March 2018 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for March 2018. 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.

Childhood Irritability, Depressive Mood Linked to Suicidality Later

FRIDAY, March 30, 2018 (HealthDay News) -- Children with high irritability and depressive/anxious mood have increased suicidality risk during adolescence, according to a study published online March 28 in JAMA Psychiatry.

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Scale of Online Marketplace for Marijuana Increasing

THURSDAY, March 29, 2018 (HealthDay News) -- The scale of the online marketplace for marijuana increased from 2005 to 2017, according to a study published online March 22 in the American Journal of Preventive Medicine.

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Nurse Education Improves Post-Op Survival in Dementia Patients

THURSDAY, March 29, 2018 (HealthDay News) -- Having more nurses in the hospital with at least a bachelor of science degree in nursing (BSN) is tied to lower post-surgical mortality among patients with Alzheimer's disease and related dementias (ADRD), according to a study published online March 20 in the Journal of the American Geriatrics Society.

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Novel Interstitium Has Been Identified in Human Tissues

THURSDAY, March 29, 2018 (HealthDay News) -- A previously unrecognized interstitium has been identified in human tissues, according to a study published online March 27 in Scientific Reports.

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Bariatric Surgery Can Lead to Changes in Relationship Status

THURSDAY, March 29, 2018 (HealthDay News) -- Bariatric surgery is associated with changes in relationship status, according to a study published online March 28 in JAMA Surgery.

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Children With ASD, Younger Siblings Are Undervaccinated

WEDNESDAY, March 28, 2018 (HealthDay News) -- Compared with the general population, children with autism spectrum disorder (ASD) and their younger siblings are undervaccinated, according to a study published online March 26 in JAMA Pediatrics.

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EHR Usability Contributes to Possible Patient Harm Events

TUESDAY, March 27, 2018 (HealthDay News) -- Electronic health record (EHR) usability may contribute to possible patient harm events, according to a research letter published in the March 27 issue of the Journal of the American Medical Association.

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Parent-Child Book Reading Tied to Psychosocial Benefits

TUESDAY, March 27, 2018 (HealthDay News) -- Reading books together is associated with psychosocial benefits in both children and parents, according to a review published online March 27 in Pediatrics.

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Concern for Employer, Insurance Discrimination for Alzheimer's Patients

TUESDAY, March 27, 2018 (HealthDay News) -- U.S. adults express concerns about discrimination by employers and insurance for patients with Alzheimer's disease dementia, according to a study published online March 27 in Alzheimer's & Dementia.

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Geographic, Social Variances Tied to Higher Drug-Related Mortality

TUESDAY, March 27, 2018 (HealthDay News) -- County-level economic and other social conditions explain the geographic disparities in overdose rates across the country, according to a study published online March 26 in the American Journal of Preventive Medicine.

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Amygdala Neurons Reduced in Adulthood With Autism

TUESDAY, March 27, 2018 (HealthDay News) -- In neurotypical development, there is an increase in the number of mature neurons in the basal and accessory basal nuclei, whereas an initial excess of amygdala neurons is seen during childhood in autism spectrum disorder (ASD), followed by a reduction in adulthood, according to a study published online March 20 in the Proceedings of the National Academy of Sciences.

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Social Isolation, Loneliness May Increase AMI, Stroke Risk

TUESDAY, March 27, 2018 (HealthDay News) -- Isolation and loneliness may be associated with increased risk of acute myocardial infarction (AMI) and stroke, according to a study published online March 27 in Heart.

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Early Social Media Use May Harm Teen Girls' Well-Being

MONDAY, March 26, 2018 (HealthDay News) -- High levels of social media interaction in early adolescence may have negative implications for later well-being and happiness in girls, according to a study published online March 20 in BMC Public Health.

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Ethical Duties ID'd for Short-Term Global Health Experiences

MONDAY, March 26, 2018 (HealthDay News) -- In a position paper published online March 27 in the Annals of Internal Medicine, ethical obligations have been detailed for physicians participating in short-term global health experiences (STEGHs).

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2011 to 2015 Saw Increase in Suicide Rate for Youth in Utah

MONDAY, March 26, 2018 (HealthDay News) -- From 2011 to 2015, the unadjusted suicide rate among youth in Utah increased 136.2 percent, according to research published in the March 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Vascular Malformations Contribute to Lower Quality of Life

FRIDAY, March 23, 2018 (HealthDay News) -- Patients with vascular malformations (VAMs) have increased pain and psychosocial distress, compared with the general U.S. population, according to a review published online March 21 in JAMA Dermatology.

