September 2017 Briefing - Psychiatry

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

Embezzlement Widespread in Medical Practices

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Embezzlement is widespread among medical practices, and knowing the warning signs is helpful for preventing it, according to an article published in Medical Economics.

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Nursing Home Use Up With Cognitive Impairment Category

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Nursing home (NH) use increases with increasing cognitive impairment category, according to a study published online Sept. 11 in the Journal of the American Geriatrics Society.

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Military-Related Trauma Tied to Eating Disorder Symptoms

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Noncombat, military-related trauma is associated with eating disorder symptom severity in male veterans, according to a study published online Sept. 23 in the International Journal of Eating Disorders.

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Meditation May Help With Cardiovascular Risk Reduction

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Meditation may be considered as an adjunct to guideline-directed cardiovascular risk reduction, although the benefits need to be more fully established, according to a scientific statement published online Sept. 28 in the Journal of the American Heart Association.

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More Than 78 Percent of Health Care Personnel Receive Flu Shot

THURSDAY, Sept. 28, 2017 (HealthDay News) -- More than 78 percent of health care personnel (HCP) and 53.6 percent of pregnant women received influenza vaccination during the 2016-2017 influenza season, according to two studies published in the Sept. 29 issue of Morbidity and Mortality Weekly Report.

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Optimal Length of Post-Op Opioid Pain Medication Rx Identified

THURSDAY, Sept. 28, 2017 (HealthDay News) -- The optimal length of opioid pain medication prescription after common surgical procedures lies between the observed median prescription length and the early nadir, according to a study published online Sept. 27 in JAMA Surgery.

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Psychosocial Intervention Ups Adherence to Antidepressants

THURSDAY, Sept. 28, 2017 (HealthDay News) -- A psychosocial intervention can improve early adherence to antidepressants among middle-aged and older adults, according to a study published online Sept. 27 in JAMA Psychiatry.

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Working With a Scribe Improves Physician Satisfaction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Working with a scribe significantly improves physicians' overall satisfaction, satisfaction with chart quality and accuracy, and charting efficiency, according to a study published online Sept. 11 in the Annals of Family Medicine.

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CDC Launches Campaign to Fight Prescription Opioid Epidemic

TUESDAY, Sept. 26, 2017 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention is launching a communication campaign featuring accounts of people recovering from opioid use disorder, and those who have lost someone to opioid overdose, in an effort to fight the prescription overdose epidemic.

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Tibetan Yoga Improves Sleep Quality During Chemo

MONDAY, Sept. 25, 2017 (HealthDay News) -- Participation in a Tibetan yoga program (TYP) during chemotherapy results in modest, short-term benefits in sleep quality, with long-term benefits seen over time for those who practice at least two times a week, according to a study published online Sept. 20 in Cancer.

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Worker Contribution to Health Benefits Up in 2017

MONDAY, Sept. 25, 2017 (HealthDay News) -- In 2017, health benefits coverage remained stable, while workers faced considerable variation in costs, according to a report published online Sept. 19 in Health Affairs.

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APOE Allele Type Tied to Mortality Risk

FRIDAY, Sept. 22, 2017 (HealthDay News) -- The apolipoprotein E (APOE) ε4 allele increases the risk of overall and cardiovascular mortality, while the APOE ε2 allele decreases the risk, according to a study published online Sept. 12 in the Journal of the American Geriatrics Society.

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Few Older Patients Aware of Deprescribing

FRIDAY, Sept. 22, 2017 (HealthDay News) -- The majority of older patients are aware of medication harms, but far fewer understand deprescribing, according to a brief report published online Sept. 15 in the Journal of the American Geriatrics Society.

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Montelukast Associated With Nightmares, Depression

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Montelukast appears to be linked to neuropsychiatric side effects, such as depression, aggression, nightmares, and headaches, according to a review published online Sept. 20 in Pharmacology Research and Perspectives.

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Magnesium Levels Tied to Dementia Risk

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Magnesium levels, either too high or too low, are associated with an increased risk of dementia, according to a study published online Sept. 20 in Neurology.

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Specific Efforts May Aid Quality of Life for Schizophrenia Caregivers

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Reducing affiliate stigma and strengthening the quality of family-centered care may improve health-related quality of life for primary family caregivers of people with schizophrenia, according to a study published online Sept. 7 in the Journal of Clinical Nursing.

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Insurer Market Power Lowers Providers' Prices

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Insurers have the bargaining power to reduce provider prices in highly concentrated provider markets, according to a report published in the September issue of Health Affairs.

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Total of 0.21 Years Lost Due to Opioid-Related Poisoning Deaths

TUESDAY, Sept. 19, 2017 (HealthDay News) -- From 2000 to 2015, drug-poisoning deaths contributed a loss of 0.28 years in life expectancy, according to a research letter published in the Sept. 19 issue of the Journal of the American Medical Association.

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ACP Does Not Support Legalization of Assisted Suicide

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The American College of Physicians (ACP) does not support the legalization of physician-assisted suicide, a practice that raises ethical, clinical, and other concerns, according to a position paper published online Sept. 19 in the Annals of Internal Medicine.

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Narrow Networks in ACA Marketplace for Mental Health

MONDAY, Sept. 18, 2017 (HealthDay News) -- Networks in mental health are generally narrower than in primary care, with plan networks including 11.3 percent of mental health providers practicing in a given state-level market, according to a study published online in the September issue of Health Affairs.

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Physicians Tweeting About Drugs May Have Conflict of Interest

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Most physicians on Twitter with a financial conflict of interest (FCOI) and frequent tweets mention specific drugs for which they have a conflict, according to a study published in the September issue of The Lancet Haematology.

