December 2015 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for December 2015. 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.

AMA: Burnout Is Top Issue for Physicians in 2015

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Physician burnout is the top issue for physicians in 2015, according to a report published by the American Medical Association (AMA).

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Alcohol Binge Damage May Be Worse Than Previously Thought

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Chronic drinking combined with binge drinking may be more destructive than previously thought, according to an animal study published online Nov. 20 in Biomolecules.

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Family Hx Ups Risk of Psychotic Symptoms in Kids on Stimulants

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- For children and young adults who have a parent with major mood and psychotic disorders, stimulant use is associated with increased likelihood of psychotic symptoms, according to a study published online Dec. 30 in Pediatrics.

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Optimism May Improve Outcomes Post Acute Coronary Syndrome

TUESDAY, Dec. 29, 2015 (HealthDay News) -- Post-acute coronary syndrome (ACS) optimism is associated with greater physical activity and lower rates of cardiac readmission at six months, according to a study published online Dec. 8 in Circulation: Cardiovascular Quality and Outcomes.

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After Nonfatal Overdose, Most Patients Prescribed More Opioids

TUESDAY, Dec. 29, 2015 (HealthDay News) -- Patients with a nonfatal opioid overdose are almost always prescribed opioids after overdose, according to a study published online Dec. 29 in the Annals of Internal Medicine.

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Higher Hospital Prices in U.S. 'Monopoly Markets'

MONDAY, Dec. 28, 2015 (HealthDay News) -- Prices at hospitals in monopoly markets are 15 percent higher than those at hospitals in areas with at least four providers, according to research published recently at the Health Care Pricing Project website.

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Mental Disorders Up Risk of Chronic Physical Conditions

MONDAY, Dec. 28, 2015 (HealthDay News) -- Mental disorders are associated with increased risk of 10 chronic physical conditions, according to a study published online Dec. 23 in JAMA Psychiatry.

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Experimental Mood Induction Impacts IL-18 Levels

WEDNESDAY, Dec. 23, 2015 (HealthDay News) -- Experimental mood induction changes interleukin (IL)-18 levels and is associated with changes in central opioid neurotransmission, according to a study published recently in Molecular Psychiatry.

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Neural Effects of Psychotherapy in Personality Disorder ID'd

TUESDAY, Dec. 22, 2015 (HealthDay News) -- Transference-focused psychotherapy (TFP) is associated with alterations in frontolimbic circuitry in borderline personality disorder (BPD), according to a study published online recently in Psychiatry and Clinical Neurosciences.

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Specific, Consistent ICD-10 Coding Key to Timely Payments

TUESDAY, Dec. 22, 2015 (HealthDay News) -- In order to prevent denials, it is important to code correctly within the International Classification of Diseases, Tenth Revision (ICD-10), with specificity matching documentation, according to an article published in Medical Economics.

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Affordable Care Act Has Improved Access to Care, Affordability

MONDAY, Dec. 21, 2015 (HealthDay News) -- Implementation of the Affordable Care Act has improved access to care and affordability of care for many adults, according to a study published in the December issue of Health Affairs.

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Mindfulness Practice Cuts Stress in Low-Income School Children

FRIDAY, Dec. 18, 2015 (HealthDay News) -- For low-income students at public schools, a mindfulness-based stress reduction (MBSR) program can improve psychological functioning and moderate the negative effects of stress, according to a study published online Dec. 18 in Pediatrics.

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Marijuana Use Outpaces Smoking in High School Seniors

FRIDAY, Dec. 18, 2015 (HealthDay News) -- For the first time, more U.S. high school seniors are smoking marijuana than tobacco, according to the results of a survey conducted by the National Institute on Drug Abuse, part of the National Institutes of Health.

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Meta-Analysis: Risk of Dementia Up in Type 2 Diabetes

FRIDAY, Dec. 18, 2015 (HealthDay News) -- The risk of dementia is increased for individuals with type 2 diabetes, and the additional risk of vascular dementia, but not nonvascular dementia, is greater in women than in men, according to a meta-analysis published online Dec. 17 in Diabetes Care.

