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April 2020 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for April 2020. 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.

Symptomatic Health Care Staff in U.K. Screened for COVID-19

THURSDAY, April 30, 2020 (HealthDay News) -- Screening symptomatic health care workers for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is feasible during the pandemic, according to a research letter published online April 22 in The Lancet.

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Study Explores Outcomes Valued by Glomerular Disease Patients

THURSDAY, April 30, 2020 (HealthDay News) -- Patients with glomerular disease and their caregivers give highest priority to outcomes of kidney function, mortality, and need for dialysis or transplant, but they also prioritize life participation and fatigue, according to a study published online April 30 in the Clinical Journal of the American Society of Nephrology.

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Psoriasis Tied to Higher Alzheimer Disease Risk

THURSDAY, April 30, 2020 (HealthDay News) -- The incidence of Alzheimer disease (AD) is significantly higher in patients with psoriasis versus individuals without psoriasis, according to a Korean study published online April 15 in Scientific Reports.

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Mental Disorders May Up Risk for Subsequent Medical Conditions

THURSDAY, April 30, 2020 (HealthDay News) -- The presence of a mental disorder is associated with an increased risk for many subsequent medical conditions, according to a study on a Danish population cohort published online April 30 in the New England Journal of Medicine.

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14.9 Percent of U.S. Adults Had Ever Used an E-Cigarette in 2018

THURSDAY, April 30, 2020 (HealthDay News) -- In 2018, 14.9 percent of U.S. adults had ever used an electronic cigarette (e-cigarette) and 3.2 percent were current users, according to an April data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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David Shulkin, M.D., on COVID-19 Financial Consequences for Health Care System

MONDAY, April 27, 2020 (HealthDay News) -- Health care organizations are facing hard financial decisions amid the COVID-19 pandemic, but an end is in sight as some are beginning to slowly open back up around the country, according to David Shulkin, M.D. Shulkin, who served as ninth secretary for Veterans Affairs and is former president and CEO of Beth Israel Medical Center in New York, spoke with HealthDay during a live stream on the HealthDay YouTube channel and live blog.

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KIMT3 Article

USPSTF: Behavioral Interventions Likely Prevent Tobacco Use

WEDNESDAY, April 29, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that primary care-feasible behavioral interventions have a moderate net benefit for preventing tobacco use in children. These findings form the basis of a final recommendation statement, published online April 28 in the Journal of the American Medical Association.

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Low Vitamin D, Smoking Predict Worse Cognitive Function in MS

WEDNESDAY, April 29, 2020 (HealthDay News) -- For multiple sclerosis (MS) patients with clinically isolated syndrome, lower vitamin D and smoking predict worse long-term cognitive function and neuronal integrity, according to a study published online April 16 in Neurology.

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Major Depression Reduced for Those Reared in Adoptive Homes

WEDNESDAY, April 29, 2020 (HealthDay News) -- Individuals at high risk for major depression reared in adoptive homes have a significantly reduced risk for major depression compared with those raised in their home environment, according to a study published online April 28 in the American Journal of Psychiatry.

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Reviews Assess Tools to Identify, Diagnose, Treat Alzheimer Dementia

WEDNESDAY, April 29, 2020 (HealthDay News) -- Limited tools are available for identifying, diagnosing, and treating cognitive dysfunction from Alzheimer disease, according to three studies published online April 28 in the Annals of Internal Medicine.

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Abstract/Full Text -- Fink Study 1 (subscription or payment may be required)
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Editorial (subscription or payment may be required)

Job Strain Linked to Increase in Risk for PAD Hospitalization

TUESDAY, April 28, 2020 (HealthDay News) -- Job strain is associated with a 1.41-fold increase in the average risk for peripheral artery disease (PAD) hospitalization, according to a study published online April 28 in the Journal of the American Heart Association.

