November 2019 Briefing - Psychiatry

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

Practice Organization Not Tied to Family Physician Burnout

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- Burnout among family physicians should not be attributed solely to practice organization, according to a study published in the November/December issue of the Annals of Family Medicine.

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Diet Pill, Laxative Use in Women Tied to Later Eating Disorder Dx

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- Diet pill and laxative use for weight control are associated with increased odds of subsequent first eating disorder diagnosis, according to a study published online Nov. 21 in the American Journal of Public Health.

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Exposure to Psychoactive Substances Up From 2000 to 2017

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- From 2000 to 2017, the overall rate of exposure to psychoactive substances of natural origin increased, according to a study published online Nov. 25 in Clinical Toxicology.

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Potentially Tainted Marijuana Sold in Colorado

TUESDAY, Nov. 26, 2019 (HealthDay News) -- A warning about possibly contaminated and moldy recreational and medical marijuana has been issued by Colorado officials.

CNN Article

U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

TUESDAY, Nov. 26, 2019 (HealthDay News) -- U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.

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Large BP Variation Tied to Greater Long-Term Risk for Dementia

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Large variation in blood pressure is associated with an increased long-term risk for dementia, according to a study published online Nov. 12 in PLOS Medicine.

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Cancer Patients With Obesity Show Poorer Psychosocial Health

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Patients with breast or prostate cancer who are obese score higher in psychosocial problem-related distress than nonobese patients, according to a study recently published in Psycho-Oncology.

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Sleep Deprivation Affects More Than Just Attention

MONDAY, Nov. 25, 2019 (HealthDay News) -- Sleep deprivation has more far-reaching effects on cognitive function than previously thought, according to a study published online Nov. 20 in the Journal of Experimental Psychology: General.

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Endocrine Therapy Lowers QOL for Breast Cancer Patients

MONDAY, Nov. 25, 2019 (HealthDay News) -- Endocrine therapy reduces the quality of life of breast cancer patients, especially for postmenopausal women, according to a study recently published in the Annals of Oncology.

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Parental Marijuana Use Ups Risk for Substance Use in Offspring

FRIDAY, Nov. 22, 2019 (HealthDay News) -- Parental marijuana use is associated with an increased risk for substance use among adolescent and young adult offspring living in the same household, according to a study published online Nov. 22 in JAMA Network Open.

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Electronic Health Record Usability Graded F by Physicians

FRIDAY, Nov. 22, 2019 (HealthDay News) -- The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout, according to a study published online Nov. 14 in the Mayo Clinic Proceedings.

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Cognition Declines Tied to Hearing Loss Begin Early

FRIDAY, Nov. 22, 2019 (HealthDay News) -- Declines in cognition are seen even in individuals with subclinical aged-related hearing loss, according to a study published online Nov. 14 in JAMA Otolaryngology-Head & Neck Surgery.

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Negative Impact Persists for Survivors of Firearm Injury

THURSDAY, Nov. 21, 2019 (HealthDay News) -- Firearm injury seems to have a lasting effect, with survivors of gunshot wounds (GSW) having negative outcomes for years, according to a study published online Nov. 20 in JAMA Surgery.

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Employee Premiums, Deductibles Eating Larger Share of Income

THURSDAY, Nov. 21, 2019 (HealthDay News) -- During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.

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Few Anorexia Nervosa Patients Make Complete Recovery

THURSDAY, Nov. 21, 2019 (HealthDay News) -- Caregivers identify distinct components of recovery from eating disorders, although only 20 percent report achievement of full recovery, according to a study published online Nov. 19 in the International Journal of Eating Disorders.

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Number of Pregnant Women Taking Antidepressants Down

THURSDAY, Nov. 21, 2019 (HealthDay News) -- There has been a significant decrease in the use of antidepressants by pregnant women in Denmark, with consumption falling by more than 33 percent since 2011, according to a study published in the November issue of Brain and Behavior.

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Prenatal Antidepressant Use May Up Risk for Gestational Diabetes

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- Taking certain antidepressants while pregnant can increase the risk for developing gestational diabetes, according to a study recently published in The BMJ.

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Poll: Parents Cite Barriers to Recognizing Depression in Adolescents

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- Two-thirds of parents acknowledge there are barriers to recognizing depression in their own adolescent child, according to a Mott Poll Report, published Nov. 18 by the University of Michigan.