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Childhood Depression Tied to Cortical Gray Matter Development

THURSDAY, Dec. 17, 2015 (HealthDay News) -- Early childhood depression is associated with cortical gray matter development in late school age and early adolescence, according to a study published online Dec. 16 in JAMA Psychiatry.

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Industry Outpacing NIH in Funding Research

WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- There's been a sharp rise in the number of industry-funded clinical trials and a significant decline in those financed by the U.S. government in recent years, according to findings published in the Dec. 15 issue of the Journal of the American Medical Association.

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Antidepressant Tx Increases Subsequent Mania/Bipolar Risk

WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- For patients with unipolar depression, the risk of subsequent mania/bipolar disorder is increased in association with antidepressant treatment, according to a study published online Dec. 14 in BMJ Open.

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Mental Disorders Associated With Chronic Pain in Teens

TUESDAY, Dec. 15, 2015 (HealthDay News) -- Mental disorders seem to be associated with chronic pain in adolescents, according to a study published recently in The Journal of Pain.

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Perceived Stress May Increase Risk of Cognitive Decline

TUESDAY, Dec. 15, 2015 (HealthDay News) -- High levels of perceived stress could be a risk factor for cognitive impairment and Alzheimer's disease, according to a study published online Dec. 11 in Alzheimer Disease & Associated Disorders.

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Antidepressant Use in Pregnancy Tied to ASD Risk in Offspring

TUESDAY, Dec. 15, 2015 (HealthDay News) -- Antidepressant use during the second and third trimesters of pregnancy may increase the risk for autism spectrum disorder (ASD) in offspring, according to research published online Dec. 14 in JAMA Pediatrics.

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Burnout Affects About One in Three Gynecologic Oncologists

MONDAY, Dec. 14, 2015 (HealthDay News) -- About one-third of gynecologic oncologists experience burnout, according to a study published in the December issue of the American Journal of Obstetrics & Gynecology.

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New Model of Inpatient Care Can Improve Outcomes

MONDAY, Dec. 14, 2015 (HealthDay News) -- Implementation of a new model of care can improve outcomes of care in medical and surgical units, according to a study published in the December issue of the Journal of Hospital Medicine.

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CYP2C19 Polymorphisms Impacts Citalopram Metabolism

MONDAY, Dec. 14, 2015 (HealthDay News) -- For patients with major depressive disorder, certain CYP2C19 polymorphisms contribute to citalopram (CIT) metabolism, according to research published in the December issue of the Journal of Clinical Pharmacy and Therapeutics.

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Moderate Drinking May Benefit Early-Stage Alzheimer's Patients

MONDAY, Dec. 14, 2015 (HealthDay News) -- Patients with early-stage Alzheimer's disease who consume two to three alcoholic drinks a day may have a reduced risk of mortality compared to those who consume one or fewer drinks a day, according to a study published online Dec. 11 in BMJ Open.

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Seven Behaviors Suggested to Improve 'Art of Medicine'

FRIDAY, Dec. 11, 2015 (HealthDay News) -- Seven behaviors should be implemented to improve the art of medicine, which can help improve relationships with patients, according to an article published in Family Practice Management.

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Mindfulness Tx Aids Cancer-Linked Cognitive Impairment

THURSDAY, Dec. 10, 2015 (HealthDay News) -- For breast and colorectal cancer survivors, mindfulness-based stress reduction (MBSR) is associated with improvements in cognitive function, according to a study published online Nov. 19 in the Journal of Cancer Survivorship.

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Cognitive Therapy, Meds Equally Effective for Major Depression

THURSDAY, Dec. 10, 2015 (HealthDay News) -- Cognitive behavioral therapy and antidepressants could both be equally effective as stand-alone treatments for major depressive disorder, according to a review published online Dec. 8 in The BMJ.

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Percentage of Graduates Entering GME Stable Over Past Decade

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- Despite an increase in the number of U.S. medical school graduates, over the past decade the percentage entering graduate medical education (GME) training has remained stable, according to a research letter published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Depression Not Uncommon Among Resident Physicians

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- More than one in four doctors-in-training may be depressed, which could put their patients at risk, according to a study published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Maternal PCOS May Raise Odds for Autism in Offspring

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Children of mothers with polycystic ovary syndrome (PCOS) may have an increased risk for autism spectrum disorders (ASDs), according to research published online Dec. 8 in Molecular Psychiatry.