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Upward Income Mobility Tied to Worse Cardiometabolic Health

TUESDAY, April 28, 2020 (HealthDay News) -- Upward income mobility is associated with lower perceived stress and fewer depressive symptoms but with higher rates of metabolic syndrome, according to a study published online April 28 in the Journal of the American Heart Association.

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Neurologic Features Tied to ARDS in Severe COVID-19 Described

MONDAY, April 27, 2020 (HealthDay News) -- Acute respiratory distress syndrome (ARDS) due to COVID-19 is associated with neurologic features, including encephalopathy, agitation, and confusion, according to a letter to the editor published online April 15 in the New England Journal of Medicine.

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Former Footballers Report Chronic Traumatic Encephalopathy Symptoms

MONDAY, April 27, 2020 (HealthDay News) -- A number of former American-style football (ASF) players report clinician-diagnosed chronic traumatic encephalopathy (CTE), and they have significantly more comorbidities and cognitive impairment symptoms, according to a study published online April 13 in the Annals of Neurology.

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Americans Report Concerns Over Their Mental Health During Pandemic

FRIDAY, April 24, 2020 (HealthDay News) -- Mental health concerns top economic worries during the COVID-19 pandemic, according to the results of a survey released by the University of Phoenix.

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More Than One in Five Children in Home Confinement Report Depression

FRIDAY, April 24, 2020 (HealthDay News) -- During the COVID-19 outbreak in Hubei province in China, 22.6 percent of children in home confinement reported depressive symptoms, according to a research letter published online April 24 in JAMA Pediatrics.

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Chronic Conditions, Obesity Common in Fatal Cases of EVALI

THURSDAY, April 23, 2020 (HealthDay News) -- Chronic conditions, including asthma, mental health conditions, and obesity, are common among fatal cases of e-cigarette, or vaping, product use-associated lung injury (EVALI), according to a study published in the April 23 issue of the New England Journal of Medicine.

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Yoga Cuts Testosterone in Women With Polycystic Ovary Syndrome

THURSDAY, April 23, 2020 (HealthDay News) -- A mindful yoga intervention reduces testosterone levels in women with polycystic ovary syndrome (PCOS), according to a study published online April 14 in the Journal of the American Osteopathic Association.

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Mental Health Consequences of COVID-19 Pandemic Explored

TUESDAY, April 21, 2020 (HealthDay News) -- A new position paper, published online April 15 in The Lancet Psychiatry, highlights the mental health consequences of COVID-19 management.

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Most Older Adults With New Dementia Die Within Five Years

TUESDAY, April 21, 2020 (HealthDay News) -- Most community-dwelling older adults with newly identified dementia die or are admitted to a long-term care home within five years, according to a study published online April 20 in CMAJ, the journal of the Canadian Medical Association.

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More Screen Time for Babies Tied to Autism-Like Symptoms

TUESDAY, April 21, 2020 (HealthDay News) -- Greater screen exposure and less interactive play between caregivers and children early in life is associated with autism spectrum disorder (ASD)-like symptoms at age 2 years, according to a study published online April 20 in JAMA Pediatrics.

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Physicians Report Low Interest in Opioid Use Disorder Meds

TUESDAY, April 21, 2020 (HealthDay News) -- Few primary care physicians report interest in treating patients with opioid use disorder (OUD), according to a research letter published online April 21 in the Annals of Internal Medicine.

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Bundled Rapid HIV/Hep C Testing May Improve Infection Awareness

TUESDAY, April 21, 2020 (HealthDay News) -- For people with substance use disorders, combining HIV and hepatitis C virus (HCV) testing and providing immediate test results may increase the number of people who are aware of their infection status, according to a study published in the May issue of Medical Care.

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Cervical Cancer Screening Rates May Be Impacted by Disasters

MONDAY, April 20, 2020 (HealthDay News) -- Cervical cancer screening rates (CCS-Rs) in Japan were significantly lower in the years following the devastating Great East Japan Earthquake of 2011, according to a study recently published online in PLOS ONE.