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~25 Percent of Adolescents, Young Adults Use Rx Opioids

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- Prescription opioid use among teens and young adults is higher than expected, with most obtaining the drugs from friends and family, according to a study published online Nov. 5 in PLOS Medicine.

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CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products

TUESDAY, Nov. 19, 2019 (HealthDay News) -- In 2018, 19.7 percent of U.S. adults reported currently using any tobacco products, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Bipartisan Bill to Curb Drug Costs Backed by White House

MONDAY, Nov. 18, 2019 (HealthDay News) -- A bipartisan Senate bill that would curb prescription drug costs is being backed by the Trump administration as a new poll shows that many Americans think the White House has done little to tackle the issue.

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White House Wants Hospitals, Insurers to Provide Actual Costs of Care

MONDAY, Nov. 18, 2019 (HealthDay News) -- New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.

AP News Article

Cannabis Use Disorder Has Declined Among Teens, Young Adults

MONDAY, Nov. 18, 2019 (HealthDay News) -- Contrary to expectations, the prevalence of cannabis use disorder (CUD) decreased significantly among individuals reporting daily/almost daily cannabis use between 2002 and 2016, according to a study published in the Dec. 1 issue of Drug and Alcohol Dependence.

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Less Sleep Tied to Lower Bone Mineral Density in Women

MONDAY, Nov. 18, 2019 (HealthDay News) -- Short sleep duration is associated with lower bone mineral density (BMD) and a higher risk for osteoporosis among postmenopausal women, according to a study published online Nov. 6 in the Journal of Bone and Mineral Research.

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Higher Waist Circumference Tied to Increased Risk for Dementia

FRIDAY, Nov. 15, 2019 (HealthDay News) -- Abdominal obesity is associated with a significantly increased risk for dementia, even after adjustment for general obesity, according to a study published online Nov. 5 in Obesity.

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Risk for Disability Worsening Increased for MS With Comorbid Depression

FRIDAY, Nov. 15, 2019 (HealthDay News) -- The risk for disability worsening is increased for individuals with multiple sclerosis (MS) and comorbid depression, according to a study published online Nov. 8 in Neurology.

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Survey of U.S. Registered Nurses Points to Worsening Shortages

THURSDAY, Nov. 14, 2019 (HealthDay News) -- The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.

2019 Survey of Registered Nurses

Tobacco Cessation Programs May Up Quit Rates in Cancer Patients

THURSDAY, Nov. 14, 2019 (HealthDay News) -- Enrolling actively smoking oncology patients into a comprehensive tobacco cessation program may help patients sustain long-term abstinence from smoking and improve their cancer treatment outcomes, according to a study recently published in JAMA Network Open.

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Cannabis Use Disorder Up With Recreational Pot Legalization

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- Cannabis use disorder (CUD) has increased among adolescents and adults (≥26 years) after recreational marijuana legalization (RML) enactment, according to a study published online Nov. 13 in JAMA Psychiatry.

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More Hospital Days Seen With Antipsychotic Use in Alzheimer Disease

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- Alzheimer disease patients who initiate treatment with antipsychotic medications spend more days hospitalized than those who do not initiate antipsychotics, according to a study recently published in the Journal of Post-Acute and Long-Term Care Medicine.

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SNAP Participation May Reduce Premature Deaths in the U.S.

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Participation in the national Supplemental Nutrition Assistance Program (SNAP) reduces the risk for premature mortality among U.S. adults, according to a study published in the November issue of Health Affairs.

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Risk for Suicide Increased After Hospital Discharge for Self-Harm

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Risk for suicide following hospital presentation for self-harm is very high immediately following hospital discharge, according to a study published Nov. 6 in The Lancet Psychiatry.

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Those With Mental Illness Die Earlier

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- People living with any mental disorder have a shorter life expectancy than the general population, according to a Danish study published online Oct. 24 in The Lancet.

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Many Adult Health Problems Due to Adverse Childhood Experiences

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Preventing adverse childhood experiences could potentially prevent chronic conditions, depression, health risk behaviors, and poor socioeconomic outcomes among adults, according to research published in the Nov. 5 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Serious Eating Disorder Possible Even at Normal Body Weight

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Large, rapid weight loss is the best predictor of medical and psychological problems in patients with atypical anorexia nervosa (AAN), not their body weight at diagnosis, according to a study published online Nov. 5 in Pediatrics.

