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Category: Psychiatry | Monthly Briefing

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December 2018 Briefing - Psychiatry

Last Updated: January 02, 2019.

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

Delayed School Start Shows Benefits for Teens

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Delaying school start times increases the amount of time teenagers sleep, which seems to improve school performance, according to a study published in the December issue of Science Advances.

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Toll on Health From Depression, Anxiety Akin to Smoking, Obesity

FRIDAY, Dec. 28, 2018 (HealthDay News) -- Anxiety and depression predict poor future physical health as strongly as obesity and smoking in older adults, according to a study published online Dec. 17 in Health Psychology.

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More Than Two-Thirds of Drug OD Deaths in 2017 Involved Opioids

THURSDAY, Dec. 27, 2018 (HealthDay News) -- More than two-thirds of drug overdose deaths in 2017 involved an opioid, with increases in overdose deaths from all opioids and synthetic opioids seen from 2016 to 2017, according to research published in the Dec. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Low-Priced Generic Drugs Most Likely to Have Shortages

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The lowest-priced generic drugs are more likely to experience shortages, according to a study published in the November issue of Value in Health.

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More Americans Reporting Less Than Six Hours Sleep Per Night

THURSDAY, Dec. 27, 2018 (HealthDay News) -- The percentage of American adults reporting six hours of sleep or less per night increased from 29 to 33 percent from 2013 to 2017, according to a study recently published in Sleep.

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Initiative Can Cut Gender Gap in Medical School Faculty Salaries

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- An institutional gender equity initiative (GEI) can reduce gender-based salary gaps among medical school faculty, according to a study published online Dec. 21 in JAMA Network Open.

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ACOG: Interpregnancy Period Should Maximize Women's Health

WEDNESDAY, Dec. 26, 2018 (HealthDay News) -- Providers should maximize women's health during the interpregnancy period, continuing care beyond the immediate postpartum period, according to a consensus report published online Dec. 20 in the American Journal of Obstetrics & Gynecology.

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Incorrect Prescribing Alerts Common for Psychotropic Meds

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Incorrect prescribing alerts for psychotropic medications may be common, according to a study published online Dec. 4 in the Journal of Clinical Psychiatry.

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Number of People With Dementia Rose Twofold From 1990 to 2016

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The number of people living with dementia worldwide more than doubled from 1990 to 2016, according to a study published online Nov. 26 in The Lancet Neurology.

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A-Fib Risk Up for Antidepressant Users, but Higher Before Tx

FRIDAY, Dec. 21, 2018 (HealthDay News) -- The risk for atrial fibrillation (AF) is increased among antidepressant users, particularly before treatment initiation, according to a study recently published in the European Journal of Preventive Cardiology.

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Mental, Behavior, Developmental Disorders Up With Low-Income

FRIDAY, Dec. 21, 2018 (HealthDay News) -- Children in lower-income households more often receive a diagnosis of mental, behavioral, and developmental disorders (MBDDs), according to research published in the Dec. 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Affordable Care Act Sign-Ups Higher Than Expected

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Despite numerous difficulties, early figures show that sign-ups for health coverage next year under the Affordable Care Act are higher than expected.

AP News Article

Growth in Use of Telemedicine Seen From 2005 to 2017

THURSDAY, Dec. 20, 2018 (HealthDay News) -- From 2005 to 2017, there was a substantial increase in telemedicine use, although use was still uncommon in 2017, according to a research letter published online Nov. 27 in the Journal of the American Medical Association.

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Prevalence of Benzodiazepine Use 12.6 Percent in the United States

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Overall, 12.6 percent of U.S. adults report past-year benzodiazepine use, with misuse accounting for 17.2 percent of overall use, according to a study published online Dec. 17 in Psychiatric Services.

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Restrictive, Obstructive Lung Disease Linked to Dementia Risk

THURSDAY, Dec. 20, 2018 (HealthDay News) -- Both restrictive and obstructive lung disease are associated with an increased risk for incident dementia and mild cognitive impairment (MCI), according to a study recently published in the American Journal of Respiratory and Critical Care Medicine.

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Cognitive Therapy Helps Reduce Anxiety in COPD Patients

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- Cognitive behavioral therapy (CBT) delivered by respiratory nurses is associated with reduced anxiety symptoms and is cost-effective for patients with chronic obstructive pulmonary disease (COPD), according to a study recently published in ERJ Open Research.

