, South Carolina, the city's police department said.

iPhone Ownership Among American Teens Remains Steady While Intent to Purchase Grows

MacRumors - 3 hours 4 min ago
American teenagers are still choosing Apple's iPhone over the competition, with 82 percent of surveyed U.S. teens saying that they own an iPhone, according to Piper Jaffray's latest survey (via Business Insider).

This number has grown steadily from 76 percent in April 2017 to 78 percent in October 2017, and it now appears to have plateaued temporarily in 2018, as 82 percent of teens said they owned an iPhone back in April.

Looking to the future, 86 percent of teens surveyed said that they plan on buying an iPhone as their next smartphone. This is an increase from 84 percent in the spring.

In comparison, 10 percent of the teens said they planned on buying an Android smartphone next, down from 11 percent in the spring. The researchers at Piper Jaffray say that American teens' intent to buy an iPhone is now at the highest they have ever seen.

Other tidbits from the report include: 45 percent of teens saying that the brand of an item is the most important factor in a purchase decision, Amazon is the top preferred website, and Instagram is now the most used social platform as Facebook faces an ongoing decline. Netflix represented 38 percent of daily video consumption, ahead of YouTube (33 percent), cable TV (16 percent), and Hulu (5 percent).

For this survey, Piper Jaffray surveyed around 8,600 teenagers across 47 states with an average age of 16 and an average household income of $68,300. 44 percent of the teens were female, while 56 were male.

Tags: Piper Jaffray, teen survey
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What Trump doesn’t seem to get about his soft response to Saudi Arabia

Washington Post - 3 hours 6 min ago
Trump has long admired authoritarians' strength. But letting them kill a journalist for an American newspaper with little recourse would be a tacit admission of his own weakness.

PTSD symptoms improve most when patients choose their treatment

Futurity.org - 3 hours 13 min ago

People with post-traumatic stress disorder who are able to choose their form of treatment—whether drugs or therapy—improve more than those who simply receive a prescription for one or the other, according to a new study that compared medication and mental health counseling in the treatment of PTSD.

Researchers found that both a medication—Sertraline, marketed as Zoloft—and a specific form of therapy known as prolonged exposure were effective in reducing PTSD symptoms during the course of treatment, with improvements maintained at least two years later.

Patients who received their choice between the two possible treatments, however, showed greater reduction in symptoms, were more apt to stick to their treatment program, and even lost their PTSD diagnosis over time.

Researchers conducted the study, which appears in the American Journal of Psychiatry, with hundreds of PTSD patients, including veterans and survivors of sexual assault, to measure whether patient preference in the course of treatment impacts the effectiveness of a type of cognitive behavioral therapy and use of selective serotonin reuptake inhibitors, a type of antidepressant doctors often prescribe for PTSD.

Long-term outcomes

“In any form of health care, when receiving a recommendation from a provider, patients may or may not be given a choice of approaches to address their problems,” says lead author, Lori Zoellner, a professor of psychology at the University of Washington and director of the Center for Anxiety & Traumatic Stress.

“This research suggests that prolonged exposure and Sertraline are both good, evidence-based options for PTSD treatment—and that providing information to make an informed choice enhances long-term outcomes,” Zoellner says.

The 200 subjects in the study, all adults, had received a diagnosis of chronic PTSD. All participants expressed a treatment preference between two options—medication or 10 weeks of therapy—at the outset of the trial.

The researchers doubly randomized the study, meaning that participants were randomly assigned to a group in which they received their preferred treatment, or to a group in which they were also randomly assigned to one treatment program or the other. Clinicians evaluated all participants for PTSD symptoms, along with the patients’ own reports of feelings and behaviors, before, immediately after, and at three, six, 12, and 24 months later.

Of the participants, 61 percent expressed a preference for prolonged exposure therapy. This form of counseling is often used to treat PTSD because it encourages patients to talk about what happened to them, learn coping strategies, and explore their thoughts and feelings through repeatedly approaching the trauma memory and reminders of the trauma.

Of those participants who received prolonged exposure therapy, nearly 70 percent were determined to be free of their PTSD diagnosis two years after the therapy ended, compared with 55 percent of those who had taken and stayed on Sertraline through the follow-up.