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Mental Health, Dental Issues Top Avoidable ER Visits

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Mental health and dental conditions account for a significant number of "avoidable" emergency department visits, according to a study published online Aug. 31 in the International Journal for Quality in Health Care.

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Doctors Spend Almost Six Hours Per Day on EHR Tasks

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Physicians spend almost six hours per day in the electronic health record (EHR), with 4.5 hours spent during clinic hours and 1.4 hours spent after clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

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'Science Spin' Found Prevalent in Biomedical Literature

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Spin in biomedical literature (also referred to as "science hype") is prevalent, with trials having the highest and greatest variability in the prevalence of spin, according to a review published online Sept. 11 in PLOS Biology.

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FDA Permits Marketing of App to Help Treat Substance Abuse

THURSDAY, Sept. 14, 2017 (HealthDay News) -- The U.S. Food and Drug Administration has permitted marketing of the first mobile app to help treat substance use disorders, the agency said Thursday in a news release.

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Panic Disorder, GAD Not Linked to Adverse Pregnancy Outcomes

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Panic disorder and generalized anxiety disorder (GAD) are not associated with adverse pregnancy outcomes, but medications can slightly shorten the duration of gestation, according to a study published online Sept. 13 in JAMA Psychiatry.

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Suicide Attempts in U.S. Up From 2004-2005 to 2012-2013

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- From 2004-2005 to 2012-2013 there was an overall increase in suicide attempts among U.S. adults, according to a study published online Sept. 13 in JAMA Psychiatry.

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Some Aspects of Empathy Improve During Medical Training

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Certain aspects of empathy improve during medical student training, according to a study published online Sept. 7 in Medical Education.

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Being Heard Key for Women After Gender-Based Violence

TUESDAY, Sept. 12, 2017 (HealthDay News) -- For women who have experienced gender-based violence, feelings of being listened to and respected are important for defining a positive health care encounter, according to research published online Aug. 22 in the Journal of Clinical Nursing.

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Are Physicians Obligated to Help on Planes?

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Does being a physician carry a moral obligation to respond to calls for medical assistance on airplanes? That is the topic of an article published in the Sept. 12 issue of the Journal of the American Medical Association.

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Most Opioid Use Concentrated in Top 10 Percent of Users

TUESDAY, Sept. 12, 2017 (HealthDay News) -- The top 10 percent of privately insured U.S. adults without cancer using opioids account for most opioid use, according to a research letter published online Sept. 12 in the Annals of Internal Medicine.

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Online Therapy for Insomnia Linked to Improved Mental Health

MONDAY, Sept. 11, 2017 (HealthDay News) -- For university students with insomnia, digital cognitive behavioral therapy (CBT) is associated with reductions in insomnia, paranoia, and hallucinations, according to a study published online Sept. 6 in The Lancet Psychiatry.

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Risk of Prematurity, SGA Up for Women on Antiepileptic Drugs

MONDAY, Sept. 11, 2017 (HealthDay News) -- Women on antiepileptic drugs (AEDs) during pregnancy for epilepsy or other indications are at increased risk of giving birth to premature and small-for-gestational-age (SGA) infants, according to a study published online Aug. 30 in the Annals of Neurology.

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Preventive Psychological, Educational Programs Beneficial

FRIDAY, Sept. 8, 2017 (HealthDay News) -- Psychological and/or educational interventions have a small but significant benefit for anxiety prevention, according to a review and meta-analysis published online Sept. 6 in JAMA Psychiatry.

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AMA Joins Brief Seeking VA Coverage of Sex Reassignment Sx

FRIDAY, Sept. 8, 2017 (HealthDay News) -- Several health care-related organizations have filed an amicus brief in support of veterans seeking a rule change that would amend or repeal the U.S. Department of Veterans Affairs (VA) policy of not covering sex-reassignment surgery (SRS) for veterans with gender dysphoria, according to a report published by the American Medical Association (AMA).

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Many Teens With Type 1 Diabetes Report Disordered Eating

THURSDAY, Sept. 7, 2017 (HealthDay News) -- High rates of body dissatisfaction and disordered eating behaviors (DEB) are reported by adolescents with type 1 diabetes, particularly females, according to a study published online Aug. 30 in the International Journal of Eating Disorders.

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Docs Should Be Aware of Family Beliefs Regarding Nondisclosure

WEDNESDAY, Sept. 6, 2017 (HealthDay News) -- Physicians should be aware of societal codes of conduct that affect family beliefs and behaviors regarding information disclosure to pediatric patients, according to a study published online Sept. 5 in JAMA Pediatrics.

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CBT, SSRIs Effectively Cut Anxiety Symptoms in Childhood

TUESDAY, Sept. 5, 2017 (HealthDay News) -- Cognitive behavioral therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs) are effective for reducing symptoms of anxiety in childhood, according to a review published online Aug. 31 in JAMA Pediatrics.

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Role of Stress, Sleep Highlighted in Study of Obesity

TUESDAY, Sept. 5, 2017 (HealthDay News) -- Stress is associated with impaired sleep and increased emotional rewarding of palatable foods, which may lead to obesity, according to research published online Aug. 28 in Obesity Reviews.

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Cognitive Test Predicts Elderly Insulin Injection Success

TUESDAY, Sept. 5, 2017 (HealthDay News) -- A cognitive test involving animal name recall can predict which elderly patients succeed in mastering an insulin self-injection technique within one week, according to a study published online Aug. 28 in the Journal of Diabetes Investigation.

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Suicide Risk Up in Younger Patients With Chronic Illness

FRIDAY, Sept. 1, 2017 (HealthDay News) -- Young adults with chronic diseases like asthma and diabetes are more than four times as likely to attempt suicide as their healthy peers, according to a study published online Aug. 17 in the Canadian Journal of Psychiatry.

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