December 2017 Briefing - Psychiatry

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

Tips Offered for Patient-Provider Opioid Tapering Talks

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Helping patients understand individualized reasons for opioid tapering and encouraging them to provide input into the process are key for patient-provider communications, according to a study published in the November issue of the Journal of Pain.

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More Daily Steps Associated With Thicker Brain Sub-Regions

THURSDAY, Dec. 28, 2017 (HealthDay News) -- In older adults with memory complaints but no dementia, higher physical activity (PA) levels are associated with thicker medial temporal lobe (MTL) sub-regions and better cognitive skills, according to a study published online Dec. 12 in the Journal of Alzheimer's Disease.

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Neuroanatomic Abnormalities ID'd in Those at Risk for Autism

THURSDAY, Dec. 28, 2017 (HealthDay News) -- Neuroanatomic abnormalities are seen in cohorts at high risk for autism spectrum disorder (ASD), according to a study published in the January issue of Radiology.

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Psychosocial Risk in Teens Tied to Lasting HIV Vulnerability

THURSDAY, Dec. 28, 2017 (HealthDay News) -- High-frequency psychosocial risk factors during adolescence have a lasting effect on the likelihood of engaging in HIV risk behaviors in adulthood, according to a study published online Dec. 12 in AIDS.

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Three-Quarters Receiving 'End of Life Option Act' Drugs Take Them

THURSDAY, Dec. 28, 2017 (HealthDay News) -- About three-quarters of patients in California who receive End of Life Option Act (EOLOA) drugs ingest them and die, according to a research letter published online Dec. 26 in JAMA Internal Medicine.

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Smoking Cessation Drug Tied to Increased Cardiovascular Risk

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Individuals taking varenicline for smoking cessation appear to be at increased risk of cardiovascular but not neuropsychiatric events, according to a study published online Dec. 20 in the American Journal of Respiratory and Critical Care Medicine.

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Dermatologists Often Undervalue Depression, Anxiety in Patients

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Dermatologists across Europe tend to underestimate mood disorders in their patients, according to a study published online Dec. 16 in the British Journal of Dermatology.

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Weak Association for Blood Lead Levels, Criminal Behavior

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Childhood blood lead level (BLL) is a poor discriminator between criminal conviction and no conviction, according to a study published online Dec. 26 in JAMA Pediatrics.

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2009 to 2016 Saw Increase in Prenatal Marijuana Use

WEDNESDAY, Dec. 27, 2017 (HealthDay News) -- Prenatal marijuana use increased from 2009 to 2016 for pregnant women of all ages, according to a research letter published in the Dec. 26 issue of the Journal of the American Medical Association.

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Early Menarche May Affect Mental Health in Adulthood

TUESDAY, Dec. 26, 2017 (HealthDay News) -- Girls with menarche at earlier ages may be at elevated risk for mental health issues in adolescence that carry into adult years, according to a study published online Dec. 26 in Pediatrics.

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Exercise Reduces Sleep Problems in Breast Cancer Survivors

TUESDAY, Dec. 26, 2017 (HealthDay News) -- A physical activity intervention reduces perceived sleep dysfunction at three and six months for post-primary treatment breast cancer survivors, according to a study published recently in Medicine & Science in Sports & Exercise.

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Gender Differences Seen in Mental Stress-Induced Ischemia

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Men and women have different cardiovascular reactivity mechanisms for mental stress-induced myocardial ischemia (MSIMI), according to a study published online Dec. 21 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Varenicline Linked to Reduction in Heavy Drinking in Men

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Varenicline is associated with reduced heavy drinking among men and with increased smoking abstinence, according to a study published online Dec. 20 in JAMA Psychiatry.

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Findings Support Comprehensive Approach for Seniors With Cancer

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Addressing persistent symptoms, managing comorbidities, promoting leisure-time physical activity, and addressing financial challenges are key in optimizing health-related quality of life (HRQOL) in older adults with cancer, according to a study published online Dec. 18 in Cancer.

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Wearing Amber Lenses Before Bed May Help With Insomnia

THURSDAY, Dec. 21, 2017 (HealthDay News) -- For individuals with insomnia symptoms, wearing amber versus clear lenses for two hours before bedtime is associated with improved sleep, according to a study published in the January issue of the Journal of Psychiatric Research.

