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February 2020 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for February 2020. 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.

Varenicline Seems Safe for Adults Without Depression

FRIDAY, Feb. 28, 2020 (HealthDay News) -- For adults without a recent history of depression, use of varenicline for smoking cessation does not appear to be associated with an increased risk for cardiovascular (CV) or neuropsychiatric hospitalizations when compared with nicotine replacement therapy (NRT), according to a study published online Feb. 19 in Addiction.

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Video Game-Like Intervention May Aid Children With ADHD

THURSDAY, Feb. 27, 2020 (HealthDay News) -- Among children with attention-deficit/hyperactivity disorder (ADHD), performance in attentional functioning was significantly improved at four weeks in those receiving a digital intervention versus control sessions, according to a study published online Feb. 24 in The Lancet Digital Health.

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NIH Toolbox Cognitive Battery Valid in Intellectual Disability

THURSDAY, Feb. 27, 2020 (HealthDay News) -- The NIH-Toolbox Cognitive Battery (NIHTB-CB) is reliable and valid for children and young adults with intellectual disability (ID), according to a study published online Feb. 24 in Neurology.

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No Compensatory Smoking Seen With Low-Nicotine Cigarettes

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Smokers do not appear to engage in compensatory smoking when using low-nicotine cigarettes, according to two studies published online Feb. 26 in Cancer Epidemiology, Biomarkers & Prevention.

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Influence of Politics Has Not Waned in Opinions About ACA

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Public opinion about the Affordable Care Act (ACA) remains divided 10 years after its passage, according to a study published online Feb. 19 in Health Affairs.

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USPSTF: Evidence Lacking for Cognitive Impairment Screening

TUESDAY, Feb. 25, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is lacking and that the balance of benefits and harms of cognitive impairment screening for older adults cannot be established. These findings form the basis of a final recommendation statement published in the Feb. 25 issue of the Journal of the American Medical Association.

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Mistreatment, Discrimination Still Common for Medical Students

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Mistreatment of medical students remains common for women, racial/ethnic minorities, and sexual minorities, according to a study published online Feb. 24 in JAMA Internal Medicine.

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Medication Treatment May Lower Risk for Opioid Overdose Death

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Medication treatment with methadone and buprenorphine is associated with a significantly lower risk for overdose death for people with opioid use disorder (OUD) compared with nonmedication treatment, but this lower risk does not persist after discontinuing treatment, according to a study published online Feb. 25 in Addiction.

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Long-Term Antidepressant Use Appears to Raise Risk for T2DM

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Long-term antidepressant use increases the risk for type 2 diabetes onset in a time- and dose-dependent manner, according to a study published online Feb. 12 in Diabetes Care.

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Purdue Launches Ad Campaign for OxyContin Claims

MONDAY, Feb. 24, 2020 (HealthDay News) -- An ad campaign to inform people harmed by the prescription opioid OxyContin as to where they can file claims against maker Purdue Pharma was launched Monday by the company as part of bankruptcy proceedings.

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Regular Exercise Tied to Better Quality of Life in Cancer Survivors

MONDAY, Feb. 24, 2020 (HealthDay News) -- Despite benefits in quality of life, fewer than one in four African-American cancer survivors report meeting recommended levels of weekly physical activity, according to a study published online Feb. 24 in Cancer.

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Increases in Alcohol-Induced Death Rates ID'd Across U.S.

MONDAY, Feb. 24, 2020 (HealthDay News) -- From 2000 to 2016, there were large increases in alcohol-induced death rates across age and racial/ethnic subgroups, according to a study published online Feb. 21 in JAMA Network Open.

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Many Smokers Who Quit Before Gastric Bypass Surgery Relapse

MONDAY, Feb. 24, 2020 (HealthDay News) -- Although most adults who smoke prior to Roux-en-Y gastric bypass (RYGB) quit before surgery, the rate of relapse is high, according to a study published online Feb. 20 in the Annals of Surgery.

