August 2020 Briefing - Psychiatry

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

Few U.S. Children Meet Guidelines for Exercise, Screen Time

MONDAY, Aug. 31, 2020 (HealthDay News) -- Few U.S. children meet all three guidelines for physical activity, screen time, and sleep, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.

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Cannabis Use Increased Among Older Adults From 2016 to 2018

MONDAY, Aug. 31, 2020 (HealthDay News) -- From 2016 to 2018, there was an increase in cannabis use among men and women aged 55 years and older, according to a research letter published online Sept. 1 in the Annals of Internal Medicine.

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Use of Performance-Enhancing Substances Tied to Risk Behaviors

MONDAY, Aug. 31, 2020 (HealthDay News) -- Use of legal performance-enhancing substances (PES) in young adults is associated with an increased likelihood of future problematic alcohol use and drinking-related risk behaviors, according to a study published online Aug. 31 in Pediatrics.

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Palliative Care Explored for Long-Term Neurological Conditions

MONDAY, Aug. 31, 2020 (HealthDay News) -- For patients with long-term neurological conditions, a short-term integrated palliative care (SIPC) intervention does not alter palliative care outcomes or patient-reported outcomes compared with standard care, according to a study published online Aug. 28 in JAMA Network Open.

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MASCC/ISOO Update Guidelines for Management of Mucositis

MONDAY, Aug. 31, 2020 (HealthDay News) -- The Multinational Association of Supportive Care in Cancer and the International Society of Oral Oncology (MASCC/ISOO) have issued updated recommendations for the management of mucositis; a summary of these updates was published online July 28 in Cancer.

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Proteomic Markers May Predict Psychosis in Those at Risk

FRIDAY, Aug. 28, 2020 (HealthDay News) -- In young people at risk for psychosis, proteomic biomarkers may help to individualize prognosis, according to a study published online Aug. 26 in JAMA Psychiatry.

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Minority of Teens Receive Health Care Transition Planning

THURSDAY, Aug. 27, 2020 (HealthDay News) -- A minority of adolescents with diagnosed mental, behavioral, and developmental disorders (MBDDs) receive recommended health care transition planning, according to research published in the Aug. 27 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Alcoholic Liver Disease Death Rates Up for Non-Hispanic Whites

THURSDAY, Aug. 27, 2020 (HealthDay News) -- There is considerable racial and ethnic disparity in alcoholic liver disease mortality, and although men have higher death rates, the male-to-female ratios decreased in the past two decades, according to a study published online Aug. 27 in the American Journal of Preventive Medicine.

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About Half of Waivered Clinicians Prescribe Buprenorphine for OUD

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- About half of waivered clinicians prescribe buprenorphine for opioid use disorder and most treat at levels below their patient limits, according to a research letter published online Aug. 24 in JAMA Network Open.

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Escitalopram Reduces Symptoms of Anxiety in Teens With GAD

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- For adolescents with generalized anxiety disorder (GAD), escitalopram reduces symptoms of anxiety, according to a study published online Aug. 25 in The Journal of Clinical Psychiatry.

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Mental Health Resilience Tied to Fewer COVID-19 Worries

WEDNESDAY, Aug. 26, 2020 (HealthDay News) -- Resilience helps alleviate COVID-19-related worries as well as anxiety and depression, according to a study published online Aug. 20 in Translational Psychiatry.

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Web Searches Suggesting Acute Anxiety Spiked Early in COVID-19

TUESDAY, Aug. 25, 2020 (HealthDay News) -- Internet searches indicative of acute anxiety peaked early in the COVID-19 pandemic, according to a research letter published online Aug. 24 in JAMA Internal Medicine.

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Antihypertensive Agents Not Tied to Higher Risk for Depression

MONDAY, Aug. 24, 2020 (HealthDay News) -- Nine individual antihypertensive agents from the classes of angiotensin agents, calcium antagonists, and β-blockers are associated with reduced rates of depression, according to a study published online Aug. 24 in Hypertension.

