See What HealthDay Can Do For You
Contact Us

April 2014 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for April 2014. 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.

High-Dose Antidepressants Tied to Increased Self-Harm

TUESDAY, April 29, 2014 (HealthDay News) -- Children and young adults taking high-dose antidepressants are at heightened risk of deliberate self-harm, compared to those taking modal-therapeutic doses, according to a study published online April 28 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

U.S. Children Experiencing Less Violence

TUESDAY, April 29, 2014 (HealthDay News) -- Fewer American children have been exposed to violent acts such as assault, bullying, sexual victimization, and emotional abuse since 2003, according to a study published online April 28 in JAMA Pediatrics.

Full Article
Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

FDA: Psychiatric Side Effects of Chantix to Be Reviewed in Fall

MONDAY, April 28, 2014 (HealthDay News) -- The mental health risks associated with Chantix will be reviewed at a public meeting scheduled for October, the U.S. Food and Drug Administration says. The meeting will feature a panel of experts who will discuss the psychiatric and behavioral side effects of Chantix and how best to manage them, The New York Times reported.

Health Highlights: April 28, 2014

Cognitive Behavioral Tx Beats Relaxation Tx in Childhood OCD

MONDAY, April 28, 2014 (HealthDay News) -- Family-based (FB) cognitive behavioral therapy (CBT) is superior to FB relaxation treatment (FB-RT) for young children with obsessive-compulsive disorder (OCD), according to a study published online April 23 in JAMA Psychiatry.

Abstract
Full Text (subscription or payment may be required)

Benzodiazepines May Worsen Respiratory Outcomes in COPD

FRIDAY, April 25, 2014 (HealthDay News) -- New use of benzodiazepines may increase the risk of adverse respiratory outcomes in older adults with chronic obstructive pulmonary disease (COPD), according to research published online April 17 in the European Respiratory Journal.

Abstract
Full Text (subscription or payment may be required)

One in 13 U.S. Schoolkids Take Psych Meds

FRIDAY, April 25, 2014 (HealthDay News) -- More than 7 percent of American schoolchildren are taking at least one medication for emotional or behavioral difficulties, and more than half of the parents said the drugs are helping their children, according to an April data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

Full Article
More Information

FDA Reconsiders Behavior-Modifying 'Shock Devices'

THURSDAY, April 24, 2014 (HealthDay News) -- The days of electro-shock devices as a tool for managing hard-to-control behavior in people with disabilities may be numbered, U.S. health officials say.

Full Article
More Information

Physician Groups Find Fault With Medicare Payment Data Release

THURSDAY, April 24, 2014 (HealthDay News) -- Physician groups cite major problems associated with the release of Medicare payment data, according to an article published April 16 in Medical Economics.

More Information

Irrational Health Beliefs Predict Adherence to Cardiac Rehab

THURSDAY, April 24, 2014 (HealthDay News) -- Irrational health beliefs, but not depression, predict adherence to cardiac rehabilitation (CR), according to a study published in Health Psychology.

Abstract
Full Text (subscription or payment may be required)

Educational Changes Suggested for Patient-Centered Medicine

THURSDAY, April 24, 2014 (HealthDay News) -- Changes in medical education and training are suggested to help new physicians address the needs of patients and their families, according to an ideas and opinions piece published in the April 22 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required)

FDA Proposes Accelerated Medical Device Approval Plan

WEDNESDAY, April 23, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has proposed a new program that would provide expedited access to high-risk medical devices intended for patients with serious conditions whose medical needs are not met by current technology.

More Information

Acetazolamide and Low-Sodium Diet Improve Vision

TUESDAY, April 22, 2014 (HealthDay News) -- The combination of acetazolamide and a low-sodium weight-reduction diet modestly improves visual field function in patients with idiopathic intracranial hypertension (IIH) and mild visual loss, compared to diet alone, according to a study published in the April 23/30 issue of the Journal of the American Medical Association.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Cancer Patients Need Anxiety, Depression Screening

TUESDAY, April 22, 2014 (HealthDay News) -- It is important to recognize and treat anxiety or depression among cancer patients, according to a clinical guideline published online April 14 in the Journal of Clinical Oncology.

Abstract
Full Text

Low Glucose Tied to Higher Aggressive Impulses, Behavior

TUESDAY, April 22, 2014 (HealthDay News) -- Glucose levels may be tied to aggressive impulses and behaviors in married couples, according to a study published online April 14 in the Proceedings of the National Academy of Sciences.

