Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for April 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.
Texting Program May Improve Schizophrenia Outcomes
TUESDAY, April 30, 2019 (HealthDay News) — Texting patients with schizophrenia and their lay health supporters may improve schizophrenia outcomes in a resource-poor community setting, according to a study published online April 23 in PLOS Medicine.
Poll: Americans Among Most Stressed People in the World
TUESDAY, April 30, 2019 (HealthDay News) — Americans are more likely to be stressed and worried than people living in poorer parts of the world, and Americans’ concerns are increasing, according to the Gallup 2019 Global Emotions Report.
Combo Nicotine Replacement Tx Ups Success in Quitting Smoking
TUESDAY, April 30, 2019 (HealthDay News) — People who use combination nicotine replacement therapy (NRT) are more likely to successfully quit smoking than people who use a single form of NRT, according to a review published online April 18 in the Cochrane Database of Systematic Reviews.
Work Stress, Impaired Sleep Tied to CVD Risk in Workers With HTN
TUESDAY, April 30, 2019 (HealthDay News) — Work stress and impaired sleep are associated with an increased risk for cardiovascular disease (CVD) mortality among workers with hypertension, according to a study published online April 27 in the European Journal of Preventive Cardiology.
Psychostimulant Use Pervasive in Young Adults’ Fatal Strokes
FRIDAY, April 26, 2019 (HealthDay News) — Psychostimulant use plays a substantial role in fatal strokes among young adults, according to a study published online April 2 in the Journal of Forensic Sciences.
Children With ADHD May Have Higher Risk for Poor Diet
FRIDAY, April 26, 2019 (HealthDay News) — Children with more attention-deficit/hyperactivity disorder (ADHD) symptoms may be at higher risk for an unhealthy diet, but diet quality does not appear to affect ADHD risk, according to a study published in the April issue of The Journal of Nutrition.
Many With Chronic Pain Achieve Remission From Suicidality
FRIDAY, April 26, 2019 (HealthDay News) — Almost two-thirds of formerly suicidal Canadians with chronic pain were free from suicidal thoughts in the previous year, according to a study published online April 9 in The Journal of Pain.
Gender Differences Seen in Adverse Drug Reactions
FRIDAY, April 26, 2019 (HealthDay News) — The risk for adverse drug reactions (ADRs) may be higher for women, even when accounting for gender differences in drug use, according to a study published online April 2 in the British Journal of Clinical Pharmacology.
WHO: No More Than One Hour of Screen Time a Day for Young Children
THURSDAY, April 25, 2019 (HealthDay News) — Screen time for children younger than 5 should be limited to one hour a day, and those younger than 1 year should get no screen time at all, new World Health Organization guidelines say.
More Information: WHO
More Information: AAP
U.S. Death Rate From Drug Poisoning Up for Teens, Young Adults
THURSDAY, April 25, 2019 (HealthDay News) — For adolescents and young adults, the death rate from drug poisoning increased from 2006 to 2015, according to a study published online April 24 in the Journal of Studies on Alcohol and Drugs.
1998 to 2015 Saw Increase in Outpatient Depression Treatment
WEDNESDAY, April 24, 2019 (HealthDay News) — From 1998 to 2015, there was an increase in outpatient treatment of depression, according to a study published online April 24 in JAMA Psychiatry.
CDC Provides Clarification of Opioid Prescribing Guideline
WEDNESDAY, April 24, 2019 (HealthDay News) — Implementation of the U.S. Centers for Disease Control and Prevention opioid prescribing recommendations should be consistent with the guideline’s intent, according to a perspective piece published online April 24 in the New England Journal of Medicine.
Speech-Based Algorithm Helps ID Posttraumatic Stress Disorder
TUESDAY, April 23, 2019 (HealthDay News) — A speech-based algorithm can differentiate individuals with posttraumatic stress disorder (PTSD) from controls, according to a study published online April 22 in Depression and Anxiety.