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For Black Children With Autism, Diagnosis Occurs at About Age 5

MONDAY, Aug. 24, 2020 (HealthDay News) -- Diagnosis of African American children with autism spectrum disorder (ASD) occurs at an average of 64.9 months, many months after parents' first concerns about their child's development, according to a study published online Aug. 24 in Pediatrics.

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Feeling Dizzy Upon Standing May Point to Later Dementia

MONDAY, Aug. 24, 2020 (HealthDay News) -- Systolic orthostatic hypotension (OHYPO) and variability in visit-to-visit seated systolic blood pressure (BP) postural change are associated with greater dementia risk, according to a study published online July 20 in Neurology.

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Growth Retardation Found for Adolescents With Anorexia Nervosa

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Adolescents with anorexia nervosa (AN) have growth retardation, according to a study published online Aug. 20 in the Journal of Clinical Endocrinology & Metabolism.

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Older Adults With Depression Showing Resilience in Pandemic

FRIDAY, Aug. 21, 2020 (HealthDay News) -- Most older adults with preexisting major depressive disorder (MDD) showed resilience in the first two months of the COVID-19 pandemic, but they express concerns about the future as the pandemic continues, according to a study published in the September issue of The American Journal of Geriatric Psychiatry.

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Relationship Between Alzheimer Disease, Sleep Patterns Explored

THURSDAY, Aug. 20, 2020 (HealthDay News) -- Alzheimer disease (AD) may causally influence sleep patterns, but these patterns do not have a causal role in AD, according to a study published online Aug. 19 in Neurology.

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Health Worse for Baby Boomer Caregivers Versus Noncaregivers

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Baby boomer caregivers more often have chronic health conditions and frequent mental distress (FMD) than noncaregivers, according to a study published online Aug. 13 in the U.S. Centers for Disease Control and Prevention Preventing Chronic Disease.

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Poll: More Older Adults Using Telehealth During Pandemic

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- More older adults have used telehealth to consult with a health care provider during the COVID-19 pandemic compared with that seen in the previous year, according to a report published online Aug. 17 based on the results of the University of Michigan National Poll on Healthy Aging.

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CDC: In 2018, 5.1 Percent of Adults Engaged in Heavy Drinking

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- In 2018, about 5 percent of U.S. adults engaged in heavy drinking during the previous year, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Homelessness Tied to Higher Readmission Rates

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Homelessness is associated with significantly higher 30- and 90-day readmission rates even when adjusting for other demographic and clinical factors, according to a study recently published in the Journal of General Internal Medicine.

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Racial Health Disparities Exist Among Pro Football Players

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Black and other nonwhite athletes report more pain, physical impairment, mood disorders, and cognitive problems than white peers, according to a study published online July 30 in Annals of Epidemiology.

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CNS-Active Meds Often Prescribed for Older Adults With Dementia

WEDNESDAY, Aug. 19, 2020 (HealthDay News) -- Patients with dementia are frequently prescribed central nervous system (CNS)-active medications, according to a research letter published online Aug. 18 in the Journal of the American Medical Association.

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Risk for Cannabis Use Increased Among Adults With Depression

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Individuals with depression are at a higher risk for cannabis use, with use significantly increased since 2005, according to a study published online Aug. 18 in JAMA Network Open.

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Rates of Prescription Opioid Use Higher in Cancer Survivors

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Cancer survivors have higher rates of prescription opioid use but do not have increased rates of prescription opioid misuse compared with those without a history of cancer, according to a study published online Aug. 17 in JAMA Network Open.

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Mortality Down but Health Care Costs Up From Gun Violence

TUESDAY, Aug. 18, 2020 (HealthDay News) -- From 2005 to 2016, there was a decrease in gunshot wound (GSW) mortality, accompanied by increasing mean costs, according to a study published online Aug. 10 in the Journal of the American College of Surgeons.