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Alzheimer Disease Gene Mapping Project Proposed in New York State

FRIDAY, Feb. 21, 2020 (HealthDay News) -- A proposed project to map the genes of 1 million people in New York living with or at risk for Alzheimer disease was announced Friday by Gov. Andrew Cuomo.

AP News Article

CDC: 19.2 Percent of Unpaid Caregivers in Fair, Poor Health

FRIDAY, Feb. 21, 2020 (HealthDay News) -- Almost 20 percent of informal caregivers in the United States report being in fair or poor health, with considerable variation between states, according to research published in the Feb. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Developmental Disability Diagnosis More Likely in Rural Children

THURSDAY, Feb. 20, 2020 (HealthDay News) -- Children living in rural areas are more likely to be diagnosed with a developmental disability compared with those living in urban areas, according to a study published online Feb. 19 in National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Many Transgender Youth Intentionally Avoid Disclosure

THURSDAY, Feb. 20, 2020 (HealthDay News) -- Most transgender youth voluntarily disclose their gender identity to health care providers (HCPs) outside of a gender clinic; however, almost half report having intentionally avoided disclosure, according to a study published online Feb. 20 in the Journal of Adolescent Health.

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Prenatal Exposure to Phthalates Tied to Autistic Traits in Children

WEDNESDAY, Feb. 19, 2020 (HealthDay News) -- Gestational exposure to phthalates is associated with higher scores on the Social Responsiveness Scale II (SRS-2), as a measure of autistic traits and social impairment, according to a study published online Feb. 19 in Environmental Health Perspectives.

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Low-Cost Marketing of Stimulants to Physicians May Increase Rx Rates

TUESDAY, Feb. 18, 2020 (HealthDay News) -- Low-cost marketing to physicians may be driving up stimulant prescribing rates, according to a research letter published online Jan. 21 in JAMA Pediatrics.

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Guidelines Issued for Insomnia, Sleep Apnea in Current, Former Soldiers

TUESDAY, Feb. 18, 2020 (HealthDay News) -- In a new practice guideline, published online Feb. 18 in the Annals of Internal Medicine, recommendations are presented for the screening, evaluation, and treatment of obstructive sleep apnea (OSA) and chronic insomnia disorder in military personnel and veterans.

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U.S. Life Expectancy to Reach 85 by 2060

FRIDAY, Feb. 14, 2020 (HealthDay News) -- Nearly a quarter of all U.S. residents will be older than 65 by 2060, and life expectancy will reach an all-time high of 85 by that year, according to the U.S. Census Bureau.

AP News Article

Telemarketer Access to Medicare Information to Be Investigated

FRIDAY, Feb. 14, 2020 (HealthDay News) -- An investigation into how telemarketers may be obtaining seniors' personal Medicare information will be launched by the U.S. Health and Human Services inspector general office.

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More Information: HHS

Teens With ADHD Less Likely Than Preteens to Have Doctor Visit

FRIDAY, Feb. 14, 2020 (HealthDay News) -- Children with attention-deficit/hyperactivity disorder (ADHD) are less likely to have a primary care visit during adolescence than preadolescence, according to a study published in the February/March issue of the Journal of Developmental & Behavioral Pediatrics.

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Sedentary Behavior, Activity Linked to Depression at Age 18

THURSDAY, Feb. 13, 2020 (HealthDay News) -- Sedentary behavior throughout adolescence is associated with the risk for depressive symptoms at age 18 years, according to a study published online Feb. 11 in The Lancet Psychiatry.

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Caregivers Are in Need of Better Health Care Coverage, Access

THURSDAY, Feb. 13, 2020 (HealthDay News) -- Unpaid adult caregivers are at higher risk for not having insurance and putting off necessary health services due to cost, according to a study recently published in Rehabilitation Psychology.

