Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for September 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.
Most Severe Forms of Mental Illness Lead to Highest CVD Risk
MONDAY, Sept. 30, 2019 (HealthDay News) — Multiple mental illnesses are associated with an increased risk for cardiovascular disease (CVD) outcomes in veterans, with psychosis having the largest effect sizes, according to a study published online Sept. 24 in Circulation: Cardiovascular Quality and Outcomes.
Recommendations Updated for Management of Pediatric ADHD
MONDAY, Sept. 30, 2019 (HealthDay News) — In a clinical practice guideline from the American Academy of Pediatrics, published online Sept. 30 in Pediatrics, updated recommendations are presented for the evaluation and management of attention-deficit/hyperactivity disorder (ADHD) in children.
Clinical Practice Guideline
Perspective (subscription or payment may be required)
2009 to 2017 Saw Pediatric Developmental Disability Increase
FRIDAY, Sept. 27, 2019 (HealthDay News) — Between 2009 and 2017, the prevalence of developmental disability increased among U.S. children aged 3 to 17 years, according to a study published online Sept. 26 in Pediatrics.
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Eight Touchpoints May Predict Opioid Overdoses
FRIDAY, Sept. 27, 2019 (HealthDay News) — Eight candidate touchpoints are associated with increased risk of fatal opioid overdose, according to a study published in the Nov. 1 issue of Drug and Alcohol Dependence.
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Mental Health Service Use Up After Bariatric Surgery
FRIDAY, Sept. 27, 2019 (HealthDay News) — There is an increase in mental health service presentations after bariatric surgery, according to a study published online Sept. 25 in JAMA Psychiatry.
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ASCO: More Than One in Five Millennials Use E-Cigarettes
FRIDAY, Sept. 27, 2019 (HealthDay News) — One in eight U.S. adults report using electronic cigarettes regularly, according to the American Society of Clinical Oncology’s 2019 Cancer Opinions Survey.
Average Annual Premium for Workers Increased in 2019
THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.
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Deep Learning Models Classify Disease From Medical Imaging
THURSDAY, Sept. 26, 2019 (HealthDay News) — Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.
Primary Care Use Aids Patients With Diabetes and Coexisting Psych Disorders
THURSDAY, Sept. 26, 2019 (HealthDay News) — For patients with mental health (MH) or substance use (SU) disorders with newly diagnosed diabetes, primary care engagement may offer moderate health benefits, according to a study published online Sept. 25 in JAMA Network Open.
Oral Health Symptoms in Seniors Associated With Cognitive Decline
THURSDAY, Sept. 26, 2019 (HealthDay News) — Among U.S. Chinese older adults, oral (teeth and gums) health symptoms are associated with a decline in cognitive function, according to a study published online Aug. 12 in the Journal of the American Geriatrics Society.
Teens Not Receiving Evidence-Based Treatment Options to Quit Smoking
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — Use of evidence-based treatment for nicotine use disorder (NUD) is extremely limited among adolescents and young adults with Medicaid coverage, according to a research letter published online Sept. 23 in JAMA Pediatrics.
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Racial/Ethnic Disparities in Mortality Persist in the U.S.
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.
E-Cig Use Up in Young Adults, Stable or Down in Older Adults
TUESDAY, Sept. 24, 2019 (HealthDay News) — From 2014 to 2018, current and daily electronic cigarette use increased among U.S. young adults but declined or remained stable in older age groups, according to a research letter published online Sept. 16 in the Journal of the American Medical Association.
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Behavioral Treatment Helps Reduce Insomnia in Cancer Survivors
TUESDAY, Sept. 24, 2019 (HealthDay News) — A stepped care approach seems beneficial for insomnia treatment among cancer survivors, according to a study published online Sept. 24 in Cancer.
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Protected Health Info Breaches Compromise Sensitive Data
MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.