Video Games Appear Not to Harm Boys’ Social Development
TUESDAY, April 23, 2019 (HealthDay News) — Playing video games is generally not harmful to boys’ social development, though it may be associated with less social competence in girls, according to a study published online April 23 in Child Development.
Cognitive Behavioral Therapy Aids Irritable Bowel Symptoms
TUESDAY, April 23, 2019 (HealthDay News) — Both telephone-delivered and web-delivered cognitive behavioral therapy (CBT) can significantly improve irritable bowel syndrome (IBS) symptoms, according to a study published online April 10 in Gut.
Diminished HRQOL More Likely Among Transgender Adults
MONDAY, April 22, 2019 (HealthDay News) — Transgender adults are more likely to report diminished health-related quality of life (HRQOL), according to a research letter published online April 22 in JAMA Internal Medicine.
FDA Approves Marketing of First Device to Treat ADHD
MONDAY, April 22, 2019 (HealthDay News) — Marketing has been approved for the first medical device to treat attention-deficit/hyperactivity disorder (ADHD), the U.S. Food and Drug Administration announced Friday.
FDA Approves First Generic Nasal Spray Against Opioid Overdose
FRIDAY, April 19, 2019 (HealthDay News) — The first generic naloxone nasal spray to treat opioid overdose has received approval from the U.S. Food and Drug Administration.
Increased Screen Time in Preschool Tied to Worse Inattention
FRIDAY, April 19, 2019 (HealthDay News) — Increased screen time in preschool is associated with increased odds of clinically significant externalizing problems and clinically significant inattention problems, according to a study published online April 17 in PLOS ONE.
Naltrexone Implant Helps HIV Patients Prevent Opioid Relapse
FRIDAY, April 19, 2019 (HealthDay News) — Slow-release implantable naltrexone is associated with better outcomes than the oral drug for HIV-positive patients with an opioid addiction, according to a study published in the April issue of The Lancet HIV.
Loan Forgiveness, Educational Debt May Affect Practice Patterns
FRIDAY, April 19, 2019 (HealthDay News) — Increased educational debt appears to directly influence physician practice choice, according to a study published in the April issue of the Journal of the American Osteopathic Association.
National Hand Hygiene Initiative Successful in Australia
FRIDAY, April 19, 2019 (HealthDay News) — The National Hand Hygiene Initiative (NHHI) has successfully sustained improvement in hand hygiene compliance, according to a study recently published in The Lancet Infectious Diseases and presented at the European Congress of Clinical Microbiology & Infectious Diseases, held from April 13 to 16 in Amsterdam.
Group, Telephone, Guided CBT Treatment Effective for Depression
FRIDAY, April 19, 2019 (HealthDay News) — Group, telephone, and guided self-help cognitive behavioral therapy (CBT) formats are as effective as individual CBT for adult depression, according to research published online April 17 in JAMA Psychiatry.
Anti-Inflammatory Add-On May Be Beneficial for Depression
THURSDAY, April 18, 2019 (HealthDay News) — Anti-inflammatory add-on treatment is beneficial for patients with major depressive disorder (MDD) or depressive symptoms, according to a meta-analysis published in the May issue of Acta Psychiatrica Scandinavica.
Sixty People Charged in Massive Opioid Painkiller Investigation
THURSDAY, April 18, 2019 (HealthDay News) — Fifty-three medical professionals, including 31 doctors, are among the 60 people charged by U.S. authorities for their alleged involvement in the illegal prescribing and distribution of opioid painkillers.
AP News Article
Sensory Sensitivity Tied to Constipation in Young Children
THURSDAY, April 18, 2019 (HealthDay News) — Children with chronic constipation have underlying sensory characteristics that contribute to toileting behavioral difficulties, according to a study published online April 18 in The Journal of Pediatrics.
Perinatal Complications Tied to Childhood Social Anxiety
THURSDAY, April 18, 2019 (HealthDay News) — Perinatal complications are associated with behavioral inhibition and social anxiety in children, according to a study published online March 19 in Infant and Child Development.
