July 2015 Briefing - Psychiatry

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

FDA Warns of Confusion Between Brintellix, Brilinta

FRIDAY, July 31, 2015 (HealthDay News) -- Confusion between the names of the antidepressant Brintellix (vortioxetine) and the antiplatelet Brilinta (ticagrelor) has led to the wrong medication being prescribed or dispensed, the U.S. Food and Drug Administration says.

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CDC: 20 Percent of U.S. Adults Have a Disability

FRIDAY, July 31, 2015 (HealthDay News) -- More than 50 million Americans live with a physical or mental disability, according to research published in the July 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AMA Wants Doctor Input on EHRs, Meaningful Use

FRIDAY, July 31, 2015 (HealthDay News) -- The American Medical Association (AMA) is encouraging clinicians to share their perspectives on electronic heath records (EHRs) and the meaningful use program.

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U.S. Health Spending Projected to Rise 5.8 Percent By 2024

FRIDAY, July 31, 2015 (HealthDay News) -- From 2014 to 2024, U.S. health spending growth is projected to increase by about 6 percent, according to a report published online July 28 in Health Affairs.

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U.S. Medical Groups Fighting Prescription Opioid Abuse

THURSDAY, July 30, 2015 (HealthDay News) -- Led by the American Medical Association (AMA), a group of 27 major U.S. medical organizations are banding together to tackle the continuing epidemic of opioid abuse.

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Hippocampal Insulin Resistance Linked to Neuroplasticity

THURSDAY, July 30, 2015 (HealthDay News) -- Hippocampal insulin resistance may be a key mediator of cognitive deficits, independent of glycemic control, according to an experimental study published online July 27 in Diabetes.

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Higher Risk for Depression With Psoriasis

THURSDAY, July 30, 2015 (HealthDay News) -- There is an increased risk of depression among women with psoriasis, according to a study published online July 17 in the British Journal of Dermatology.

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Similar Adverse Effects Seen for St. John's Wort, Fluoxetine

WEDNESDAY, July 29, 2015 (HealthDay News) -- Adverse reactions to St. John's wort are similar to those reported for fluoxetine, according to research published in the July issue of Clinical and Experimental Pharmacology and Physiology.

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Autism Spectrum Disorder Care Costs Could Top $500B by 2025

WEDNESDAY, July 29, 2015 (HealthDay News) -- The annual cost of caring for Americans with autism spectrum disorder (ASD) might reach $500 billion by 2025, with outside estimates approaching $1 trillion, according to a study published online July 17 in the Journal of Autism and Developmental Disorders.

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Patients Report Improved Care Access, Better Health With ACA

TUESDAY, July 28, 2015 (HealthDay News) -- Millions more Americans have affordable health insurance, access to a personal doctor, and feel they are in better health following the first two open-enrollment periods of the Affordable Care Act (ACA), a new analysis shows. The results are published in the July 28 issue of the Journal of the American Medical Association.

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USPSTF: Screen All Adults for Depression in Primary Care

TUESDAY, July 28, 2015 (HealthDay News) -- In an updated draft recommendation released Monday, the U.S. Preventive Services Task Force urges that primary care physicians regularly screen for depression in all adult patients (B recommendation).

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Delays Noted in the Reporting of Serious Patient Harms to FDA

MONDAY, July 27, 2015 (HealthDay News) -- About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period, according to a new analysis published online July 27 as a research letter in JAMA Internal Medicine.

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CDC Revisits Marijuana-Linked Death in Colorado

FRIDAY, July 24, 2015 (HealthDay News) -- U.S. health officials on Thursday revisited the first reported marijuana-linked death in Colorado since voters there legalized recreational use of the drug in 2012.

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'Driving Straight' May Be Suitable Road Test in Dementia

FRIDAY, July 24, 2015 (HealthDay News) -- Drivers with dementia who have more difficulties driving straight and making left and right turns are more likely to fail road testing, according to a study published in the July issue of the Journal of the American Geriatrics Society.

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Expansion of High-Deductible Plans to Impact Physician Care

FRIDAY, July 24, 2015 (HealthDay News) -- As a result of the increasing popularity of high-deductible health care plans, patients now have more financial responsibility for medical services, which is impacting physician practices, according to an article published in Medical Economics.

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PTSD Symptoms Persist for Thousands of Vietnam Vets

THURSDAY, July 23, 2015 (HealthDay News) -- More than a quarter-million Vietnam veterans suffer from posttraumatic stress disorder (PTSD) symptoms today, four decades after the war's end, a new study estimates. And at least one-third of them have major depression as well. The findings were published online July 22 in JAMA Psychiatry.