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Child Obesity Linked to Higher Mortality Risk in Young Adulthood

MONDAY, April 20, 2020 (HealthDay News) -- Obesity in children is associated with an increased risk for premature mortality in young adulthood and with an increased risk for anxiety and depression, according to two studies published online in March in PLOS Medicine and BMC Medicine.

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ADHD Rates Up in Veterans

MONDAY, April 20, 2020 (HealthDay News) -- The number of veterans being diagnosed with attention-deficit/hyperactivity disorder (ADHD) is increasing, according to a study published in the March issue of Medical Care.

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Hypertension in Pregnancy Ups Risk for Mental Disorder in Child

MONDAY, April 20, 2020 (HealthDay News) -- Maternal hypertensive pregnancy disorders are associated with increased risk in offspring for any childhood mental disorder, according to a study published online April 20 in Hypertension.

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Benefit of Social Distancing Outweighs Economic Impact

MONDAY, April 20, 2020 (HealthDay News) -- The economic benefits of lives saved through social distancing substantially outweigh the value of the projected losses to the U.S. economy, according to a study to be published in a forthcoming issue of the Journal of Benefit-Cost Analysis.

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Insomnia Common Among Medical Staff During COVID-19 in China

FRIDAY, April 17, 2020 (HealthDay News) -- More than one-third of medical staff members in hospitals during the coronavirus disease 2019 (COVID-19) outbreak in China reported insomnia symptoms, according to a study published online April 14 in Frontiers in Psychiatry.

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CDC Looks at Transmission of COVID-19 to Health Care Workers

FRIDAY, April 17, 2020 (HealthDay News) -- Transmission of coronavirus disease 2019 (COVID-19) to health care personnel (HCP) is explored in two studies published in the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Removal of Flavored E-Cigarette Products Likely Ineffective

FRIDAY, April 17, 2020 (HealthDay News) -- Juul sales recovered within weeks following a dip after the company withdrew some flavored products from stores, even surpassing sales before the withdraw, according to a study published online April 16 in the American Journal of Public Health.

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Mindfulness-Based Stress Reduction May Cut IBS Symptoms

FRIDAY, April 17, 2020 (HealthDay News) -- Mindfulness-based stress reduction training is associated with robust improvements in gastrointestinal symptoms for patients with irritable bowel syndrome (IBS), according to a study published online April 7 in Neurogastroenterology & Motility.

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BP Levels Influence Racial Differences in Cognitive Decline

THURSDAY, April 16, 2020 (HealthDay News) -- Black individuals' higher cumulative blood pressure (BP) levels may influence racial differences in cognitive decline, according to a study published online April 13 in JAMA Neurology.

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Novel Agent Promising for the Treatment of Schizophrenia

THURSDAY, April 16, 2020 (HealthDay News) -- For patients with an acute exacerbation of schizophrenia, SEP-363856, a non-D2-receptor-binding drug that has agonist activity at trace amine-associated receptor 1 (TAAR1) and 5-hydroxytryptamine type 1A receptors, reduces Positive and Negative Symptom Scale (PANSS) total score more than placebo, according to a study published in the April 16 issue of the New England Journal of Medicine.

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Post-Detox Treatment Lowers Mortality in Opioid Use Disorder

WEDNESDAY, April 15, 2020 (HealthDay News) -- People who receive additional treatment following medically managed opioid withdrawal have reduced mortality compared with those who do not receive treatment, according to a study recently published in Addiction.

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SARS-CoV-2 Contamination of Air, Surfaces Examined in ICU, Wards

WEDNESDAY, April 15, 2020 (HealthDay News) -- Considerable severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) contamination of air and object surfaces is reported in intensive care units (ICUs) and general coronavirus disease 2019 (COVID-19) wards (GW), according to a study published online April 10 in Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Medical Masks May Be Sufficient During COVID-19 Routine Care

TUESDAY, April 14, 2020 (HealthDay News) -- Use of medical masks, such as surgical or procedural masks, does not increase the risk for viral infection or respiratory illness, and their use may serve as a protective measure in instances of N95 respirator shortages, according to the results of a meta-analysis published online April 4 in Influenza and Other Respiratory Viruses.