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Financial Strain, Stress High Among Colorectal CA Survivors

THURSDAY, Dec. 21, 2017 (HealthDay News) -- Four in 10 colorectal cancer survivors report cancer-related financial stress or strain, which is significantly associated with low health-related quality of life, according to a study published in the January issue of Diseases of the Colon & Rectum.

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Cognitive Benefits Seen With Leafy Green Vegetable Intake

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Intake of primary nutrients and bioactives in green leafy vegetables is associated with slower cognitive decline, according to a study published online Dec. 20 in Neurology.

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Rheumatic Diseases Associated With Increased Dementia Risk

WEDNESDAY, Dec. 20, 2017 (HealthDay News) -- Patients with various rheumatic diseases have an increased risk of dementia, according to a study published online Dec. 15 in the International Journal of Rheumatic Diseases.

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RA Exposure In Utero Tied to Increased Disease Risk

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Children born to mothers with rheumatoid arthritis may have an increased risk of rheumatoid arthritis, thyroid disease, and epilepsy, according to a study published online Dec. 11 in Arthritis Care & Research.

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DBS Safe But Not Beneficial in Parkinson's Dementia

TUESDAY, Dec. 19, 2017 (HealthDay News) -- Low-frequency deep brain stimulation of the nucleus basalis of Meynert (NBM DBS) can be safely conducted in patients with Parkinson's disease dementia, but it does not result in significant improvements in primary cognitive outcomes, according to a study published online Dec. 18 in JAMA Neurology.

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Male U.S. Doctors Receive Higher Values of Industry Payments

MONDAY, Dec. 18, 2017 (HealthDay News) -- Male physicians in the United States received higher values of general payments from industry than females in 2015, according to a research letter published online Dec. 18 in JAMA Internal Medicine.

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No Magic Bullet for Preventing Late-Life Dementia

MONDAY, Dec. 18, 2017 (HealthDay News) -- The evidence of benefit for different types of interventions to prevent late-life dementia is limited, according to four reviews published online Dec. 18 in the Annals of Internal Medicine.

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Year One Results Out for Value-Based Payment Modifier Program

MONDAY, Dec. 18, 2017 (HealthDay News) -- Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program, according to a report published in the December issue of Health Affairs.

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Doctors Must Report on at Least 1 Patient, 1 Measure for MACRA

FRIDAY, Dec. 15, 2017 (HealthDay News) -- In order to meet the 2017 Medicare and CHIP Reauthorization Act (MACRA) participation reporting deadline and avoid a Medicare payment penalty in 2019, physicians must report on at least one patient and one measure by Dec. 31, and submit to Medicare no later than Feb. 28, 2018, according to a report from the American Medical Association (AMA).

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Making Insurers Participate in Marketplace Could Cut Volatility

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Requiring insurers that participate in Medicare or Medicaid to also participate in Marketplaces in the same geographic area could improve access to insurance, according to a study published in the December issue of Health Affairs.

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Transcranial Direct Current Stimulation No Aid to Memory

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Anodal transcranial direct current stimulation (tDCS) applied to the left dorsolateral prefrontal cortex (DLPFC) may not enhance short-term memory in healthy individuals, according to a study published online Nov. 23 in CNS Neuroscience & Therapeutics.

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In Utero Methylphenidate Exposure Tied to Heart Defects

WEDNESDAY, Dec. 13, 2017 (HealthDay News) -- Intrauterine exposure to methylphenidate is associated with a small increase in the risk of cardiac malformations, according to a study published online Dec. 13 in JAMA Psychiatry.

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Disrupted Sleep Linked to Increased Amyloid-β Production

WEDNESDAY, Dec. 13, 2017 (HealthDay News) -- Disrupted sleep is associated with increased amyloid-β production in adults, according to a study published online Dec. 8 in the Annals of Neurology.

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Low Oxytocin Tied to Impaired Social-Emotional Function

WEDNESDAY, Dec. 13, 2017 (HealthDay News) -- Low oxytocin levels are related to a lack of emotional awareness in women with a history of anorexia nervosa (AN), according to a study published recently in the International Journal of Eating Disorders.

