Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for February 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.
Prevalence of Sexting Is Increasing in Youth Under 18
WEDNESDAY, Feb. 28, 2018 (HealthDay News) — The prevalences of sending and receiving sexts are 14.8 and 27.4 percent, respectively, among youth, according to a review published online Feb. 28 in JAMA Pediatrics.
Early Studies Often Show Exaggerated Treatment Effect
TUESDAY, Feb. 27, 2018 (HealthDay News) — Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials, according to research published online Feb. 21 in the Mayo Clinical Proceedings.
Medical Marijuana Laws Not Tied to Increases in Teen Use
TUESDAY, Feb. 27, 2018 (HealthDay News) — Current evidence does not show that medical marijuana laws (MMLs) enacted through 2014 have led to increases in adolescent marijuana use, according to a review published online Feb. 22 in Addiction.
Low Risk of Serotonin Syndrome for Triptans + SSRI/SNRI
TUESDAY, Feb. 27, 2018 (HealthDay News) — A low risk of serotonin syndrome is seen in association with concomitant use of triptans and selective serotonin reuptake inhibitor (SSRI) or selective norepinephrine reuptake inhibitor (SNRI) antidepressants, according to a study published online Feb. 26 in JAMA Neurology.
Recommendations for Optimizing Hidden Curriculum in Medicine
MONDAY, Feb. 26, 2018 (HealthDay News) — In a position paper published online Feb. 27 in the Annals of Internal Medicine, the American College of Physicians (ACP) presents recommendations for optimizing clinical learning environments by fostering a positive hidden curriculum in medicine.
Understanding Rx Nonadherence Can Improve Adherence
MONDAY, Feb. 26, 2018 (HealthDay News) — Understanding nonadherence in patients and encouraging a change in attitude toward patients and their medication can improve medication adherence, according to a report published by the American Medical Association (AMA).
Group CBT, Pain Education Improve Pain, Physical Function
MONDAY, Feb. 26, 2018 (HealthDay News) — For patients with chronic pain, literacy-adapted group cognitive behavioral therapy (CBT) and group pain education (EDU) improve pain and physical function compared with usual care, according to a study published online Feb. 27 in the Annals of Internal Medicine.
Guidelines Updated for Managing and ID’ing Adolescent Depression
MONDAY, Feb. 26, 2018 (HealthDay News) — Clinical practice guidelines have been updated to assist primary care (PC) physicians in the screening, treatment, and management of adolescent depression in youth aged 10 to 21 years. The details of the updates are presented in two reports published online Feb. 26 in Pediatrics.
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Knee Pain, Functional Impairment Associated With Depression
MONDAY, Feb. 26, 2018 (HealthDay News) — Knee pain and functional impairments in elderly individuals are associated with the development of depressive symptoms, according to a study published online Feb. 14 in the Journal of the American Geriatrics Society.
Pets Provide Support to People With Mental Health Conditions
FRIDAY, Feb. 23, 2018 (HealthDay News) — Pets provide benefits to those with mental health conditions, according to a review published online Feb. 5 in BMC Psychiatry.
Benzodiazepine Use Declining in Older Adults
FRIDAY, Feb. 23, 2018 (HealthDay News) — There have been small but significant reductions in the incidence and prevalence of benzodiazepine use in older adults in Canada, the United States, and Australia, according to a brief report published online Feb. 12 in the Journal of the American Geriatrics Society.
Artificial Intelligence May Help Prevent Physician Burnout
FRIDAY, Feb. 23, 2018 (HealthDay News) — Artificial intelligence (AI), in which computers can be trained to recognize patterns in large quantities of data, may be able to reduce physicians’ burdens, saving them time and energy, according to a report published in Medical Economics.
Cognition Deficits Seen in Children With Chronic Kidney Disease
FRIDAY, Feb. 23, 2018 (HealthDay News) — Children with chronic kidney disease (CKD) may have deficits in global and domain-specific cognition, according to a review published online Feb. 22 in the Clinical Journal of the American Society of Nephrology.
FDA Cracks Down on Kratom Products
THURSDAY, Feb. 22, 2018 (HealthDay News) — A number of kratom-containing dietary supplements are being recalled and destroyed by the manufacturer, the U.S. Food and Drug Administration announced Wednesday.
Haloperidol for Delirium in Critically Ill No Help for Survival
THURSDAY, Feb. 22, 2018 (HealthDay News) — For critically ill adults at high risk of delirium, prophylactic haloperidol does not improve survival at 28 days compared with placebo, according to a study published online Feb. 20 in the Journal of the American Medical Association.