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Failure of Timely Stop to Certain Prescription Drugs Is Common

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- Legacy prescribing of certain drugs, such as antidepressants and proton pump inhibitors (PPIs), is common, according to a study published in the November/December issue of the Annals of Family Medicine.

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Endocrine Tx Does Not Impair Neuropsychological Performance

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- For early-stage breast cancer survivors, endocrine therapy (ET) appears to have no effect on neuropsychological performance or impairment over six years of follow-up, according to a study published online Nov. 28 in Cancer.

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Several Factors Tied to Early Readmission After Hip Fracture Sx

WEDNESDAY, Dec. 19, 2018 (HealthDay News) -- Several comorbidities are associated with an increased risk for early readmission after hip fracture surgery, according to a study recently published in Injury.

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Hospitalizations Up for Homeless From 2007 to 2013

TUESDAY, Dec. 18, 2018 (HealthDay News) -- From 2007 to 2013, hospitalizations among homeless individuals increased and were most frequently for mental illness and substance use disorder, according to a study published in the January issue of Medical Care.

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Exclusion of Doctors From Public Health Insurance Up 2007 to 2017

TUESDAY, Dec. 18, 2018 (HealthDay News) -- From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased, according to a study published online Dec. 14 in JAMA Network Open.

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Psychosocial Factors Key in Peds Care for Special-Needs Kids

TUESDAY, Dec. 18, 2018 (HealthDay News) -- Pediatric providers need to be aware of the impact of psychosocial factors on the health and wellness of children and youth with special health care needs and their families, according to a clinical report published online Dec. 17 in Pediatrics.

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More U.S. Teens Are Vaping, but Use of Opioids, Alcohol Falling

MONDAY, Dec. 17, 2018 (HealthDay News) -- Vaping among American teenagers increased dramatically in 2018, with nearly two of every five high school seniors reporting they had tried an electronic cigarette during the past year, according to the latest Monitoring the Future survey funded by the U.S. National Institute on Drug Abuse.

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Risk for Later Suicide Up for Certain Youth Presenting to ED

MONDAY, Dec. 17, 2018 (HealthDay News) -- The risk for subsequent self-directed violence is increased among young people presenting to the emergency department for certain medical conditions, according to a study published online Dec. 17 in the American Journal of Preventive Medicine.

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Pediatricians Have Role in ID'ing Postpartum Depression

MONDAY, Dec. 17, 2018 (HealthDay News) -- Pediatric physicians should screen women for postpartum depression (PPD) at well-child visits and make use of community resources for treatment and referral, according to a policy statement and technical report published online Dec. 17 in Pediatrics.

Policy Statement
Technical Report

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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Persistent Discrimination ID'd Among Physician Mothers

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Physician mothers experience discrimination in a range of ways, which can impact the medical profession, according to a study published online Dec. 12 in The BMJ.

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Editorial

Depressive Symptoms Up From Age 10 for Sexual-Minority Youth

FRIDAY, Dec. 14, 2018 (HealthDay News) -- Sexual-minority youth have higher depressive symptoms at age 10 and an increased likelihood of self-harm in adolescence and young adulthood, according to a study published online Dec. 11 in The Lancet Child & Adolescent Health.

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Editorial (subscription or payment may be required)

Patient-Reported Outcome Measures May Aid Communication

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Patient-reported outcome measures (PROs) can be useful for measuring symptoms in primary care clinics if clinicians use these measures to improve care, according to patient interview data published in the December issue of Quality of Life Research.

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Dementia Risk Up in Women With Military-Linked Risk Factors

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Women with military-related risk factors have an increased risk for developing dementia, according to a study published online Dec. 11 in Neurology.

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Medication Errors Resulting in Death Most Common in Elderly

THURSDAY, Dec. 13, 2018 (HealthDay News) -- Medication errors in acute care that result in death occur most often in patients older than 75 years, with the most common error category being omitted medicine or ingredient, according to a study published online Nov. 22 in Research in Social and Administrative Pharmacy.

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Enrollment Under the Affordable Care Act Down From Last Year

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up, according to the U.S. Centers for Medicare & Medicaid Services.

AP News Article

Antipsychotics Up Risk for Unexpected Death in Youths

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- Antipsychotic use is associated with an increased risk for unexpected death among children and youths, according to a study published online Dec. 12 in JAMA Psychiatry.

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Editorial (subscription or payment may be required)

2017 Saw Slowing in National Health Care Spending

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- National health care spending slowed in 2017, according to a report published online Dec. 6 in Health Affairs.

