August 2016 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for August 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Optimism, Cynical Hostility Influence Fall Risk in Women

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Optimism is associated with a decreased fall risk and cynical hostility with an increased fall risk for women, according to a study published online Aug. 27 in the Journal of Bone and Mineral Research.

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9/11 Responders May Be at Higher Risk for Early Dementia

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Posttraumatic stress disorder (PTSD) experienced by many rescuers and other first responders of 9/11 now appears linked to cognitive impairment and dementia, according to a report published online Aug. 18 in Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring.

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ACA Is Helping More Americans Afford Prescriptions

WEDNESDAY, Aug. 31, 2016 (HealthDay News) -- Though a growing number of Americans are able to afford prescription medications, millions still have difficulty, according to a study published online Aug. 23 in the American Journal of Public Health.

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Many Cases of Depression in Adults Not Being Treated

TUESDAY, Aug. 30, 2016 (HealthDay News) -- Many American adults who suffer from depression aren't getting treatment, according to a study published online Aug. 29 in JAMA Internal Medicine.

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Nighttime Sleep Disturbance Common in Chronic Pain

MONDAY, Aug. 29, 2016 (HealthDay News) -- Individuals suffering from chronic pain frequently have nighttime sleep disturbance, and it might be exacerbated by opioid treatment, according to a study published online Aug. 22 in Anaesthesia.

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Delirium-Related Training Inadequate for ICU Staff

MONDAY, Aug. 29, 2016 (HealthDay News) -- Training related to delirium is inadequate for intensive care unit (ICU) health care professionals, according to a study published online Aug. 18 in the Journal of Clinical Nursing.

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Major Depressive Disorder Ups Acute MI Risk in HIV-Infected

FRIDAY, Aug. 26, 2016 (HealthDay News) -- For HIV-infected adults, major depressive disorder (MDD) is associated with an increased risk of acute myocardial infarction (AMI), according to a study published online Aug. 24 in JAMA Cardiology.

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CDC: Synthetic Fentanyl a Major Factor in Opioid Overdose Deaths

FRIDAY, Aug. 26, 2016 (HealthDay News) -- Deaths from overdoses of illicitly manufactured fentanyl have increased significantly in recent years, according to research published in the Aug. 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Posttraumatic Growth for Parents Post-NICU 'Under-Evaluated'

THURSDAY, Aug. 25, 2016 (HealthDay News) -- For parents of infants previously hospitalized in the neonatal intensive care unit (NICU), posttraumatic growth (PTG) is related to factors such as posttraumatic stress symptoms, positive reinterpretation and growth, and infant survival, according to a study published online Aug. 18 in the Journal of Clinical Nursing.

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Steep Rise in U.S. Drug Prices Tied to Patent Monopolies

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Prescription drug prices are skyrocketing in the United States due in large part to government regulations, according to a study published in the Aug. 23/30 issue of the Journal of the American Medical Association.

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Metformin May Help Treatment-Associated Weight Gain in ASD

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Metformin may be effective in decreasing weight gain associated with atypical antipsychotic use in autism spectrum disorder (ASD), according to a study published online Aug. 24 in JAMA Psychiatry.

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Cannabis Provides More Pain Relief for Men Than Women

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Men seem to exhibit greater cannabis-induced analgesia relative to women, according to a study published online Aug. 5 in Drug and Alcohol Dependence.

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Even Mild TBI in Childhood Can Have Long-Term Adverse Effects

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Children and adolescents who suffer even mild traumatic brain injury (TBI) are more likely to have serious issues later on, including psychiatric disorders and premature death, according to a study published online Aug. 23 in PLOS Medicine.

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Medication-Assisted Treatment Underused in Teen Opioid Addicts

WEDNESDAY, Aug. 24, 2016 (HealthDay News) -- Resources should be increased to promote use of medication-assisted treatment of opioid addicted adolescents and young adults, according to a policy statement from the American Academy of Pediatrics (AAP) published online Aug. 22 in Pediatrics.

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In Utero Exposure to Banned PCB Chemicals Tied to Autism Risk

TUESDAY, Aug. 23, 2016 (HealthDay News) -- Children exposed to high levels of polychlorinated biphenyls (PCBs) in utero may have an increased risk of developing autism, according to research published online Aug. 23 in Environmental Health Perspectives.

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Pudendal Nerve Entrapment Can Lead to Eating Disorder

TUESDAY, Aug. 23, 2016 (HealthDay News) -- Pudendal nerve entrapment (PNE) leading to avoidant/restrictive food intake disorder (ARFID) has been described in a case report published online Aug. 19 in the International Journal of Eating Disorders.