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2011 to 2018 Saw Decline in Problems Paying Medical Bills

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- From 2011 to 2018, there was a decrease in the percentage of families having problems paying medical bills in the past 12 months, according to a February data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Recommendations Issued for Sleep Disturbance in Pediatric Autism

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- In an American Academy of Neurology practice guideline, published online Feb. 12 in Neurology, recommendations are presented for addressing sleep disturbances in children and adolescents with autism spectrum disorder (ASD).

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2002 to 2018 Saw Increases in Heroin Use, Use Disorder, Injection

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- The prevalence of heroin use, heroin use disorder, and heroin injection increased from 2002 to 2018, according to a research letter published in the Feb. 11 issue of the Journal of the American Medical Association.

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Nonpharmaceutical Interventions Aid Low Back Pain

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- Movement-based mind-body interventions (MMBIs), particularly yoga, are effective for reducing low back pain, according to a review published in the January/February issue of Holistic Nursing Practice.

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Brain MRIs ID Racial Differences in Pain Response

TUESDAY, Feb. 11, 2020 (HealthDay News) -- Racial differences in pain may be rooted in life experience, rather than intrinsic biology, according to a study published online Feb. 3 in Nature Human Behaviour.

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Use of General Anesthesia May Up Risk for Postpartum Depression

TUESDAY, Feb. 11, 2020 (HealthDay News) -- General anesthesia for cesarean delivery is associated with increased odds of severe postpartum depression (PPD), suicidal ideation, and self-inflicted injury, according to a study published online Jan. 29 in Anesthesia & Analgesia.

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Resting-State EEG Can Predict Sertraline Treatment Outcomes

MONDAY, Feb. 10, 2020 (HealthDay News) -- A latent-space machine learning algorithm tailored for resting-state electroencephalography (rsEEG) can predict treatment outcomes with sertraline in depression, according to a study published online Feb. 10 in Nature Biotechnology.

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Empathy Declines as Students Progress Through Medical School

MONDAY, Feb. 10, 2020 (HealthDay News) -- Students become less empathic toward patients throughout medical school, according to a study published online Jan. 21 in Academic Medicine.

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Medical Group Opposes States' Limits on Trans Youth Access to Treatment

MONDAY, Feb. 10, 2020 (HealthDay News) -- A group of medical professionals in southern states opposes proposals that would limit transgender minors' access to gender-affirming health care such as hormone therapy and surgery.

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Seniors Have Concerns About Affording Health Insurance

MONDAY, Feb. 10, 2020 (HealthDay News) -- Many adults aged 50 to 64 years are concerned about their ability to afford health insurance, according to a study published online Feb. 7 in JAMA Network Open.

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Sexual Minority Youth More Likely to Attempt Suicide

MONDAY, Feb. 10, 2020 (HealthDay News) -- More teenagers are identifying as sexual minorities, and sexual minority youth have high prevalence of suicidal ideation, plans, and attempts, according to two studies published online Feb. 10 in Pediatrics.

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Telepsychiatry Services Expand Access to Behavioral Health Care

MONDAY, Feb. 10, 2020 (HealthDay News) -- Two studies published online Feb. 5 in Psychiatric Services show the successful use of telepsychiatry services in different settings.

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Number of Nurse Practitioners More Than Doubled 2010 to 2017

FRIDAY, Feb. 7, 2020 (HealthDay News) -- From 2010 to 2017, there was a substantial increase in the number of nurse practitioners in the United States, with a corresponding reduction in the size of the registered nurse workforce, according to a report published in the February issue of Health Affairs.

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Speaker Conflicts of Interest May Bias Testimony About Drugs

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Public speakers who disclose a conflict of interest (COI) with a pharmaceutical company are more likely to provide a favorable testimony for the recommendation of psychiatric drugs, according to a study published online Feb. 4 in BMJ Evidence-Based Medicine.

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Reference Pricing Linked to Lower Prices Paid by Employers

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Reference prices are associated with lower prices paid by employers and lower cost sharing by employees, according to a study published online Feb. 5 in JAMA Network Open.