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CDC Identifies Drugs Frequently Involved in Drug Overdose Deaths

WEDNESDAY, Dec. 12, 2018 (HealthDay News) -- The drugs most commonly involved in drug overdose deaths during 2011 to 2016 include fentanyl, heroin, oxycodone, and cocaine, according to the Dec. 12 issue of the National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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U.S. Medical Schools See Increase in Diversity

TUESDAY, Dec. 11, 2018 (HealthDay News) -- After implementation of the Liaison Committee on Medical Education (LCME) diversity accreditation standards, U.S. medical schools saw increasing percentages of female, black, and Hispanic matriculants, according to a research letter published in the Dec. 4 issue of the Journal of the American Medical Association.

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Paid Childbearing Policies Lacking for Residents

TUESDAY, Dec. 11, 2018 (HealthDay News) -- Policies for paid childbearing or family leave for residents are lacking at top-ranking medical schools and may be exacerbated by lack of direction from specialty boards, according to two research letters published in the Dec. 11 issue of the Journal of the American Medical Association.

Abstract/Full Text - Magudia (subscription or payment may be required)
Abstract/Full Text - Varda/Glover (subscription or payment may be required)

Consensus Decision Pathway Developed for Tobacco Cessation

TUESDAY, Dec. 11, 2018 (HealthDay News) -- An expert consensus decision pathway has been developed for tobacco cessation treatment; the report was published online Dec. 5 in the Journal of the American College of Cardiology.

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Risk Up for Later-Born Siblings of Children With ASD, ADHD

MONDAY, Dec. 10, 2018 (HealthDay News) -- Later-born siblings of children with autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD) have an elevated risk of being diagnosed with the same or the other disorder, according to a study published online Dec. 10 in JAMA Pediatrics.

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Editorial (subscription or payment may be required)

HIT-Related Stress Linked to Burnout Among Physicians

MONDAY, Dec. 10, 2018 (HealthDay News) -- Stress related to use of health information technology (HIT) is common and predictive of burnout among physicians, according to a study published online Dec. 5 in the Journal of the American Medical Informatics Association.

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Most Insured Patients Not Using Online Portals

FRIDAY, Dec. 7, 2018 (HealthDay News) -- Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017, according to a study published in the December issue of Health Affairs.

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Patient Education Can Improve Chronic Disease Management

FRIDAY, Dec. 7, 2018 (HealthDay News) -- An educational intervention can improve patients' ability to self-manage their chronic diseases, according to a study published in the November issue of the Journal of the American Osteopathic Association.

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Infections Linked to Increased Later Risk for Mental Disorders

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Infections requiring hospitalization or treatment with anti-infective agents are associated with an increased subsequent risk for mental disorders, according to a study published online Dec. 5 in JAMA Psychiatry.

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Editorial (subscription or payment may be required)

Few Physicians Work in Practices That Use Telemedicine

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions, with larger practice size being an important correlate of telemedicine use, according to a study published in the December issue of Health Affairs.

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History of Partner Violence Tied to Menopause Symptoms

WEDNESDAY, Dec. 5, 2018 (HealthDay News) -- A history of intimate partner violence (IPV) or sexual assault and current symptoms of posttraumatic stress disorder (PTSD) are associated with an increased risk for menopause symptoms, according to a study published online Nov. 19 in JAMA Internal Medicine.

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Editorial (subscription or payment may be required)

Many Patients Withhold Information From Clinicians

TUESDAY, Dec. 4, 2018 (HealthDay News) -- Many patients intentionally withhold information from clinicians, according to a study published online Nov. 30 in JAMA Network Open.

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Editorial

HHS Issues Draft Strategy for Reducing Health IT Burden

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The U.S. Department of Health and Human Services has developed a draft strategy to reduce the health information technology (IT) burden, and the strategy is open for public comment through Jan. 28, 2019.

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Use of Telemedicine Low for Substance Use Disorder Treatment

TUESDAY, Dec. 4, 2018 (HealthDay News) -- The use of telemedicine for substance use disorder (tele-SUD) is relatively low in a commercially insured population, according to a study published in the December issue of Health Affairs.

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Prevalence of Ever-Diagnosed ASD 2.79 Percent in U.S. Children

MONDAY, Dec. 3, 2018 (HealthDay News) -- The prevalence of ever-diagnosed autism spectrum disorder (ASD) is 2.79 percent in the United States, with state-level variations in prevalence, according to a study published online Dec. 3 in JAMA Pediatrics.

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