Cognitive Behavior Therapy for Social Activation in Schizophrenia Not Cost-Effective

Although treatment as usual for psychosis is guideline-congruent and well implemented, there appears to be no added value for adjunct cognitive behavioral therapy for social activation, according to the results of a study from the Netherlands.

Higher Risk for Depression, Anxiety Seen With Cerebral Palsy

Association seen in patients with cerebral palsy without accompanying intellectual disability.

Growth in Use of Telemedicine Seen From 2005 to 2017

Significantly faster increase in use of telemental health services seen in counties with no psychiatrists.

Mental, Behavior, Developmental Disorders Up With Low-Income

Children in lower- vs higher-income households more often diagnosed with MBDDs.

FDA to Review Treatment for Jet Lag Disorder

In the Phase 3 JET8 study (N=318), patients underwent a circadian challenge of 8 hours in advance to their usual bedtime.

Primary Care Consultation Patterns Potential Predictors of Psychosis Diagnosis

Primary care consultation patterns for a prespecified set of symptoms may be used to identify patients who later develop a psychotic illness.

Hospitalizations Increase for Homeless From 2007 to 2013

From 2007 to 2013, hospitalizations among homeless individuals increased and were most frequently for mental illness and substance use disorder.

Psychosocial Factors Key in Peds Care for Special-Needs Kids

Report provides guidance for clinicians caring for children and youth with special health care needs.

CDC Identifies Drugs Frequently Involved in Drug Overdose Deaths

Oxycodone, heroin, and fentanyl ranked first in 2011, 2012-2015, 2016; cocaine ranked second or third.

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

Odds of both ASD and ADHD increased for later-born siblings of children with either diagnosis.

History of Partner Violence Tied to Menopause Symptoms

History of sexual assault and current PTSD also associated with higher risk for menopause symptoms.

Limiting Social Media May Improve Psychological Well-Being

Limiting exposure to 30 minutes per day cut loneliness and depression in undergraduates.

For Teen Girls, Depression May Predict Subsequent Alcohol Use

Depression severity predicts increased likelihood of alcohol use; link for reverse pathway inconsistent.

Burnout, Satisfaction Vary With Age, Sex Among Neurologists

Sex does not independently predict burnout, fatigue, overall quality of life after controlling for age.

Peer Support Reduces Hospitalizations in People With Diabetes and Depression

Patients with diabetes and depressive symptoms who received community-based peer support for diabetes management reported less frequent acute care visits and hospitalizations than patients with diabetes without depressive symptoms.

USPSTF Updates Recommendations for Screening, Behavioral Interventions to Reduce Unhealthy Alcohol Use

The USPSTF recommends that primary care providers assess for unhealthy use of alcohol and offer behavioral counseling interventions in patients ≥18 years of age.

#MeToo Movement: Public Health Challenges, Benefits Examined

Researchers are concerned that the increased focus on sexual harassment resulting from the #MeToo campaign may cause negative health outcomes.

Rates of Mental Health Treatment, Diagnosis Up for College Students

2007 to 2017 also saw increases in depression and suicidality, while decrease observed in stigma.

Mental Health Conditions, Suicide Up After Major Trauma

Rise seen in postinjury rate of mental health diagnoses; suicide rate higher than population average.

AMA to Collect Data on Suicide Among Doctors-in-Training

Administration hopes to identify the systemic factors that contribute to this problem.

Oral Therapy for Suicidal Bipolar Depression Gets Breakthrough Designation

NRX-101 combines D-cycloserine (DCS), an N-methyl-D-aspartate (NMDA) receptor antagonist, and lurasidone, a D2/5-HT2a receptor antagonist.

Poor Diet, Physical Activity Behaviors May Lead to Metabolic Syndrome in Depression

Investigators examine the association between depression and metabolic syndrome, factoring in diet and physical activity.

Buprenorphine, Samidorphan Helpful in Refractory Depression

An adjunctive buprenorphine/samidorphan combination seems beneficial for patients with major depressive disorder with inadequate response to antidepressant therapy.

Postpartum Pain Associated With Increased Risk for Postpartum Depression

Patients at high risk for postpartum depression may need denser analgesia control after delivery.

Plant-Based Diets Beneficial for Adults With Type 2 Diabetes

For adults with type 2 diabetes, plant-based diets can improve psychological health, quality of life, hemoglobin A1c levels.

Foster Care of Children Reduces Risk for Psychopathology Associated With Institutionalized Care

Between the age of 8 and 16, the foster care group showed significant declines in externalizing psychopathology while no change was seen in the institutionalized group.

