November 2018 Briefing - Psychiatry

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

Limiting Social Media May Improve Psychological Well-Being

FRIDAY, Nov. 30, 2018 (HealthDay News) -- Limiting social media use to 30 minutes per day may lead to significant improvement in well-being, according to a study published in the December issue of the Journal of Social and Clinical Psychology.

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Hypnotherapy Beats Education for Relief of IBS Symptoms

FRIDAY, Nov. 30, 2018 (HealthDay News) -- For patients with irritable bowel syndrome (IBS), individual and group hypnotherapy are more effective than educational supportive therapy in relieving symptoms, according to a study published online Nov. 22 in The Lancet Gastroenterology & Hepatology.

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Increase Seen in Amphetamine, Opioid Use in Pregnant Women

FRIDAY, Nov. 30, 2018 (HealthDay News) -- The incidence of amphetamine and opioid use has increased among pregnant women, especially in rural counties, according to a study published online Nov. 29 in the American Journal of Public Health.

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For Teen Girls, Depression May Predict Subsequent Alcohol Use

FRIDAY, Nov. 30, 2018 (HealthDay News) -- For adolescent girls, depression, but not anxiety, predicts future alcohol use, according to a study published online Nov. 25 in Alcoholism: Clinical and Experimental Research.

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Genetic Analysis Shows Higher BMI May Up Risk for Depression

THURSDAY, Nov. 29, 2018 (HealthDay News) -- Being overweight likely plays a causal role in the development of depression, even in the absence of other health problems, according to a study published online Nov. 13 in the International Journal of Epidemiology.

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CDC: U.S. Life Expectancy Decreased From 2016 to 2017

THURSDAY, Nov. 29, 2018 (HealthDay News) -- From 2016 to 2017, there was a decrease in life expectancy in the United States, with recent increases noted in drug overdose deaths and suicide mortality, according to three reports published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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Dementia Often Misclassified With Brief Cognitive Assessments

THURSDAY, Nov. 29, 2018 (HealthDay News) -- When using brief cognitive assessments, dementia is often misclassified, according to a study published online Nov. 28 in Neurology Clinical Practice.

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ADHD Diagnosis, Treatment Up for August-Born Children

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- In states with a Sept. 1 cutoff for kindergarten entry, the rates of attention-deficit/hyperactivity disorder (ADHD) diagnosis and treatment are higher for children born in August than those born in September, according to a study published in the Nov. 29 issue of the New England Journal of Medicine.

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In-Person Social Contact Tied to Reduced Psychiatric Symptoms

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- For military veterans, in-person social interaction, but not social contact on Facebook, is associated with a significantly reduced risk for symptoms of major depression and posttraumatic stress disorder, according to a study published in the Jan. 15, 2019, issue of the Journal of Affective Disorders.

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Feature Tagging of Home Videos Promising in Autism Diagnosis

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- Feature tagging of home videos for machine learning classification of autism spectrum disorder (ASD) with the use of a mobile device produces accurate results in short time frames, according to a study published online Nov. 27 in PLOS Medicine.

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FDA: Kratom Products Have High Levels of Heavy Metals

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- In addition to many other health risks, kratom products can have high levels of heavy metals, according to Scott Gottlieb, M.D., commissioner of the U.S. Food and Drug Administration.

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Amblyopia Linked to Lower Self-Perception in Children

WEDNESDAY, Nov. 28, 2018 (HealthDay News) -- Children with amblyopia report lower self-perception for scholastic, social, and athletic measures, which may be associated with slower reading speed and worse motor skills, according to a study published online Nov. 15 in JAMA Ophthalmology.

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FDA to Update Medical Device Approvals Process

TUESDAY, Nov. 27, 2018 (HealthDay News) -- A major update of the United States' system for approving medical devices was announced yesterday by the Food and Drug Administration.

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Four Principles Underlie Patient and Family Partnership in Care

TUESDAY, Nov. 27, 2018 (HealthDay News) -- Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine.

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Prevalence of Eating Disorders 1.4 Percent in Preteens

TUESDAY, Nov. 27, 2018 (HealthDay News) -- The prevalence of eating disorders among 9- to 10-year-olds in the United States is 1.4 percent, with no difference in prevalence between boys and girls, according to a research letter published online Nov. 26 in JAMA Pediatrics.

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Risks of Trazodone Similar to Those of Atypical Antipsychotics

TUESDAY, Nov. 27, 2018 (HealthDay News) -- For older adults with dementia, trazodone is associated with a comparable risk for falls and fractures as that of atypical antipsychotics, according to a study published online Nov. 26 in CMAJ, the Journal of the Canadian Medical Association.