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Survey IDs Those Most Affected by One-Month COVID-19 Lockdown

MONDAY, April 13, 2020 (HealthDay News) -- Adults who stopped working during coronavirus 2019 (COVID-19)-related lockdowns in China report worse mental and physical health, according to a study published online April 4 in Psychiatry Research.

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High Rates of Appropriate E-Consults Seen Across Specialties

MONDAY, April 13, 2020 (HealthDay News) -- The rates of appropriate electronic consultations (e-consults) are high across specialties, according to a study published online April 14 in the Annals of Internal Medicine.

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Dogs, Coloring Lower Stress in Emergency Department Workers

FRIDAY, April 10, 2020 (HealthDay News) -- Taking a short break to interact with therapy dogs or color mandalas decreases stress levels in emergency medicine providers, according to a study published online April 7 in Academic Emergency Medicine.

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Anxiety Up for Nonmedical Health Care Workers Versus Those on Front Lines

FRIDAY, April 10, 2020 (HealthDay News) -- Non-medically trained health care workers caring for patients with coronavirus disease 2019 (COVID-19) have an increased prevalence of anxiety compared with medically trained health care workers, according to a research letter published online April 6 in the Annals of Internal Medicine.

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Incident Depression Increases With Body Mass Index

FRIDAY, April 10, 2020 (HealthDay News) -- The risk for incident depression increases with body mass index (BMI) among overweight and obese patients, according to a study published online April 8 in Obesity.

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Sex, Gender Differences in Psoriasis May Have Clinical Implications

FRIDAY, April 10, 2020 (HealthDay News) -- There are sex- and gender-specific differences related to clinical characteristics and quality-of-life (QoL) measures in patients with psoriasis, according to a study published online March 14 in Clinical and Experimental Dermatology.

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Parents' Mental Illness Tied to Higher Injury Rate in Offspring

THURSDAY, April 9, 2020 (HealthDay News) -- Parental mental illness is associated with an increased risk for injuries among offspring, especially during the first year of the child's life, according to a study published online April 8 in The BMJ.

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Physical Activity Tied to Mental Well-Being in Menopause

WEDNESDAY, April 8, 2020 (HealthDay News) -- Physical activity is linked to fewer depressive symptoms, higher satisfaction with life, and higher positive affectivity in menopausal women, according to a study published in the April issue of Menopause.

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Heavy Drinking Tied to Larger Waist Lines, Higher Stroke Risk

WEDNESDAY, April 8, 2020 (HealthDay News) -- Heavy drinkers who continue drinking into old age have significantly larger waistlines and increased stroke risk, according to a study published online March 31 in Addiction.

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Maternal Obesity May Be Related to Risk for ADHD in Children

WEDNESDAY, April 8, 2020 (HealthDay News) -- Mothers with a body mass index (BMI) of 25 kg/m² and greater are more likely to see behavioral problems and psychiatric symptoms in their children, according to a study recently published in The Journal of Pediatrics.

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CDC: 1999 to 2018 Saw 35 Percent Increase in Suicide Rates

WEDNESDAY, April 8, 2020 (HealthDay News) -- Suicide rates increased 35 percent from 1999 through 2018, according to an April data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Serious Concerns Associated With COVID-19 Pandemic Reported

TUESDAY, April 7, 2020 (HealthDay News) -- Serious concerns are associated with coronavirus disease 2019 (COVID-19), and many individuals are preparing by washing hands and self-isolating, according to a research letter published online April 7 in JAMA Internal Medicine.