One in Three U.S. Adults Aged 35 to 44 May Have Drinking Problem
WEDNESDAY, April 17, 2019 (HealthDay News) — Adults in their mid-30s to 40s are drinking too much too often, according to survey results released by the American Osteopathic Association.
Sleep Myths Are Commonly Circulated
WEDNESDAY, April 17, 2019 (HealthDay News) — Commonly held sleep myths have a questionable evidence base, according to a study published online April 16 in Sleep Health.
About One-Quarter of Seniors Store Firearms Unlocked, Loaded
WEDNESDAY, April 17, 2019 (HealthDay News) — The prevalence of mental health or memory loss indicators does not vary by household firearm ownership or storage practices among older adults, according to a research letter published online April 16 in the Annals of Internal Medicine.
Mixed Effects Observed for Workplace Wellness Program
TUESDAY, April 16, 2019 (HealthDay News) — A workplace wellness program improves certain self-reported health behaviors but does not impact clinical measures of health or health care spending, according to a study published in the April 16 issue of the Journal of the American Medical Association.
Intensive BP Lowering May Up Cognitive Decline in Elderly
TUESDAY, April 16, 2019 (HealthDay News) — Older adults (aged ≥75 years) undergoing antihypertensive treatment with systolic blood pressure (SBP) >150 mm Hg have less cognitive decline than those with SBP <130 mm Hg, according to a study published in the March/April issue of the Annals of Family Medicine.
Trigeminal Nerve Stimulation Beats Sham Tx for Peds ADHD
TUESDAY, April 16, 2019 (HealthDay News) — Trigeminal nerve stimulation (TNS) showed efficacy when compared with a similar sham procedure for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children, according to a double-blind, controlled pilot study published in the April issue of the Journal of the American Academy of Child & Adolescent Psychiatry.
Barriers to Opioid Use Disorder Treatment Should Be Addressed
TUESDAY, April 16, 2019 (HealthDay News) — Barriers to accessing treatment for opioid use disorder (OUD) need to be addressed to help curb the epidemic, according to a report published by the National Academies of Sciences, Engineering, and Medicine.
Low Scam Awareness May Indicate Alzheimer Risk in Seniors
TUESDAY, April 16, 2019 (HealthDay News) — Low scam awareness is associated with an increased risk for Alzheimer disease and mild cognitive impairment among older adults, according to a study published online April 16 in the Annals of Internal Medicine.
Cognitive Behavioral Therapy Effective for Prenatal Insomnia
TUESDAY, April 16, 2019 (HealthDay News) — Cognitive behavioral therapy is an effective nonpharmacologic treatment for insomnia during pregnancy, according to a study published online April 5 in Obstetrics & Gynecology.
Standardizing Demographics Ups Accuracy of Patient Matching
MONDAY, April 15, 2019 (HealthDay News) — Standardizing demographic data can improve the accuracy of patient matching, according to a study published in the May issue of the Journal of the American Medical Informatics Association.
Telehealth Video Visits Risk Fragmenting Care
MONDAY, April 15, 2019 (HealthDay News) — Although telehealth video visits offer users greater convenience, they risk fragmenting care without greater coordination with usual care providers, according to a study recently published in the Journal of the American Medical Informatics Association.
New Scale Helps Identify More Serious Cases of Mononucleosis
MONDAY, April 15, 2019 (HealthDay News) — A new scale for rating the severity of mononucleosis can identify patients at risk for more serious cases, including those who might develop chronic fatigue syndrome following infectious mononucleosis, according to a study recently published in The Journal of Pediatrics.
Daily Cannabis Use More Common in Distressed Individuals
FRIDAY, April 12, 2019 (HealthDay News) — Daily cannabis use is more common among individuals with serious psychological distress (SPD) but is increasing in both those with and without SPD, according to a study published in the April issue of Drug and Alcohol Dependence.
