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Category: Psychiatry | Monthly Briefing

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July 2014 Briefing - Psychiatry

Last Updated: August 01, 2014.

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for July 2014. 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.

Depression Independent of Neuropathology of Dementia

THURSDAY, July 31, 2014 (HealthDay News) -- For older adults, depressive symptoms are associated with cognitive decline but appear independent of the neuropathologic hallmarks of dementia, according to a study published online July 30 in Neurology.

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Slow Progress Toward Meaningful Use Stage 2

WEDNESDAY, July 30, 2014 (HealthDay News) -- Providers and hospitals are making slow progress toward achieving meaningful use stage 2, according to an article published July 10 in Medical Economics.

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Low Trust in Physician Tied to Distress in Cancer Patients

TUESDAY, July 29, 2014 (HealthDay News) -- Having a lower level of trust in one's physician is associated with more emotional distress and more physical limitations within the first 15 months after cancer diagnosis in more anxiously attached patients, according to a study published in the July issue of General Hospital Psychiatry.

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Caffeine Intake Tied to Menopausal Symptoms

TUESDAY, July 29, 2014 (HealthDay News) -- Menopausal symptoms, including hot flashes, are worse in women reporting caffeine consumption, according to a study published online July 21 in Menopause.

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IOM Recommends Restructuring GME Financing

TUESDAY, July 29, 2014 (HealthDay News) -- Medicare support for graduate medical education (GME) should be restructured and based on its value and contribution to the nation's health needs, according to a report published July 29 by the Institute of Medicine (IOM).

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Access for Pharmaceutical Sales Reps Continuing to Decline

MONDAY, July 28, 2014 (HealthDay News) -- Pharmaceutical sales representatives' access to physicians is continuing to decrease, even in previously rep-friendly specialties, according to a report published by ZS Associates.

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Survey IDs Patients' Views on Health Care Provider Quality

FRIDAY, July 25, 2014 (HealthDay News) -- Most Americans focus on provider quality related to doctor-patient interactions rather than effectiveness of care when defining provider quality, according to a report published by the Associated Press-NORC (AP-NORC) Center for Public Affairs Research.

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FDA Approves Tough-to-Abuse Formulation of Oxycodone

THURSDAY, July 24, 2014 (HealthDay News) -- Targiniq ER (oxycodone hydrochloride and naloxone hydrochloride extended release) has been approved by the U.S. Food and Drug Administration as a long-term, around-the-clock treatment for severe pain when other therapies are ineffective or unavailable.

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Number of Uninsured Down After ACA Open Enrollment

THURSDAY, July 24, 2014 (HealthDay News) -- There has been a decrease in the number of uninsured following the open enrollment period of the Affordable Care Act (ACA), according to a report published online July 23 in the New England Journal of Medicine.

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Prenatal Maternal Smoking Ups Risk of ADHD in Offspring

THURSDAY, July 24, 2014 (HealthDay News) -- Maternal smoking and nicotine replacement therapy during pregnancy are associated with increased risk of attention-deficit/hyperactivity disorder (ADHD) in children, according to research published online July 21 in Pediatrics.

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Use of Growth Hormone Surges Among U.S. Teens

WEDNESDAY, July 23, 2014 (HealthDay News) -- The percentage of teens who admit to using synthetic human growth hormone (hGH) jumped to 11 percent in 2013 -- more than double the 5 percent figure in 2012, according to a new survey from the Partnership for Drug-Free Kids.

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Review: Vitamin D Deficiency Linked to Schizophrenia

WEDNESDAY, July 23, 2014 (HealthDay News) -- Vitamin D deficiency is associated with schizophrenia, according to a review published online July 22 in the Journal of Clinical Endocrinology and Metabolism.

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American Red Cross Issues Urgent Call for Blood Donations

WEDNESDAY, July 23, 2014 (HealthDay News) -- Blood donations to the American Red Cross are down substantially, and the agency says an "emergency situation" could arise within weeks.

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Online Reviews Show Patients Value Docs' Interpersonal Skills

TUESDAY, July 22, 2014 (HealthDay News) -- Patient reviews indicate that the attributes most valued in physicians include interpersonal skills and bedside manner, according to a report published online July 16 by Vitals.

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Persistent Symptoms After Mild TBI Should Be Considered PTSD

TUESDAY, July 22, 2014 (HealthDay News) -- Persistent symptoms lasting three months after mild traumatic brain injury (mTBI) do not represent postconcussion syndrome (PCS) and should be considered part of the hyperarousal dimension of posttraumatic stress disorder (PTSD), according to a study published online July 16 in JAMA Psychiatry.

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Physician Offices Investing in Patient Portals for EHRs

THURSDAY, July 10, 2014 (HealthDay News) -- Practitioners are continuing to invest in electronic health records (EHRs), specifically to improve access for patients, according to an article published June 13 in Medical Economics.

Medical Economics Article
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National Survey Finds Most U.S. Physicians Are Satisfied

MONDAY, July 21, 2014 (HealthDay News) -- Most U.S. physicians are satisfied, with satisfied physicians more likely to report positive trends in medicine, according to a report published by Jackson Healthcare.

