Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for November 2008. 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.
Drugs Most in Need of Research for Off-Label Uses Identified
THURSDAY, Nov. 27 (HealthDay News) -- A list of 14 U.S. Food and Drug Administration-approved medications most in need of research to determine their safety and efficacy in off-label use is published in the December issue of the journal Pharmacotherapy.
Religion Linked to Reduced All-Cause Mortality Risk
THURSDAY, Nov. 27 (HealthDay News) -- Religion was associated with a reduced risk of all-cause mortality, but not coronary heart disease-related morbidity and mortality, according to a study published Nov. 17 in Psychology & Health.
High School Students Have Mostly Positive Self-Views
WEDNESDAY, Nov. 26 (HealthDay News) -- Since 1975, positive self-views have increased among high school students but there have been small declines in their general ratings of self-competence, according to the results of a study scheduled to be published in an upcoming issue of Psychological Services.
Hypocretins May Contribute to Nicotine Addiction
WEDNESDAY, Nov. 26 (HealthDay News) -- Hypocretins of the insular cortex may play a key role in the neurobiological mechanism underlying nicotine addiction, according to research published online Nov. 24 in the Proceedings of the National Academy of Sciences.
Follow-Up Helps Lock in Weight-Loss Program Gains
TUESDAY, Nov. 25 (HealthDay News) -- Women in rural areas are less likely to regain weight after a weight-loss program if they continue to receive counseling and support for up to a year, researchers report in the Nov. 24 issue of the Archives of Internal Medicine.
Gene Variation Linked with Alcoholic Drinking Intensity
MONDAY, Nov. 24 (HealthDay News) -- An inherent genetic variation associated with serotonin may hold a clue to an individual's alcoholic drinking intensity, according to a report released online Nov. 20 in advance of publication in the January issue of Alcoholism: Clinical & Experimental Research.
Suicide Risk Increases After a Suicide Attempt
THURSDAY, Nov. 20 (HealthDay News) -- Patients with schizophrenia or bipolar and unipolar disorder have a strong second chance of "successful" suicide attempt, according to research published Nov. 18 in BMJ Online First.
Report Details Gulf War Illness Findings, Recommendations
WEDNESDAY, Nov. 19 (HealthDay News) -- One-quarter of the 697,000 U.S. veterans of the 1991 Gulf War suffer from Gulf War illness as a direct result of neurotoxic exposure, according to a 450-page report released Nov. 17, Gulf War Illness and the Health of Gulf War Veterans: Scientific Findings and Recommendations.
Breast Cancer Survival Improves with Psychological Support
TUESDAY, Nov. 18 (HealthDay News) -- Breast cancer patients have a better chance of survival if they are given psychological support in the form of group sessions with a psychologist, according to a report published online Nov. 17 in Cancer.
Equal Efficacy with Second-Generation Antidepressants
TUESDAY, Nov. 18 (HealthDay News) -- In the treatment of major depressive disorders, physicians may no longer face the Hobson's choice -- any second-generation antidepressant is good enough in terms of efficacy or effectiveness, although there may be a difference in side effects or onset of action, according to an article published in the Nov. 18 issue of the Annals of Internal Medicine.
Psychological Therapy Can Improve Diabetic Care
TUESDAY, Nov. 18 (HealthDay News) -- A combination of motivational enhancement and cognitive behavior therapy can cut hemoglobin A1c levels in half among poorly controlled diabetics, according to the results of a study published in the Nov. 18 issue of the Annals of Internal Medicine.
Model Predicts Depression at One-Year Follow-Up
MONDAY, Nov. 17 (HealthDay News) -- A model based on a national sample of children predicts depressive outcomes at one-year follow-up and may allow primary care physicians and families to intervene with adolescents at greatest risk, according to a report in the November/December issue of the Annals of Family Medicine.
Higher Alcohol Taxes Reduce Alcohol-Related Mortality
FRIDAY, Nov. 14 (HealthDay News) -- Two alcohol excise rate increases almost 20 years apart both had the effect of an immediate and sustained reduction in alcohol-related mortality, according to the results of a study released online Nov. 13 in advance of publication in the January issue of the American Journal of Public Health.
Counseling Attenuates Burnout in Doctors
THURSDAY, Nov. 13 (HealthDay News) -- Short-term counseling may be an effective strategy to reduce emotional exhaustion in doctors, according to research published Nov. 11 in BMJ Online First.
Fatigue a Chronic Problem for Many Patients
THURSDAY, Nov. 13 (HealthDay News) -- A longitudinal relationship exists between fatigue severity, impaired functioning and psychological symptoms among patients presenting to a primary care physician with a chief complaint of fatigue, researchers report in the November/December issue of the Annals of Family Medicine.
Brain Stimulation Helps Obsessive-Compulsive Disorder
WEDNESDAY, Nov. 12 (HealthDay News) -- Stimulation of an area of the brain associated with motor, cognitive and emotional components of behavior can reduce the severity of obsessive-compulsive disorder but with a risk of serious adverse events, according to study findings published in the Nov. 13 issue of the New England Journal of Medicine.
Short Nighttime Sleep Duration May Raise Heart Disease Risk
TUESDAY, Nov. 11 (HealthDay News) -- The risk of cardiovascular disease among patients with hypertension is higher for those who have less than 7.5 hours' sleep at night, researchers report in the Nov. 10 issue of the Archives of Internal Medicine.
