August 2017 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for August 2017. 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.

No Link for Cardiovascular Meds Use, Cognitive Impairment

THURSDAY, Aug. 31, 2017 (HealthDay News) -- For older adults, there is no association between cardiovascular medication use and cognitive impairment, according to a study published online Aug. 24 in Cardiovascular Therapeutics.

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Minimal Evidence for Electronic Communication Guidelines

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Minimal evidence is available for guidelines for electronic communication between patients and providers, according to research published online Aug. 28 in the Journal of the American Medical Informatics Association.

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Spousal Caregiver Well-Being Tied to Recipient Health Expenses

THURSDAY, Aug. 31, 2017 (HealthDay News) -- Poor spousal caregiver well-being is associated with increased care recipient expenditures and emergency department use, according to a study published online Aug. 24 in the Journal of the American Geriatrics Society.

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Proactive Approach Encouraged for Online Patient Reviews

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Most patients are using online reviews as a first step to finding a new doctor, with 65 percent forming an opinion from reading one to six reviews, according to a report published in Medical Economics.

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Review Links Sleep-Disordered Breathing, Cognitive Impairment

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- Sleep-disordered breathing (SDB) is associated with increased likelihood of cognitive impairment, according to a review published online Aug. 28 in JAMA Neurology.

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Too Many New Mothers Silent on Postpartum Depression

WEDNESDAY, Aug. 30, 2017 (HealthDay News) -- One in five new mothers who develops postpartum depression or another mood disorder after childbirth suffer in silence, according to a study published online Aug. 1 in the Maternal and Child Health Journal.

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Options Available for Estrogen Depletion After Breast Cancer

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Many non-hormone options and therapies are available for the treatment of estrogen-depletion symptoms in breast cancer survivors, and individualized treatment is important, according to a review published online Aug. 2 in the Journal of Clinical Endocrinology & Metabolism.

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Estrogen Via Patch Superior for Menopausal Sexual Symptoms

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Supplemental estrogens may be beneficial for sexual function in menopausal women, but the form of medication delivery appears to matter, according to a study published online Aug. 28 in JAMA Internal Medicine.

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Clinicians Urged to Heighten Alert for Perinatal Suicide Risk

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Suicide is a leading cause of death among pregnant and recently pregnant women, according to a study published online Aug. 28 in CMAJ, the journal of the Canadian Medical Association.

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Gender-Specific High-Risk 'Window' Seen in Alzheimer's

TUESDAY, Aug. 29, 2017 (HealthDay News) -- Women with a genetic predisposition for Alzheimer's disease face a 10-year window -- between ages 65 and 75 -- when they have far greater chances of developing the disease than men with similar genetic risks, according to a study published online Aug. 28 in JAMA Neurology.

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Lithium in Drinking Water Linked to Dementia Incidence

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Lithium in drinking water is associated with the incidence of dementia in a nonlinear pattern, according to a study published online Aug. 23 in JAMA Psychiatry.

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Insufficient Sleep May Lead to Increased Risk-Taking Behavior

FRIDAY, Aug. 25, 2017 (HealthDay News) -- Chronic sleep restriction may lead to risk-seeking behavior, according to a study published online Aug. 21 in the Annals of Neurology.

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Meth Use Tied to Higher Risk of Stroke in Younger People

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Younger adults who use methamphetamine appear to be at greater risk for stroke, particularly hemorrhagic stroke, according to research published online Aug. 23 in the Journal of Neurology Neurosurgery & Psychiatry.

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Google Search for 'Depression' Now to Provide Screening Test

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Web search giant Google is partnering with the National Alliance on Mental Illness (NAMI) to make depression screening a part of a search for 'depression' on the site.

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Less REM May Indicate Higher Dementia Risk in Seniors

THURSDAY, Aug. 24, 2017 (HealthDay News) -- Seniors who spend less time each night in rapid eye movement (REM) sleep may be more likely to develop dementia as they age, according to a study published online Aug. 23 in Neurology.

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Five Prebariatric Subtypes Identified With Specific Profiles

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Five prebariatric subtypes have been identified with specific self-control, emotional dysregulation, and disinhibited eating behavior profiles, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) -- Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Even Overdose Doesn't Stop Opioid Prescribing

TUESDAY, Aug. 22, 2017 (HealthDay News) -- After treatment for an opioid overdose, many Medicaid patients continue to receive prescriptions for them and few are prescribed anti-addiction medications after hospital discharge, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Telehealth Feasible for Family-Based Anorexia Treatment

TUESDAY, Aug. 22, 2017 (HealthDay News) -- Telehealth-enabled family-based treatment (FBT) for adolescents with anorexia nervosa is both feasible and effective, according to a study published online Aug. 11 in the International Journal of Eating Disorders.

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Many Parents Would Support Transgender Teen's Transition

TUESDAY, Aug. 22, 2017 (HealthDay News) -- More than half of U.S. adults surveyed would be supportive if they had a teenage child who wanted to transition to the opposite gender, according to a Harris Poll commissioned by the American Osteopathic Association.