Cardiorespiratory Fitness, White Matter Integrity Tied to Cognition
THURSDAY, Feb. 22, 2018 (HealthDay News) — Cardiorespiratory fitness (CRF) is associated with better white matter (WM) fiber integrity in patients with mild cognitive impairment (MCI), according to a study published recently in the Journal of Alzheimer’s Disease.
Chronicity of Depression Ups Failure Along Continuum of HIV Care
THURSDAY, Feb. 22, 2018 (HealthDay News) — Chronicity of depression is associated with increased likelihood of failure along the continuum of HIV care, according to a study published online Feb. 21 in JAMA Psychiatry.
21 Reviewed Antidepressants Top Placebo for Major Depression
THURSDAY, Feb. 22, 2018 (HealthDay News) — For adults with major depressive disorder, all antidepressants are more efficacious than placebo, according to research published online Feb. 21 in The Lancet.
Alcohol Use Disorders Tied to Increased Risk of Dementia Onset
THURSDAY, Feb. 22, 2018 (HealthDay News) — Alcohol use disorders are associated with increased risk for dementia onset, especially early-onset dementia, according to a study published online Feb. 20 in The Lancet Public Health.
CDC: No Change in Percentage of Uninsured in U.S. From ’16 to ’17
THURSDAY, Feb. 22, 2018 (HealthDay News) — The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017, according to a report published online Feb. 22 by the National Center for Health Statistics.
Chronic Opioid Users May Wish to Taper Opioid Use
WEDNESDAY, Feb. 21, 2018 (HealthDay News) — Many patients with non-cancer-related chronic pain prescribed long-term opioids may wish to taper their opioid use, according to a research letter published online Feb. 19 in JAMA Internal Medicine.
Treatment Model Linked to Drop in Post-Incarceration Overdoses
WEDNESDAY, Feb. 21, 2018 (HealthDay News) — Introduction of a new model of screening and protocoled treatment with medications for opioid addiction treatment (MAT), including methadone, buprenorphine, or naltrexone, is associated with a reduction in postincarceration deaths from overdose, according to a research letter published online Feb. 14 in JAMA Psychiatry.
Mental Stress-Induced Myocardial Ischemia Risk Up for Women
WEDNESDAY, Feb. 21, 2018 (HealthDay News) — Compared with men, women have an increased risk of mental stress-induced myocardial ischemia (MSIMI) after myocardial infarction (MI), with microvascular dysfunction and peripheral vasoconstriction with mental stress implicated in MSIMI in women, according to a study published in the Feb. 20 issue of Circulation, a Go Red For Women issue focused on women’s heart health.
Sibling Bullying Tied to Increased Odds of Psychotic Disorder
TUESDAY, Feb. 20, 2018 (HealthDay News) — Children involved in sibling bullying are at increased risk of developing a psychotic disorder, according to a study published online Feb. 12 in Psychological Medicine.
Burnout Found Prevalent Among Doctors in Single Health System
TUESDAY, Feb. 20, 2018 (HealthDay News) — Burnout is prevalent among physicians, affecting over one-third of physicians in a single health system, and is associated with health care delivery, according to a research letter published online Feb. 19 in JAMA Internal Medicine.
Therapeutic Horseback Riding Can Help Alleviate PTSD in Veterans
FRIDAY, Feb. 16, 2018 (HealthDay News) — For military veterans, therapeutic horseback riding (THR) may be a clinically effective intervention for relieving symptoms of post-traumatic stress disorder (PTSD), according to a study published online Jan. 19 in Military Medical Research.
Significant Challenges for Developmental-Behavioral Peds
FRIDAY, Feb. 16, 2018 (HealthDay News) — The developmental-behavioral pediatric (DBP) workforce struggles to meet current service demands, according to a study published online Feb. 16 in Pediatrics.
Treatment Initiation for Depression Low in Primary Care
FRIDAY, Feb. 16, 2018 (HealthDay News) — Treatment initiation for depression remains suboptimal in the primary care setting, despite wide availability of effective treatments and increased detection efforts, according to a study published Feb. 8 in the Journal of General Internal Medicine.
Pre-Op Mental Health Doesn’t Affect Rhinoplasty Outcomes
FRIDAY, Feb. 16, 2018 (HealthDay News) — For patients undergoing rhinoplasty, preoperative mental health does not appear to affect patient satisfaction with functional outcomes, according to a study published online Feb. 15 in JAMA Facial Plastic Surgery.
