June 2019 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for June 2019. 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.

Functional Decline Seen in Many Older Adults Initiating Dialysis

FRIDAY, June 28, 2019 (HealthDay News) -- For older adults initiating dialysis, many experience a decline in functional status after six months, and the prevalence of high caregiver burden increases, according to a study published online June 27 in the Clinical Journal of the American Society of Nephrology.

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Social Media Use Tied to Esteem, Cosmetic Surgery Acceptance

FRIDAY, June 28, 2019 (HealthDay News) -- Users of some social media platforms and photo editing have lower self-esteem and increased acceptance of cosmetic surgery, according to a study published online June 27 in JAMA Facial Plastic Surgery.

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More Than 1 in 5 Young Men Use Disordered Eating to Bulk Up

THURSDAY, June 27, 2019 (HealthDay News) -- Disordered eating to bulk up is common among young men and may be a warning sign of future health problems, according to a study published online June 20 in the International Journal of Eating Disorders.

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Migraine Prevalence Up for Food-Insecure Young Adults

THURSDAY, June 27, 2019 (HealthDay News) -- The prevalence of migraine is elevated for young adults with food insecurity, according to a study published online June 24 in JAMA Neurology.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) -- After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) -- Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Exposure to Anticholinergics May Increase Dementia Risk

TUESDAY, June 25, 2019 (HealthDay News) -- Exposure to anticholinergic drugs is associated with an increased dementia risk, according to a study published online June 24 in JAMA Internal Medicine.

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FDA Warns Two Kratom Marketers About False Claims

TUESDAY, June 25, 2019 (HealthDay News) -- The U.S. Food and Drug Administration on Tuesday took two kratom marketers to task over false claims that their products can treat or cure opioid addiction.

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Outcomes Poor Years After Radiation for Pediatric Glioma Survivors

TUESDAY, June 25, 2019 (HealthDay News) -- Survivors of childhood low-grade gliomas treated with radiotherapy have poorer neuropsychological and socioeconomic-status (SES) outcomes, according to a study published online June 24 in Cancer.

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Death From Specific Causes Up for Veterans With PTSD

MONDAY, June 24, 2019 (HealthDay News) -- Among veterans with posttraumatic stress disorder (PTSD), all-cause mortality is elevated, especially death from suicide, accidental injury, and viral hepatitis, according to a study published online June 24 in the American Journal of Preventive Medicine.

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Suicide Risk Seen Among Older Adults Living in Long-Term Care

MONDAY, June 24, 2019 (HealthDay News) -- More than 2 percent of suicides among adults 55 years and older are associated with patients living in or transitioning to long-term care (LTC), according to a study published online June 14 in JAMA Network Open.

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Anxiety With Type 2 Diabetes Tied to High-Cost Health Care Use

MONDAY, June 24, 2019 (HealthDay News) -- Anxiety is independently associated with high-cost resource use among individuals with type 2 diabetes, according to a study published online June 18 in Diabetes Care.

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2018 Busiest Year Ever for U.S. National Domestic Violence Hotline

FRIDAY, June 21, 2019 (HealthDay News) -- The U.S. National Domestic Violence Hotline had its busiest year ever in 2018, receiving 573,670 calls, texts, and online chats, a 36 percent increase from 2017.

NBC News Article

New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) -- The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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Chronic Distress After Heart Attack Ups Risk for Death

THURSDAY, June 20, 2019 (HealthDay News) -- Heart attack survivors with persistent emotional distress -- depression or anxiety -- are at a higher risk for death, according to a study published online June 3 in the European Journal of Preventive Cardiology.

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Suicide Rates Increased for Men, Women From 1999 to 2017

THURSDAY, June 20, 2019 (HealthDay News) -- From 1999 to 2017, there was an increase in suicide rates for women and men, according to a report published in the June Health E-Stats, a publication of the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) -- Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Suicide Rates Peaked for Teens, Young Adults in 2017

WEDNESDAY, June 19, 2019 (HealthDay News) -- Among adolescents and young adults, suicide rates increased to a high point in 2017, according to a research letter published in the June 18 issue of the Journal of the American Medical Association.