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Exercise May Slow Brain Deterioration in Alzheimer Disease
MONDAY, Sept. 23, 2019 (HealthDay News) — Exercising may delay brain deterioration in people at high risk for Alzheimer disease, according to a proof-of-concept study published Sept. 17 in the Journal of Alzheimer’s Disease.
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Marijuana Use Common Among Adults With Medical Conditions
FRIDAY, Sept. 20, 2019 (HealthDay News) — Marijuana use is common among adults with medical conditions, especially younger people, according to a study published online Sept. 20 in JAMA Network Open.
Sertraline Does Not Reduce Depressive Symptoms by Week 6
FRIDAY, Sept. 20, 2019 (HealthDay News) — For patients with depression, sertraline does not reduce depressive symptoms at six weeks, but it does improve anxiety, mental health-related quality-of-life, and self-reported mental health, according to a study published online Sept. 19 in The Lancet Psychiatry.
Cardiovascular Disease Risk Underestimated in Patients With Mental Illness
THURSDAY, Sept. 19, 2019 (HealthDay News) — Cardiovascular disease (CVD) risk assessment tools that do not include severe mental illness as a predictor could be substantially underestimating CVD risk, according to a study published online Sept. 18 in PLOS ONE.
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Cognitive Therapy by Phone, Web May Ease Irritable Bowel Symptoms
TUESDAY, Sept. 10, 2019 (HealthDay News) — Cognitive behavioral therapy (CBT) delivered via telephone and web is effective for relieving the symptoms of irritable bowel syndrome (IBS), according to a study published online Sept. 3 in The Lancet Gastroenterology & Hepatology.
Few Trauma Patients Assessed for Effects of PTSD, Acute Stress
THURSDAY, Sept. 19, 2019 (HealthDay News) — Few trauma patients are assessed for or educated about the potential effects of posttraumatic stress disorder (PTSD) or acute stress disorder (ASD), according to a study published in the September/October issue of the Journal of Trauma Nursing.
Medical Students Not Ready to Provide Nutritional Care
THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.
Seniors Should Undergo Annual Cognitive Health Assessment
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Adults aged 65 years and older should undergo annual cognitive health assessments to improve recognition of mild cognitive impairment (MCI), according to a special article published online Sept. 18 in Neurology.
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Anemia in Early Pregnancy May Harm Child Neurodevelopment
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Anemia diagnosed during the first 30 weeks of pregnancy is associated with an increased risk for autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and intellectual disability (ID), according to a study published online Sept. 18 in JAMA Psychiatry.
Hysterectomy Tied to Long-Term Risk for Depression, Anxiety
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Hysterectomy, even with ovarian conservation, is associated with an increased long-term risk for de novo depression, according to a study published online Aug. 30 in Menopause.
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Diabetes Distress Common at Large Midwestern University
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — In a large university population, the prevalence of diabetes distress is high, and high diabetes distress levels are associated with lower diabetes quality of life (QOL) for both type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) patients, according to a study published in the September issue of the Journal of the American Osteopathic Association.
Migraines Linked to Higher Risk for Dementia, Alzheimer Disease
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Migraines are a significant risk factor for Alzheimer disease (AD) and all-cause dementia, according to a study published online Sept. 4 in the International Journal of Geriatric Psychiatry.
Pharmaceutical Treatments for Opioid Abuse May Benefit Teens
TUESDAY, Sept. 17, 2019 (HealthDay News) — Teens who misuse prescription or illicit opioids might benefit from the opioid treatment medications methadone, buprenorphine, and naltrexone, according to a review published online Sept. 10 in the Journal of Studies on Alcohol and Drugs.
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Purdue Files for Bankruptcy Over Opioid Crisis Suits
MONDAY, Sept. 16, 2019 (HealthDay News) — OxyContin maker Purdue Pharma has filed for Chapter 11 bankruptcy, touching off what could be a fierce battle by dozens of states hoping to recoup billions spent fighting the opioid crisis.