Anti-Heroin Vaccine Shows Promise Against Lethal Doses
FRIDAY, Feb. 16, 2018 (HealthDay News) — A toll-like receptor 9 (TLR9) agonist in the presence of alum is stable over a month and elicits strong anti-heroin antibody titers and blockade of heroin-induced antinociception, according to a study published online Feb. 8 in Molecular Pharmaceutics.
Patients Want Physicians to Have Greater Connectivity
THURSDAY, Feb. 15, 2018 (HealthDay News) — Most patients want greater connectivity, online tools and text messaging, as well as more time with their physicians, according to a report published in Medical Economics.
Many in Oregon View Alcohol As More Harmful Than Marijuana
THURSDAY, Feb. 15, 2018 (HealthDay News) — Just more than half of surveyed adults consider alcohol to be more harmful than marijuana, according to a study published in the April issue of Preventive Medicine.
Patients Often Mispredict Well-Being After Mastectomy
THURSDAY, Feb. 15, 2018 (HealthDay News) — Adult women undergoing mastectomy underestimate future well-being after mastectomy alone and overestimate well-being after reconstruction, according to a study published online Feb. 7 in JAMA Surgery.
Pimavanzserin Cuts Alzheimer’s Psychosis at Six Weeks
THURSDAY, Feb. 15, 2018 (HealthDay News) — Pimavanserin is efficacious at six weeks for patients with Alzheimer’s disease psychosis but not at 12 weeks, according to a study published in the March issue of The Lancet Neurology.
New Tool Measures Impact of Brachial Plexus Injury
THURSDAY, Feb. 15, 2018 (HealthDay News) — A new questionnaire can measure the impact of brachial plexus injury (BPI) and assess surgical outcomes, according to a study published in the Feb. 7 issue of the Journal of Bone & Joint Surgery.
Stress Reduction May Help Reduce Epileptic Seizures
WEDNESDAY, Feb. 14, 2018 (HealthDay News) — Both focused attention and progressive muscle relaxation (PMR) result in reductions in seizure frequency in patients with epilepsy, according to a study published online Feb. 14 in Neurology.
During 2013 to 2016, 8.1 Percent of U.S. Adults Had Depression
TUESDAY, Feb. 13, 2018 (HealthDay News) — During 2013 to 2016, 8.1 percent of American adults aged 20 years and older had depression in a given two-week period, according to a February data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.
Four Best Practices Outlined to Prevent Health Care Cyberattacks
TUESDAY, Feb. 13, 2018 (HealthDay News) — Four best practices outlined that can help prevent health care cyberattacks, which increased from 2016 to 2017, according to a report published in Managed Healthcare Executive.
Treating Depression Found to Up Successful Opioid Cessation
TUESDAY, Feb. 13, 2018 (HealthDay News) — Antidepressant medication (ADM) adherence is associated with cessation of long-term prescription opioid use among patients with non-cancer pain, according to a study published in the February issue of the British Journal of Psychiatry.
Limited Evidence for Effect of Cranial Electrical Stimulation
MONDAY, Feb. 12, 2018 (HealthDay News) — Evidence for the effectiveness of cranial electrical stimulation (CES) is sparse, according to a review published online Feb. 13 in the Annals of Internal Medicine.
Cognitive Enhancement Therapy Beneficial for Adults With Autism
MONDAY, Feb. 12, 2018 (HealthDay News) — For adults with autism spectrum disorder, cognitive enhancement therapy (CET) is associated with significant differential increases in neurocognitive function relative to enriched supportive therapy (EST) and increased likelihood of gaining competitive employment, according to a study published recently in Autism Research.
EHRs Not Sufficient to Ensure Success in Value-Based Care
MONDAY, Feb. 12, 2018 (HealthDay News) — Electronic health records (EHRs) are not sufficient to ensure success in value-based care, according to an article published in Medical Economics.
Ability to ID Face Paralysis in Others Increases With Severity
MONDAY, Feb. 12, 2018 (HealthDay News) — Laypersons’ ability to identify facial paralysis increases with the severity of the condition, although individuals are not always able to accurately localize paralysis on the face, according to a study published online Feb. 8 in JAMA Facial Plastic Surgery.
Premature Dementia Risk May Be Up in Survivors of Heart Defects
MONDAY, Feb. 12, 2018 (HealthDay News) — Congenital heart disease (CHD) is associated with increased risk of dementia in adults, according to a study published online Feb. 12 in Circulation.