Abstract
Full Text (subscription or payment may be required)

Task Force Recommends Ways to Improve Price Transparency

MONDAY, April 21, 2014 (HealthDay News) -- Price transparency frameworks, which provide price information presented in the context of other relevant information, should be developed to meet patients' needs, according to recommendations presented in a report from the Healthcare Financial Management Association (HFMA).

More Information

Most Adolescents Sleep Six to Seven Hours on Week Nights

MONDAY, April 21, 2014 (HealthDay News) -- Adolescents from families of lower socioeconomic class sleep six to seven hours a night during the school week, with less sleep and more fragmented sleep reported by blacks and males, according to a study published online April 21 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Autism Tied to Increased Connectivity in Brain Networks

FRIDAY, April 18, 2014 (HealthDay News) -- Adolescents with autism spectrum disorder (ASD) show atypically increased functional connectivity involving the mentalizing and mirror neuron brain networks, according to a study published online April 16 in JAMA Psychiatry.

Abstract
Full Text (subscription or payment may be required)

AMA Examines Economic Impact of Physicians

FRIDAY, April 18, 2014 (HealthDay News) -- Physicians who mainly engage in patient care contribute a total of $1.6 trillion in economic output, according to the American Medical Association (AMA)'s Economic Impact Study.

More Information

Most People Experience Thoughts Associated With OCD

FRIDAY, April 18, 2014 (HealthDay News) -- The vast majority of people experience unwanted, intrusive thoughts and images and/or impulses symptomatic of obsessive-compulsive disorder, according to a study published in the Journal of Obsessive-Compulsive and Related Disorders.

Abstract
Full Text (subscription or payment may be required)

Indoor Tanning Tied to Unhealthy Weight Control Behavior

FRIDAY, April 18, 2014 (HealthDay News) -- Adolescents who indoor tan, especially males, are more likely to exhibit unhealthy weight control behaviors, according to a study published in the April issue of the Journal of Developmental & Behavioral Pediatrics.

Full Text

Int'l Medical Education Standards Not Equivalent to U.K. Standards

FRIDAY, April 18, 2014 (HealthDay News) -- International medical graduates passing the Professional and Linguistic Assessments Board (PLAB) of the General Medical Council (GMC) have lower performance on MRCP(UK) (Membership of the Royal Colleges of Physicians) and MRCGP (Membership of the Royal College of General Practitioners) and on annual review of competence progression (ARCP) examinations, according to two studies published online April 17 in BMJ.

Full Text - McManus and Wakeford
Full Text - Tiffin
Editorial (subscription or payment may be required)

Trust in Provider Improves Antidepressant Adherence in DM

FRIDAY, April 18, 2014 (HealthDay News) -- Patients with diabetes who lack trust and shared decision-making with their providers are less likely to be adherent to antidepressant therapy for depression, according to research published online April 5 in the Journal of General Internal Medicine.

Abstract
Full Text (subscription or payment may be required)

White House: 8 Million People Signed Up for Health Insurance

FRIDAY, April 18, 2014 (HealthDay News) -- Eight million Americans signed up for private health insurance during the just-concluded first enrollment period under the Affordable Care Act, the White House announced Thursday afternoon.

Full Article
More Information

Collaborative Care Improves Mental Health in Cardiac Patients

THURSDAY, April 17, 2014 (HealthDay News) -- A telephone-based intervention improves mental health-related quality of life in cardiac patients with depression and/or anxiety disorders, according to research published online April 14 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Apathy Symptoms Tied to Lower Brain Volumes

THURSDAY, April 17, 2014 (HealthDay News) -- Apathy symptoms in older people without dementia are associated with lower brain volumes, according to a study published online April 16 in Neurology.

Abstract
Full Text (subscription or payment may be required)

Educator Discusses Key Issues for Future Doctors to Consider

THURSDAY, April 17, 2014 (HealthDay News) -- The key issues for future physicians are discussed in an article published by the American Medical Association (AMA).

More Information

Patient-Clinician Relationship Impacts Health Care Outcomes

THURSDAY, April 17, 2014 (HealthDay News) -- The patient-clinician relationship has a small but significant effect on health care outcomes, according to a study published online April 9 in PLOS ONE.