Acetaminophen in Pregnancy May Affect Childhood Behavior
MONDAY, Sept. 16, 2019 (HealthDay News) — Acetaminophen use in mid-to-late pregnancy may have an adverse effect on early childhood neurocognitive outcome, according to a study published online Sept. 15 in Paediatric and Perinatal Epidemiology.
Continued Use Low Three Months After ED Opioid Rx for Acute Pain
MONDAY, Sept. 16, 2019 (HealthDay News) — Opioid use at three months after an emergency department visit where opioids were prescribed for acute pain is relatively low and not necessarily tied to opioid misuse, according to a study published in the August issue of Academic Emergency Medicine.
Tablet App Seems Reliable, Fast for Cognitive Assessment in MS
MONDAY, Sept. 16, 2019 (HealthDay News) — The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) tablet application (iCAMS) seems to be a reliable and fast method of assessment, according to a study recently published in the International Journal of MS Care.
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Biopsychosocial Frailty Measure Predicts Risk for Dementia
MONDAY, Sept. 16, 2019 (HealthDay News) — Biopsychosocial frailty (BF) can predict short- and longer-term dementia risk, according to a study published in the August issue of Alzheimer’s & Dementia.
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MCI Linked to Lower Use of Cardiac Catheterization in AMI
FRIDAY, Sept. 13, 2019 (HealthDay News) — Preexisting mild cognitive impairment (MCI) is associated with a lower use of cardiac catheterization and coronary revascularization after acute myocardial infarction (AMI), according to a study published online Aug. 13 in the Journal of General Internal Medicine.
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Suicide Rates Increasing for Male, Female Youths in U.S.
FRIDAY, Sept. 13, 2019 (HealthDay News) — Suicide mortality rates increased from 1999 to 2017 among both male and female youths, according to a study published online Sept. 13 in JAMA Network Open.
Prevalence of Short Sleep Duration Up From 2010 to 2018
FRIDAY, Sept. 13, 2019 (HealthDay News) — The prevalence of short sleep duration increased among working American adults from 2010 to 2018, according to a study published online Sept. 5 in the Journal of Community Health.
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Most Diagnosed With Dementia Do Not Receive Specialty Care
THURSDAY, Sept. 12, 2019 (HealthDay News) — The majority of older adults diagnosed with dementia do not receive specialty care, according to a study published online Sept. 4 in Alzheimer’s & Dementia.
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Imaging Technique May Help Predict Stroke-Related Dementia
THURSDAY, Sept. 12, 2019 (HealthDay News) — Diffusion tensor image segmentation technique (DSEG), which characterizes microstructural damage across the cerebellum, identifies damage in cerebral small vessel disease (SVD) and can predict dementia, according to a study published online Sept. 12 in Stroke.
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More Time Spent on Social Media May Harm Teen Mental Health
THURSDAY, Sept. 12, 2019 (HealthDay News) — Increased time spent on social media is associated with an increased risk for internalizing problems among adolescents, according to a study published online Sept. 11 in JAMA Psychiatry.
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Risk for Long-Term Opioid Use Up in Hidradenitis Suppurativa
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Patients with hidradenitis suppurativa (HS) have an increased risk for long-term opioid use, according to a study published online Sept. 11 in JAMA Dermatology.
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EPA to Phase Out Chemical Testing on Mammals
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.
The New York Times Article
More Information: EPA
Purdue Pharma Tentatively Reaches Settlement in Opioid Lawsuits
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — OxyContin maker Purdue Pharma has reached a tentative settlement with a coalition of states and local governments that sued the company over its role in America’s ongoing opioid crisis, press reports say.
The New York Times Article
The Washington Post Article
Mild Cognitive Impairment Incidence Higher for WTC Responders
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The incidence of mild cognitive impairment (MCI) is increased in World Trade Center (WTC) responders, according to a study published online Sept. 6 in Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring.
Psychiatric Disorders May Up Risk for Bilateral Oophorectomy
FRIDAY, Sept. 6, 2019 (HealthDay News) — Certain mental health conditions are associated with an increased risk for unnecessary bilateral oophorectomy for nonmalignant indications, according to a study published online Aug. 30 in Menopause.