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Lean Approach May Help Tackle Burnout in Health Care Providers

FRIDAY, March 23, 2018 (HealthDay News) -- The Lean approach, which emphasizes reducing waste and improving customer value by focusing on the big picture, can be used to address physician burnout, according to a report published in Medical Economics.

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MVPA Mortality Risk Reduction Not Tied to Exercise in Bouts

FRIDAY, March 23, 2018 (HealthDay News) -- Moderate-to-vigorous physical activity (MVPA) is associated with reduced mortality risk, regardless of whether it is accumulated in bouts, according to a study published online March 22 in the Journal of the American Heart Association.

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Neural Markers of Depression Resilience ID'd in Female Teens

FRIDAY, March 23, 2018 (HealthDay News) -- Adolescent females at high familial risk of depression who do not go on to develop depression have compensatory functional connectivity patterns in emotion regulatory networks, according to a study published online March 21 in JAMA Psychiatry.

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Unique Risks Associated With Texting Medical Orders

THURSDAY, March 22, 2018 (HealthDay News) -- Despite the popularity, convenience, and speed of texting medical orders, there are unique and alarming risks associated with the practice, according to a report published in Drug Topics.

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Tai Chi Beats Aerobic Exercise in Fibromyalgia

THURSDAY, March 22, 2018 (HealthDay News) -- Tai chi is associated with greater benefit than aerobic exercise for patients with fibromyalgia, according to a study published online March 21 in The BMJ.

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Blueprint Being Developed to Address Physician Burnout

WEDNESDAY, March 21, 2018 (HealthDay News) -- A new, three-pronged approach is being applied to develop a blueprint for addressing physician burnout, according to a report published in Medical Economics.

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Nightmares Common in Military Personnel With Sleep Disturbance

WEDNESDAY, March 21, 2018 (HealthDay News) -- For U.S. military personnel with sleep disturbances, nightmares are highly prevalent, and nightmares are frequently comorbid with other sleep and mental health disorders, according to a study published in the March issue of the Journal of Clinical Sleep Medicine.

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Personal Health Info Found in Recycling at Five Hospitals

TUESDAY, March 20, 2018 (HealthDay News) -- A considerable amount of personal health information (PHI) and personally identifiable information (PII) was found in the recycling at five Canadian teaching hospitals, according to a research letter published in the March 20 issue of the Journal of the American Medical Association.

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In 2015, Each U.S. Binge Drinker Consumed About 470 Drinks

TUESDAY, March 20, 2018 (HealthDay News) -- U.S. binge drinkers consumed about 470 binge drinks per binge drinker in 2015, according to a study published in the April issue of the American Journal of Preventive Medicine.

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Waist-to-Height Ratio Tied to Anxiety in Middle-Aged Women

TUESDAY, March 20, 2018 (HealthDay News) -- Waist-to-height ratio (WHtR) is associated with anxiety in middle-aged women, according to a study published online March 5 in Menopause.

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Teen Cancer Survivors Have Strong Social Networks

TUESDAY, March 20, 2018 (HealthDay News) -- Survivors of adolescent and young adult (AYA) cancer often have stronger social networks than their non-cancer peers, according to a study published online March 8 in Cancer.

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Risk of Secondary ADHD Higher After Childhood TBI

MONDAY, March 19, 2018 (HealthDay News) -- Children with early childhood traumatic brain injury (TBI) have increased risk of secondary attention-deficit/hyperactivity disorder (SADHD), according to a study published online March 19 in JAMA Pediatrics.

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Prior Authorization Negatively Impacts Clinical Outcomes

MONDAY, March 19, 2018 (HealthDay News) -- The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA).

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Risk of Suicide Up for Teens, Young Adults After Self-Harm

MONDAY, March 19, 2018 (HealthDay News) -- Adolescents and young adults have increased risk of suicide after nonfatal self-harm, according to a study published online March 19 in Pediatrics.

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Reproductive Goals Vary After Spontaneous Abortion

MONDAY, March 19, 2018 (HealthDay News) -- Women have varying reproductive goals after spontaneous abortion but are generally receptive to contraceptive counseling, according to a study published online March 8 in Obstetrics & Gynecology.

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Chronicity of PTSD, Injury Severity Are Risk Factors for HTN

MONDAY, March 19, 2018 (HealthDay News) -- In a severely injured military cohort, the risk of hypertension is increased with chronicity of posttraumatic stress disorder (PTSD) diagnoses and injury severity, according to a study published online March 19 in Hypertension.

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Oseltamivir Not Linked to Suicide Risk in Pediatric Patients

FRIDAY, March 16, 2018 (HealthDay News) -- Oseltamivir does not appear to be associated with suicide risk in pediatric patients, according to a study published in the March/April issue of the Annals of Family Medicine.

