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August 2014 Briefing - Psychiatry

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

Report Highlights Progress, Challenges in Health IT

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.

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Overconfident People May Blind Others to Their Real Abilities

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Overconfident people are better at convincing others that they're more talented than they really are, and therefore are more likely to get promotions and reach high-level positions, according to British researchers. Their findings were published online Aug. 27 in PLOS ONE.

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AMGA: Physician Turnover Still High in 2013

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

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Doctors Frequently Experience Ethical Dilemmas

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.

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Cancer Patients With Depression Often Untreated

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Patients with cancer and depression frequently do not receive effective treatment; however, an integrated program is effective in patients with cancer, and specifically lung cancer, according to three studies published online Aug. 28 in The Lancet Psychiatry, The Lancet, and The Lancet Oncology.

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Age Doesn't Impact Deep Brain Stimulation Complications

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For patients with Parkinson's disease undergoing deep brain stimulation (DBS), increasing age does not impact complication rates, according to a study published online Aug. 25 in JAMA Neurology.

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CSF Biomarkers ID Alzheimer's, Independent of APOE Genotype

THURSDAY, Aug. 28, 2014 (HealthDay News) -- Cerebrospinal fluid (CSF) biomarkers for Alzheimer's disease (AD), particularly β-amyloid 42 (Aβ42), are strongly associated with AD diagnosis, independent of APOE genotype, according to a study published online Aug. 27 in JAMA Psychiatry.

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Team Approach Improves Practice Efficiency

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The increasing administrative requirements of a medical practice are requiring a team-based approach to care, and physicians must learn to manage the team, according to an article published Aug. 7 in Medical Economics.

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Collaborative Intervention Benefits Teens With Depression

TUESDAY, Aug. 26, 2014 (HealthDay News) -- A collaborative care intervention in primary care is associated with greater improvements in depressive symptoms than usual care among adolescents with depression, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.

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Confusional Arousal Common, Linked to Other Disorders

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Confusional arousals (CAs) are common in the general population and they may be associated with other factors, such as medication consumption, sleep disorders, and mental disorders, according to research published in the Aug. 26 issue of Neurology.

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Obesity in Early Primary School Ups Risk of Bullying Involvement

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Obese children in early primary school are significantly more likely to be involved with bullying, both as victim and perpetrator, according to a study published online Aug. 25 in Pediatrics.

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Cognitive Impairment May Increase Subsequent Stroke Risk

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Cognitive impairment is associated with an increased risk of subsequent stroke, according to a meta-analysis published online Aug. 25 in CMAJ, the journal of the Canadian Medical Association.

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State Medical Cannabis Laws Cut Opioid Overdose Mortality

MONDAY, Aug. 25, 2014 (HealthDay News) -- State medical cannabis laws correlate with reduced state-level opioid overdose mortality rates, according to a study published online Aug. 25 in JAMA Internal Medicine.

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Restrictive, Non-Solicitation Covenants Are Valid

MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.

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More Galanin-Immunoreactive Neurons Linked to Better Sleep

MONDAY, Aug. 25, 2014 (HealthDay News) -- For older adults, more galanin-immunoreactive intermediate nucleus neurons are associated with less fragmented sleep, according to a study published online Aug. 20 in Brain.

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State of the Art Review: Eating Disorders in Children, Teens

MONDAY, Aug. 25, 2014 (HealthDay News) -- A new review presents recommendations for the management of eating disorders (EDs) in children. In addition, other research indicates that there has been a recent increase in the prevalence of eating disorders not otherwise specified who do not meet weight criteria (EDNOS-Wt), relative to anorexia nervosa (AN). The review and study have been published online Aug. 25 in Pediatrics.

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U.S. to Tighten Access to Certain Narcotic Painkillers

FRIDAY, Aug. 22, 2014 (HealthDay News) -- The U.S. Drug Enforcement Administration (DEA) is going ahead with tough new controls on painkillers containing hydrocodone, which has been tied to a surge in dangerous addictions across the United States.

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Happiness Possible in Patients With Schizophrenia

FRIDAY, Aug. 22, 2014 (HealthDay News) -- For individuals with schizophrenia, happiness is associated with higher mental health-related quality of life and positive psychosocial factors, according to a study published online Aug. 18 in Schizophrenia Research.

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Organizations Can Help Docs Retain Their Independence

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Ways for physicians to remain in independent practice are highlighted in an article published Aug. 7 in Medical Economics.

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Opioid Use in Disabled Medicare Patients Common

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Opioid use is common among disabled Medicare beneficiaries under 65 years of age, according to research published in the September issue of Medical Care.

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Counseling May Not Help Youth With Drinking Problems

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Motivational interviewing may not be an effective technique for addressing alcohol misuse in young adults, according to a review published online Aug. 21 in The Cochrane Library.

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Breastfeeding Moms Have Lower Depression Risk

THURSDAY, Aug. 21, 2014 (HealthDay News) -- Breastfeeding cuts new mothers' risk of depression by half, according to a study published online Aug. 21 in Maternal and Child Health.