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One in Five Have Mental Health Issues in Conflict-Affected Areas

TUESDAY, June 18, 2019 (HealthDay News) -- The burden of mental disorders is high in conflict-affected areas, according to a review published online June 11 in The Lancet.

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Cognitive Consequences Worse for Pediatric-Onset Multiple Sclerosis

TUESDAY, June 18, 2019 (HealthDay News) -- Patients with pediatric-onset multiple sclerosis (POMS) have a more rapid reduction in information-processing efficiency over time in adulthood, and they are more likely to experience cognitive impairment than patients with adult-onset MS (AOMS), according to a study published online June 17 in JAMA Neurology.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) -- Three large drug makers have launched a legal challenge against the Trump administration's rule requiring the prices of drugs to be included in television ads.

The New York Times Article

Maine Legalizes Assisted Suicide

FRIDAY, June 14, 2019 (HealthDay News) -- Maine has become the eighth state to legalize medically assisted suicide.

AP News Article

Two-Hour Weekly Dose of Nature May Aid Health, Well-Being

FRIDAY, June 14, 2019 (HealthDay News) -- Spending at least two hours a week in nature may promote health and well-being, according to a study published online June 13 in Scientific Reports.

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Prenatal Antiepileptic Rx Exposure Ups Risk for Behavioral Issues

FRIDAY, June 14, 2019 (HealthDay News) -- There is an increased risk for behavioral problems in children of mothers with epilepsy who take common antiepileptic drugs during pregnancy, according to a study published online June 5 in Epilepsia.

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Drug- and Alcohol-Related Deaths Higher After Bariatric Surgery

FRIDAY, June 14, 2019 (HealthDay News) -- Drug- and alcohol-related mortality is significantly higher than expected in the seven years following bariatric surgery, according to a study recently published in Surgery for Obesity and Related Diseases.

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Depression Symptoms Greater in Mothers With Prior Eating Disorders

THURSDAY, June 13, 2019 (HealthDay News) -- Women with eating disorders experience persistently greater depressive symptoms across the life-course, according to a study recently published in the British Journal of Psychiatry.

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Drug, Alcohol, and Suicide Deaths Up Among Millennials

THURSDAY, June 13, 2019 (HealthDay News) -- Drug, alcohol, and suicide deaths have increased among millennials, according to a report issued by the Trust for America's Health and the Well Being Trust.

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Long-Term Opioid Prescribing Up Among Older Cancer Survivors

THURSDAY, June 13, 2019 (HealthDay News) -- The rates of prolonged opioid prescribing remain high for older cancer survivors five or more years after cancer diagnosis, according to a study published in the May issue of the Journal of the American Geriatrics Society.

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Gabapentinoids Linked to Increased Risk for Significant Adverse Outcomes

THURSDAY, June 13, 2019 (HealthDay News) -- Gabapentinoids are associated with increased risks for adverse outcomes related to coordination disturbances, mental health, and criminality, according to a study published online June 12 in The BMJ.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) -- Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Exposure to Air Pollution May Impact Children's Cognitive Abilities

WEDNESDAY, June 12, 2019 (HealthDay News) -- Early-life exposure to fine particulate matter (PM2.5) is associated with a reduction in fundamental cognitive abilities, according to a study recently published in Environmental Health Perspectives.

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Health Care Aides Frequently Report Verbal Abuse

WEDNESDAY, June 12, 2019 (HealthDay News) -- More than one in five home care (HC) aides report verbal abuse from clients and their family members, according to a study published online June 11 in Occupational & Environmental Medicine.

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Prescription Opioid Use Up Among Binge Drinkers

TUESDAY, June 11, 2019 (HealthDay News) -- Prescription opioid misuse is more common among binge drinkers, with the prevalence of opioid misuse increasing with binge drinking frequency, according to a study published online June 11 in the American Journal of Preventive Medicine.