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Text Message + Feedback Alcohol Intervention Beneficial

MONDAY, July 21, 2014 (HealthDay News) -- For patients discharged from the emergency department with a history of hazardous alcohol use, a short message service (SMS) assessment and feedback intervention is beneficial, according to a study published online July 9 in the Annals of Emergency Medicine.

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Daily Stressors Alter Metabolic Response to High-Fat Meals

FRIDAY, July 18, 2014 (HealthDay News) -- Prior day stressors and depression alter metabolic responses to high-fat meals, according to a study published online July 13 in Biological Psychiatry.

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Legal Risks for Providing Financial Assistance to Patients

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians need to be aware of the ramifications of providing financial assistance to patients, according to an article published July 8 in Medical Economics.

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Doctors More Likely Than Public to Be Registered Organ Donors

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians are more likely to register to be organ donors than the general public, according to a research letter published in the July 16 issue of the Journal of the American Medical Association.

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Brain Damage Seen Even With Mild Head Injury

WEDNESDAY, July 16, 2014 (HealthDay News) -- Even mild traumatic brain injury may cause brain damage and affect thinking and memory, according to a study published online July 16 in Neurology.

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Increasing Flow of Information Has Impact on Patient Consent

WEDNESDAY, July 16, 2014 (HealthDay News) -- The increasing flow of information as part of health information exchanges raises certain issues for patient consent, according to an article published July 8 in Medical Economics.

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Social Integration Inversely Linked to Suicide Risk for Men

WEDNESDAY, July 16, 2014 (HealthDay News) -- Social integration is associated with a reduced suicide risk for men, according to a study published in the July 15 issue of the Annals of Internal Medicine.

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Increased Stroke Risk With Stress, Hostility, Depression

WEDNESDAY, July 16, 2014 (HealthDay News) -- For middle-aged and older adults, stress, hostility, and depressive symptoms are associated with increased risk of incident stroke and transient ischemic attack, according to a study published online July 10 in Stroke.

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Medical Schools Being Challenged to Find Training Sites

MONDAY, July 14, 2014 (HealthDay News) -- Medical schools are working to find solutions to ensure their students can continue to receive clinical training in spite of the escalating shortage of training sites, according to an article published by the American Academy of Family Physicians (AAFP).

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Interrupted Sleep May Be As Bad As Too Little Sleep

FRIDAY, July 11, 2014 (HealthDay News) -- Interrupted sleep may be as harmful to cognition and mood as getting too little sleep, according to a study published in the July issue of Sleep Medicine.

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Stimulant Use Ups Subsequent Cardiovascular Event Risk

FRIDAY, July 11, 2014 (HealthDay News) -- Stimulant use in children and adolescents is associated with an increased risk of a subsequent cardiovascular event, according to a study published online June 23 in the Journal of Child and Adolescent Psychopharmacology.

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Mental Health, Low Vision Program Cuts Depression in AMD

THURSDAY, July 10, 2014 (HealthDay News) -- For patients with age-related macular degeneration (AMD), an integrated mental health and low vision intervention can reduce the incidence of depressive disorders, according to a study published online July 9 in Ophthalmology.

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Researchers Say They've Found New Clues to Autism

THURSDAY, July 10, 2014 (HealthDay News) -- A genetic mutation that increases the risk for a certain form of autism and causes specific physical traits and symptoms has been identified by researchers. The findings were published online July 3 in the journal Cell.

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ACOs Require Overhaul to Health Care Delivery System

WEDNESDAY, July 9, 2014 (HealthDay News) -- The accountable care organization (ACO) model requires an overhaul for health care delivery, according to an article published June 24 in Medical Economics.

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Fluoxetine + Behavioral Tx Cuts Pediatric Depression Relapse

WEDNESDAY, July 9, 2014 (HealthDay News) -- Fluoxetine plus relapse-prevention cognitive-behavioral therapy (CBT) cuts the risk of relapse in youth with major depressive disorder, according to a study published online June 17 in The American Journal of Psychiatry.

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Depressed Men With Prostate Cancer Fare Worse

WEDNESDAY, July 9, 2014 (HealthDay News) -- Depressed men with a diagnosis of intermediate- or high-risk prostate cancer have worse overall outcomes, according to a study published online July 7 in the Journal of Clinical Oncology.

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Varenicline, Nicotine Patch Combo Aids in Smoking Cessation

TUESDAY, July 8, 2014 (HealthDay News) -- Varenicline in combination with nicotine replacement therapy (NRT) is more effective than varenicline alone in achieving tobacco abstinence at 12 weeks and at six months, according to a study published in the July 9 issue of the Journal of the American Medical Association.

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Dyslexia More Likely With History of Physical Abuse

TUESDAY, July 8, 2014 (HealthDay News) -- The prevalence of dyslexia seems to be higher in individuals with a history of childhood physical abuse, according to a study published online June 30 in the Journal of Interpersonal Violence.