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Exercise Mitigates Risk for Depression, Even With Genetic Risk

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Physical activity mitigates the risk for depression, even in the context of genetic vulnerability, according to a study published online Nov. 5 in Depression & Anxiety.

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Focus on ED Utilization Misses Whole-Person Perspective

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- There is a need for shared patient-level data across medical, behavioral, and social care systems to meet the medical needs of frequent emergency department users, according to a study published in the November issue of Health Affairs.

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2010 to 2016 Saw Increase in Teens Admitted to ED for Abuse

TUESDAY, Nov. 5, 2019 (HealthDay News) -- From 2010 to 2016, there was an increase in the number of adolescents admitted to emergency departments for confirmed sexual abuse, according to a research letter published online Nov. 4 in JAMA Pediatrics.

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Medical Practices Burdened by Regulatory Requirements

TUESDAY, Nov. 5, 2019 (HealthDay News) -- The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group Management Association.

Annual Regulatory Burden Survey

All-Cause Mortality Up With Loneliness in Cardiac Patients

TUESDAY, Nov. 5, 2019 (HealthDay News) -- For cardiac patients, loneliness is associated with poorer patient-reported outcomes and increased all-cause mortality, according to a study published online Nov. 4 in Heart.

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Seriously Ill Medicare Beneficiaries Face Financial Hardship

MONDAY, Nov. 4, 2019 (HealthDay News) -- Seriously ill Medicare enrollees experience considerable financial distress, according to a report published in the November issue of Health Affairs.

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Dr. Stephen Hahn Nominated to Head FDA

MONDAY, Nov. 4, 2019 (HealthDay News) -- Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.

CNN Article

Dementia Common in Down Syndrome Patients Aged ≥55

MONDAY, Nov. 4, 2019 (HealthDay News) -- More than half of individuals with Down syndrome aged 55 years or older have dementia claims and 32.7 percent have Alzheimer disease (AD) claims, according to a research letter published online Oct. 28 in JAMA Neurology.

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Risk for Death, Suicide Up in Teens Who Visit ED for Self-Harm

MONDAY, Nov. 4, 2019 (HealthDay News) -- Adolescents with emergency department visits for self-harm have increased rates of recurrent self-harm, mortality, and suicide, according to a study published online Nov. 4 in CMAJ, the journal of the Canadian Medical Association.

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2007 to 2016 Saw Increase in Child Psychiatrists in U.S.

MONDAY, Nov. 4, 2019 (HealthDay News) -- The number of child psychiatrists has increased in the United States, although there is considerable regional variability, according to a study published online Nov. 4 in Pediatrics.

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One in Three Young Adults Get Meds for Opioid Use Disorder After Overdose

MONDAY, Nov. 4, 2019 (HealthDay News) -- One in three young adults receive medication for opioid use disorder in the 12 months after surviving an overdose, according to a study published online Oct. 4 in the Annals of Emergency Medicine.

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2007 to 2016 Saw Rise in ADHD Prevalence in Adults, Children

FRIDAY, Nov. 1, 2019 (HealthDay News) -- From 2007 to 2016, the prevalence of attention-deficit/hyperactivity disorder (ADHD) increased among adults and children, according to a study published online Nov. 1 in JAMA Network Open.

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Recommendations Developed to Address Clinician Burnout

FRIDAY, Nov. 1, 2019 (HealthDay News) -- In Taking Action Against Clinician Burnout, a new report published online Oct. 23 by the National Academies of Sciences, Engineering, and Medicine, recommendations are presented to address clinician burnout.

Taking Action Against Clinician Burnout

Borderline Personality Disorder May Raise Cardiometabolic Risk

FRIDAY, Nov. 1, 2019 (HealthDay News) -- Middle-aged adults with borderline personality disorder (BPD) seem to have an increased cardiometabolic risk, according to a study published online Oct. 24 in Personality Disorders: Theory, Research, and Treatment.

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Hospitalizations May Hasten Cognitive Decline in the Elderly

FRIDAY, Nov. 1, 2019 (HealthDay News) -- For older adults, a higher rate of hospitalizations is associated with more rapid cognitive decline, according to a study published online Oct. 15 in the Annals of Neurology.

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Increase Seen in Opioid-, Synthetic Opioid-Involved OD Deaths

FRIDAY, Nov. 1, 2019 (HealthDay News) -- From 2015 to 2017, there were increases in opioid-involved and synthetic opioid-involved overdose drug rates in nearly all racial/ethnic groups, according to research published in the Nov. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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