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Postpartum Depression Can Be ID'd During Infant Hospitalization

MONDAY, Aug. 22, 2016 (HealthDay News) -- Postpartum depression screening conducted during infant hospitalization can identify depression among previously unscreened women, according to a study published online Aug. 16 in the Journal of Hospital Medicine.

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ACA Has Increased Rx Drug Use, Cut Out-of-Pocket Spending

MONDAY, Aug. 22, 2016 (HealthDay News) -- The Affordable Care Act (ACA) has increased prescription use and reduced out-of-pocket spending, according to a report published online Aug. 17 in Health Affairs.

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Modified Checklist With Follow-Up Valid for Autism in Toddlers

MONDAY, Aug. 22, 2016 (HealthDay News) -- The Modified Checklist for Autism in Toddlers (M-CHAT) with Follow-up Interview (M-CHAT/F), which can be administered by minimally trained primary care physicians (PCPs) is valid and reliable, according to a study published online Aug. 19 in Pediatrics.

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Diet in Pregnancy Could Affect Odds of ADHD in Offspring

FRIDAY, Aug. 19, 2016 (HealthDay News) -- An unhealthy diet during pregnancy could influence a child's risk of attention-deficit/hyperactivity disorder (ADHD), according to a study published online Aug. 18 in the Journal of Child Psychology and Psychiatry.

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Calcium Supplements Tied to Dementia Risk in Older Women

THURSDAY, Aug. 18, 2016 (HealthDay News) -- Taking calcium supplements to prevent osteoporosis may raise an older woman's risk of dementia, according to a study published online Aug. 17 in Neurology.

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Depression Often Seen in Patients Discharged From ICU

THURSDAY, Aug. 18, 2016 (HealthDay News) -- A significant number of former intensive care unit (ICU) patients experience depression, according to a review published in the September issue of Critical Care Medicine.

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Legal Issues Impact Delivery of Telehealth

THURSDAY, Aug. 18, 2016 (HealthDay News) -- Telehealth technologies can allow delivery of high-quality care at a lower cost, especially in underserved areas, but there is currently no uniform legal approach to telehealth, hampering its provision, according to a Health Policy Brief published online Aug. 15 in Health Affairs.

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Antipsychotic Use Doesn't Up Congenital Malformations

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- Use of antipsychotics (APs) in pregnancy does not appear to increase the risk for congenital malformations, according to a study published online Aug. 17 in JAMA Psychiatry.

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Women Abused As Children Appear to Have Shorter Lifespans

WEDNESDAY, Aug. 17, 2016 (HealthDay News) -- Women who suffered physical or emotional abuse as children often die at a younger age than other women, according to research published online Aug. 17 in JAMA Psychiatry.

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U.S. Female Doctors Reimbursed Significantly Less Than Males

TUESDAY, Aug. 16, 2016 (HealthDay News) -- Female doctors in the United States make much less than their male colleagues, according to a study published online Aug. 15 in the Postgraduate Medical Journal.

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Feeding Tube Use Down in Patients With Advanced Dementia

TUESDAY, Aug. 16, 2016 (HealthDay News) -- The use of feeding tubes for nursing home patients with advanced dementia is declining, according to a research letter published in the Aug. 16 issue of the Journal of the American Medical Association.

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Physical Function Tied to Clinical, Subclinical Neurological Disease

MONDAY, Aug. 15, 2016 (HealthDay News) -- Physical function is associated with clinical and subclinical brain disease, according to a study published online Aug. 8 in the Journal of Alzheimer's Disease.

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Female Oncologists Report More Grief Responses, Burnout

MONDAY, Aug. 15, 2016 (HealthDay News) -- Female oncologists report more grief responses to patient death, more emotional distress, and more burnout than male oncologists, according to a study published online Aug. 10 in Cancer.

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Review Links Anxiety Disorders to Risk of Cardiovascular Events

FRIDAY, Aug. 12, 2016 (HealthDay News) -- Anxiety disorders are associated with a range of cardiovascular events, according to a meta-analysis published in the Aug. 15 issue of The American Journal of Cardiology.

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Psychological Toll of Infertility Often Ignored

THURSDAY, Aug. 11, 2016 (HealthDay News) -- Patients undergoing fertility treatment often suffer symptoms of depression or anxiety, but few get any formal help, according to research published in the July issue of Fertility and Sterility.