Premiums Up, Coverage Down for Medicare Part D Plans
MONDAY, Nov. 10 (HealthDay News) -- Premiums for stand-alone Medicare Part D plans are set to rise by an average of almost 25 percent in 2009 versus 2008, while almost all plans will have a coverage gap and the lowest ever proportion will qualify for automatic enrollment for low-income subsidy beneficiaries, according to research released online by the Kaiser Family Foundation.
Stillbirths, Neonatal Deaths Tied to Maternal Mental Illness
MONDAY, Nov. 10 (HealthDay News) -- There is an increased risk of stillbirth and neonatal death among babies born to women with mental illness, according to a report published online Nov. 10 in the Archives of Disease in Childhood -- Fetal and Neonatal Edition.
Videotapes May Not Change Treatment of Back Pain
FRIDAY, Nov. 7 (HealthDay News) -- Cognitive behavioral videotape as an adjunct to standard instructional therapy for acute low back pain makes no real difference in beliefs or behaviors, medical costs or functional outcomes, according to a report published in the November-December issue of The Spine Journal.
Alcohol-Related Harm Could Be Cut with Global Regulation
FRIDAY, Nov. 7 (HealthDay News) -- Alcohol is the only strong psychoactive substance in common use that is not subject to international regulation, and failure to regulate it on a global basis undermines countries' efforts to manage alcohol-related harm, according to an editorial published Nov. 6 in BMJ Online First.
England's Sure Start Programs Benefit Deprived Children
FRIDAY, Nov. 7 (HealthDay News) -- In England, young children and families benefit from living in areas served by Sure Start Local Programmes, which are interventions designed to promote health and development, and reduce inequalities in deprived communities, according to a report published in the Nov. 8 issue of The Lancet.
Early Injury May Point to Later Attention Disorder
FRIDAY, Nov. 7 (HealthDay News) -- Children who require medical attention for a head or burn injury before the age of 2 years are more likely to be subsequently diagnosed with attention-deficit/hyperactivity disorder (ADHD), though the injuries do not seem to be causal, according to research published Nov. 6 in BMJ Online First.
Gene Variant More Common in Seasonal Affective Disorder
THURSDAY, Nov. 6 (HealthDay News) -- Patients with seasonal affective disorder are 5.6 times more likely to have a variant of the melanopsin gene, a non-visual photopigment, according to study findings released online in advance of publication in the Journal of Affective Disorders.
Smoking During Pregnancy Affects Newborn Behavior
THURSDAY, Nov. 6 (HealthDay News) -- Babies who are exposed to maternal smoking during pregnancy are more likely to have poor self-regulation and require greater external intervention, according to a study published online Nov. 6 in the Journal of Pediatrics.
Genetic Link to Specific Language Impairment Found
WEDNESDAY, Nov. 5 (HealthDay News) -- A gene that has recently been implicated in autism is associated with the language disorder known as specific language impairment, according to a study published online Nov. 5 in the New England Journal of Medicine.
Extended Treatment Benefits Opioid-Addicted Youth
TUESDAY, Nov. 4 (HealthDay News) -- Continuing treatment with buprenorphine-naloxone improved outcomes in opioid-addicted youth compared to short-term detoxification, according to a report published in the Nov. 5 issue of the Journal of the American Medical Association.
Community Program May Benefit Assault-Injured Youths
TUESDAY, Nov. 4 (HealthDay News) -- In assault-injured youths, a community-based, mentor-implemented program may help reduce aggression, fighting and the risk of re-injury, according to a report published in the November issue of Pediatrics.
Access to Primary Care Key to US Health Care Reform
TUESDAY, Nov. 4 (HealthDay News) -- Increasing the number of primary care physicians, especially family physicians, is crucial to solving the U.S. health care crisis, according to an article published online Nov. 3 in The Lancet.
London Minority Groups Face Higher Psychosis Risk
TUESDAY, Nov. 4 (HealthDay News) -- Minority groups were found to have higher risk of psychosis than white British individuals, according to research published in the November issue of the Archives of General Psychiatry.
Depression, Hypervigilance When Expecting Pain Linked
MONDAY, Nov. 3 (HealthDay News) -- Individuals with major depressive disorder may have increased emotional reactivity while anticipating a painful stimulus followed by a lowered ability to modulate their pain experience, according to research published in the November issue of the Archives of General Psychiatry.
Stress Disorder After Cardiac Device Linked to Mortality
MONDAY, Nov. 3 (HealthDay News) -- Symptoms of post-traumatic stress disorder (PTSD) have a sizeable influence on mortality in patients with implantable cardioverter-defibrillators, according to research published in the November issue of the Archives of General Psychiatry.
Rain Points to Environmental Trigger for Autism
MONDAY, Nov. 3 (HealthDay News) -- There is a higher prevalence of children with autism in areas with higher annual precipitation rates versus areas with lower rates of rainfall, pointing to an environmental trigger for the condition, according to an article published in the November issue of the Archives of Pediatrics & Adolescent Medicine.
Violent Video Games a Risk Factor for Future Violence
MONDAY, Nov. 3 (HealthDay News) -- Exposure to violent video games is a significant risk factor for later physical aggression, and the effect is seen in both American and Japanese youths, indicating that it is not affected by cultural differences or by the level of violence prevalent in either society, according to a report published in the November issue of Pediatrics.
Low-Cost Intervention Helps Elderly Stop Smoking
MONDAY, Nov. 3 (HealthDay News) -- Among Medicare beneficiaries who want to quit smoking, a telephone quit-line in conjunction with low-cost pharmacotherapy is more effective than other interventions, according to study findings released online in advance of publication in an upcoming issue of Health Services Research.
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