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Sleep Apnea Tied to Increased Risk of Panic Disorder

THURSDAY, July 23, 2015 (HealthDay News) -- Sleep apnea seems to be associated with increased risk of subsequent panic disorder, according to a study published in the July/August issue of the Annals of Family Medicine.

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CMS May Adopt Doctors' Calls for End-of-Life Counseling

FRIDAY, July 17, 2015 (HealthDay News) -- A proposed rule from the Centers for Medicare & Medicaid Services (CMS) would implement physicians' calls to pay for end-of-life counseling, according to a report published by the American Medical Association (AMA).

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Clinicians May Harbor Biases About Sexual Orientation

FRIDAY, July 17, 2015 (HealthDay News) -- Clinicians may be biased when it comes to the sexual orientation of patients, new research suggests. The study was published online July 16 in the American Journal of Public Health.

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AMA Suggests Ways to Encourage Use of Patient Portals

THURSDAY, July 16, 2015 (HealthDay News) -- Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements, according to an article published by the American Medical Association (AMA).

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Choosing Wisely: How to Implement in Clinical Practice

THURSDAY, July 16, 2015 (HealthDay News) -- Strategies should be adopted to help with implementation of the Choosing Wisely program, which was designed to address the problem of medical overuse, according to an article published in the July/August issue of Family Practice Management.

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Smartphone Data Might Help Identify Symptoms of Depression

WEDNESDAY, July 15, 2015 (HealthDay News) -- Smartphone data may be useful in identification of symptoms of depression, according to research published online July 15 in the Journal of Medical Internet Research.

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Antidepressant+NSAID May Raise Risk of Intracranial Hemorrhage

WEDNESDAY, July 15, 2015 (HealthDay News) -- Of more than four million people prescribed a first-time antidepressant, those who also used nonsteroidal anti-inflammatory drugs (NSAIDs) had a higher risk of intracranial hemorrhage within the next month. The findings were published online July 14 in The BMJ.

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Stimulant Addiction May Affect Brains Differently by Gender

TUESDAY, July 14, 2015 (HealthDay News) -- Women formerly addicted to stimulant drugs, such as cocaine and methamphetamine, may have a smaller amount of gray matter in the brain, according to research published online July 14 in Radiology.

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Progress in Reporting Conflict of Interest Among IRB Members

TUESDAY, July 14, 2015 (HealthDay News) -- Among institutional review board (IRB) members, there has been positive progress in the reporting and management of conflicts of interest, according to a study published online July 13 in JAMA Internal Medicine.

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Arts Observation Curriculum May Be Beneficial for Medical Students

TUESDAY, July 14, 2015 (HealthDay News) -- Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations, which are important traits for clinical practice, according to an article published online July 3 in Academic Medicine.

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Alcohol Use Appears to Impair Driving More Than Cannabis Use

TUESDAY, July 14, 2015 (HealthDay News) -- Drinking alcohol appears to negatively affect driving skills to a greater extent than smoking cannabis, according to research findings published online June 23 in Drug and Alcohol Dependence. And, combined use leads to greater behind-the-wheel impairment, but it doesn't double the effect.

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Uncontrolled Diabetes Linked to Increased Risk of Dementia

TUESDAY, July 14, 2015 (HealthDay News) -- Diabetes patients with high rates of complications from the disease may face increased risk for dementia, according to a study published online July 9 in the Journal of Clinical Endocrinology & Metabolism.

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FDA Approves Rexulti for Schizophrenia, Depression

MONDAY, July 13, 2015 (HealthDay News) -- Rexulti (brexpiprazole) has been approved by the U.S. Food and Drug Administration to treat schizophrenia, and as an add-on drug for major depressive disorder (MDD) when a first-line drug fails to effectively treat symptoms.

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Newly Enlisted Army Soldiers at Risk of Attempted Suicide

FRIDAY, July 10, 2015 (HealthDay News) -- Among U.S. Army personnel, enlisted soldiers on their first tour of duty appear to be most at risk for attempted suicide, according to research published online July 8 in JAMA Psychiatry.

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Another Study Shows Link Between SSRIs and Birth Defects

THURSDAY, July 9, 2015 (HealthDay News) -- New research provides more evidence of a possible link between selective serotonin reuptake inhibitor (SSRI) antidepressant use early in pregnancy and a small increased risk of birth defects. The study appears online July 8 in The BMJ.

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T2DM Linked to Declines in Cerebral Vasoreactivity, Cognition

THURSDAY, July 9, 2015 (HealthDay News) -- In as little as two years, patients with type 2 diabetes may exhibit diminished global and regional cerebral vasoreactivity, which could negatively affect cognitive skills, a small study suggests. The findings were published online July 8 in Neurology.

