Home News Mental Health News August 2019 Briefing – Psychiatry

August 2019 Briefing – Psychiatry

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

NFL Seasons of Play, Playing Position Affect Mental Health

FRIDAY, Aug. 30, 2019 (HealthDay News) — For football players in the National Football League, seasons of play and playing position are associated with lasting neuropsychiatric health deficits, according to a study published online Aug. 30 in the American Journal of Sports Medicine.

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CDC: January to July 2018 Saw Decrease in Opioid Deaths

THURSDAY, Aug. 29, 2019 (HealthDay News) — Opioid deaths decreased during January to July 2018, while deaths from illicitly manufactured fentanyl (IMF) increased during the same period, according to research published in the Aug. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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OxyContin Maker Offers Up to $12 Billion to Settle Opioid Claims

TUESDAY, Aug. 27, 2019 (HealthDay News) — Purdue Pharma, the drug giant many have blamed for the ongoing U.S. opioid abuse crisis, has offered $10 billion to $12 billion to settle more than 2,000 lawsuits lodged against it, NBC News is reporting.

NBC News Article

DEA to Approve Dozens More Growers for Marijuana Research

TUESDAY, Aug. 27, 2019 (HealthDay News) — The number of marijuana growers allowed to produce the drug for U.S. government-approved research will be expanded from one to 34, officials say.

AP News Article

Prenatal Exposure to OMT Does Not Worsen Neonatal Outcomes

TUESDAY, Aug. 27, 2019 (HealthDay News) — Exposure to opioid maintenance treatment (OMT) in the womb does not seem to cause additional harm to newborns, according to a study published online Aug. 14 in Pharmacology Research & Perspectives.

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Guidelines Developed for Reducing Suicide in Veterans

MONDAY, Aug. 26, 2019 (HealthDay News) — In clinical guidelines published online Aug. 27 in the Annals of Internal Medicine, recommendations are presented related to screening, treatment, and management strategies for reducing suicide among veterans.

Systematic Review

Synopsis of the Clinical Guidelines

Editorial (subscription or payment may be required)

Oklahoma Judge Fines Johnson & Johnson $572 Million Over Opioid Drug Crisis

MONDAY, Aug. 26, 2019 (HealthDay News) — An Oklahoma judge on Monday ruled against one of America’s biggest companies, Johnson & Johnson — fining it $572 million as part of the first trial of an opioid maker sued by a state for the human and financial costs of the prescription painkiller crisis.

The New York Times Article

Restless Legs Syndrome Linked to Suicide, Self-Harm

MONDAY, Aug. 26, 2019 (HealthDay News) — Individuals with restless legs syndrome (RLS) have an increased risk for suicide and self-harm, according to a study published online Aug. 23 in JAMA Network Open.

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Most Teen Cannabis Users Have Used Cannabis Concentrate

MONDAY, Aug. 26, 2019 (HealthDay News) — Nearly three-quarters of all adolescent cannabis users report use of cannabis concentrates, which are plant extracts that contain high concentrations of Δ-9-tetrahydrocannbinol (THC), according to a study published online Aug. 26 in Pediatrics.

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Editorial (subscription or payment may be required)

Patient Confidentiality Rule Changes Aim to Fight U.S. Opioid Crisis

FRIDAY, Aug. 23, 2019 (HealthDay News) — Patient confidentiality rule changes meant to help fight the opioid crisis in the United States have been proposed by the federal government.

AP News Article

Reduction in PTSD Symptoms Linked to Decrease in T2DM

FRIDAY, Aug. 23, 2019 (HealthDay News) — Clinically meaningful reductions in posttraumatic stress disorder (PTSD) symptoms are associated with a decrease in the risk for type 2 diabetes, according to a study published online Aug. 21 in JAMA Psychiatry.

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Hospitalizations With Psych Diagnosis Common in ESKD

FRIDAY, Aug. 23, 2019 (HealthDay News) — Hospitalizations with psychiatric diagnoses are common in pediatric and adult patients with end-stage kidney disease (ESKD) and are associated with increased mortality, according to a study published online Aug. 22 in the Clinical Journal of the American Society of Nephrology.

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Editorial

Patient Voice

Weight Loss Feasible Regardless of Psychiatric Meds Use

FRIDAY, Aug. 23, 2019 (HealthDay News) — Participants in a weight loss intervention can lose weight regardless of psychiatric medication use, according to a study published online Aug. 23 in Obesity.

