November 2014 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for November 2014. 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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Psychosocial Therapy Linked to Lower Suicide Risk

MONDAY, Nov. 24, 2014 (HealthDay News) -- Psychosocial therapy significantly reduces suicide attempts and deaths among people who have previously attempted suicide, according to a new study published online Nov. 24 in The Lancet Psychiatry.

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Being the Boss Tied to Depression Risk for Women

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Being the boss at work seems to raise the odds for symptoms of depression among women, but not men, according to new research published in the December issue of the Journal of Health and Social Behavior.

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Severe Mental Illness Linked to Increased Mortality After MI

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Patients with severe mental illness (SMI) have increased mortality after myocardial infarction, according to a study published online Nov. 17 in the Journal of Internal Medicine.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Prosocial Internet Support Group Not Beneficial for Breast Cancer

FRIDAY, Nov. 21, 2014 (HealthDay News) -- A prosocial Internet support group (ISG) that encourages breast cancer survivors with elevated anxiety or depression to help others may not be beneficial, according to a study published online Nov. 17 in the Journal of Clinical Oncology.

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Could Occupation Help Preserve the Aging Brain?

THURSDAY, Nov. 20, 2014 (HealthDay News) -- Jobs requiring intellectually challenging tasks may help preserve thinking skills and memory as workers age, according to a study published online Nov. 19 in Neurology.

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Psychological Intervention Beneficial for Dementia Carers

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- A psychological intervention demonstrates clinical effectiveness and cost-effectiveness for family carers for people with dementia, according to a study published online Nov. 19 in The Lancet Psychiatry.

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FDA: Two Generic Versions of ADHD Drug Not As Effective

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Two generic versions of the attention-deficit/hyperactivity disorder drug Concerta may not work as effectively as the brand-name product does, the U.S. Food and Drug Administration said Thursday.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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Catastrophizing Linked to Pain, Disability in Low Back Pain

THURSDAY, Nov. 13, 2014 (HealthDay News) -- For patients with low back pain, catastrophizing may be associated with pain and disability, and fear-avoidance beliefs (FABs) correlate with poor treatment outcomes, according to two reviews published in the Nov. 1 issue of The Spine Journal.

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ADHD Stimulant Drug Abuse Common Among Young Adults

THURSDAY, Nov. 13, 2014 (HealthDay News) -- According to a new survey sponsored by the Partnership for Drug-Free Kids, abuse of prescription stimulants is becoming "normalized" among college students and other young adults.

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B Vitamins May Not Boost Cognitive Performance

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Taking vitamin B12 or folic acid supplements may not reduce seniors' risk of memory loss, according to a study published online Nov. 12 in Neurology.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Omega-3 PUFAs Can Reduce Smoking, Cut Tobacco Craving

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Supplementation with omega-3 polyunsaturated fatty acids (PUFAs) can reduce daily smoking and tobacco craving, according to a study published in the Journal of Psychopharmacology.

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Pain, Depression Tied to Delirium Risk Post-Surgery

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Pain and depression before an operation may increase seniors' risk for delirium after surgery, according to a study published in the November issue of The Lancet Psychiatry.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Sexual Function, Mental Health Linked in Rheumatic Disease

FRIDAY, Nov. 7, 2014 (HealthDay News) -- The presence of anxiety and depression in people with rheumatic diseases may be an independent predictor of sexual dysfunction, according to a study published in the November issue of the Journal of Sexual Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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Predictors of Insomnia ID'd in Long-Term Care Facilities

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Predictors of insomnia in long-term care facilities in Europe and Israel include age, depression, hypnosedatives, and stressful life events, according to a study published online Oct. 30 in the Journal of the American Geriatrics Society.

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ADHD Linked to Expectant Mothers' Pollution Exposure

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Pregnant women exposed to air pollution are five times more likely to have children who develop behavior problems related to attention-deficit/hyperactivity disorder (ADHD), according to a study published online Nov. 5 in PLOS ONE.

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Collaborative Care Cuts Depression With Diabetes

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Using a nurse case-manager-based collaborative primary care team can cut depressive symptoms in patients with type 2 diabetes, according to a study published online Oct. 14 in Diabetes Care.

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'Purpose in Life' a Boon to Seniors' Health

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Older adults with a strong sense of purpose in life may be particularly likely to get health screenings such as cholesterol tests and mammograms, and appear to spend less time in the hospital, according to research published online Nov. 3 in the Proceedings of the National Academy of Sciences.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Psychosocial Interventions Tied to Telomere Length Maintenance

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- For distressed breast cancer survivors, psychosocial interventions such as mindfulness-based cancer recovery (MBCR) and supportive-expressive group therapy (SET) result in a trend toward telomere length (TL) maintenance, according to a study published online Nov. 3 in Cancer.

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Nearly 75% of Patients With No CAD Have Persistent Symptoms

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Nearly three-quarters of people whose hearts are found to be healthy after being checked for coronary artery disease continue to have persistent symptoms such as chest pain, according to research published online Nov. 3 in Open Heart.

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Better Detection Major Factor Behind Rise in Autism Cases

TUESDAY, Nov. 4, 2014 (HealthDay News) -- The dramatic increase in the number of children diagnosed with an autism spectrum disorder is largely the result of changes in how the condition is reported, Danish researchers contend. The report was published online Nov. 3 in JAMA Pediatrics.

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Many Americans May Get Hospice Care Too Late

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Of the more than 1.5 million patients who received hospice care in the United States in 2013, one-third died within one week, according to a new report from the National Hospice and Palliative Care Organization.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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Resilience Training Could Help Prevent Burnout in ICU Nurses

MONDAY, Nov. 3, 2014 (HealthDay News) -- A multimodal resilience training program is feasible and acceptable for intensive care unit (ICU) nurses, according to a study published in the November issue of the American Journal of Critical Care.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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Typical ADHD Care Leaves Room for Improvement

MONDAY, Nov. 3, 2014 (HealthDay News) -- Many community-based pediatricians do not follow guideline-recommended care for children with attention-deficit/hyperactivity disorder (ADHD), according to a new study published online Nov. 3 in Pediatrics.

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