Abstract
Full Text

Work-Home Interference Key Contributor to Burnout

WEDNESDAY, April 16, 2014 (HealthDay News) -- Work-home interference (WHI) -- whether work-home conflict (WHC), when work interferes with home life, or home-work conflict (HWC), when private life interferes with work roles -- appears to contribute significantly to the risk for burnout, according to research published in the April issue of the Journal of Occupational and Environmental Medicine.

Abstract
Full Text (subscription or payment may be required)

Informed Patients Question Unnecessary Prescriptions

WEDNESDAY, April 16, 2014 (HealthDay News) -- Well-informed patients might make better choices about what prescriptions they take, according to the evaluation of an educational intervention aimed at encouraging seniors to discontinue sleeping pill use published online April 14 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)

ILAE Updates Definition of Epilepsy

WEDNESDAY, April 16, 2014 (HealthDay News) -- A new definition of epilepsy resolves some lingering issues from the 2005 definition to improve the practicality of diagnosis for clinicians, according to an International League Against Epilepsy (ILAE) official report published online April 14 in Epilepsia.

Abstract
Full Text

Continued Reliance on Windows XP May Threaten Data Security

WEDNESDAY, April 16, 2014 (HealthDay News) -- Physicians who use Windows XP in their practices may be affected by Microsoft's recent discontinuation of support for the program, according to an article published April 8 in Medical Economics.

More Information

Extensive Atypical Antipsychotic Use in Medicaid-Insured Youth

WEDNESDAY, April 16, 2014 (HealthDay News) -- Medicaid-insured youth, particularly those in foster care and those diagnosed with attention-deficit/hyperactivity disorder (ADHD), have considerable exposure to atypical antipsychotics, according to a study published in the April issue of the Journal of Child and Adolescent Psychopharmacology.

Abstract
Full Text

Patients Paying Much More for Specialty Drugs

TUESDAY, April 15, 2014 (HealthDay News) -- Many Americans are paying less for prescription drugs, but some are having to deal with sharp rises in the cost of specialty medicines for rare or serious diseases, according to a new report.

Health Highlights: April 15, 2014

Depression Predicts Subsequent Computer Use in Young Men

TUESDAY, April 15, 2014 (HealthDay News) -- For young men, but not women, symptoms of depression at age 20 years predict subsequent computer use, according to a study published in the March issue of Preventive Medicine.

Abstract
Full Text (subscription or payment may be required)

Prenatal SSRI Exposure May Up Odds of Autism in Boys

MONDAY, April 14, 2014 (HealthDay News) -- For boys, prenatal exposure to selective serotonin reuptake inhibitors (SSRIs) is associated with increased likelihood of autism spectrum disorder (ASD) and other developmental delays (DDs), according to a study published online April 14 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

New Health Secretary to Confront Health Care Reform Hurdles

MONDAY, April 14, 2014 (HealthDay News) -- With the resignation of U.S. Health and Human Services Secretary Kathleen Sebelius on Friday, the Affordable Care Act will get a fresh face. But turning around public perception of the controversial health care reform law in a politically charged mid-term election year poses an enormous challenge for the department's next leader, policy experts said.

Full Article

Elderly African-Americans May Have Higher Alzheimer's Burden

MONDAY, April 14, 2014 (HealthDay News) -- Older African-Americans may be disproportionately burdened by Alzheimer's disease, according to a study published in the April issue of Health Affairs.

Abstract
Full Text (subscription or payment may be required)

Does Facebook Make Women Feel Bad About Their Bodies?

FRIDAY, April 11, 2014 (HealthDay News) -- Too much time on Facebook may take a toll on a young woman's sense of self-esteem, particularly how she feels about her body, a new study suggests. The research is to be presented at the annual meeting of the International Communication Association, held from May 22 to 26 in Seattle.

Full Article
More Information

Insight Into One's Own Abilities Only Moderate

FRIDAY, April 11, 2014 (HealthDay News) -- Individuals have only moderate insight into their own abilities and skills, according to research published in the March issue of Perspectives on Psychological Science.

Abstract
Full Text (subscription or payment may be required)

Abuse Not Tied to Pain Severity in Chronic Pelvic Pain

FRIDAY, April 11, 2014 (HealthDay News) -- A history of adolescent or adult abuse is not associated with pain severity, but is linked to pain-related disability and depression in women with chronic pelvic pain (CPP), according to a study published in the April issue of the American Journal of Obstetrics & Gynecology.