Health Highlights: Aug. 20, 2014
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Organized Processes Help Practices Hire Well

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.

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Job Losses Up Suicide Rate in Girls, Young Blacks

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Statewide job loss increases suicide-related behaviors among adolescent females and non-Hispanic blacks, according to a study published online Aug. 14 in the American Journal of Public Health.

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Atypical Antipsychotics Up Renal Injury Risk in Seniors

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Use of atypical antipsychotic drugs is associated with increased risk of acute kidney injury (AKI) in older adults, according to research published in the Aug. 19 issue of the Annals of Internal Medicine.

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Boxed Warnings Are Common in Novel Therapeutics

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.

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SSRI Meds Up Bleeding Risk in A-Fib Patients Taking Warfarin

MONDAY, Aug. 18, 2014 (HealthDay News) -- In patients with atrial fibrillation taking warfarin, use of selective serotonin reuptake inhibitor (SSRI) medications is associated with an increased risk of major hemorrhage, according to a study published in the Aug. 15 issue of The American Journal of Cardiology.

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Family History Influences Mental Health Tx in Blacks

MONDAY, Aug. 18, 2014 (HealthDay News) -- Family history of mental health disorders impacts utilization of mental health services among African-Americans, according to a study published in the June issue of the Journal of Health and Social Behavior.

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FDA Approves Belsomra for Insomnia

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Belsomra (suvorexant), an orexin receptor antagonist, has been approved by the U.S. Food and Drug Administration to treat insomnia.

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Poor Sleep Quality Tied to Suicide Risk

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Poor self-reported sleep quality is tied to an increased risk of suicide death within 10 years among older adults, according to a study published online Aug. 13 in JAMA Psychiatry.

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Extra Time Spent Counseling, Coordinating Care Billable

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Extra time spent counseling patients and coordinating care can be billed using evaluation and management (E/M) and prolonged service codes, according to an article published July 24 in Medical Economics.

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Meta-Analysis Strategy Impacts Estimation of Tx Outcome

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met

MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.

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Review: Effects of Depression Tx in Pregnancy Unclear

MONDAY, Aug. 11, 2014 (HealthDay News) -- The current evidence is inadequate for assessing the benefits and harms of depression treatment in pregnancy and the postpartum period, according to a review published online July 7 in Obstetrics & Gynecology.

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Antidepressants Vary in Their Contribution to Weight Gain

MONDAY, Aug. 11, 2014 (HealthDay News) -- Antidepressants vary modestly in the likelihood of contributing to weight gain, according to a study published in the August issue of JAMA Psychiatry.

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Issues to Consider With Integration of Telemedicine

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.

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VA Health Care Reform Bill Signed Into Law

THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.

Health Highlights: Aug. 7, 2014

Low Vitamin D May Up Risk of Dementia, Alzheimer's Disease

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Low concentrations of serum 25-hydroxyvitamin D (25[OH]D) may increase the risk of developing all-cause dementia and Alzheimer's disease, according to research published online Aug. 6 in Neurology.

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U.S. Hospitals See Big Rise in Drug-Related Suicide Attempts

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Drug-related suicide attempts in the United States increased over a recent six-year period, with dramatic increases seen among young and middle-aged adults, health officials reported Thursday.

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Clues to How Heavy Drinking in Pregnancy Harms Child's Brain

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- When a woman drinks heavily during pregnancy, the harmful effects on her child's brain development appear to continue over time, a new study indicates. The study was published online Aug. 4 in the journal Cerebral Cortex.

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Hypertension in Middle Age May Speed Cognitive Decline

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Hypertension during midlife is associated with greater cognitive decline during a 20-year period, according to research published online Aug. 4 in JAMA Neurology.

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More Young Adults Getting Mental Health Care Under ACA

MONDAY, Aug. 4, 2014 (HealthDay News) -- The number of young American adults getting mental health treatment has risen since the rule on dependent coverage went into effect with the passage of the Affordable Care Act, according to research published in the August issue of Health Affairs.

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Many Physicians Have Secondary Income

MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.

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Job Strain Can Raise Risk of Developing Type 2 Diabetes

MONDAY, Aug. 4, 2014 (HealthDay News) -- Stress at work may increase the risk of developing type 2 diabetes, according to research published in the August issue of Diabetes Care.

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Hx of Alcohol Use Disorder Ups Odds of Memory Impairment

MONDAY, Aug. 4, 2014 (HealthDay News) -- For middle-aged U.S. adults, a history of alcohol use disorder is associated with increased odds of severe memory impairment, according to a study published online June 9 in the American Journal of Geriatric Psychiatry.

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CMS Recognizes Telehealth in New Physician Fee Schedule

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Earlier this month, the Centers for Medicare & Medicaid Services issued proposed rules for updates to the Physician Fee Schedule and will accept comments until Sept. 2, according to an article published July 7 in Medical Economics.

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Each Chronic Condition Further Reduces Life Expectancy

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Each additional chronic condition among older people diminishes life expectancy, according to a study published in the August issue of Medical Care.

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