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Peer-to-Peer Program Tied to Improved Depression Awareness

FRIDAY, March 16, 2018 (HealthDay News) -- A peer-to-peer depression awareness program is associated with improved knowledge and attitudes about depression among high school students, according to a study published online March 1 in Psychiatric Services.

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Hep C Compounds Alcoholism's Effect on Brain Volume

FRIDAY, March 16, 2018 (HealthDay News) -- Alcohol dependence has deleterious effects on frontal cortical volumes that are compounded by hepatitis C virus (HCV) infection and drug dependence, according to a study published online March 14 in JAMA Psychiatry.

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Risk of Breast CA May Be Higher in Women With Schizophrenia

THURSDAY, March 15, 2018 (HealthDay News) -- The incidence of breast cancer in women with schizophrenia may be higher than that of the general female population, according to a review and meta-analysis published online March 7 in JAMA Psychiatry.

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More Harms Than Benefits for E-Cigarettes at Population Level

THURSDAY, March 15, 2018 (HealthDay News) -- Electronic cigarettes (e-cigarettes) are associated with more harm than benefit on a population level, according to a study published online March 14 in PLOS ONE.

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Review: Virtual Reality Distracts From Pain of Medical Procedures

THURSDAY, March 15, 2018 (HealthDay News) -- Virtual reality (VR) appears to be an effective distraction intervention to relieve pain and distress during various medical procedures, according to a review published online Feb. 26 in The Clinical Journal of Pain.

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Many Teens Using Tobacco Don't Self-Identify As Users

THURSDAY, March 15, 2018 (HealthDay News) -- Many adolescent users of one or more specific tobacco product type do not self-identify as tobacco users, according to a study published online March 12 in Pediatrics.

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Depression Seen in One in 20 Childbearing-Aged Women

WEDNESDAY, March 14, 2018 (HealthDay News) -- A substantial proportion of non-pregnant women of childbearing age have untreated depression, according to a study published online March 8 in Obstetrics & Gynecology.

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Drug Copayments Often Exceed Prescription Drug Costs

WEDNESDAY, March 14, 2018 (HealthDay News) -- Drug copayments frequently exceed prescription drug costs, with overpayments affecting 23 percent of all prescriptions, according to a research letter published in the March 13 issue of the Journal of the American Medical Association.

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Substance Use Mortality Varies Widely Across U.S. Counties

TUESDAY, March 13, 2018 (HealthDay News) -- Across U.S. counties there is considerable variation in mortality due to alcohol use disorders, drug use disorders, self-harm, and interpersonal violence, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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U.S. Spends Twice As Much for Similar Health Care Utilization

TUESDAY, March 13, 2018 (HealthDay News) -- Spending on health care is much higher in the United States than other high-income countries, but utilization rates are similar, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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IL-6 Levels Predict Response to ECT in Depressive Disorder

TUESDAY, March 13, 2018 (HealthDay News) -- For patients with major depressive disorder, interleukin-6 (IL-6) may predict benefit from electroconvulsive therapy (ECT), according to a study published recently in the Journal of Clinical Psychiatry.

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Opioid Receipt Up for Teens With Mental Health Conditions

TUESDAY, March 13, 2018 (HealthDay News) -- Adolescents with pre-existing mental health conditions and treatments are more likely to receive any opioid and to transition to long-term opioid therapy, according to a study published online March 12 in JAMA Pediatrics.

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Great Recession Linked to Increase in BP, Blood Glucose

TUESDAY, March 13, 2018 (HealthDay News) -- The 2008 to 2010 Great Recession (GR) had a negative impact on the health of U.S. adults, with significant elevations in blood pressure and fasting glucose, according to a study published online March 12 in the Proceedings of the National Academy of Sciences.

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Three-Pronged Approach Can Improve Physician Engagement

MONDAY, March 12, 2018 (HealthDay News) -- The three-pronged approach implemented by one practice successfully improved physician engagement, according to an article published in Medical Economics.

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Childhood Maltreatment, Bullying Seem to Up Teen Pregnancy Risk

MONDAY, March 12, 2018 (HealthDay News) -- Higher teen pregnancy among sexual minorities is partially explained by childhood maltreatment and bullying, according to a study published online March 12 in Pediatrics.

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Genetic Variations Impacting Empathy Tied to Psych Issues

MONDAY, March 12, 2018 (HealthDay News) -- Genetic variations associated with empathy play a role in psychiatric conditions and traits, including schizophrenia, anorexia nervosa, and extraversion, according to a study published online March 11 in Translational Psychiatry.

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Doctors Facing Challenge to Help Needy While Protecting Practices

FRIDAY, March 9, 2018 (HealthDay News) -- Physicians are increasingly being challenged to protect their practice finances while helping patients without insurance, according to an article published in Medical Economics.