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Lower SBP Target for Blacks May Benefit Cognitive Function

TUESDAY, Aug. 22, 2017 (HealthDay News) -- For seniors and particularly blacks with hypertension, lowering systolic blood pressure to 120 mm Hg or lower may help prevent cognitive decline, according to a report published online Aug. 21 in JAMA Neurology.

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Global Prevalence of Fetal Alcohol Spectrum Disorder 7.7 per 1,000

TUESDAY, Aug. 22, 2017 (HealthDay News) -- The global prevalence of fetal alcohol spectrum disorder (FASD) among children is estimated at 7.7 per 1,000 in the general population, according to a review published online Aug. 21 in JAMA Pediatrics.

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Hours Worked Impacted by Kids for Female, Not Male Doctors

MONDAY, Aug. 21, 2017 (HealthDay News) -- For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Depression, Anxiety May Affect Bone Metabolism in Older Teens

MONDAY, Aug. 21, 2017 (HealthDay News) -- Major depressive disorder (MDD), generalized anxiety disorder (GAD), and selective serotonin reuptake inhibitor (SSRI) use are associated with bone metabolism in older adolescents and young adults, according to a study published online Aug. 16 in the Journal of Bone and Mineral Research.

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Transcranial Magnetic Stimulation Aids PTSD in Eating Disorders

MONDAY, Aug. 21, 2017 (HealthDay News) -- Repetitive transcranial magnetic stimulation (rTMS) of the dorsomedial prefrontal cortex (DMPFC) seems to be beneficial for treatment of posttraumatic stress disorder (PTSD) in patients with eating disorders, according to research published online Aug. 16 in the International Journal of Eating Disorders.

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Psychosocial Intervention App Feasible in Serious Mental Illness

FRIDAY, Aug. 18, 2017 (HealthDay News) -- A psychosocial self-management intervention can be adapted for smartphone application and used by adults with serious mental illness, according to a study published in the August issue of the American Journal of Geriatric Psychiatry.

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Visual Dysfunction Tied to Poor Cognitive Function in Seniors

FRIDAY, Aug. 18, 2017 (HealthDay News) -- Visual dysfunction at baseline is associated with poor cognitive function among older U.S. adults, according to a study published online Aug. 17 in JAMA Ophthalmology.

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Families Shoulder Majority of Costs Related to Dementia Care

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Lifetime costs of care are substantially increased for individuals with dementia, according to a study published online Aug. 17 in the Journal of the American Geriatrics Society.

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Coping Support Assists Parents of Hospitalized Children

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Coping support interventions can reduce anxiety and stress, but not depression, among parents of hospitalized children, according to a review published online Aug. 17 in Pediatrics.

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Limited Economic Evidence for Vitiligo Treatments

THURSDAY, Aug. 17, 2017 (HealthDay News) -- The cost burden associated with vitiligo is high, although no evidence exists for the value of vitiligo treatments, according to a research letter published online Aug. 10 in the British Journal of Dermatology.

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Evolocumab Doesn't Affect Cognition When Added to Statins

THURSDAY, Aug. 17, 2017 (HealthDay News) -- There is no significant difference in cognitive function for patients treated with evolocumab or placebo added to statin therapy, according to a study published in the Aug. 17 issue of the New England Journal of Medicine.

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Antidepressants Used by 12.7 Percent of Those Age ≥12 in U.S.

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- Antidepressant use is common among U.S. individuals aged 12 years and older, with non-Hispanic whites more likely to take antidepressants than other racial/ethnic groups, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Perceived Social Support Lower for Cancer Caregivers Vs Patients

WEDNESDAY, Aug. 16, 2017 (HealthDay News) -- A sense of coherence (SOC) is associated with cancer patients' acceptance of their illness, according to a study published Aug. 9 in the Journal of Clinical Nursing.

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Studies Used for FDA Approval of Device Changes Often Low Quality

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.

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Specialist Access No Better With Adoption of Access Standards

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Adoption of specialty access standards does not improve access to specialists, according to a study published online Aug. 14 in JAMA Internal Medicine.

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Intraindividual Variability in Reaction Time Tied to Mortality

TUESDAY, Aug. 15, 2017 (HealthDay News) -- Intraindividual variability of reaction time (IIVRT) is independently associated with mortality, according to a study published online Aug. 9 in PLOS ONE.

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Review: Cannabis May Alleviate Neuropathic Pain

MONDAY, Aug. 14, 2017 (HealthDay News) -- Cannabis may alleviate neuropathic pain, but is not associated with benefit for adults with posttraumatic stress disorder (PTSD), according to two reviews published online Aug. 15 in the Annals of Internal Medicine.

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Smoking During Pregnancy Up Among Women With Depression

MONDAY, Aug. 14, 2017 (HealthDay News) -- Over the past decade, smoking during pregnancy has increased significantly among women experiencing a major depressive episode (MDE), according to a study published in the Oct. 1 issue of Drug and Alcohol Dependence.