Encouraging Emotional Awareness, Expression of Life Stress in Women With Chronic Urogenital Pain

Researchers developed a 4-phase life stress interview to determine whether women with chronic urogenital pain could derive benefits from disclosing stressors and gaining awareness of links between stress, emotions, and symptoms.

Providing Patients With Treatment Options Improves PTSD Outcomes

Giving patients with post-traumatic stress disorder (PTSD) their preferred treatment improves adherence and symptoms.

Psychotropic Medications May Improve Pregnancy Outcomes in Bipolar Disorder

Reduced head circumference in the offspring of women with untreated bipolar disorder appeared to be related to sociodemographic characteristics.

High Burden of Depression, Anxiety Reported Among Adults With Arthritis

Data from the CDC show that the prevalence of anxiety and depression is higher among adults with arthritis compared with the general population.

Retirement Associated With Increased Risk for Depressive Symptoms

Employment status displayed a lagged effect on depression, with retirement preceding higher levels of depression 2 years after initial retirement status report.

Long-Term Benzodiazepines Do Not Increase Mortality in COPD, PTSD

For patients with chronic obstructive pulmonary disease and comorbid posttraumatic stress disorder, long-term benzodiazepine use is not associated with mortality, but there is an association for short-term benzodiazepine use.

Patient Perceptions of Clinical Notes at Issue Among Mental Health Providers

More primary care practices have been making medical records, including clinical notes, available to patients via secure electronic portals.

Improvement in Guidelines for Monitoring Patients Receiving Lithium Essential

The quality of patient monitoring may improve if the clinical practice guidelines are improved, as many healthcare professionals use the guidelines in their monitoring of patients taking lithium.

Discrepancy Between Primary Care Screening for Alcohol Use and Screening for Depression

Screening of adult patients with significant depressive symptoms is often inadequate in the primary care setting, especially among those with hazardous alcohol consumption.

Sexual Harassment, Assault Affect Physical and Mental Health in Women

Women who were exposed to sexual harassment and/or assault were found to experience higher blood pressure, poorer sleep, and mood changed that can affect mental health.

Light Therapy Offers Nonpharmacologic Treatment for Perimenopausal Depression

Light treatments successfully corrected abnormal timing of melatonin circadian rhythms in perimenopausal women with depression and improved mood and sleep within 2 weeks.

Aggression in Bipolar I Disorder and Psychosis Associated With Suicidal Ideation, Alcohol Abuse

Management of alcohol abuse, suicidal ideation or behavior, and manic symptoms may reduce aggression among patients with bipolar disorder with psychotic features.

Cesarean Delivery, Early Childhood Antibiotic Use Not Associated With Risk for ADHD

This research rejects any association between increased risk for ADHD and changes in children's microbiota related to cesarean delivery or antibiotic use.

Selective Serotonin Reuptake Inhibitors May Increase Risk for Suboptimal Fetal Growth

Use of serotonin reuptake inhibitors for maternal depression may increase the risk for low birth weight in children.

US Senate Passes Opioids Bill

Comprehensive bipartisan package earmarks billions of dollars to fight opioid abuse in the United States.

Behavioral Weight Loss Interventions May Prevent Obesity

The USPSTF recommends that clinicians refer adults with a body mass index of 30 or higher to intensive, multicompetent behavioral interventions.

Effects of Pain, Depression, and Insomnia on Health Care Use in Older Adults With Osteoarthritis

The combined effects of pain with insomnia and pain with depression increased diverse types of health care use.

Depression or Psychosis Predicts Perinatal Recurrence of Bipolar Disorder

Investigators sought to determine clinical predictors to identify risk for perinatal recurrence in women with bipolar disorder.

Perinatal Photoperiod May Influence Lifetime Depression in Offspring

Extreme differences in daily photoperiod during pregnancy may be related to risk for lifetime depression in offspring.

Combinatorial Pharmacogenetics Useful in Treatment for Depression

These data support the clinical use of combinatorial pharmacogenetics for patients with major depressive disorder.

Guidelines for Managing Perimenopausal Depression Now Available

The 5 topics addressed by the 11-member expert panel include epidemiology, clinical presentation, therapeutic effects of antidepressants, effects of hormone therapy, and the effectiveness of other therapies (eg, psychotherapy, exercise, natural health products).

Last 20 Years Saw Increase in Prevalence of ADHD in Children

Significant increases in prevalence in subgroups by age, sex, race/ethnicity, income, geographic region.

Polypharmacy Therapy for Schizophrenia Increases Risk for Type 2 Diabetes

Investigators aimed to assess the effect of psychotropic medications, BMI, duration of schizophrenia, number of hospitalizations, and physical activity on the risk for T2D.