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Spending Up With Treatment in Hospital-Owned Practices
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.
Users of Flavored E-Cigarettes Report Greater Satisfaction
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Use of flavored electronic cigarettes is associated with greater satisfaction and self-perceived addiction than use of nonflavored e-cigarettes, according to a study scheduled to be published in the December print issue of Addictive Behaviors.
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USPSTF: Evidence Lacking for Cognitive Screening in Older Adults
TUESDAY, Sept. 10, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is currently inadequate for weighing the benefits and harms of screening for cognitive impairment among older adults. These findings form the basis of a draft recommendation statement published online Sept. 10 by the USPSTF.
Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation
Poverty Rate Drops, but Fewer Americans Have Health Insurance
TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.
The New York Times Article
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Opioid Maker Purdue Pharma Expected to File for Bankruptcy
MONDAY, Sept. 9, 2019 (HealthDay News) — Settlement talks with OxyContin maker Purdue Pharma over its role in the U.S. opioid crisis have reached a stalemate and the company is expected to file for bankruptcy, according to state attorneys general involved in the negotiations.
U.S. College Students’ Marijuana Use Reaches 35-Year High
FRIDAY, Sept. 6, 2019 (HealthDay News) — Marijuana use by U.S. college students in 2018 was the highest in 35 years, researchers report.
AP News Article
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Hearing Aid Use Tied to Lower Risk for Dementia, Depression, Falls
FRIDAY, Sept. 6, 2019 (HealthDay News) — Use of hearing aids is associated with lower risks for being diagnosed with Alzheimer disease, dementia, depression, anxiety, and injurious falls among elderly adults diagnosed with hearing loss, according to a study published online Sept. 5 in the Journal of the American Geriatrics Society.
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1999 to 2016 Saw Increase in Suicide Rates Across the U.S.
FRIDAY, Sept. 6, 2019 (HealthDay News) — Suicide rates increased from 1999 to 2016 in the United States, with the rates increasing most rapidly in rural areas, according to a study published online Sept. 6 in JAMA Network Open.
Racial, Ethnic Underrepresentation Found in Med School Matriculants
FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.
Majority of U.S. Doctors Believe ACA Has Improved Access to Care
THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.
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White House Announces Nearly $2 Billion in Grants to Fight Opioid Epidemic
THURSDAY, Sept. 5, 2019 (HealthDay News) — Nearly $2 billion in grants to help fight the U.S. opioid epidemic will be handed out to states and local governments, the White House says.
Psychedelic Research Center Created at Johns Hopkins University
THURSDAY, Sept. 5, 2019 (HealthDay News) — A research center that will assess the use of psychedelic drugs to treat conditions such as addiction, alcoholism, and depression was announced by Johns Hopkins University.
Autism Rates Up, Particularly Among Minority Children
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — The prevalence of autism spectrum disorder (ASD) has increased significantly during the past 10 to 20 years and will continue to increase among all race and ethnicity groups in the coming years, according to a study published online Aug. 21 in the Journal of Autism and Developmental Disorders.
Adolescent Oral Contraceptive Use Tied to Later Depression Risk
TUESDAY, Sept. 3, 2019 (HealthDay News) — There is a long-term association between adolescent oral contraceptive (OC) use and depression risk in adulthood, according to a study published online Aug. 28 in the Journal of Child Psychology and Psychiatry.
Marriage Associated With Lower Dementia Risk
TUESDAY, Sept. 3, 2019 (HealthDay News) — People who remain married in older age may have a lower dementia risk, according to a study recently published in The Journals of Gerontology: Series B.
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Evidence Says Antipsychotics Do Not Prevent Delirium in Adults
TUESDAY, Sept. 3, 2019 (HealthDay News) — Current evidence does not support routine use of haloperidol or second-generation antipsychotics for prevention or treatment of delirium in hospitalized adults, according to two reviews published online Sept. 3 in the Annals of Internal Medicine.
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