Daily Dose of Nature Cuts Stress Hormone Levels
FRIDAY, April 12, 2019 (HealthDay News) — Taking at least 20 minutes per day to leisurely walk or sit in a place that makes you feel in contact with nature can significantly lower stress hormone levels, according to a study published online April 4 in Frontiers in Psychology.
In Pregnancy, Buprenorphine Use Up, Methadone Use Down
FRIDAY, April 12, 2019 (HealthDay News) — From 2009 to 2015, the prevalence of methadone use decreased and buprenorphine use increased among Medicaid-enrolled pregnant women with opioid use disorder, and the 4Ps Plus and Substance Use Risk Profile-Pregnancy (SURP-P) scale are sensitive for identifying illicit drug use, according to two studies published online April 5 in Obstetrics & Gynecology.
Abstract/Full Text (subscription or payment may be required) – Krans
Abstract/Full Text (subscription or payment may be required) – Coleman-Cowger
Mindfulness Yoga Aids Patients With Parkinson Disease
THURSDAY, April 11, 2019 (HealthDay News) — Mindfulness yoga is a safe and effective treatment option for patients with mild-to-moderate Parkinson disease to help them manage stress and symptoms, according to a study published online April 8 in JAMA Neurology.
CDC: Prevalence of Autism at Age 4 Years Increasing
THURSDAY, April 11, 2019 (HealthDay News) — The prevalence of autism spectrum disorder (ASD) among children aged 4 years increased from 2010 to 2014, according to research published in the April 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
DLQI With ‘Not Relevant’ Answers May Underrate Psoriasis Severity
THURSDAY, April 11, 2019 (HealthDay News) — The Dermatology Life Quality Index (DLQI) may underestimate disease severity in patients with psoriasis who respond “not relevant” to one or more items, according to a research letter published online April 10 in JAMA Dermatology.
Stress-Related Disorders Associated With Increased CVD Risk
THURSDAY, April 11, 2019 (HealthDay News) — Stress-related disorders are associated with cardiovascular disease, according to a study published online April 10 in The BMJ.
Domestic Responsibilities Tied to Physician Mothers’ Satisfaction
THURSDAY, April 11, 2019 (HealthDay News) — For physician mothers in procedural specialties, being responsible for five or more domestic tasks is associated with an increased likelihood of career dissatisfaction, according to a study published online April 10 in JAMA Surgery.
Verubecestat, Atabecestat Not Beneficial for Preventing Alzheimer Disease
WEDNESDAY, April 10, 2019 (HealthDay News) — Use of the orally administered β-site amyloid precursor protein-cleaving enzyme 1 inhibitors, verubecestat and atabecestat, does not prevent clinical progression to Alzheimer disease, according to two studies published in the April 11 issue of the New England Journal of Medicine.
Abstract/Full Text – Egan (subscription or payment may be required)
Abstract/Full Text – Henley (subscription or payment may be required)
Editorial (subscription or payment may be required)
Caregiving for Older Cancer Patients Takes Emotional Toll
WEDNESDAY, April 10, 2019 (HealthDay News) — Poor emotional health is common among caregivers of older cancer patients, particularly when patients have higher numbers of geriatric assessment (GA) impairments, according to a study published online March 29 in the Journal of the American Geriatrics Society.
People With Obesity Are Blatantly Dehumanized
WEDNESDAY, April 10, 2019 (HealthDay News) — People with obesity are not only commonly stigmatized, but are blatantly dehumanized, according to research published online April 2 in Obesity.
Many NPs Unable to Prescribe Meds to Treat Opioid Addiction
TUESDAY, April 9, 2019 (HealthDay News) — Greater practice restrictions are associated with a lower percentage of nurse practitioners (NPs) with waivers to prescribe buprenorphine, but no association is seen for physician assistants (PAs), according to a study published in the April 9 issue of the Journal of the American Medical Association.