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Yoga Superior to Stress Education for Generalized Anxiety Disorder

TUESDAY, Aug. 18, 2020 (HealthDay News) -- Yoga is effective for treating generalized anxiety disorder (GAD), but cognitive behavioral therapy (CBT) remains more effective, according to a study published online Aug. 12 in JAMA Psychiatry.

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Baby Boomers Showing Higher Rates of Cognitive Decline

MONDAY, Aug. 17, 2020 (HealthDay News) -- Reversing recent trends, baby boomers are showing lower cognitive functioning as they age than previous generations, according to a study published online July 29 in The Journals of Gerontology: Series B.

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Child Developmental Vulnerability Up With Maternal Depression

MONDAY, Aug. 17, 2020 (HealthDay News) -- Children exposed to maternal depression have an increased risk for developmental vulnerability at school entry, with stronger associations for exposure to maternal depression before age 1 year and between ages 4 and 5 years, according to a study published online Aug. 17 in Pediatrics.

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Incidence, Severity of Intimate Partner Violence Up During Pandemic

MONDAY, Aug. 17, 2020 (HealthDay News) -- The incidence and severity of physical intimate partner violence (IPV) have been higher during the COVID-19 pandemic than in the previous three years, according to a study published online Aug. 13 in Radiology.

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Shift Occurring in Deadly Overdoses

FRIDAY, Aug. 14, 2020 (HealthDay News) -- There has been a dramatic increase in overdose fatalities involving illicit opioids, stimulants, heroin, and cocaine but a simultaneous dramatic drop in the use of prescription opioids, according to the Opioid Task Force 2020 Progress Report released by the American Medical Association (AMA).

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Outdoor Artificial Light at Night May Worsen Sleep in Teens

FRIDAY, Aug. 14, 2020 (HealthDay News) -- Higher levels of outdoor artificial light at night (ALAN) are associated with less favorable sleep patterns as well as mood and anxiety disorders in adolescents, according to a study published online July 8 in JAMA Psychiatry.

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Adverse Mental, Behavioral Health Issues Common During COVID-19

THURSDAY, Aug. 13, 2020 (HealthDay News) -- More than 40 percent of adults across the United States have reported at least one adverse mental or behavioral health condition during the COVID-19 pandemic, according to research published in the Aug. 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Women Have More Depression With Peripheral Artery Disease

THURSDAY, Aug. 13, 2020 (HealthDay News) -- Women with peripheral artery disease (PAD) have a higher burden of depressive symptoms compared with men, according to a study published online Aug. 12 in the Journal of the American Hospital Association.

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Burnout Less Likely for Doctors in Minority Race/Ethnic Groups

WEDNESDAY, Aug. 12, 2020 (HealthDay News) -- Compared with non-Hispanic White physicians, physicians in minority racial/ethnic groups are less likely to report burnout, according to a study published online Aug. 7 in JAMA Network Open.

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Guidance Helps Doctors Optimize Telemedicine for Seniors

TUESDAY, Aug. 11, 2020 (HealthDay News) -- In an Ideas and Opinions article published online Aug. 11 in the Annals of Internal Medicine, guidance is provided for physicians to optimize telemedicine, which can be challenging for older patients.

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Some Occult Overdose Deaths Misclassified as Cardiac Arrests

TUESDAY, Aug. 11, 2020 (HealthDay News) -- A considerable proportion of deaths attributed to out-of-hospital cardiac arrest (OHCA) are actually caused by occult overdose, according to a research letter published online Aug. 11 in the Annals of Internal Medicine.

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Alcohol Use Is Less Prevalent in Second, Third Trimesters

TUESDAY, Aug. 11, 2020 (HealthDay News) -- The prevalence of self-reported drinking is lower among pregnant women in their second or third trimester compared to those in their first trimester, according to research published in the Aug. 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Expanding Medicaid in Holdout States Could Insure 3.9 Million

MONDAY, Aug. 10, 2020 (HealthDay News) -- Expanding Medicaid to all states could reduce the number of uninsured by 28 percent based on pre-COVID-19 data, according to a report released by the Urban Institute and the Robert Wood Johnson Foundation.