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Recommendations Developed for Management of Complex ADHD

THURSDAY, Feb. 6, 2020 (HealthDay News) -- In a Society for Developmental and Behavioral Pediatrics Clinical Practice Guideline, published online Jan. 30 in the Journal of Developmental and Behavioral Pediatrics, recommendations are presented for the management of complex attention-deficit/hyperactivity disorder (ADHD) in childhood.

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Kratom Seems Safe for Pain, Anxiety, Opioid Withdrawal

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Kratom is used for symptoms of pain, anxiety, depression, and opioid withdrawal, and serious adverse events are uncommon, according to a the results of a survey published online Feb. 3 in Drug and Alcohol Dependence.

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Repeated Measures of 9/11-Related PTSD Tied to Mortality

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Based on repeated measures, 9/11-related probable posttraumatic stress disorder (PTSD) is associated with an increased mortality risk, according to a study published online Feb. 5 in JAMA Network Open.

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Suicide Risk Increased Among Both Male, Female Nurses

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- Nurses have an increased risk for suicide and are more likely to have job problems and mental health history and to leave a suicide note, according to a study published online Feb. 3 in Worldviews on Evidence-Based Nursing.

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Industry Ties May Bias Indoor Tanning Studies

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- Although they comprise a small percentage of all published articles, articles with financial links to the indoor tanning industry are more likely to favor indoor tanning, according to a review published online Feb. 4 in The BMJ.

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Soldiers With Traumatic Brain Injury at Risk for Mental Illness

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- U.S. combat soldiers who have suffered a moderate or severe traumatic brain injury (TBI) are more likely to experience a range of mental health disorders than soldiers with other serious injuries, according to a study recently published in Military Medicine.

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Suicide Rates Higher for Individuals With Neurological Disorders

TUESDAY, Feb. 4, 2020 (HealthDay News) -- Rates of suicide are significantly higher for individuals diagnosed with a neurological disorder versus the general population, according to a study published in the Feb. 4 issue of the Journal of the American Medical Association.

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Atypical Sleep Tied to Language Skills in Neurodevelopmental Disorders

TUESDAY, Feb. 4, 2020 (HealthDay News) -- In children with fragile X syndrome (FXS), Down syndrome (DS), and Williams syndrome (WS), disrupted sleep may adversely affect language development, according to a study published in the February issue of Research in Developmental Disabilities.

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More Than One in 10 Deployed Soldiers Thinks About Suicide

TUESDAY, Feb. 4, 2020 (HealthDay News) -- Major depressive disorder (MDD) and noncombat trauma are important factors tied to suicide ideation (SI) risk during combat deployment, according to a study published online Jan. 29 in JAMA Network Open.

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Bumetanide Promising for Reducing Autism Symptoms

TUESDAY, Feb. 4, 2020 (HealthDay News) -- Bumetanide seems effective for improving symptoms of autism spectrum disorder (ASD) in young children, according to a study published online Jan. 27 in Translational Psychiatry.

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Altering Default Settings in EHR Influences Opioid Prescribing

MONDAY, Feb. 3, 2020 (HealthDay News) -- Altering the default settings in the electronic medical record can influence the quantity of opioids prescribed in an emergency department setting, according to a study published online Jan. 21 in JAMA Internal Medicine.

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Mothers With Autism Face Higher Rates of Postpartum Depression

MONDAY, Feb. 3, 2020 (HealthDay News) -- Mothers with autism face unique challenges, and the stigma of being autistic can further exacerbate communication issues, according to a study published online Jan. 6 in Molecular Autism.

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More Naloxone Orders Filled When Pharmacists Can Dispense

MONDAY, Feb. 3, 2020 (HealthDay News) -- A change in the law allowing pharmacists to dispense naloxone correlated with a large increase in the number of naloxone orders dispensed in Ohio, according to a study published online Jan. 31 in JAMA Network Open.

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