Mindfulness Training Acceptable Among Surgical Interns

Mindfulness-based stress reduction integrated into personal, professional settings over 12 months.

Alcohol Is Leading Risk Factor for Global Disease Burden

Alcohol accounted for 2.2 and 6.8% of age-standardized female and male deaths in 2016.

Age of Onset of Bipolar Disorder Linked With Substance Use Disorders

Older adults with bipolar disorder may benefit from a detailed assessment of the use of substances.

Bipolar Disorder Knowledge Scale Shows Internal Consistency and Reliability

A 25-item true and false questionnaire was used to assess knowledge of bipolar disorder.

Novel Psychological Intervention Feasible, Acceptable for Treating Anxiety in Bipolar Disorder

Personal recovery improved more rapidly for participants in the anxiety in bipolar disorder intervention, but not social and personal functioning.

High Prevalence of Diabetes in Those With Severe Mental Illness

Prevalences of diabetes and prediabetes higher among racial/ethnic minorities with mental illness.

Patient Education Urged to Prevent Opioid OD After Sobriety

Airlines also encouraged to include naloxone in emergency medical kits.

Testing the Current Guidelines for Antidepressant Treatment of New Onset Depression

Investigators determined that titrating sertraline to 100 mg/day vs 50 mg/day for initial antidepressant therapy for a new MDD episode has no added benefit and increases cost.

TMS Device Cleared to Treat Obsessive Compulsive Disorder

Transcranial magnetic stimulation (TMS) uses magnetic fields to stimulate nerve cells in the brain.

Psych Screening Beneficial in Pediatric Abdominal Pain

Children with abdominal pain commonly had clinically significant anxiety, moderate disability, pain.

Primary Care Provider Burnout Rate Low in Small Practices

In survey of independent practices in NYC, higher adaptive reserve linked to lower odds of burnout.

Few Older Homeless Adults Make Advance Care Plans

Most have potential surrogates for decision making but have not discussed or documented ACP wishes.

Does Bipolar I Disorder Effect the Course of Conduct/Antisocial Personality Disorders in Adolescents?

Adolescents with bipolar I disorder whose symptoms are in remission are significantly less likely to experience conduct disorder or antisocial personality disorder.

Parental Depression Ups Odds of Child Use of Health Services

Findings seen across spectrum of care -- outpatient, emergency department, inpatient.

Antidepressants and Bleeding Risk: What's the Link?

Results showed an increased risk of bleeding with SRIs by 1.16-2.36 times with an even higher 3.17- to 10.9-fold risk with concomitant NSAIDs.

FAST Scores for Functioning Are Meaningful for Recovery in Bipolar Disorder

There is no distinct cut off for the Functional Assessment Short Test between none, mind, moderate, and severe functional impairment.

Food Addiction Phenotype in Obesity Associated With Higher Risk for Mood, Anxiety Disorders

The researchers noted that these findings highlight the complexity of obesity as a disease that shares a common etiology with some psychiatric and addictive disorders.

Once-Monthly Perseris Approved for the Treatment of Schizophrenia

Perseris, an atypical antipsychotic, has an extended-release delivery system that releases sustained levels of risperidone over 1 month.

Lithium Use During Pregnancy Linked to Infant, Maternal Health Risks

Maternal lithium use in the first trimester of pregnancy may increase the risk for infant malformations.

Prenatal Depression More Common in Young Moms Today

Depressed mood more common in young pregnant women today than in their mothers' generation.

CDC: 'Tips' Campaign Has Helped a Number of Smokers Quit

More than 9 million smokers have attempted to quit because of Tips from Former Smokers Campaign.

Therapy Focusing on Mindfulness, Interoception Improves Outcomes for Women With Substance Use Disorder

These findings are consistent with emerging neurocognitive models linking interoception to emotion regulation and related health outcomes, providing valuable input in improving substance use disorder treatment.

Differences Between Cyclothymic Disorder and Unspecified Bipolar Disorder in Youth May Indicate Course of Disorder

Investigators sought to determine the differences between youth with cyclothymic disorder and bipolar disorder not otherwise specified.

Any Opioid Use Tied to Involvement in Criminal Justice System

History of involvement with criminal justice system increased with intensity of drug use.

fMRI Evidence for Social Motivation Hypothesis of Autism

These data show that ASD may arise from an early neurobiological difference in response to rewarding social stimuli, which could result in reduced social motivation.