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Apathy Tied to Mortality in Nursing Home Patients

MONDAY, Aug. 14, 2017 (HealthDay News) -- Apathy is associated with mortality in nursing home patients, according to a study published online Aug. 9 in the Journal of the American Geriatrics Society.

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ICU Admissions for Opioid Overdose Up From 2009 to 2015

MONDAY, Aug. 14, 2017 (HealthDay News) -- From 2009 to 2015 there was an increase in opioid overdose admissions requiring intensive care, as well as in associated mortality, according to a study published online Aug. 11 in the Annals of the American Thoracic Society.

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Patient Profile Impacts QOL With Radiation Tx in Head, Neck Cancer

FRIDAY, Aug. 11, 2017 (HealthDay News) -- There are patient characteristics and clinical factors independently associated with physical and mental quality of life (QOL) in patients with head and neck cancer undergoing radiotherapy, according to a study published online Aug. 2 in Head & Neck.

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QOL Not Impaired for Parents of Now-Adults Born Very Preterm

THURSDAY, Aug. 10, 2017 (HealthDay News) -- Parents of adults who were very preterm (VP) or very low birth weight (VLBW) at birth have similar quality of life to that of parents of term adults, according to a study published online Aug. 10 in Pediatrics.

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Increase in Alcohol Use, High-Risk Drinking in U.S. Adults

THURSDAY, Aug. 10, 2017 (HealthDay News) -- From 2001-2002 to 2012-2013 there was an increase in alcohol use, high-risk drinking, and in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) alcohol use disorder (AUD), according to a study published online Aug. 9 in JAMA Psychiatry.

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Group Version of Enhanced CBT Effective for Eating Disorders

WEDNESDAY, Aug. 9, 2017 (HealthDay News) -- A group version of enhanced cognitive behavioral treatment (CBT-E) is effective at reducing eating disorder psychopathology, according to a study published in the August issue of the International Journal of Eating Disorders.

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Guidance Provided for Preventing Practice Billing Errors

MONDAY, Aug. 7, 2017 (HealthDay News) -- Strategies can help to prevent medical practice billing errors, according to a report published in Medical Economics.

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Flatter Diurnal Cortisol Slopes Linked to Poorer Health Outcomes

MONDAY, Aug. 7, 2017 (HealthDay News) -- Flatter diurnal cortisol slopes correlate with poorer health in 10 of 12 subtypes of emotional and physical health outcomes examined, according to a review published in the September issue of Psychoneuroendocrinology.

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Lisdexamfetamine Dimesylate Has Early Benefit in Binge Eating

FRIDAY, Aug. 4, 2017 (HealthDay News) -- Lisdexamfetamine dimesylate (LDX) is associated with early improvement in efficacy measures in adults with binge-eating disorder (BED), according to research published in the August issue of the International Journal of Eating Disorders.

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In Utero Psychotropics + Opioids Up Neonatal Drug Withdrawal

THURSDAY, Aug. 3, 2017 (HealthDay News) -- Use of psychotropic medications in addition to prescription opioids during pregnancy is associated with increased risk and severity of neonatal drug withdrawal, according to a study published online Aug. 2 in The BMJ.

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Depression After Coronary Artery Disease Diagnosis Ups Death Risk

THURSDAY, Aug. 3, 2017 (HealthDay News) -- For patients with coronary artery disease (CAD), a depression diagnosis is associated with increased risk of mortality, according to a study published online July 26 in the European Heart Journal: Quality of Care & Clinical Outcomes.

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Revenue Exceeds Expenditures for Many ABMS Member Boards

WEDNESDAY, Aug. 2, 2017 (HealthDay News) -- Overall revenue exceeds expenditures for many American Board of Medical Specialties (ABMS) member boards, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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Inappropriate Med Use High in Cognitively Impaired Seniors

WEDNESDAY, Aug. 2, 2017 (HealthDay News) -- Many nursing home residents with cognitive impairment or dementia have potentially inappropriate medication (PIM) use, with PIM use more likely among frail individuals, according to a study published online July 28 in the Journal of the American Geriatrics Society.

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U.S. Doctors Still Writing Too Many Opioid Prescriptions

TUESDAY, Aug. 1, 2017 (HealthDay News) -- More than one out of three average Americans used a prescription opioid in 2015, despite growing concerns these medicines are promoting widespread addiction and overdose deaths, according to a study published online Aug. 1 in the Annals of Internal Medicine.

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Comprehensive Initiative Has Positive Impact on Opioid Rx

TUESDAY, Aug. 1, 2017 (HealthDay News) -- A comprehensive initiative, including creation of prescribing and dispensing policies, monitoring and follow-up processes, and clinical coordination through electronic health record integration, can have a positive impact on opioid prescribing, according to research published online July 14 in the Journal of Evaluation in Clinical Practice.

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Higher Risk of Dementia Seen in Those Hailing From 'Stroke Belt'

TUESDAY, Aug. 1, 2017 (HealthDay News) -- Health issues for people born in high stroke mortality states (HSMSs) include a higher risk of developing dementia -- even if they move elsewhere, according to research published online July 31 in JAMA Neurology.

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