High Response Seen for All Hep C Tx Models in Injection Drug Users
TUESDAY, April 9, 2019 (HealthDay News) — For people with hepatitis C virus (HCV) who inject drugs (PWID) and receive opioid agonist therapy (OAT), receipt of HCV treatment is associated with high sustained virologic response (SVR), according to a study published online April 9 in the Annals of Internal Medicine.
Suicide-Related ED Visits Increased in Children From 2007 to 2015
TUESDAY, April 9, 2019 (HealthDay News) — From 2007 to 2015, the number of emergency department visits for suicide attempts (SA) and suicide ideation (SI) doubled among children, according to a research letter published online April 8 in JAMA Pediatrics.
Alcohol, Drug Misuse Tied to Long-Term Health Problems
MONDAY, April 8, 2019 (HealthDay News) — More than one-third of U.S. adults in recovery for alcohol and other drug (AOD) use have health problems related to previous substance use, according to a study published online March 16 in the Journal of Addiction Medicine.
Draft Recommendation Promotes Screening Women for Anxiety
MONDAY, April 8, 2019 (HealthDay News) — Adolescent and adult women, including those who are pregnant and postpartum, should be assessed for anxiety as a routine preventive health service, according to a draft recommendation statement published online April 1 by the Women’s Preventive Services Initiative (WPSI).
Health Issues Prevalent Across BMI Classes for Obese Children
FRIDAY, April 5, 2019 (HealthDay News) — For children with obesity, physical and mental health issues are highly prevalent, regardless of body mass index (BMI) class, according to a study published online April 2 in The Lancet Child & Adolescent Health.
Depressive Symptoms May Up Risk for Death in HIV+ Veterans
FRIDAY, April 5, 2019 (HealthDay News) — Among U.S. veterans with HIV infection, depressive symptoms are associated with a significantly increased risk for mortality, but depression is not, according to a study published online March 29 in HIV Medicine.
Pregnancy History Not Likely Tied to Later Cognitive Function
FRIDAY, April 5, 2019 (HealthDay News) — There is no clinically meaningful long-term association between pregnancy history and age-related change in cognitive function, according to a study published online March 18 in Menopause.
FDA: High Levels of Heavy Metals Found in Kratom Products
THURSDAY, April 4, 2019 (HealthDay News) — Dangerously high levels of heavy metals have been found in dozens of kratom products, the U.S. Food and Drug Administration said Wednesday.
Americans Borrowed $88 Billion in Past Year to Pay for Health Care
TUESDAY, April 2, 2019 (HealthDay News) — About one in eight Americans borrowed a total of $88 billion in the past year to pay for health care, a new West Health-Gallup survey shows.
CNN Article
West Health-Gallup Survey
Amyloid PET Linked to Changes in Management for MCI, Dementia
TUESDAY, April 2, 2019 (HealthDay News) — For Medicare beneficiaries with mild cognitive impairment (MCI) or dementia of uncertain etiology, amyloid positron emission tomography (PET) is associated with changes in clinical management, according to a study published in the April 2 issue of the Journal of the American Medical Association.
Reduction in Autism Diagnoses Observed With DSM-5
TUESDAY, April 2, 2019 (HealthDay News) — Use of the Diagnostic and Statistical Manual 5 (DSM-5) criteria for autism spectrum disorder (ASD) seems to have reduced the number of ASD diagnoses, according to a review published online March 9 in the Journal of Autism and Developmental Disorders.
Over-the-Counter Meds Save Health Care System Money
TUESDAY, April 2, 2019 (HealthDay News) — On average, each dollar spent on over-the-counter (OTC) medicines saves the U.S. health care system $7.20, totaling nearly $146 billion in annual savings, according to a report released March 18 by the Consumer Healthcare Products Association (CHPA).
Doctors Unclear on Legal Obligations in Caring for Patients With Disability
MONDAY, April 1, 2019 (HealthDay News) — Practicing physicians might not understand their legal responsibilities when caring for people with disability, which may contribute to inequalities in their care, according to a study published online April 1 in Health Affairs.
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