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.
Association seen in patients with cerebral palsy without accompanying intellectual disability.
Significantly faster increase in use of telemental health services seen in counties with no psychiatrists.
Children in lower- vs higher-income households more often diagnosed with MBDDs.
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 for a prespecified set of symptoms may be used to identify patients who later develop a psychotic illness.
From 2007 to 2013, hospitalizations among homeless individuals increased and were most frequently for mental illness and substance use disorder.
Report provides guidance for clinicians caring for children and youth with special health care needs.
Oxycodone, heroin, and fentanyl ranked first in 2011, 2012-2015, 2016; cocaine ranked second or third.
Odds of both ASD and ADHD increased for later-born siblings of children with either diagnosis.
History of sexual assault and current PTSD also associated with higher risk for menopause symptoms.
Limiting exposure to 30 minutes per day cut loneliness and depression in undergraduates.
Depression severity predicts increased likelihood of alcohol use; link for reverse pathway inconsistent.
Sex does not independently predict burnout, fatigue, overall quality of life after controlling for age.
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.
Researchers are concerned that the increased focus on sexual harassment resulting from the #MeToo campaign may cause negative health outcomes.
2007 to 2017 also saw increases in depression and suicidality, while decrease observed in stigma.
Rise seen in postinjury rate of mental health diagnoses; suicide rate higher than population average.
Administration hopes to identify the systemic factors that contribute to this problem.
NRX-101 combines D-cycloserine (DCS), an N-methyl-D-aspartate (NMDA) receptor antagonist, and lurasidone, a D2/5-HT2a receptor antagonist.
Investigators examine the association between depression and metabolic syndrome, factoring in diet and physical activity.
An adjunctive buprenorphine/samidorphan combination seems beneficial for patients with major depressive disorder with inadequate response to antidepressant therapy.
Patients at high risk for postpartum depression may need denser analgesia control after delivery.
For adults with type 2 diabetes, plant-based diets can improve psychological health, quality of life, hemoglobin A1c levels.
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.
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.
Giving patients with post-traumatic stress disorder (PTSD) their preferred treatment improves adherence and symptoms.
Reduced head circumference in the offspring of women with untreated bipolar disorder appeared to be related to sociodemographic characteristics.
Data from the CDC show that the prevalence of anxiety and depression is higher among adults with arthritis compared with the general population.
Employment status displayed a lagged effect on depression, with retirement preceding higher levels of depression 2 years after initial retirement status report.
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.
More primary care practices have been making medical records, including clinical notes, available to patients via secure electronic portals.
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.
Screening of adult patients with significant depressive symptoms is often inadequate in the primary care setting, especially among those with hazardous alcohol consumption.
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 treatments successfully corrected abnormal timing of melatonin circadian rhythms in perimenopausal women with depression and improved mood and sleep within 2 weeks.
Management of alcohol abuse, suicidal ideation or behavior, and manic symptoms may reduce aggression among patients with bipolar disorder with psychotic features.
This research rejects any association between increased risk for ADHD and changes in children's microbiota related to cesarean delivery or antibiotic use.
Use of serotonin reuptake inhibitors for maternal depression may increase the risk for low birth weight in children.
Comprehensive bipartisan package earmarks billions of dollars to fight opioid abuse in the United States.
The USPSTF recommends that clinicians refer adults with a body mass index of 30 or higher to intensive, multicompetent behavioral interventions.
The combined effects of pain with insomnia and pain with depression increased diverse types of health care use.
Investigators sought to determine clinical predictors to identify risk for perinatal recurrence in women with bipolar disorder.
Extreme differences in daily photoperiod during pregnancy may be related to risk for lifetime depression in offspring.
These data support the clinical use of combinatorial pharmacogenetics for patients with major depressive disorder.
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).
Significant increases in prevalence in subgroups by age, sex, race/ethnicity, income, geographic region.
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-based stress reduction integrated into personal, professional settings over 12 months.
Alcohol accounted for 2.2 and 6.8% of age-standardized female and male deaths in 2016.
Older adults with bipolar disorder may benefit from a detailed assessment of the use of substances.
A 25-item true and false questionnaire was used to assess knowledge of bipolar disorder.
Personal recovery improved more rapidly for participants in the anxiety in bipolar disorder intervention, but not social and personal functioning.
Prevalences of diabetes and prediabetes higher among racial/ethnic minorities with mental illness.
Airlines also encouraged to include naloxone in emergency medical kits.
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.
Transcranial magnetic stimulation (TMS) uses magnetic fields to stimulate nerve cells in the brain.
Children with abdominal pain commonly had clinically significant anxiety, moderate disability, pain.
In survey of independent practices in NYC, higher adaptive reserve linked to lower odds of burnout.
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.
Findings seen across spectrum of care -- outpatient, emergency department, inpatient.
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.
There is no distinct cut off for the Functional Assessment Short Test between none, mind, moderate, and severe functional impairment.
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.
Perseris, an atypical antipsychotic, has an extended-release delivery system that releases sustained levels of risperidone over 1 month.
Maternal lithium use in the first trimester of pregnancy may increase the risk for infant malformations.
Depressed mood more common in young pregnant women today than in their mothers' generation.
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.
History of involvement with criminal justice system increased with intensity of drug use.
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.
Patients receiving treatment with antipsychotic agents would benefit from screening for tardive dyskinesia as these repetitive movements can negatively affect quality of life.
Repeated assessments improved the patients' ability to assess their own situation and the case workers' understanding of the patients' situations.
No increased risk of depression or suicidal ideation among persons living with HIV in Uganda.
Association holds after adjustment for unmeasured genetic, environmental factors
These findings are in line with previous research, which suggested that abuse and neglect in childhood have different effects on the brain.
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.
New policy recommends state licensing boards to only inquire about current conditions
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.
Electrical pulses are sent through small needles that are inserted in the ear to combat the early stages of detoxification, leading to stabilization.
Prevalence of depression higher for adults reporting use of multiple meds with depression as side effect
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.
Increased implementation of integrated primary care could help to improve the availability of psychological treatment for this patient population.
Results were slightly attenuated but remained mostly significant with adjustment for prognostic factors
The broad use of antidepressants among the general population may be linked to weight gain.
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 and other signatories also call on FDA to apply the proposal to other combustible tobacco products
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.
Investigators summarize data regarding the management of bipolar disorder during pregnancy and in the postpartum period.
Compassion fatigue can lead to decreased quality of patient care and increases in medical errors.
Active major depression in women not associated with negative fertility outcomes.
Posttraumatic stress disorder symptoms may be associated with higher levels of acute pain and pain interference in low-income inner city women.
Following latest shooting, pediatricians join call for action to be taken to address firearm deaths, injury
Researchers emphasized the need for outcomes research in pediatric populations to elucidate the long-term effects of early and sustained psychotropic medication exposure.
Lucemyra is an oral selective alpha 2-adrenergic receptor agonist
Diethylstilbestrol exposure during pregnancy is associated with multigenerational neurodevelopmental deficits in childhood, including ADHD.