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Compliance Higher if Stay-at-Home Extensions Are Shorter Than Thought

TUESDAY, April 7, 2020 (HealthDay News) -- When hypothetical stay-at-home orders in response to COVID-19 are extended longer than expected, people become less willing to increase self-isolation efforts, according to a working paper released by the National Bureau of Economic Research.

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'Mod' E-Cigarette Users Smoke More Cigarettes One Year Later

TUESDAY, April 7, 2020 (HealthDay News) -- Baseline modifiable (mod) electronic cigarette device users smoke more cigarettes at one-year follow-up than vape pen users, according to a study published online April 6 in Pediatrics.

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Adding Social Workers to Care Teams Can Cut Hospital Admissions for Veterans

TUESDAY, April 7, 2020 (HealthDay News) -- An initiative to add social workers to rural primary care teams increases social work encounters among veterans and reduces hospital admissions and emergency department visits among high-risk patients, according to a report published in the April issue of Health Affairs.

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Majority of Physicians Report Serious Concerns About COVID-19

MONDAY, April 6, 2020 (HealthDay News) -- According to a national survey conducted by Harvard Medical School, the RAND Corporation, and Doximity, practicing physicians currently report substantial concerns about supplies, the government response, and availability of testing amid the COVID-19 pandemic.

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Autism Rates Inversely Tied to County's Wealth

FRIDAY, April 3, 2020 (HealthDay News) -- Rates of autism spectrum disorders (ASD) are declining among wealthy whites in California while escalating among poor and minority children, according to a study published online March 19 in the Journal of Autism and Developmental Disorders.

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Many Legal Marijuana Products Too Strong for Treating Pain

FRIDAY, April 3, 2020 (HealthDay News) -- Legally dispensed marijuana products have stronger concentrations of tetrahydrocannabinol (THC) and cannabidiol (CBD) than needed for chronic pain relief, according to a study published online March 26 in PLOS ONE.

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Higher Alcohol Intake May Harm Bone Health in HIV Patients

FRIDAY, April 3, 2020 (HealthDay News) -- Greater alcohol consumption is associated with lower serum levels of bone formation markers among patients living with HIV and substance use disorder, according to a study published online March 2 in Alcoholism: Clinical & Experimental Research.

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35.1 Percent of Workers Report Work-Related Health Problems

THURSDAY, April 2, 2020 (HealthDay News) -- More than one-third of employed individuals report work-related health problems, according to research published in the April 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: 2016 to 2017 Saw Increases in Nonfatal Overdoses

THURSDAY, April 2, 2020 (HealthDay News) -- From 2016 to 2017, there were increases in nonfatal drug overdoses, with significant increases for all drug types except those involving benzodiazepines, according to research published in the April 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Unemployed Workers Less Likely to Be Uninsured Post-ACA

THURSDAY, April 2, 2020 (HealthDay News) -- Following implementation of the Affordable Care Act (ACA), unemployed workers were less likely to be uninsured, and uninsurance rates decreased more in states with Medicaid expansion, according to a report from the Urban Institute and the Robert Wood Johnson Foundation.

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COVID-19 Outbreak Described in Long-Term Care Facility

THURSDAY, April 2, 2020 (HealthDay News) -- Outbreaks of coronavirus disease 2019 (COVID-19) can have a considerable impact on long-term care facilities, according to a report published online March 27 in the New England Journal of Medicine.

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Phone-Based Therapy Beneficial for Depression in Parkinson Disease

WEDNESDAY, April 1, 2020 (HealthDay News) -- Telephone-based cognitive behavioral therapy (T-CBT) seems to be an effective intervention for depression in Parkinson disease (PD), outperforming treatment-as-usual (TAU) on all depression, anxiety, and quality-of-life measures, according to a study published online April 1 in Neurology.

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Four Trajectories of Peer Victimization ID'd Across Childhood

WEDNESDAY, April 1, 2020 (HealthDay News) -- There are four developmental patterns of peer victimization across childhood, and family vulnerabilities are associated with development of distinct trajectories, according to a study published online April 1 in Pediatrics.

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