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Prurigo Nodularis Associated With Mental Health Disorders

FRIDAY, Aug. 23, 2019 (HealthDay News) — Prurigo nodularis (PN) is associated with mental health disorders, systemic illnesses, and HIV infection, according to a study published online Aug. 15 in the Journal of Investigative Dermatology.

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Opioid Addiction Treatment Used More in States That Expanded Medicaid

THURSDAY, Aug. 22, 2019 (HealthDay News) — The use of the opioid addiction medication buprenorphine is much higher in states that expanded Medicaid under the Affordable Care Act than in those that did not expand the program, according to a new report from the Urban Institute, a nonprofit research group.

The New York Times Article

Urban Institute Report

Depression, Substance Use Increasing in Former Smokers

WEDNESDAY, Aug. 21, 2019 (HealthDay News) — Among former smokers, the prevalence of depression and substance use has increased over time, according to a study published online Aug. 20 in the American Journal of Preventive Medicine.

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Taking Buprenorphine for Opioid Use Disorder May Up Other Med Compliance

WEDNESDAY, Aug. 21, 2019 (HealthDay News) — Using buprenorphine to treat opioid use disorder (OUD) may increase adherence to treatments for other chronic conditions, according to a study published in the September issue of Medical Care.

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Exposure to Pollution May Up Risk for Psychiatric Disorders

TUESDAY, Aug. 20, 2019 (HealthDay News) — Environmental pollution appears to be associated with an increased risk for psychiatric disorders, especially bipolar disorder and major depression, according to a report published online Aug. 20 in PLOS Biology.

Abstract/Full Text

Editorial

Use of Opioids + Cannabis Tied to Poorer Mental Health

TUESDAY, Aug. 20, 2019 (HealthDay News) — Adults who take prescription opioids for severe chronic pain are more likely to have increased anxiety, depression, and substance abuse issues if they also use cannabis, according to a study published in the July/August issue of the Journal of Addiction Medicine.

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Childhood-Onset IBD Ups Risk for Psychiatric Morbidity

TUESDAY, Aug. 20, 2019 (HealthDay News) — Childhood-onset inflammatory bowel disease (IBD) is associated with an increased risk for psychiatric morbidity, including suicide attempt, according to a study published online Aug. 19 in JAMA Pediatrics.

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Editorial (subscription or payment may be required)

Extreme Risk Protection Orders May Help in Averting Shootings

MONDAY, Aug. 19, 2019 (HealthDay News) — The urgent individualized interventions to reduce firearm access, such as extreme risk protection orders (ERPOs), which provide a response when risk for imminent firearm violence is considered to be high, may play a role in preventing mass shootings, according to research published online Aug. 20 in the Annals of Internal Medicine.

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VA Mental Health Initiative Linked to Improved Access to Care

MONDAY, Aug. 19, 2019 (HealthDay News) — Adding mental health specialists, care managers, or both to primary care clinics for veterans results in more visits for both mental health and primary care but also increases the average yearly cost per patient, according to a report published online Aug. 9 in Health Affairs.

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Parent-Targeted Intervention Can Up Communication With Teens

MONDAY, Aug. 19, 2019 (HealthDay News) — A parent-targeted intervention can increase adolescent-reported frequency of parent-adolescent communication (PAC) about sexual and alcohol use behaviors, according to a study published online Aug. 16 in JAMA Network Open.

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Periop Covert Stroke ID’d in 7 Percent of Older Surgery Patients

FRIDAY, Aug. 16, 2019 (HealthDay News) — Seven percent of older patients undergoing inpatient, noncardiac surgery have perioperative covert stroke, which is associated with an increased risk for cognitive decline, according to a study published online Aug. 15 in The Lancet.

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Editorial (subscription or payment may be required)

Mental Health Burden Increased for Gender-Minority College Students

FRIDAY, Aug. 16, 2019 (HealthDay News) — Gender-minority (GM) students have an increased likelihood of having mental health problems compared with cisgender students, according to a study published online Aug. 16 in the American Journal of Preventive Medicine.

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Advertising Can Promote Interest in Health-Related Research

THURSDAY, Aug. 15, 2019 (HealthDay News) — Advertising current local health-related research using large TV monitors in emergency department waiting rooms can increase the short-term interest in health-related research, according to a study published online Aug. 1 in BMJ Open.