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Cognitive Status Doesn't Impact Cortical Aβ, Tau in Parkinson's

TUESDAY, Dec. 12, 2017 (HealthDay News) -- Patterns of cortical β-amyloid (Aβ) and tau are not different for patients with Parkinson's disease (PD) who are cognitively normal (PD-CN) or with mild cognitive impairment (MCI) and for healthy adults, according to a study published online Dec. 11 in JAMA Neurology.

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USPSTF Recommends Against Hormone Tx Post Menopause

TUESDAY, Dec. 12, 2017 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends against use of hormone therapy for preventing chronic conditions in postmenopausal women. These findings form the basis of a final recommendation statement published in the Dec. 12 issue of the Journal of the American Medical Association.

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Preconception Paternal SSRI Use Linked to ADHD in Offspring

MONDAY, Dec. 11, 2017 (HealthDay News) -- Paternal use of selective serotonin reuptake inhibitors (SSRIs) before conception is associated with increased risk of attention-deficit/hyperactivity disorder (ADHD) in offspring, according to a study published online Dec. 11 in Pediatrics.

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Deceleration in Health Care Spending Growth in 2016

MONDAY, Dec. 11, 2017 (HealthDay News) -- Health care spending growth slowed in 2016 following faster growth in 2014 and 2015, according to research published online Dec. 6 in Health Affairs.

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Dopamine Receptor Antagonist Antipsychotic Tx Can Affect BP

FRIDAY, Dec. 8, 2017 (HealthDay News) -- Use of dopaminergic antagonists and agonists can affect blood pressure (BP), according to a review published online Nov. 8 in the Journal of Clinical Pharmacy and Therapeutics.

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15 Million Americans Expected to Have Alzheimer's by 2060

THURSDAY, Dec. 7, 2017 (HealthDay News) -- A total of 15.0 million Americans are expected to have clinical Alzheimer's disease (AD) or mild cognitive impairment by 2060, according to a study published online Dec. 7 in Alzheimer's & Dementia.

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Impaired White Matter Integrity for Depression in Parkinson's

THURSDAY, Dec. 7, 2017 (HealthDay News) -- Parkinson's disease (PD) patients with depression have impaired white matter integrity, especially in the long contact fibers in the left hemisphere, according to a study published online Nov. 10 in CNS Neuroscience & Therapeutics.

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CVS-Aetna Merger Has Implications for Doctors' Offices

TUESDAY, Dec. 5, 2017 (HealthDay News) -- CVS Health's planned purchase of insurance giant Aetna, a $69 billion deal, was announced Sunday.

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Spatial Variation in Psychosis Incidence in Rural Areas

MONDAY, Dec. 4, 2017 (HealthDay News) -- In rural areas, there is spatial variation in the incidence of nonaffective and affective psychotic disorders, according to a study published online Nov. 29 in JAMA Psychiatry.

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Risk of Persistent Opioid Use a Concern for Youth After Surgery

MONDAY, Dec. 4, 2017 (HealthDay News) -- Adolescents and young adults are at risk for persistent opioid use after surgery, and this represents an important pathway to consider in the epidemic of prescription opioid misuse, according to a study published online Dec. 4 in Pediatrics.

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Memory Scores Limited As Alzheimer's Screening Tool

MONDAY, Dec. 4, 2017 (HealthDay News) -- Low memory scores are an early marker of amyloid positivity, but have limited value as a screening measure for early Alzheimer's disease among persons without dementia, according to a study published online Nov. 29 in JAMA Psychiatry.

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Network Density Not Linked to Response in Teen Depression

FRIDAY, Dec. 1, 2017 (HealthDay News) -- Adolescents with depression who are poor responders to treatment do not have more densely connected networks, according to a research letter published online Nov. 29 in JAMA Psychiatry.

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FDA Approves Once-Monthly Injection for Opioid Addiction

FRIDAY, Dec. 1, 2017 (HealthDay News) -- Sublocade, a once-monthly injection of buprenorphine to treat opioid use disorder, has been approved by the U.S. Food and Drug Administration.

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Lower Microbial Diversity in the Gut in Anorexia Nervosa

FRIDAY, Dec. 1, 2017 (HealthDay News) -- Females with anorexia nervosa (AN) have lower gut microbial diversity, according to a study published online Nov. 13 in the International Journal of Eating Disorders.

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