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Dopamine May Up Risk-Taking Behaviors in Healthy People

THURSDAY, July 9, 2015 (HealthDay News) -- Higher levels of dopamine may increase risk-taking behaviors in healthy people, much like dopamine-boosting medications have been shown to do in people with Parkinson's disease, according to research published in the July 8 issue of the Journal of Neuroscience.

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Depression Up Among Men With Borderline Testosterone

WEDNESDAY, July 8, 2015 (HealthDay News) -- Men with borderline testosterone levels frequently have depression and depressive symptoms, according to a study published online June 30 in the Journal of Sexual Medicine.

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Correction of Vitamin B-12 Deficiency No Benefit in Seniors

WEDNESDAY, July 8, 2015 (HealthDay News) -- For older adults, vitamin B-12 supplementation is not associated with improvements in neurologic or cognitive function, according to a study published online July 1 in the American Journal of Clinical Nutrition.

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CDC: Heroin Use Up Among Women, Wealthier People

WEDNESDAY, July 8, 2015 (HealthDay News) -- The face of heroin addiction in the United States is changing, as groups with historically lower rates of heroin use, including women and people with private insurance and higher incomes, are becoming users, federal officials reported Tuesday. The findings were published in the July 7 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Researchers ID Patients More Prone to Long-Term Opioid Use

TUESDAY, July 7, 2015 (HealthDay News) -- Patients with prior histories of drug abuse, or current or former smokers, are more likely to go beyond a short-term prescription for opioids, according to research published in the July issue of the Mayo Clinic Proceedings.

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Stroke Tied to Accelerated Cognitive Decline Over Long Term

TUESDAY, July 7, 2015 (HealthDay News) -- Patients who suffer a stroke are more likely to experience an accelerated decline in their global cognition and executive function for at least six years following the acute event, according to a report published in the July 7 issue of the Journal of the American Medical Association.

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HIV-Infected Patients Frequently Have Chronic Pain

TUESDAY, July 7, 2015 (HealthDay News) -- Many HIV-infected patients have chronic pain, which frequently co-occurs with high levels of depression symptoms, according to a study published online June 27 in Pain Medicine.

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Court Upholds Medical Liability Damages Cap

TUESDAY, July 7, 2015 (HealthDay News) -- The non-economic damages cap under the Medical Injury Compensation Reform Act (MICRA) has been upheld again in a California court of appeal, according to a report published by the American Medical Association.

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Despite Risk to Patients, Health Providers Often Work While Sick

MONDAY, July 6, 2015 (HealthDay News) -- Many health care professionals work when they are sick, putting their patients at risk for serious illness or even death, according to a study published online July 6 in JAMA Pediatrics.

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Asian-Language Smoking Quitline Successful Nationwide

THURSDAY, July 2, 2015 (HealthDay News) -- An Asian-Language Smokers Quitline (ASQ) reaches Chinese, Korean, and Vietnamese speakers nationwide, and most callers receive medication and counseling, according to a study published online June 25 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Antipsychotic Use Up for Teens, Young Adults From 2006 to 2010

THURSDAY, July 2, 2015 (HealthDay News) -- From 2006 to 2010 there was an increase in antipsychotic medication use among adolescents and young adults, according to a study published online July 1 in JAMA Psychiatry.

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Impact of Statins on Aggression Varies by Sex

THURSDAY, July 2, 2015 (HealthDay News) -- Statin use is associated with decreased aggression in men and increased aggression in women, according to a study published online July 1 in PLOS ONE.

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ACP Supports More Behavioral Health in Primary Care

WEDNESDAY, July 1, 2015 (HealthDay News) -- Behavioral health should be further integrated into the primary care setting, which will necessitate changes to the health care delivery system, payment model, and education and training, according to a position paper published online June 30 in the Annals of Internal Medicine.

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Recurrent Major Depression May Damage Hippocampus

WEDNESDAY, July 1, 2015 (HealthDay News) -- Smaller hippocampal volumes are seen in patients with major depressive disorder (MDD), and the association appears to be moderated by age of onset and first episode versus recurrent episode status, according to new research published online June 30 in Molecular Psychiatry.

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Public Opinion Sought on New Licensure for Assistant Physicians

WEDNESDAY, July 1, 2015 (HealthDay News) -- New classification of licensure for assistant physicians has been created, and public opinion is being sought by the Missouri State Board of Registration for the Healing Arts prior to filing these rules with the Secretary of State's Office and the Joint Committee on Administrative Rules.

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