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Frontal Fibrosing Alopecia Negatively Linked to HRQOL

FRIDAY, March 9, 2018 (HealthDay News) -- Frontal fibrosing alopecia (FFA) is negatively linked to health-related quality of life (HRQOL), according to a research letter published online March 7 in JAMA Dermatology.

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Text Message-Based Intervention Helps With Sobriety Maintenance

FRIDAY, March 9, 2018 (HealthDay News) -- Mobile alcohol interventions may help liver transplant candidates with alcoholic liver disease (ALD) maintain sobriety, according to a study published online March 2 in Alcoholism: Clinical & Experimental Research.

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Poor Sleep in Menopause Tied to Vasomotor Symptoms, Depression

WEDNESDAY, March 7, 2018 (HealthDay News) -- Consistent risk factors for poor sleep in menopause include depression and vasomotor symptoms, according to a study published online Feb. 9 in Sleep Medicine.

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CDC: Opioid-Involved Overdoses Up July 2016 to Sept. 2017

WEDNESDAY, March 7, 2018 (HealthDay News) -- Opioid-involved overdoses are continuing to increase, according to research published in the March 6 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cannabidiol Is Effective Add-On for Treatment-Resistant Epilepsy

WEDNESDAY, March 7, 2018 (HealthDay News) -- For pediatric-onset treatment-resistant epilepsy, cannabinoids are effective as an adjunctive treatment for reducing seizure frequency by 50 percent or more, according to a review published online March 6 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Parental Dieting Pressure Linked to Long-Term Harm

TUESDAY, March 6, 2018 (HealthDay News) -- Exposure to parent encouragement to diet as an adolescent is tied to long-term harmful weight-related and emotional health outcomes and appears to be transmitted to the next generation, according to a study published online March 6 in Pediatrics.

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Pediatric Opioid-Related Hospital, ICU Admissions on the Rise

MONDAY, March 5, 2018 (HealthDay News) -- Nationally, the rate of hospitalization and pediatric intensive care unit (PICU) admission for opioid ingestions increased from 2004 to 2015, according to a study published online March 5 in Pediatrics.

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Gender Minorities Have Greater Mental Illness, Disability

MONDAY, March 5, 2018 (HealthDay News) -- Gender minority Medicare beneficiaries have larger disability and mental health burdens than the general Medicare population, according to a study published online March 4 in Health Affairs.

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Strong State Firearm Policies, Lower Firearm Suicide Rate Tied

MONDAY, March 5, 2018 (HealthDay News) -- Strong state firearm policies are associated with lower firearm suicide rates and lower homicide rates, according to a study published online March 5 in JAMA Internal Medicine.

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Poor Outcomes Common With Childhood Anorexia Nervosa

FRIDAY, March 2, 2018 (HealthDay News) -- Anorexia nervosa (AN) that develops before age 14 often leads to unfavorable outcomes, according to a study published online Feb. 16 in the International Journal of Eating Disorders.

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New Screening Tool Developed to Assess Tanning Addiction

FRIDAY, March 2, 2018 (HealthDay News) -- A newly developed scale may identify patients addicted to tanning, according to a study published online Feb. 25 in the British Journal of Dermatology.

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Program Aids Communication for Spouses Affected by Dementia

FRIDAY, March 2, 2018 (HealthDay News) -- An at-home dyadic, relationship-focused psychoeducational intervention improves communication outcomes among spouses affected by dementia, according to a small study published in the February issue of the International Journal of Geriatric Psychiatry.

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Risk of Mental Health Visits Up in Childhood Cancer Survivors

FRIDAY, March 2, 2018 (HealthDay News) -- Survivors of adolescent cancer have higher rates of adverse mental health outcomes than the general population, according to a study published online Feb. 22 in Cancer.

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Unmet Health Needs for Patients With Uveal Melanoma

FRIDAY, March 2, 2018 (HealthDay News) -- Most patients with uveal melanoma have unmet health information and psychological needs, according to a study published online Feb. 22 in JAMA Ophthalmology.

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U.S. Trends in Gender-Affirming Surgery Explored

THURSDAY, March 1, 2018 (HealthDay News) -- About 11 percent of patient encounters with a diagnosis code of transsexualism or gender identity disorder involve gender-affirming surgery, and more than half are not covered by an insurance plan, according to a study published online Feb. 28 in JAMA Surgery.

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Diet-Treated Chronic Illness May Lead to Disordered Eating

THURSDAY, March 1, 2018 (HealthDay News) -- Interventions for diet-treated chronic illnesses may increase the risk for disordered eating in children, according to a review published online Feb. 22 in the International Journal of Eating Disorders.

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