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Pregnancy-Associated Mortality Involving Opioids Up

TUESDAY, Nov. 27, 2018 (HealthDay News) -- From 2007 to 2016, there was a sharp increase in pregnancy-associated mortality involving opioids, according to a research letter recently published in the American Journal of Obstetrics & Gynecology.

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Less Pediatric Screen Time Tied to Better Well-Being

TUESDAY, Nov. 27, 2018 (HealthDay News) -- A higher amount of screen time per day is associated with decreased psychological well-being in children and adolescents, according to a study published in the December issue of Preventive Medicine Reports.

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ACA Coverage Substantial, but Did Not Impact Labor Markets

MONDAY, Nov. 26, 2018 (HealthDay News) -- Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.

Report: How Have Workers Fared Under the ACA?

Estimated 2.5 Percent of U.S. Children Diagnosed With Autism

MONDAY, Nov. 26, 2018 (HealthDay News) -- The prevalence of parent-reported autism spectrum disorder (ASD) is estimated at 2.5 percent among U.S. children aged 3 to 17 years, according to a study published online Nov. 26 in Pediatrics.

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FDA Warns Two Companies About Bogus Opioid Addiction Treatment

WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- Warning letters about products illegally marketed as treatments for opioid addiction, pain, and anxiety have been sent to two companies, the U.S. Food and Drug Administration said Tuesday.

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Prenatal Nitric Oxide Exposure Linked to Higher Risk for Autism

TUESDAY, Nov. 20, 2018 (HealthDay News) -- Prenatal exposure to nitric oxide (NO) is associated with an increased risk for autism spectrum disorder (ASD), according to a study published online Nov. 19 in JAMA Pediatrics.

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Dementia Tied to Mortality in Older Adults With Down Syndrome

TUESDAY, Nov. 20, 2018 (HealthDay News) -- Dementia is associated with mortality in most older adults with Down syndrome, according to a study published online Nov. 19 in JAMA Neurology.

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Transcendental Meditation Benefits Veterans With PTSD

MONDAY, Nov. 19, 2018 (HealthDay News) -- A non-trauma-focused therapy, transcendental meditation (TM), can decrease the severity of posttraumatic stress disorder (PTSD) symptoms among veterans, according to a study published online Nov. 15 in The Lancet Psychiatry.

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Opioid Misuse Varies With Sexual Orientation

MONDAY, Nov. 19, 2018 (HealthDay News) -- Opioid misuse varies with sexual orientation, with increased misuse among female bisexuals, according to a study published online Nov. 19 in the American Journal of Preventive Medicine.

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CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

FRIDAY, Nov. 16, 2018 (HealthDay News) -- In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017, according to a report published Nov. 15 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Rates of Mental Health Tx, Diagnosis Up for College Students

FRIDAY, Nov. 16, 2018 (HealthDay News) -- From 2007 to 2017, there was an increase in the rates of mental health treatment and diagnosis among college students and a decrease in stigma, according to a study published online Nov. 5 in Psychiatric Services.

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Drug Overdose Mortality Rates Highest in United States

FRIDAY, Nov. 16, 2018 (HealthDay News) -- In 2015, the United States had higher drug overdose mortality rates than those of many other Organisation for Economic Co-operation and Development member countries, according to a research letter published online Nov. 13 in the Annals of Internal Medicine.

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Name-Brand Medications Driving Spike in U.S. Drug Spending

THURSDAY, Nov. 15, 2018 (HealthDay News) -- Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines, a new study shows.

NBC News Article
Blue Cross Blue Shield Report

Mental Health Conditions, Suicide Up After Major Trauma

THURSDAY, Nov. 15, 2018 (HealthDay News) -- Survivors of major trauma have an elevated risk for mental health conditions or death by suicide in the five years after injury, according to a study published in the Nov. 12 issue of CMAJ, the journal of the Canadian Medical Association.

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Patient Experiences Shed Light on Diagnostic Errors

THURSDAY, Nov. 15, 2018 (HealthDay News) -- Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors, according to a study published in the November issue of Health Affairs.

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AMA to Collect Data on Suicide Among Doctors-in-Training

WEDNESDAY, Nov. 14, 2018 (HealthDay News) -- By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training. The data collection policy was approved at a meeting yesterday.

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Coordinated Care Needed for Cancer Survivors, Caregivers

TUESDAY, Nov. 13, 2018 (HealthDay News) -- There is an urgent need for coordinated, comprehensive, personalized care for cancer survivors and caregivers, according to a report published online Oct. 30 in CA: A Cancer Journal for Clinicians.