Abstract
Full Text (subscription or payment may be required)

Sebelius Stepping Down As HHS Secretary

FRIDAY, April 11, 2014 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius is stepping down from her position, after overseeing the troubled rollout of the Affordable Care Act that remains unpopular with some Americans and virtually all Republican lawmakers.

Full Article

Surgical Decisions for High-Risk Patients Needs Overhaul

FRIDAY, April 11, 2014 (HealthDay News) -- High-risk elderly patients facing decisions about major surgery may not always be presented with all treatment options, including less invasive choices, according to a perspective piece published in the April 10 issue of the New England Journal of Medicine.

Full Text

Cortisol Response Associated With Crash Risk in Teen Drivers

THURSDAY, April 10, 2014 (HealthDay News) -- Cortisol level in response to stress is associated with crash risk in teenaged drivers, according to research published online April 7 in JAMA Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Cognitive Decline Inversely Tied to Cancer Mortality Risk

THURSDAY, April 10, 2014 (HealthDay News) -- Elderly individuals who experience faster cognitive decline appear to be at reduced risk of dying from cancer, according to research published online April 8 in Neurology.

Abstract
Full Text (subscription or payment may be required)

Financial Incentives Improve Completion of HBV Vaccination

THURSDAY, April 10, 2014 (HealthDay News) -- Modest financial incentives significantly improve adherence to hepatitis B virus (HBV) vaccination programs among patients receiving opioid dependence treatment, according to a study published online April 9 in The Lancet.

Abstract
Full Text
Editorial

Fewer Americans Overwhelmed by Medical Bills

WEDNESDAY, April 9, 2014 (HealthDay News) -- While millions of Americans still feel hamstrung by medical expenses, a new government report shows that some people are getting relief.

Full Article
More Information

More Justification Needed for Choosing Wisely Selections

WEDNESDAY, April 9, 2014 (HealthDay News) -- Most services included in specialty medical societies' Top 5 lists for the Choosing Wisely campaign are based on evidence demonstrating equivalent but not superior benefit, with higher risk or higher costs compared to other options, according to a research letter published in the April 9 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required)

Men With Eating Disorders Face Delayed Symptom Recognition

WEDNESDAY, April 9, 2014 (HealthDay News) -- Cultural misperceptions of eating disorders as a female problem pose a barrier to recognition of symptoms in men, according to a study published in the April issue of BMJ Open.

Abstract
Full Text

Depression, Functional Disability Common Post-ICU

WEDNESDAY, April 9, 2014 (HealthDay News) -- For patients with respiratory failure or shock undergoing treatment in medical or surgical intensive care units, depression and functional disability are common, according to a study published online April 7 in The Lancet Respiratory Medicine.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Some Doctors Paid at Least $3 Million Each by Medicare

WEDNESDAY, April 9, 2014 (HealthDay News) -- A small number of doctors received at least $3 million each in Medicare payments in 2012, for a total of nearly $1.5 billion, according to an analysis of Medicare claims data released Wednesday by the White House. In total, Medicare paid individual physicians nearly $64 billion in 2012. The median payment was just over $30,000, the Associated Press reported.

Health Highlights: April 9, 2014
More Information

Perceived Stress Positively Linked to Allergy Flares

TUESDAY, April 8, 2014 (HealthDay News) -- Those with persistent emotional stress may have more frequent allergy flares, according to a study published in the April issue of the Annals of Allergy, Asthma & Immunology.

Abstract
Full Text (subscription or payment may be required)

Parental Addictions Linked to Arthritis in Adulthood

TUESDAY, April 8, 2014 (HealthDay News) -- A history of parental addictions is associated with cumulative lifetime incidence of arthritis in adulthood, even after adjustment for potential risk factors, according to a study published online March 23 in the International Journal of Population Research.

Abstract
Full Text

Newly Eligible for Expanded Medicaid Are Healthier

MONDAY, April 7, 2014 (HealthDay News) -- Persons newly eligible for expanded Medicaid coverage under the Affordable Care Act (ACA) are not sicker than pre-ACA enrollees, according to research published online March 26 in Health Affairs.

Abstract
Full Text (subscription or payment may be required)

Few Good Resources on Self-Harm Exist Online

MONDAY, April 7, 2014 (HealthDay News) -- People seeking help online for cutting and other forms of self-harm often receive incorrect or misleading information, according to a new study published online March 24 in JAMA Pediatrics.