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Four in 10 Children's Behavioral Care Facilities Offer Autism Services

MONDAY, Aug. 10, 2020 (HealthDay News) -- Fewer than half of U.S. mental health treatment facilities providing care for children offer services for autism spectrum disorder (ASD), according to a report published in the June issue of Health Affairs.

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Life Expectancy 78.60 Years for U.S. Population for 2009-2011

FRIDAY, Aug. 7, 2020 (HealthDay News) -- Life expectancy for 2009 to 2011 was 78.60 years for the total U.S. population, with the highest life expectancy for Hispanic women, according to the Aug. 7 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Health Plans Not Implementing Prior Authorization Reforms

WEDNESDAY, Aug. 5, 2020 (HealthDay News) -- Physicians say prior authorization (PA) continues to interfere with patient care and can lead to adverse clinical consequences, according to the results of a survey released by the American Medical Association.

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President Says Medicare Should Expand Telehealth Services

TUESDAY, Aug. 4, 2020 (HealthDay News) -- President Donald Trump signed an order on Monday that will broaden the role of telehealth for Medicare patients, the Associated Press reported.

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Most Studies Still Fail to Analyze Data by Sex

TUESDAY, Aug. 4, 2020 (HealthDay News) -- The effect of gender is still largely ignored in scientific studies, according to a study published online June 9 in eLife.

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Vitamin D3 Does Not Reduce Depression Incidence, Recurrence

TUESDAY, Aug. 4, 2020 (HealthDay News) -- Treatment with vitamin D3 versus placebo does not result in a significant difference in the incidence and recurrence of depression or clinically relevant depressive symptoms or in a change in mood scores among adults aged 50 years or older without clinically relevant depressive symptoms, according to a study published in the Aug. 4 issue of the Journal of the American Medical Association.

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Long-Term Negative Thinking Tied to Alzheimer Risk

TUESDAY, Aug. 4, 2020 (HealthDay News) -- Repetitive negative thinking (RNT) may be associated with increased Alzheimer disease (AD) risk, according to a study published in the July issue of Alzheimer's & Dementia.

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Cost-Related Rx Nonadherence Highest in Young U.S. Women

MONDAY, Aug. 3, 2020 (HealthDay News) -- Cost-related prescription nonadherence is highest among younger U.S. women compared with individuals living in 10 other high-income countries, according to a report published in the August issue of Health Affairs.

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Cannabidiol Studied as Potential Treatment for Cannabis Use Disorder

MONDAY, Aug. 3, 2020 (HealthDay News) -- Abstinence from cannabis is increased with daily oral doses of cannabidiol 400 mg and 800 mg versus placebo, according to a dose-finding study published online July 28 in The Lancet Psychiatry.

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Early-Life Adversity Associated With Accelerated Biological Aging

MONDAY, Aug. 3, 2020 (HealthDay News) -- Early-life adversity (ELA) is associated with accelerated biological aging, although the associations vary as a function of adversity type, according to a review published online Aug. 3 in the Physiological Bulletin.

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Botox Injections May Ease Depression

MONDAY, Aug. 3, 2020 (HealthDay News) -- Botox injections, which are commonly used to lessen wrinkles, migraines, muscle spasms, excessive sweating, and incontinence, may also help treat depression, according to a study published online July 30 in Scientific Reports.

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Adverse Experiences More Common Among Children Raised by Grandparents

MONDAY, Aug. 3, 2020 (HealthDay News) -- Children in grandparent-led households are much more likely to have a history of adverse childhood experiences (ACEs), according to a study published online Aug. 3 in Pediatrics.

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38 Percent of Older Adults in U.S. Not Ready for Video Doctor Visits

MONDAY, Aug. 3, 2020 (HealthDay News) -- An estimated 38 percent of all older adults in the United States are not ready for video visits with physicians, according to a research letter published online Aug. 3 in JAMA Internal Medicine.

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