Top Consumer Concerns Reported About Physicians
FRIDAY, Feb. 9, 2018 (HealthDay News) — Health care consumers have four major concerns regarding their physicians, according to a report published by Managed Healthcare Executive.
High-Risk Typologies for Heavy Drinking ID’d in Underage Women
FRIDAY, Feb. 9, 2018 (HealthDay News) — For underage women, high-risk trajectories have been identified for heavy episodic drinking (HED), and feminine norms are associated with latent trajectory classes, according to a study published online Feb. 7 in Alcoholism: Clinical & Experimental Research.
Acne Linked to Increased Risk of Major Depressive Disorder
FRIDAY, Feb. 9, 2018 (HealthDay News) — Acne is associated with increased probability of developing major depressive disorder (MDD), with risk highest within one year of diagnosis, according to a research letter published online Feb. 7 in the British Journal of Dermatology.
Virtual Reality-Based CBT Beneficial for Psychotic Disorders
FRIDAY, Feb. 9, 2018 (HealthDay News) — For patients with a psychotic disorder, virtual reality-based cognitive behavioral therapy (VR-CBT) in addition to standard treatment can reduce paranoid ideation and momentary anxiety, according to a study published online Feb. 8 in The Lancet Psychiatry.
Low Serum Sodium Linked to Cognitive Decline in Older Men
THURSDAY, Feb. 8, 2018 (HealthDay News) — Low serum sodium is associated with cognitive impairment and cognitive decline among community-dwelling older men, according to a study published online Feb. 8 in the Clinical Journal of the American Society of Nephrology.
Poll: Personal Beliefs Shouldn’t Allow Doctors to Refuse to Treat
THURSDAY, Feb. 8, 2018 (HealthDay News) — Most people do not believe that professionals including health care providers should be allowed to refuse to provide services based on their conscience or beliefs, according to a recent HealthDay/The Harris Poll.
Alcohol Use Disorder Registration Impacts Risk for Spouse
THURSDAY, Feb. 8, 2018 (HealthDay News) — Among married individuals, first alcohol use disorder (AUD) registration in national medical, criminal, or pharmacy registries is associated with an increased risk of first AUD registration in the spouse, according to a study published online Feb. 7 in JAMA Psychiatry.
Drowsiness May Be Factor in About 10 Percent of Crashes
THURSDAY, Feb. 8, 2018 (HealthDay News) — Drowsiness may be a factor in about 10 percent of crashes, more than previously indicated in federal estimates, according to a report published by the AAA Foundation for Traffic Safety.
Positive Age Beliefs May Protect Seniors Against Dementia
THURSDAY, Feb. 8, 2018 (HealthDay News) — Positive age beliefs may protect against dementia, even among older individuals with APOE ε4, according to a study published online Feb. 7 in PLOS ONE.
Updated Review Confirms Worse Stroke Outcomes for Women
THURSDAY, Feb. 8, 2018 (HealthDay News) — Women have more activity limitations and worse health-related quality of life (HRQoL) after stroke, according to a review published online Feb. 8 in Stroke.
FDA Says Herbal Drug Kratom Contains Opioids
WEDNESDAY, Feb. 7, 2018 (HealthDay News) — The popular botanical drug kratom essentially is an opioid, the U.S. Food and Drug Administration declared Tuesday.
Prazosin Doesn’t Alleviate Distressing Dreams in PTSD
WEDNESDAY, Feb. 7, 2018 (HealthDay News) — Prazosin does not alleviate distressing dreams among veterans with chronic posttraumatic stress disorder (PTSD), according to a study published in the Feb. 8 issue of the New England Journal of Medicine.
Depressed Rural HIV Patients May Benefit From Therapy Via Phone
WEDNESDAY, Feb. 7, 2018 (HealthDay News) — Telephone-administered interpersonal psychotherapy (tele-IPT) is associated with longer-term depression relief than usual care in depressed rural people living with HIV (PLHIV), according to a study published online Jan. 25 in the Annals of Behavioral Medicine.
Anti-Vaccination Attitudes Linked to Belief in Conspiracies
TUESDAY, Feb. 6, 2018 (HealthDay News) — Those with anti-vaccination beliefs are more likely to believe in conspiracy theories and hold strong individualistic/hierarchical worldviews, according to a study published online Feb. 1 in Health Psychology.
Transgender Youth Get Fewer Preventive Health Services
TUESDAY, Feb. 6, 2018 (HealthDay News) — Transgender and gender nonconforming adolescents use fewer preventive health services and report poorer health than cisgender peers, according to a study published online Feb. 5 in Pediatrics.
