January 2018 Briefing - Psychiatry

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

TBI Linked to Increased Dementia Risk Over Several Years

WEDNESDAY, Jan. 31, 2018 (HealthDay News) -- Traumatic brain injury (TBI) is associated with persistently increased risk of dementia, according to a study published online Jan. 30 in PLOS Medicine.

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CDC: Many School Children Are Not Getting Enough Sleep

TUESDAY, Jan. 30, 2018 (HealthDay News) -- Many middle school and high school students have short sleep duration, according to research published in the Jan. 26 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Mortality, CVD, T2DM Risks Not Up for Living Kidney Donors

MONDAY, Jan. 29, 2018 (HealthDay News) -- Living kidney donors have no increased risks for all-cause mortality, cardiovascular disease, hypertension, type 2 diabetes, or adverse psychological health outcomes, according to a review published online Jan. 30 in the Annals of Internal Medicine.

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Case Report: Fentanyl Use Associated With Amnesia

MONDAY, Jan. 29, 2018 (HealthDay News) -- Another case of unusual amnestic syndrome that includes bilateral hippocampal lesions on magnetic resonance imaging has been described in a case report published online Jan. 30 in the Annals of Internal Medicine.

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Regulators Trying to Reduce Physician Burden Linked to EHR

MONDAY, Jan. 29, 2018 (HealthDay News) -- The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics.

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Specific White Matter Patterns Linked to Youth Psychopathology

MONDAY, Jan. 29, 2018 (HealthDay News) -- General psychopathology is a heritable trait in youth that may be detected early in life through brain structural connectivity, according to a study published online Jan. 24 in JAMA Psychiatry.

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Weight Loss Among Obese Tied to Improvements in Chronic Pain

MONDAY, Jan. 29, 2018 (HealthDay News) -- For obese individuals with chronic pain, a weight loss intervention is associated with improvements in the spatial distribution of pain and comorbid somatic symptoms, according to a study published in the December issue of the Journal of Pain.

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Health Care Spending Up, Mainly Due to Rising Prices

MONDAY, Jan. 29, 2018 (HealthDay News) -- Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)'s annual Health Care Cost and Utilization Report.

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Parental Supply of Alcohol to Adolescents Is Harmful

FRIDAY, Jan. 26, 2018 (HealthDay News) -- Parental supply of alcohol to adolescents is associated with increased odds of alcohol-related harms, and there is no evidence to support the view that parental supply protects from adverse drinking outcomes, according to a study published online Jan. 25 in The Lancet Public Health.

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Review: Lower Cognitive Scores for HIV+, HIV-Exposed Children

FRIDAY, Jan. 26, 2018 (HealthDay News) -- HIV-infected (HIV+) and HIV-exposed but uninfected (HEU) children have lower cognitive and motor scores than HIV-unexposed and uninfected (HUU) children, according to a review published online Jan. 26 in Pediatrics.

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Heart Disease, Stroke Risk Up Even Smoking 1 Cigarette/Day

THURSDAY, Jan. 25, 2018 (HealthDay News) -- Smoking one cigarette per day is still associated with a significant increased risk of coronary heart disease and stroke, according to research published online Jan. 24 in The BMJ.

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Significant Increase in Sleep Duration Reported for 2003-2016

THURSDAY, Jan. 25, 2018 (HealthDay News) -- From 2003 to 2016 there was a significant increase in sleep duration on weekdays and weekends, according to a study published online Jan. 8 in SLEEP.

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Massed Prolonged Exposure Tx Tied to More PTSD Improvement

THURSDAY, Jan. 25, 2018 (HealthDay News) -- Prolonged exposure therapy administered as mass therapy is associated with a greater reduction in posttraumatic stress disorder (PTSD) symptom severity than a minimal-contact control (MCC), according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.

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Adjunct Zonisamide Beneficial in Dementia With Lewy Bodies

WEDNESDAY, Jan. 24, 2018 (HealthDay News) -- For patients with dementia with Lewy bodies (DLB), zonisamide as an adjunct to levodopa therapy improves parkinsonism, according to a study published online Jan. 24 in Neurology.

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Cognitive Training Aids Memory in People With Mild Impairment

WEDNESDAY, Jan. 24, 2018 (HealthDay News) -- Cognitive training improves memory in older patients with mild cognitive impairment (MCI), according to a study published online Jan. 4 in the Journal of the American Geriatrics Society.

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Written Exposure Therapy Effective PTSD Treatment

TUESDAY, Jan. 23, 2018 (HealthDay News) -- Five sessions of written exposure therapy (WET) are efficacious and an efficient treatment for posttraumatic stress disorder (PTSD), according to a study published online Jan. 17 in JAMA Psychiatry.

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Prevalence of Cigarette Smoking 15.5 Percent in 2016

TUESDAY, Jan. 23, 2018 (HealthDay News) -- The prevalence of cigarette smoking was 15.5 percent in 2016, which was not significantly different from the 15.1 percent prevalence in 2015, according to research published in the Jan. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Closed-Head Injury May Induce TBI Even If No Concussive Sx

TUESDAY, Jan. 23, 2018 (HealthDay News) -- Closed-head impact injuries can induce pathologic traumatic brain injury, independent of concussive signs, according to a study published online Jan. 18 in Brain.