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Risk of Post-Op Opioid Abuse Deemed Low for Elderly Patients

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Opioid abuse arises in only a very small fraction -- less than half of 1 percent -- of cases involving surgical patients aged 65 or older, according to a research letter published online Aug. 10 in JAMA Surgery.

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Suicide Rate Increased in Patients With Serious Infections

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Patients hospitalized for serious infections may face an increased risk of suicide, according to research published online Aug. 10 in JAMA Psychiatry.

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Many U.S. Hospitals Offer Language Services

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- Overall, 68.8 percent of hospitals offer language services, with the proportion increasing with level of need, according to research published in the August issue of Health Affairs.

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Counterfeit Alprazolam Cut With Fentanyl Can Be Fatal

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- At least one San Francisco-area individual died and eight more were treated in the emergency department in late 2015 after taking counterfeit alprazolam (Xanax) tablets that had been cut with fentanyl, according to a case report published online Aug. 8 in JAMA Internal Medicine.

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Many Patients Don't Reach Target Dose of Atomoxetine

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- A considerable proportion of patients receiving atomoxetine (ATX), especially those receiving ATX monotherapy, do not reach the recommended dose of 80 mg/day (ATX ≥80), according to a study published online July 31 in CNS Neuroscience & Therapeutics.

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Water-Based Ai Chi Program Beneficial in Fibromyalgia

WEDNESDAY, Aug. 10, 2016 (HealthDay News) -- A water-based Ai Chi program is associated with improvements in quality of life for women with fibromyalgia syndrome (FMS), according to a study published online July 26 in the International Journal of Rheumatic Diseases.

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hs-CRP Predicts Depression Treatment Response in T1DM

TUESDAY, Aug. 9, 2016 (HealthDay News) -- Higher baseline high-sensitivity C-reactive protein (hs-CRP) is associated with less treatment-linked improvement in depression in patients with type 1 diabetes, according to a study published online Aug. 3 in Diabetes Care.

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Increase in Evidence-Based Practice for Children With ADHD

THURSDAY, Aug. 4, 2016 (HealthDay News) -- More Medicaid-covered children are receiving treatments that conform to practice standards for attention-deficit/hyperactivity disorder (ADHD), including the use of combined medication and psychotherapy, according to a study published in the July issue of Health Affairs.

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Opioid-Related Insurance Claims Rise 3,000 Percent

WEDNESDAY, Aug. 3, 2016 (HealthDay News) -- The number of private health insurance claims for Americans addicted to opioids and heroin rose 3,203 percent from 2007 to 2014, according to a Fair Health report.

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Physician Reviews Approaches to Treating Opioid-Use Disorders

TUESDAY, Aug. 2, 2016 (HealthDay News) -- Different approaches to the treatment of opioid-use disorders are addressed in an article published in the July 28 issue of the New England Journal of Medicine.

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Memories of Delusions in ICU Include Fact, Fiction

TUESDAY, Aug. 2, 2016 (HealthDay News) -- Memories of delusions in the intensive care unit are composed of a mixture of fact and fiction, and are not dependent on the presence of delirium, according to a study published online July 26 in the Journal of Clinical Nursing.

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Active Music Therapy Beneficial in Parkinson's Disease

TUESDAY, Aug. 2, 2016 (HealthDay News) -- Active music therapy has beneficial effects in Parkinson's disease (PD), according to a study published online July 26 in the Journal of the American Geriatrics Society.

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15 Genomic Regions Associated With Depression Identified

MONDAY, Aug. 1, 2016 (HealthDay News) -- Fifteen regions of human DNA associated with depression have been identified, according to research published online Aug. 1 in Nature Genetics.

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European Countries Implementing Cost-Sharing

MONDAY, Aug. 1, 2016 (HealthDay News) -- European health systems are requiring an increase in cost-sharing measures for patients 50 years of age and older, according to research published in the July issue of Health Affairs.

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Locked Doors May Not Prevent Inpatient Suicide, Absconding

MONDAY, Aug. 1, 2016 (HealthDay News) -- For patients in psychiatric wards, treatment on locked wards seems not to prevent suicide, suicide attempts, or absconding, according to a study published online July 28 in The Lancet Psychiatry.

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[18F]-AV-1451 Shows Staging Potential in Alzheimer's

MONDAY, Aug. 1, 2016 (HealthDay News) -- Use of [18F]-AV-1451 positron emission tomography (PET) can potentially stage Alzheimer's disease (AD), according to a study published online July 25 in JAMA Neurology.

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