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Med Ed Can Be Improved for High-Value, Cost-Conscious Care

TUESDAY, Dec. 8, 2015 (HealthDay News) -- The combination of effective transmission of knowledge, facilitation of reflective practice, and a supportive environment can educate physicians to deliver high-value, cost-conscious care, according to a review published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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CDC: Fewer Americans Struggling With Medical Bills

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Fewer American families are struggling to pay medical bills, according to a report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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ADT for Prostate CA Tied to Increased Alzheimer's Risk

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Androgen deprivation therapy (ADT) for prostate cancer might dramatically increase a man's risk of developing Alzheimer's disease, a large-scale analysis of health data suggests. The study was published online Dec. 7 in the Journal of Clinical Oncology.

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U.S. Health Care Spending Increased in 2014

TUESDAY, Dec. 8, 2015 (HealthDay News) -- The expansion of insurance coverage and increases in retail prescription drug spending contributed to an increase in total national health care expenditures in 2014, according to a report published online Dec. 2 in Health Affairs.

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AAP: Screen All Children for Cholesterol, Depression, HIV

MONDAY, Dec. 7, 2015 (HealthDay News) -- All children should be screened for high cholesterol, depression, and HIV, with some tests starting as early as age 9, according to new guidelines from the American Academy of Pediatrics published online Dec. 7 in Pediatrics.

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Omega-3 Fatty Acids May Play Role in Bipolar Disorder

MONDAY, Dec. 7, 2015 (HealthDay News) -- There may be a link between levels of omega-3 fatty acids and bipolar disorder, according to a small study published in the November issue of Bipolar Disorders.

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Transgender Transition Treatment Deemed Cost-Effective

MONDAY, Dec. 7, 2015 (HealthDay News) -- Providing sex reassignment surgery and hormone treatment for transgender men and women is cost-effective, according to a study published online recently in the Journal of General Internal Medicine.

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Antidepressants Don't Adversely Affect Tamoxifen Efficacy

FRIDAY, Dec. 4, 2015 (HealthDay News) -- Breast cancer survivors who take antidepressants while on tamoxifen are not at increased risk for cancer recurrence, according to research published online Dec. 1 in the Journal of the National Cancer Institute.

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Anthracyclines More Neurotoxic Than Other Breast CA Regimens

THURSDAY, Dec. 3, 2015 (HealthDay News) -- For breast cancer survivors, anthracyclines seem to have greater negative effects on certain cognitive domains and brain network connections than nonanthracycline regimens, according to a study published online Dec. 3 in JAMA Oncology.

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Slow Gait in Seniors May Be Indicative of Alzheimer's

THURSDAY, Dec. 3, 2015 (HealthDay News) -- Seniors who walk more slowly may have higher amounts β-amyloid (Aβ) in their brains, according to research published online Dec. 2 in Neurology.

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AMA: Case Before Supreme Court Threatens Patient Privacy

THURSDAY, Dec. 3, 2015 (HealthDay News) -- A case before the Supreme Court is potentially threatening patient confidentiality, according to the American Medical Association (AMA).

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Depression Ups Readmission Odds for COPD Exacerbation

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Depression is independently associated with increased risk of readmission for acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published online Nov. 24 in the Annals of the American Thoracic Society.

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Burnout Rates on the Rise for Physicians

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Burnout is a growing problem among American doctors, according to research published in the December issue of the Mayo Clinic Proceedings.

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Having a Dog in the Home Can Ease Children's Anxiety Levels

TUESDAY, Dec. 1, 2015 (HealthDay News) -- The companionship of a dog may lower a child's anxiety levels, according to study published online Nov. 25 in Preventing Chronic Disease.

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Clozapine Benefits Those With Tx-Resistant Schizophrenia

TUESDAY, Dec. 1, 2015 (HealthDay News) -- Clozapine reduces symptoms in patients with schizophrenia who don't benefit from other antipsychotic medications, according to research published online Nov. 6 in The American Journal of Psychiatry.

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