Full Article
Abstract
Full Text (subscription or payment may be required)

Paternal Obesity Linked to Elevated Autism Risk in Children

MONDAY, April 7, 2014 (HealthDay News) -- Paternal obesity is associated with increased risk of autism spectrum disorders (ASDs) in children, according to a study published online April 7 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Vitamin D Supplementation May Be Beneficial in Depression

MONDAY, April 7, 2014 (HealthDay News) -- Vitamin D supplementation has no overall effect on depressive symptoms, but may have a significant effect for those with clinically significant depression, according to a review published online March 14 in Psychosomatic Medicine.

Abstract
Full Text (subscription or payment may be required)

Patients Select Fewer New Docs at Bottom of Tiered Ranking

MONDAY, April 7, 2014 (HealthDay News) -- Patients are less likely to select a new physician ranked in the bottom of a tiered network, but often don't switch if their current physician is ranked at the bottom, according to research published online March 11 in Health Services Research.

Abstract
Full Text (subscription or payment may be required)

Mental Work Demands Affect Later Cognitive Functioning

FRIDAY, April 4, 2014 (HealthDay News) -- The mental demands of one's job may have a protective effect on cognitive functioning even after retirement, according to a study published online March 17 in the Journal of Occupational Health Psychology.

Abstract
Full Text (subscription or payment may be required)

Sexual Coercion Commonly Experienced by Teen Males

FRIDAY, April 4, 2014 (HealthDay News) -- Adolescent males report frequent sexual coercion, according to a study published online March 17 in Psychology of Men & Masculinity.

Abstract
Full Text (subscription or payment may be required)

AMA Provides Resources to Aid Physicians' Collections

FRIDAY, April 4, 2014 (HealthDay News) -- The American Medical Association (AMA) has released resources to help doctors confront policy jumpers who may pose a financial risk to physicians during the Affordable Care Act's 90-day premium grace period, according to an article published March 25 in Medical Economics.

More Information

Modifiable Factors Predict Sexual Dysfunction in Aging Men

FRIDAY, April 4, 2014 (HealthDay News) -- Incidence and remission of erectile dysfunction (ED) and low sexual desire in aging men are predicted by a range of modifiable risk factors, according to research published online Feb. 18 in The Journal of Sexual Medicine.

Abstract
Full Text (subscription or payment may be required)

Cardiorespiratory Fitness Impacts Later Cognitive Function

FRIDAY, April 4, 2014 (HealthDay News) -- Cardiorespiratory fitness (CRF) is associated with better verbal memory and faster psychomotor speed 25 years later, according to a study published online April 2 in Neurology.

Abstract
Full Text (subscription or payment may be required)

Memory Impairment Prevalent in Elderly With Heart Failure

THURSDAY, April 3, 2014 (HealthDay News) -- For older adults with chronic heart failure, memory impairment is common, with impairment correlating positively with heart failure severity, according to a study published in the April 1 issue of The American Journal of Cardiology.

Abstract
Full Text (subscription or payment may be required)

Half of Uninsured Don't Intend to Sign Up for Health Coverage

WEDNESDAY, April 2, 2014 (HealthDay News) -- About 50 percent of uninsured adults do not intend to sign up for coverage through the Affordable Care Act's health care exchanges, according to an article published March 26 in Medical Economics.

More Information
Kaiser Family Foundation Poll

More Than One Million Americans Caring for Injured Veterans

WEDNESDAY, April 2, 2014 (HealthDay News) -- More than 1.1 million Americans are caring for veterans injured or disabled since Sept. 11, 2001, a new study reveals.

Full Article
More Information

CMS: Medicare Beneficiaries Saved $3.9B on Meds in 2013

TUESDAY, April 1, 2014 (HealthDay News) -- In 2013, 4.3 million seniors and people with disabilities saved an estimated $3.9 billion on prescription drugs, an increase from the 2012 savings, according to a report published by the U.S. Department of Health and Human Services.

More Information

Physician's Briefing

HealthDay

HealthDay is the world’s largest syndicator of health news and content, and providers of custom health/medical content.

Consumer Health News

A health news feed, reviewing the latest and most topical health stories.

Professional News

A news feed for Health Care Professionals (HCPs), reviewing latest medical research and approvals.