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Antipsychotic Rx Patterns in Children With ADHD Concerning

THURSDAY, Aug. 15, 2019 (HealthDay News) — Although the number of young people with attention-deficit/hyperactivity disorder (ADHD) who are treated with antipsychotic drugs is low, many antipsychotic prescriptions do not appear to be clinically warranted, according to a study published online July 26 in JAMA Network Open.

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Evidence Supports Meds Used for Pain Relief in Pediatric Migraine

WEDNESDAY, Aug. 14, 2019 (HealthDay News) — Evidence-based therapies are available for the acute symptomatic treatment of migraine in children and adolescents, but evidence is lacking for the impact of many treatments for migraine prevention, according to two updated guidelines published online Aug. 14 in Neurology.

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TSH Elevated in 6 Percent of Psychiatrically Hospitalized Youth

WEDNESDAY, Aug. 14, 2019 (HealthDay News) — About 6 percent of psychiatrically hospitalized youth have abnormal thyroid-stimulating hormone (TSH) measures, according to a study published online Aug. 6 in the Journal of Clinical Psychiatry.

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CDC: Prescription Drug Use Similar in United States, Canada

WEDNESDAY, Aug. 14, 2019 (HealthDay News) — Use of prescription drugs is similar in the United States and Canada, with almost 70 percent of adults aged 40 to 79 years using at least one prescription drug, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Traumatic Brain Injury May Up Risk for Suicide in Veterans

WEDNESDAY, Aug. 14, 2019 (HealthDay News) — Veterans diagnosed with a traumatic brain injury (TBI) are at a higher risk for suicide in comparison with those without a TBI diagnosis, especially when the severity is moderate to severe, according to a study published online July 30 in the Journal of Head Trauma Rehabilitation.

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Impulsivity Lower When Children Meet Sleep, Screen Time Guides

WEDNESDAY, Aug. 14, 2019 (HealthDay News) — Children who meet sleep and screen time recommendations have lower levels of impulsivity, according to a study published online Aug. 14 in Pediatrics.

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Non-Hospital-Based Provider-to-Patient Telehealth Use Growing

TUESDAY, Aug. 13, 2019 (HealthDay News) — Use of non-hospital-based provider-to-patient telehealth grew almost 1,400-fold from 2014 to 2018, according to a FAIR Health White Paper.

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Methylphenidate Tx Tied to Brain Changes in Boys With ADHD

TUESDAY, Aug. 13, 2019 (HealthDay News) — Treatment with methylphenidate (MPH) affects specific tracts in brain white matter in boys with attention-deficit/hyperactivity disorder (ADHD), according to a study published online Aug. 13 in Radiology.

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One-Third of Physicians Will Take 10+ Years to Pay Off Debt

MONDAY, Aug. 12, 2019 (HealthDay News) — Nearly two-thirds of actively practicing physicians are still carrying medical school debt, according to the Medical School Debt Report 2019, published by the staffing firm Weatherby Healthcare.

Medical School Debt Report 2019

Hearing Loss Increases Risk for Dementia in Taiwanese Individuals

MONDAY, Aug. 12, 2019 (HealthDay News) — Taiwanese individuals between the ages of 45 and 64 years old diagnosed with hearing loss are at a greater risk for developing dementia than those without hearing loss, according to a study published online July 31 in JAMA Network Open.

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Prescription Drug Misuse Common in High Schoolers

MONDAY, Aug. 12, 2019 (HealthDay News) — Misuse of prescription drugs is common among high school students, and those misusing prescription drugs frequently obtain them from multiple sources, according to two studies published in the July issue of the Journal of the American Academy of Child and Adolescent Psychiatry.

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Psychotherapy Alone First Line of Treatment for Depressed Youth

MONDAY, Aug. 12, 2019 (HealthDay News) — Cognitive behavioral therapy (CBT) should be the first line of treatment in younger patients with major depressive disorder before clinicians prescribe medication, according to a study published online July 29 in The Lancet Psychiatry.

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Editorial (subscription or payment may be required)

Guidelines Issued for Managing Hidradenitis Suppurativa

FRIDAY, Aug. 9, 2019 (HealthDay News) — In a two-part guideline, published in the July issue of the Journal of the American Academy of Dermatology, the United States and Canadian Hidradenitis Suppurativa Foundations present recommendations for the diagnosis, evaluation, and management of hidradenitis suppurativa.