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Out-of-Pocket Expenditures Down With ACA Implementation

TUESDAY, Jan. 23, 2018 (HealthDay News) -- Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine.

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ADHD Meds Increasingly Prescribed to Reproductive-Aged Women

MONDAY, Jan. 22, 2018 (HealthDay News) -- Reproductive-aged women are increasingly being prescribed attention-deficit/hyperactivity disorder (ADHD) medications, according to research published in the Aug. 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Symptoms of Depression May Influence Head, Neck CA Mortality

MONDAY, Jan. 22, 2018 (HealthDay News) -- Depressive symptoms at the time of treatment planning can predict overall two-year mortality in patients with head and neck cancer, according to a study published online Jan. 22 in Cancer.

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Emotions Faced by Living Kidney Donors Can Impact Daily Life

MONDAY, Jan. 22, 2018 (HealthDay News) -- Living kidney donors experience a wide range of emotions throughout the donation process that influences the lives of donors on several levels, according to a study published online Jan. 10 in the Journal of Renal Care.

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Confusion Common in Seniors Prescribed Antibiotics for UTI

MONDAY, Jan. 22, 2018 (HealthDay News) -- Urinary tract infections (UTIs) are common in nursing home (NH) residents, and new or worsening confusion is strongly associated with antibiotic treatment for suspected UTI, according to a study published online Jan. 10 in the Journal of the American Geriatrics Society.

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Brochure Can Improve Opioid Disposal Rates After Surgery

FRIDAY, Jan. 19, 2018 (HealthDay News) -- Disseminating an educational brochure improves disposal of unused opioids after surgery, according to a study published online Jan. 10 in the Journal of the American College of Surgeons.

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Cognitive Behavioral Therapy Cost-Effective in Depressed Teens

FRIDAY, Jan. 19, 2018 (HealthDay News) -- For adolescents with depression who declined or quickly stopped using antidepressants, a brief cognitive behavioral therapy (CBT) program is cost-effective, according to a study published online Jan. 19 in Pediatrics.

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Risk of Psychotic Experiences Up With Teen Cannabis Use

FRIDAY, Jan. 19, 2018 (HealthDay News) -- The risk of psychotic experiences is increased with cannabis use during adolescence, according to a study published online Jan. 17 in JAMA Psychiatry.

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Longer Duration of Post-Op Opioid Use Associated With Misuse

THURSDAY, Jan. 18, 2018 (HealthDay News) -- Each refill and week of opioid prescription following surgery is associated with an increasing risk of opioid misuse among opioid naive patients, according to a study published online Jan. 17 in The BMJ.

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Increased Risk of Complications With Bariatric Surgery

THURSDAY, Jan. 18, 2018 (HealthDay News) -- Bariatric surgery is associated with lower risks of obesity-related comorbidities but a clinically important increased risk for complications compared with medical treatment, according to a study published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.

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Professionals Disagree About Asking Patients About Sexuality

THURSDAY, Jan. 18, 2018 (HealthDay News) -- National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ.

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Onabotulinum Toxin-A Can Safely Improve Sleep Bruxism

THURSDAY, Jan. 18, 2018 (HealthDay News) -- Onabotulinum toxin-A (BoNT-A) injections can improve sleep bruxism, according to a study published online Jan. 17 in Neurology.

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Nearly 30 Percent of Veterans Report Current Tobacco Use

WEDNESDAY, Jan. 17, 2018 (HealthDay News) -- Overall, 29.2 percent of veterans report current use of one of five tobacco products, according to research published in the Jan. 12 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Worry About Deportation May Increase CV Risk Factors

FRIDAY, Jan. 12, 2018 (HealthDay News) -- Worry about deportation is significantly tied to higher levels of known cardiovascular risk factors, according to a study published online Jan. 8 in the Annals of Behavioral Medicine.

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Tamper-Resistant Oxycodone Misused Less Often in Australia

FRIDAY, Jan. 12, 2018 (HealthDay News) -- The tamper-resistant formulation of controlled-release oxycodone in Australia reduced tampering among high-risk populations, according to a study published online Jan. 10 in The Lancet Psychiatry.

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AMA Online Tools Address Systems-Level Physician Burnout

THURSDAY, Jan. 11, 2018 (HealthDay News) -- Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).

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More Sought Mental Health Specialty Care in 2008 to 2015

THURSDAY, Jan. 11, 2018 (HealthDay News) -- Between 2008 and 2015 there was an increase in the number of U.S. adults who received outpatient mental health care in the specialty sector, according to a study published in the December issue of Health Affairs.

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Acetaminophen Use in Pregnancy Linked to Language Delay

THURSDAY, Jan. 11, 2018 (HealthDay News) -- Acetaminophen (acetyl-para-aminophenol [APAP]) use in pregnancy is associated with language delay among girls, according to a study published online Jan. 10 in European Psychiatry.