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Most Docs Find M.B.A. Training Advantageous to Their Careers

TUESDAY, July 8, 2014 (HealthDay News) -- Graduates with dual training in medicine and business increasingly pursue leadership roles and report greater career acceleration, according to a study published online June 20 in Academic Medicine.

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Chronic Pain Prevalent in U.S. Soldiers Post-Combat Deployment

TUESDAY, July 8, 2014 (HealthDay News) -- Forty-four percent of combat soldiers report experiencing chronic pain, and about one-quarter of those soldiers report past-month opioid use, according to a study published online June 30 in JAMA Internal Medicine.

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Alzheimer's Blood Test a 'Major' Step Closer: Study

TUESDAY, July 8, 2014 (HealthDay News) -- A major advance has been made in creating a blood test to predict when at-risk people will develop Alzheimer's disease, according to scientists.

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Blood Lead Concentration Tied to Child Behavioral Problems

MONDAY, July 7, 2014 (HealthDay News) -- Higher blood lead concentrations are associated with increased risk of behavioral problems among Chinese preschoolers, according to a study published online June 30 in JAMA Pediatrics.

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Don't Forget Patient Privacy When Marketing Your Practice

MONDAY, July 7, 2014 (HealthDay News) -- Use of marketing by health care providers must be in accordance with federal and state regulations relating to patient privacy, according to an article published June 24 in Medical Economics.

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Efavirenz Tied to Increased Suicidality

THURSDAY, July 3, 2014 (HealthDay News) -- Initial treatment with the antiretroviral efavirenz is associated with an increased risk for suicidality, according to a study published in the July 1 issue of the Annals of Internal Medicine.

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Three Opportunities Presented for Practice Growth

THURSDAY, July 3, 2014 (HealthDay News) -- Maximizing the growth potential of a practice over time requires physicians to consider various opportunities, including increasing the size of medical groups, embracing technology, and use of marketing, according to an article published June 24 in Medical Economics.

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AMA: Tips for Managing Medical School Loans

THURSDAY, July 3, 2014 (HealthDay News) -- Creating a budget and other tips can help medical school graduates to manage their loan repayments, according to an article published by the American Medical Association (AMA).

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Recommendations Made for Partnering Patients in Health Care

THURSDAY, July 3, 2014 (HealthDay News) -- Changes need to be implemented in the education system in order to fully integrate patients and their families as equal partners in health care, according to a report based on recommendations made at a conference convened by the Macy Foundation.

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Tips Offered for Improving Practice Financial Management

WEDNESDAY, July 2, 2014 (HealthDay News) -- Establishing clear financial policies for practices and making it easy for patients to pay are two suggestions for improving practices' financial management, according to an article published online June 24 in Medical Economics.

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AAFP Urges Changes in Telemedicine Compensation

WEDNESDAY, July 2, 2014 (HealthDay News) -- Significant changes should be made to delivery and payment of telemedicine services, according to an article published by the American Academy of Family Physicians (AAFP).

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Health Care Expenditure Has Slowed in United States

WEDNESDAY, July 2, 2014 (HealthDay News) -- The growth in U.S. health care expenditure has slowed in recent years, coming some way toward closing the gap with other countries of the Organisation for Economic Co-operation and Development (OECD), according to an article in the health of Americans series published online July 1 in The Lancet.

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Intellectual Enrichment Linked to Delayed Cognitive Decline

WEDNESDAY, July 2, 2014 (HealthDay News) -- Lifetime intellectual enrichment is associated with delayed cognitive decline, according to research published online June 23 in JAMA Neurology.

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Mental Stress Affects Ischemia Prognosis in Patients With CAD

WEDNESDAY, July 2, 2014 (HealthDay News) -- Mental stress-induced myocardial ischemia (MSIMI) is associated with increased risk of adverse cardiovascular events in patients with coronary artery disease (CAD), according to research published in the July 15 issue of The American Journal of Cardiology.

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Injuries, Violence Top Causes of Death for Young Americans

WEDNESDAY, July 2, 2014 (HealthDay News) -- Nearly 80 percent of deaths of Americans age 30 and younger result from injury or violence, U.S. health researchers reported Tuesday. In 2010, the top three causes of death for young people were unintentional injury, suicide, and homicide, according to the report, published online July 2 in The Lancet.

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ACA Offers Opportunities for Prevention, Public Health

TUESDAY, July 1, 2014 (HealthDay News) -- The Patient Protection and Affordable Care Act is fostering collaboration between the public health and health care systems and can improve quality of care and advance population health, according to an article in the health of Americans series published online July 1 in The Lancet.

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Children With ADHD Prone to Substance Use Disorders

TUESDAY, July 1, 2014 (HealthDay News) -- Screening for substance use disorders (SUDs) and the safe use of stimulant medications are important issues in the care of children with attention-deficit/hyperactivity disorder (ADHD), according to research published online June 30 in Pediatrics.

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A Physician's Ability to Empathize May Be in the Genes

TUESDAY, July 1, 2014 (HealthDay News) -- Sensory processing sensitivity (SPS) is associated with increased activation of brain regions involved in awareness, attention, and action planning, according to a study published online June 23 in Brain and Behavior.

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