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Simple Tweaks Retrain Night Owls' Internal Clocks

TUESDAY, June 11, 2019 (HealthDay News) -- Simple tweaks to eating and sleeping patterns of "night owls" can lead to significant improvements in sleep/wake timing, according to a study recently published in Sleep Medicine.

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Poor Physical Performance Tied to Depression, Anxiety in Midlife Women

TUESDAY, June 11, 2019 (HealthDay News) -- Weak physical performance on tests of the upper and lower body is associated with depressive and anxiety symptoms in midlife women, according to a study published online June 3 in Menopause.

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Data Insufficient for Safety of Lithium During Breastfeeding

MONDAY, June 10, 2019 (HealthDay News) -- There is variability in data relating to the safety of lithium during breastfeeding, according to a review published online June 10 in the International Review of Psychiatry.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) -- Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Irritable Bowel Symptoms Tied to Intestinal, Brain Abnormalities

FRIDAY, June 7, 2019 (HealthDay News) -- A greater number of intestinal and brain function abnormalities increases the burden of irritable bowel syndrome (IBS), according to a study recently published in Gastroenterology.

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Naloxone Available in One in Three Philadelphia Pharmacies

FRIDAY, June 7, 2019 (HealthDay News) -- Only one-third of Philadelphia pharmacies carry naloxone nasal spray and many pharmacies require a physician's prescription, according to a study published online June 7 in JAMA Network Open.

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Out-of-Pocket Medical Expenditure Up for Cancer Survivors

FRIDAY, June 7, 2019 (HealthDay News) -- Cancer survivors have significantly higher annual out-of-pocket medical expenditures than individuals without a cancer history, according to research published in the June 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Job Demands, Burnout Tied to Weight Gain

FRIDAY, June 7, 2019 (HealthDay News) -- Employees with heavier workloads or who are burned out are more likely to emotionally eat and exercise less, according to a study published online May 30 in the Journal of Health Psychology.

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Single-Component Treatments Effective for Insomnia

FRIDAY, June 7, 2019 (HealthDay News) -- Stimulus control therapy and sleep restriction therapy are viable single-component treatments for chronic insomnia, according to a study published in the June issue of Worldviews on Evidence-Based Nursing.

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Misuse of Alprazolam Common in the United Kingdom

FRIDAY, June 7, 2019 (HealthDay News) -- Nonmedical use of alprazolam is a significant issue in the United Kingdom, particularly among younger adults, according to a study published online June 4 in the British Journal of Clinical Pharmacology.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) -- A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) -- Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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Majority of Teens With Eating Disorders Recover

THURSDAY, June 6, 2019 (HealthDay News) -- One in five patients with adolescent-onset anorexia nervosa have a chronic eating disorder 30 years later, according to a study published online May 22 in the British Journal of Psychiatry.

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Progressive Muscle Relaxation App Tied to Fewer Migraines

THURSDAY, June 6, 2019 (HealthDay News) -- Use of a progressive muscle relaxation (PMR) smartphone app is associated with a reduction in headache days among adults with migraines, according to a pilot study published online June 4 in Nature Digital Medicine.

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Nonsuicidal Self-Injury Rate Up in Sexual-Minority Youth

TUESDAY, June 4, 2019 (HealthDay News) -- The prevalence of nonsuicidal self-injury (NSSI; i.e., intentional self-harm without wanting to die) is higher among sexual-minority youth than heterosexual youth, according to a research letter published online June 3 in JAMA Pediatrics.

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Many Buprenorphine Prescribers Not Offering New Appointments

MONDAY, June 3, 2019 (HealthDay News) -- For callers reporting heroin use, many buprenorphine prescribers do not offer new appointments or rapid access to buprenorphine, according to a study published online June 4 in the Annals of Internal Medicine.

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ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) -- Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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FDA Takes Hard Look at CBD

MONDAY, June 3, 2019 (HealthDay News) -- The U.S. Food and Drug Administration took a good look at the safety and effectiveness of cannabidiol (CBD) products on Friday, as it weighs how to best regulate the hemp-derived compound going forward.

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