Abstract/Full Text Part I

Abstract/Full Text Part II

ADHD May Increase Risk of Premature Death

THURSDAY, Aug. 8, 2019 (HealthDay News) — Attention-deficit/hyperactivity disorder (ADHD) is associated with an elevated risk of premature death, according to a study published online Aug. 7 in JAMA Psychiatry.

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Strong SSRI May Be Tied to Small Decrease in Ischemic Stroke Risk

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Antidepressants strongly inhibiting serotonin reuptake may be associated with a small reduction in the rate of ischemic stroke compared with weak reuptake inhibitors, according to a study published online Aug. 7 in Neurology.

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Phone Consults Grow Mental Health Service Access for Children

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Children in states with statewide child psychiatric telephone consultation programs are significantly more likely to receive mental health services than children in states without such programs, according to a letter to the editor published online recently in the Journal of the American Academy of Child & Adolescent Psychiatry.

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Medicare Spending on Essential Medicines Up 116 Percent From 2011 to 2015

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Spending associated with essential medicines grew substantially from 2011 to 2015 for Medicare Part D beneficiaries, according to a study published online July 17 in The BMJ.

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Recent Stressful Life Events Linked to Later Verbal Memory Decline

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Middle-aged women, but not men, with a greater number of recent stressful life events have memory decline later in life, according to a study published in the July issue of the International Journal of Geriatric Psychiatry.

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2012 to 2018 Saw Substantial Rise in Naloxone Dispensing

TUESDAY, Aug. 6, 2019 (HealthDay News) — From 2012 to 2018, there were substantial increases in naloxone dispensing with considerable regional variation, according to research published in the Aug. 6 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Children With ADHD Have Differences in Part of Brain Controlling Movement

TUESDAY, Aug. 6, 2019 (HealthDay News) — Children with attention-deficit/hyperactivity disorder (ADHD) may have differences in the brain that limit appropriate responses to “stop cues,” according to a study published online July 17 in Neurology.

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Reporting of Results Often Biased in Psychiatry, Psychology Trials

TUESDAY, Aug. 6, 2019 (HealthDay News) — More than half of randomized controlled trials (RCTs) with statistically nonsignificant findings for the primary end points published in psychiatry and psychology journals have spin in the abstract, according to a review published online Aug. 5 in BMJ Evidence-Based Medicine.

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Risk for Mental Health Disorders Up for Adults With Cerebral Palsy

MONDAY, Aug. 5, 2019 (HealthDay News) — Adults with cerebral palsy (CP) have an increased prevalence of mental health disorders, according to a study published online Aug. 6 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

More Social Contact at Age 60 Linked to Lower Dementia Risk

MONDAY, Aug. 5, 2019 (HealthDay News) — More frequent social contact during midlife is associated with a lower dementia risk and better cognitive trajectories, according to a study published online Aug. 2 in PLOS Medicine.

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U.S. Air Force Orders Day Off Training to Focus on Suicide Epidemic

FRIDAY, Aug. 2, 2019 (HealthDay News) — The U.S. Air Force has ordered a day off from training to focus on a suicide epidemic in its ranks.

CBS News Article

Psychologic Distress Linked to Cervical Cancer Mortality

FRIDAY, Aug. 2, 2019 (HealthDay News) — A clinical diagnosis of stress-related disorders or an occurrence of stressful life events around the time of cervical cancer diagnosis is associated with an increased risk for cancer-specific mortality, according to a study published in the August issue of Cancer Research.

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Brand-Brand Competition Has Not Cut Prices in Pharma Market

FRIDAY, Aug. 2, 2019 (HealthDay News) — Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices, according to a review published online July 30 in PLOS Medicine.

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Age-Adjusted Drug Overdose Death Rate Higher in Urban Counties

FRIDAY, Aug. 2, 2019 (HealthDay News) — In 2017, the age-adjusted rate of drug overdose deaths was higher in urban than rural counties, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Transmission Risks Up for HIV-Positive Injection Drug Users

THURSDAY, Aug. 1, 2019 (HealthDay News) — HIV-positive individuals who inject drugs are more likely to have a detectable viral load and engage in high-risk sexual behaviors, according to research published in the Aug. 2 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Trump Admin Announces Plan to Allow Drug Imports From Canada

THURSDAY, Aug. 1, 2019 (HealthDay News) — Americans could import less expensive prescription drugs from Canada under a plan being developed by the Trump administration.

HHS Press Release

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