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Transdermal Estradiol May Help Prevent Depressive Symptoms

THURSDAY, Jan. 11, 2018 (HealthDay News) -- Transdermal estradiol (TE) plus intermittent micronized progesterone (IMP) can prevent clinically significant depressive symptoms among euthymic perimenopausal and early postmenopausal women, according to a study published online Jan. 10 in JAMA Psychiatry.

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Economic Impact of Physicians Quantified for 2015

WEDNESDAY, Jan. 10, 2018 (HealthDay News) -- Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.

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Idalopirdine May Not Improve Cognition in Mild Alzheimer's

TUESDAY, Jan. 9, 2018 (HealthDay News) -- The use of idalopirdine does not improve cognition versus placebo over 24 weeks of treatment for patients with mild-to-moderate Alzheimer's disease (AD), according to research published in the Jan. 9 issue of the Journal of the American Medical Association.

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Mental Disorders Common in Kids With Chronic Physical Conditions

TUESDAY, Jan. 9, 2018 (HealthDay News) -- Children with a physical condition frequently have a mental disorder, which impacts quality of life, according to a study published in the January issue of BMJ Open.

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Maternal Folic Acid, Multivitamin Use May Cut ASD Risk in Offspring

MONDAY, Jan. 8, 2018 (HealthDay News) -- The risk of autism spectrum disorder (ASD) is reduced in offspring with maternal exposure to folic acid and multivitamin supplementation before and during pregnancy, according to a study published online Jan. 3 in JAMA Psychiatry.

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2005 to 2015 Saw Fewer High School Students Having Sex

MONDAY, Jan. 8, 2018 (HealthDay News) -- For high school students, the prevalence of ever having had sexual intercourse decreased from 2005 to 2015, according to research published in the Jan. 5 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Physicians Frequently Continue to Work While Ill

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics.

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Socioeconomic Factors Associated With Opioid Prescriptions

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Among disabled Medicare beneficiaries, county-level socioeconomic factors are associated with opioid prescriptions, with more prescriptions seen with lower socioeconomic indicators, according to a study published in the January issue of Medical Care.

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Closed-Loop Neurotechnology Improves PTSD Symptoms

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Service members and veterans show reductions in post-traumatic stress (PTS) symptomatology, insomnia, depression, and anxiety with use of high-resolution, relational, resonance-based, electroencephalic mirroring (HIRREM), a closed-loop, allostatic, acoustic stimulation neurotechnology, according to a study published online Dec. 22 in Military Medical Research.

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Transcranial Direct Current Stimulation Promising for Bipolar

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Transcranial direct current stimulation (tDCS) appears to be effective and safe as an add-on intervention for adults with bipolar depression, according to a study published online Dec. 27 in JAMA Psychiatry.

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Bidirectional Association for Depression, Dysglycemia in T1DM

FRIDAY, Jan. 5, 2018 (HealthDay News) -- For patients with type 1 diabetes (T1D), there is a bidirectional association between depression and severe hypoglycemia and hyperglycemia, according to a study published online Dec. 18 in Diabetes Care.

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For Hospitals, No Benefit for Early Adoption of Financial Incentives

FRIDAY, Jan. 5, 2018 (HealthDay News) -- Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters), according to a study published online Jan. 4 in The BMJ.

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Certain Stresses, Burnout Causing Some Women to Leave Medicine

THURSDAY, Jan. 4, 2018 (HealthDay News) -- Though equal numbers of men and women are now entering medical schools, the majority of physicians are still male, and female physicians face several unique stressors, according to a report published online in Medical Economics.

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Esketamine Safe, Effective for Treatment-Resistant Depression

THURSDAY, Jan. 4, 2018 (HealthDay News) -- Esketamine seems to be efficacious and safe for patients with treatment-resistant depression (TRD), according to a study published online Dec. 27 in JAMA Psychiatry.

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Non-Cigarette Tobacco Use Tied to Future Cigarette Use in Teens

THURSDAY, Jan. 4, 2018 (HealthDay News) -- Non-cigarette tobacco use is associated with subsequent cigarette smoking among U.S. adolescents, according to a study published online Jan. 2 in JAMA Pediatrics.

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Nurses' Experience of Compassion Impacts Delivery of Care

WEDNESDAY, Jan. 3, 2018 (HealthDay News) -- Critical care nurses' experiences of compassion satisfaction and compassion fatigue influence their ability to deliver patient-centered care, according to a study published online Dec. 21 in the Journal of Clinical Nursing.

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Prevalence of Autism Seems to Be Stabilizing in U.S. Children, Teens

TUESDAY, Jan. 2, 2018 (HealthDay News) -- The prevalence of autism spectrum disorder (ASD) among U.S. children and adolescents was 2.41 percent in 2014 to 2016, according to a research letter published online Jan. 2 in the Journal of the American Medical Association.

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Folic Acid Lessens Autism Risk for Fetal Anti-Epileptic Exposure

TUESDAY, Jan. 2, 2018 (HealthDay News) -- For children exposed to antiepileptic drugs (AEDs) in utero, the risk of autistic traits may be mitigated by use of periconceptional folic acid supplementation, according to a study published online Dec. 26 in JAMA Neurology.

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