Substantial Unmet Need for Mental Health Care for Veterans
TUESDAY, Feb. 6, 2018 (HealthDay News) — Many veterans are not accessing needed mental health care within or outside the Veterans Affairs (VA) health system, according to a report published by the Department of Veterans Affairs Mental Health Services.
Opioid Prescribing Trends in the VA Similar to Other Settings
MONDAY, Feb. 5, 2018 (HealthDay News) — Opioid prescribing trends in the Veterans Health Administration (VHA) from 2010 to 2016 followed similar trajectories as non-VHA settings, peaking around 2012 then declining, according to a study published online Jan. 29 in the Journal of General Internal Medicine.
Mental Health Care Access Differs With Race, Insurance
MONDAY, Feb. 5, 2018 (HealthDay News) — Among adults with serious psychological distress, whites and those with private insurance were significantly more likely than blacks to experience certain barriers to utilizing health care, according to a study published online Feb. 1 in Psychiatric Services.
Humanities Exposure Positively Impacts Medical Students
MONDAY, Feb. 5, 2018 (HealthDay News) — Exposure to the humanities correlates with less burnout and higher levels of positive personal qualities among medical students, according to a study published online Jan. 29 in the Journal of General Internal Medicine.
Despite Motivation, Drinkers Have Difficulty Reducing Alcohol Use
FRIDAY, Feb. 2, 2018 (HealthDay News) — Few high-risk individuals motivated to reduce alcohol consumption are successful after six months, according to a study published online Jan. 25 in Addiction.
Factors Identified That Impact Physicians IT Adoption
FRIDAY, Feb. 2, 2018 (HealthDay News) — Physicians have considerable concerns about the efficacy and evidence base of health information technology (IT), according to a report published by the American Medical Association (AMA).
Depression Ups Mortality Risk Post Aortic Valve Replacement
FRIDAY, Feb. 2, 2018 (HealthDay News) — The presence of depressive symptoms among older adults undergoing transcatheter (TAVR) or surgical (SAVR) aortic valve replacement increases the risk of mortality, according to research published online Jan. 17 in JAMA Cardiology.
Mortality Risk Similar for Career Versus Limited NFL Participation
FRIDAY, Feb. 2, 2018 (HealthDay News) — Career participation in professional American football seems not to be associated with an increased risk of all-cause mortality compared with limited participation, according to a study published online Feb. 1 in the Journal of the American Medical Association.
Parental Type 1 Diabetes May Increase Offspring Risk for ADHD
FRIDAY, Feb. 2, 2018 (HealthDay News) — Children whose parents have type 1 diabetes (T1D) have a higher risk of being diagnosed with attention-deficit/hyperactivity disorder (ADHD), according to a study published online Jan. 26 in Diabetes Care.
Poor Sleep Worsens Link Between PTSD, Chronic Pain in Youth
FRIDAY, Feb. 2, 2018 (HealthDay News) — Poor sleep worsens the association between posttraumatic stress disorder (PTSD) symptoms and chronic pain in youth, according to a study published in the January issue of the Journal of Pain.
Overvaluation, Binge Eating Linked to Functional Impairment
THURSDAY, Feb. 1, 2017 (HealthDay News) — Overvaluation and binge eating are strong and unique predictors of distress and impairment among women with binge-eating disorder (BED), according to a study published recently in the International Journal of Eating Disorders.
Medicaid Expansion Cuts Out-of-Pocket Spending
THURSDAY, Feb. 1, 2018 (HealthDay News) — States that expanded Medicaid cut the probability of non-elderly near-poor adults being uninsured and lowered average out-of-pocket spending, according to a study published online Jan. 24 in Health Affairs.
Postnatal Depression Tied to Child Behavioral Problems
THURSDAY, Feb. 1, 2018 (HealthDay News) — Persistent and severe maternal postnatal depression (PND) is associated with increased likelihood of multiple adverse child outcomes, including behavioral disturbance, according to a study published online Jan. 31 in JAMA Psychiatry.
Deep Brain Stimulation May Be Promising Alzheimer’s Treatment
THURSDAY, Feb. 1, 2018 (HealthDay News) — For patients with Alzheimer’s disease (AD), the use of deep brain stimulation (DBS) at the ventral capsule/ventral striatum (VC/VS) region is well tolerated and is associated with less decline on the Clinical Dementia Rating-Sum of Boxes (CDR-SB), according to a study published online Jan. 30 in the Journal of Alzheimer’s Disease.
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