“…we are now able to move toward better personalized treatment for those suffering after trauma.”

Comparing medication to psychotherapy is rare in a clinical trial because it is time- and labor-intensive, Zoellner says. In this case, both treatments had positive effects, though therapy demonstrated a slight edge.

“When both interventions reduce symptoms, it is often difficult to detect a difference because of patients’ varying responses—some get a lot better, some do not. This study showed both prolonged exposure and Sertraline provide generally large and clinically meaningful effects to reduce PTSD and related symptoms,” she says. “Prolonged exposure psychotherapy for PTSD is as good as Sertraline, if not better, for the treatment of PTSD.”

When treatment preference is taken into account, results are more dramatic. Of those who wanted and received therapy, 74 percent had lost their PTSD diagnosis two years later; of those who preferred therapy but received medication instead, only 37 percent were PTSD-free after two years.

Whether patients received their choice of treatment appeared to directly affect their commitment: Nearly 75 percent of those who were “matched” with their preferred method completed their full treatment program, while more than half of those who were “mismatched” with a treatment method did not complete that course of treatment.

Suffer in silence

Though PTSD is commonly associated with combat veterans, more than half the participants in the study were diagnosed with chronic PTSD due to a sexual assault, in either childhood or adulthood. Three-quarters of participants were women.

Not all survivors of sexual assault have PTSD or depression, Zoellner points out, but those who do may not know that short-term therapy or a medication can yield significant long-term benefits.

“Sexual assault often has a long-term impact on the trauma survivor, but for many it need not be in the form of chronic psychiatric problems,” she says. “Survivors should know good, short options exist and need not suffer in silence.”

Cost-effectiveness information from the trial, released in 2014, showed that patient choice in treatment also saved money, in the form of fewer emergency department visits, hospitalizations, and other care, as well as indirect savings such as fewer lost work hours.

Overall, the trial indicates the importance of tailoring PTSD treatment to the patient, says coauthor Norah Feeny, a psychology professor at Case Western Reserve University.

“Dr. Zoellner and our team showed that we’ve got two effective, very different interventions for chronic PTSD and associated difficulties,” Feeny says. “Given this, and the fact that getting a treatment you prefer confers significant benefit, we are now able to move toward better personalized treatment for those suffering after trauma. These findings have significant public health impact and should inform practice.”

Additional coauthors are from the University of Washington and Case Western University. The National Institute of Mental Health funded the work Pfizer supplied the medication for the study.

Source: University of Washington

The post PTSD symptoms improve most when patients choose their treatment appeared first on Futurity.

Actress reveals she has multiple sclerosis

CNN - 3 hours 16 min ago
Television and film actress Selma Blair announced that she has been diagnosed with multiple sclerosis.

Saudi Arabia tries to salvage investment conference

CNN - 3 hours 16 min ago
Saudi Arabia's investment conference this week was until recently the hottest ticket in business and finance.

Teen's emotional connection to Seahawks player

CNN - 3 hours 16 min ago
Seattle Seahawks's Shaquem Griffin was only the second one-handed football player to be drafted to the NFL. An emotional video captures Daniel Carrillo, who was born with one hand, opening Griffin's jersey for his birthday.

Opinion: The lesson of Beto O'Rourke's run

CNN - 3 hours 17 min ago
The most frequently contemplated question in Texas politics this campaign season is whether Democratic US Rep. Robert "Beto" O'Rourke can defeat Republican US Sen. Rafael "Ted" Cruz.

Lioness kills the father of her 3 cubs at zoo

CNN - 3 hours 25 min ago
A lioness killed the father of her three cubs at the Indianapolis Zoo this week.

Trump vows to reduce aid to Guatemala, Honduras and El Salvador as migrant caravan grows

Washington Post - 3 hours 28 min ago
In a series of tweets, the president also again blamed Democrats for immigration woes in the United States.

The Trump Bump in Stocks Is Weakening

NY Times - 3 hours 32 min ago
Stocks are still up a lot since Mr. Trump was elected, but recent selling has eroded investors’ gains.
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