Screening for Tardive Dyskinesia Associated with Antipsychotic Treatment

Patients receiving treatment with antipsychotic agents would benefit from screening for tardive dyskinesia as these repetitive movements can negatively affect quality of life.

Regular Repeated Assessments Align Self-Reports, Case Manager Reports in Schizophrenia

Repeated assessments improved the patients' ability to assess their own situation and the case workers' understanding of the patients' situations.

Efavirenz Does Not Increase Depression, Suicidal Ideation in HIV-Infected

No increased risk of depression or suicidal ideation among persons living with HIV in Uganda.

Early Preterm Birth Linked to Increased ADHD Symptoms

Association holds after adjustment for unmeasured genetic, environmental factors

Childhood Abuse Linked to Compromised White Matter Integrity in Bipolar Disorder

These findings are in line with previous research, which suggested that abuse and neglect in childhood have different effects on the brain.

Medication Adherence Predictors in Patients With Severe Psychiatric Disorders

As antipsychotic medications are vital to the effective management of severe psychiatric disorders, investigators sought to examine reasons for medication nonadherence in patients with schizophrenia, bipolar disorders, and other psychotic disorders.

Schizophrenia, Major Depressive Disorder, Bipolar Disorder Linked With Abnormal Functional Connectivity

Local functional connectivity may serve as neuroimaging marker to investigate the human brain connectome.

AMA Vows to Improve Access for Physicians Seeking Mental Health Care

New policy recommends state licensing boards to only inquire about current conditions

Rapid Decreasing Heroin Use During Opioid Substitution Treatment Associated With Treatment Success

In patients receiving opioid substitution treatment for opioid use disorder (mainly involving heroin), those exhibiting a rapid decline in heroin use were found to be more likely to have successful treatment outcomes.

Wearable Device Cleared for Use During Opioid Detoxification

Electrical pulses are sent through small needles that are inserted in the ear to combat the early stages of detoxification, leading to stabilization.

Depression an Adverse Effect in One-Third of Prescription Medications

Prevalence of depression higher for adults reporting use of multiple meds with depression as side effect

Personality Disorders Related to Adverse Outcomes in Bipolar Disorder

These data may lead to a more nuanced understanding of bipolar disorder and to a better definition of the effectiveness of interventions directed at treating both personality disorders and bipolar disorder.

Recommendations for Psychological Treatment of Anxiety in Primary Care

Increased implementation of integrated primary care could help to improve the availability of psychological treatment for this patient population.

Older Age Tied to Poorer Course of Major Depressive Disorder

Results were slightly attenuated but remained mostly significant with adjustment for prognostic factors

Long-Term Antidepressant Use Linked to Weight Gain

The broad use of antidepressants among the general population may be linked to weight gain.

FDA Cracks Down on Illegal Online Sales of Opioids

The U.S. Food and Drug Administration has issued warnings to 9 online companies selling illegal opioid medications on 53 websites, in direct violation of the Federal Food, Drug, and Cosmetic Act.

AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

AAFP and other signatories also call on FDA to apply the proposal to other combustible tobacco products

When Antidepressants Fail, Dose Increase May Be a Less Effective Response

As this and previous research on dose increase strategies have produced inconsistent findings, the researchers recommended clinicians consider other responses to antidepressant treatment failure, at least for selective serotonin reuptake inhibitors.

Consensus Statement: Managing Bipolar Disorder During and After Pregnancy

Investigators summarize data regarding the management of bipolar disorder during pregnancy and in the postpartum period.

Using Buddhism-Based Compassion Training to Combat Compassion Fatigue

Compassion fatigue can lead to decreased quality of patient care and increases in medical errors.

Major Depression in Males May Lower Chances of Conception

Active major depression in women not associated with negative fertility outcomes.

PTSD Symptoms and the Acute Pain Response in Low-Income Women

Posttraumatic stress disorder symptoms may be associated with higher levels of acute pain and pain interference in low-income inner city women.

AAP: Congress Urged to Act to Prevent Firearm Deaths

Following latest shooting, pediatricians join call for action to be taken to address firearm deaths, injury

Prolonged Exposure to Psychotropic Medications Common in Medicaid-Insured Children

Researchers emphasized the need for outcomes research in pediatric populations to elucidate the long-term effects of early and sustained psychotropic medication exposure.

FDA Approves Non-Opioid Treatment for Opioid Withdrawal

Lucemyra is an oral selective alpha 2-adrenergic receptor agonist

Diethylstilbestrol Use in Pregnancy Linked to Multigenerational Neurodevelopmental Deficits

Diethylstilbestrol exposure during pregnancy is associated with multigenerational neurodevelopmental deficits in childhood, including ADHD.

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