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Repetitive Hits May Predispose Athletes to Concussion

TUESDAY, Nov. 13, 2018 (HealthDay News) -- Repetitive head impact exposure appears to be a predisposing factor for the onset of concussion, according to a study published online Oct. 22 in the Annals of Biomedical Engineering.

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CDC: Increases in Yoga, Meditation for Children in 2012-2017

THURSDAY, Nov. 8, 2018 (HealthDay News) -- The use of yoga and meditation have increased in recent years among children and adults, while use of chiropractors has also increased among adults, according to two November data briefs published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Quitting Cannabis Tied to Improved Memory

THURSDAY, Nov. 8, 2018 (HealthDay News) -- Abstaining from cannabis is associated with improvements in memory and verbal learning in adolescents and young adults, according to a study published online Oct. 30 in the Journal of Clinical Psychiatry.

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Medicaid Expansion Approved in Three Republican-Leaning States

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.

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Polygenic Risk Score Predicts Tx Response in Schizophrenia

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- A polygenic risk score (PRS) for schizophrenia can predict 12-week posttreatment symptom scores among patients with first-episode psychosis, according to a study published online Nov. 5 in the American Journal of Psychiatry.

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Happy Childhood Memories Associated With Better Health

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- Those with fond memories of childhood and strong relationships with their parents have better health throughout adulthood, according to a study published online Nov. 5 in Health Psychology.

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Short Questionnaire IDs GI Disorders in Children With Autism

WEDNESDAY, Nov. 7, 2018 (HealthDay News) -- A short parent questionnaire may be able to identify gastrointestinal disorders in children with autism spectrum disorder (ASD), according to a study published online Oct. 22 in the Journal of Autism and Developmental Disorders.

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Buprenorphine/Samidorphan Helpful in Refractory Depression

TUESDAY, Nov. 6, 2018 (HealthDay News) -- An adjunctive buprenorphine/samidorphan (BUP/SAM) combination seems beneficial for patients with major depressive disorder (MDD) with inadequate response to antidepressant therapy (ADT), according to a study published online Oct. 29 in Molecular Psychiatry.

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Most Meds Affecting Neurotransmitters Not Linked to Autism Risk

MONDAY, Nov. 5, 2018 (HealthDay News) -- Prenatal exposure to most medications affecting neurotransmitter systems is not associated with estimates of autism spectrum disorder (ASD) risk, according to a study published online Oct. 31 in JAMA Psychiatry.

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U.S. Opioid Overdose Deaths Reach Record Number

FRIDAY, Nov. 2, 2018 (HealthDay News) -- The number of opioid overdose deaths in the United States reached a new record last year with 72,000 deaths, which works out to about 200 a day, according to a Drug Enforcement Administration report released today. The report comes just over a week after U.S. health secretary Alex Azar said overdose deaths have started to level off.

AP News Article
2018 National Drug Threat Assessment

Sign-Up Season Begins on HealthCare.gov

FRIDAY, Nov. 2, 2018 (HealthDay News) -- The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running, officials said yesterday.

AP News Article
HealthCare.gov

Social Stigma Worsens Mental Health With Autism

FRIDAY, Nov. 2, 2018 (HealthDay News) -- Stress related to social stigma may contribute to why people with autism experience more mental health problems than the general population, according to a study published online Oct. 12 in Society and Mental Health.

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Head and Neck Cancer Survivors Have Increased Suicide Risk

FRIDAY, Nov. 2, 2018 (HealthDay News) -- Head and neck cancer (HNC) survivors have an increased risk for suicide compared with other cancer survivors, according to a study published online Oct. 18 in Cancer.

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Higher Serum Cortisol Level Linked to Lower Brain Volumes

FRIDAY, Nov. 2, 2018 (HealthDay News) -- Higher serum cortisol level is associated with lower brain volumes and impaired memory in asymptomatic younger to middle-aged adults, according to a study published online Oct. 24 in Neurology.

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Plant-Based Diets Beneficial for Adults With Type 2 Diabetes

THURSDAY, Nov. 1, 2018 (HealthDay News) -- For adults with type 2 diabetes, plant-based diets can improve psychological health, quality of life, hemoglobin A1c levels, and weight, according to a review published online Oct. 30 in BMJ Open Diabetes Research & Care.

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Financial Conflicts of Interest Prevalent Among CPG Authors

THURSDAY, Nov. 1, 2018 (HealthDay News) -- There is a high prevalence of financial conflicts of interest among authors of clinical practice guidelines (CPGs) related to high-revenue medications and in gastroenterology, according to two research letters published online Oct. 29 in JAMA Internal Medicine.

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