February 2010 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for February 2010. 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.

Link Between Diabetes and Neuroleptic Drugs Outlined

THURSDAY, Feb. 25 (HealthDay News) -- Mice lacking a dopamine receptor have an impaired insulin response and glucose intolerance, which may explain why certain neuroleptic drugs that block this receptor cause hyperinsulinemia or diabetes, according to a study published online Feb. 10 in Endocrinology.

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Critical Illness Linked to Decline in Cognitive Function in Elderly

TUESDAY, Feb. 23 (HealthDay News) -- Elderly adults who are hospitalized for an acute or critical illness are more likely to experience cognitive decline, and the risk of developing dementia is significantly higher after hospitalization for a non-critical illness, according to research published in the Feb. 24 issue of the Journal of the American Medical Association.

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Physicians Working Fewer Hours for Lower Fees

TUESDAY, Feb. 23 (HealthDay News) -- Physicians in the United States have been working fewer hours for lower fees in the past decade, according to research published in the Feb. 24 issue of the Journal of the American Medical Association.

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Exercise Found to Decrease Anxiety in Chronic Illness

TUESDAY, Feb. 23 (HealthDay News) -- In physically inactive patients with chronic conditions, exercise training may significantly reduce anxiety, according to a systematic review published in the Feb. 22 issue of the Archives of Internal Medicine.

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Profiles of Episodic, Chronic Migraine Patients Compared

MONDAY, Feb. 22 (HealthDay News) -- There are significant differences between chronic and episodic migraine sufferers in terms of sociodemographic factors and comorbidities, according to research published online Feb. 17 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Maternal Antidepressants May Delay Infant Milestones

MONDAY, Feb. 22 (HealthDay News) -- Exposure to antidepressants in late pregnancy may affect children's developmental milestones, according to a study published online Feb. 22 in Pediatrics.

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Gene Variant Associated With Premenstrual Syndrome

FRIDAY, Feb. 19 (HealthDay News) -- Female mice with a common variant of a gene affected by estrogen levels are more anxious and have impaired memory, according to a study published online Feb. 8 in the Proceedings of the National Academy of Sciences. The findings could explain behavioral changes occurring during the menstrual cycle associated with conditions such as premenstrual syndrome.

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Flat Head Syndrome Linked to Delayed Neurodevelopment

FRIDAY, Feb. 19 (HealthDay News) -- Infants with deformational plagiocephaly (DP) -- flat head syndrome -- may be at risk for delayed development of cognition, language, and motor functions, according to a study published online Feb. 15 in Pediatrics.

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Happy People Less Likely to Develop Heart Disease

THURSDAY, Feb. 18 (HealthDay News) -- People who are happy and have a positive attitude are less likely to develop heart disease, according to a study published online Feb. 17 in the European Heart Journal.

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Hormone Oxytocin Offers Possible Autism Treatment

WEDNESDAY, Feb. 17 (HealthDay News) -- Treatment with the hormone oxytocin improves social interactions and performance, and enhances feelings of trust in subjects with high-functioning autism or Asperger's syndrome during simulated social interaction, according to a study published online Feb. 16 in the Proceedings of the National Academy of Sciences.

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Chronic Conditions Becoming More Common in Children

TUESDAY, Feb. 16 (HealthDay News) -- Chronic health conditions have become increasingly more common in children in recent decades, according to research published in the Feb. 17 issue of the Journal of the American Medical Association.

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Poor Sleep Linked to More Car Accidents in Teenagers

TUESDAY, Feb. 16 (HealthDay News) -- Poor sleep habits are associated with a higher risk of car accidents among teenagers, according to a study in the Feb. 15 issue of the Journal of Clinical Sleep Medicine.

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Accuracy of Postpartum Screening Tools Evaluated

MONDAY, Feb. 15 (HealthDay News) -- Depression is common in postpartum, low-income, urban mothers attending well-child care (WCC) visits, which may be identified by pediatricians with three screening tools, but cutoff scores may need to be changed to more accurately identify depression depending on the population and the screening tool utilized, according to research published online Feb. 15 in Pediatrics.

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Severe Sleep Apnea Linked to Fewer Nightmares

MONDAY, Feb. 15 (HealthDay News) -- Patients with severe obstructive sleep apnea (OSA) report fewer nightmares, according to a study in the Feb. 15 issue of the Journal of Clinical Sleep Medicine.

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Gluten-Free Camp Helpful for Children With Celiac Disease

MONDAY, Feb. 15 (HealthDay News) -- For children and adolescents with celiac disease, attending a gluten-free camp may at least temporarily improve quality of life, according to a study published online Feb. 15 in Pediatrics.

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2009 H1N1-Related Deaths and Hospitalizations Examined

MONDAY, Feb. 15 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has provided updated estimates of the 2009 H1N1 cases, related hospitalizations and deaths, with approximately 57 million cases occurring between April 2009 and January 2010.

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Dietary Supplement Suspected of Causing Selenium Poisoning

THURSDAY, Feb. 11 (HealthDay News) -- A liquid dietary supplement that contained 200 times the labeled concentration of selenium caused a widespread outbreak of selenium poisoning affecting 201 people in 10 states, according to a study published in the Feb. 8 issue of the Archives of Internal Medicine.

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Study Finds Link Between Genetic Variations, Stuttering

WEDNESDAY, Feb. 10 (HealthDay News) -- Some cases of stuttering may be related to variations in genes that play a role in lysosomal metabolism, according to research published online Feb. 10 in the New England Journal of Medicine.

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Draft Diagnostic Criteria for DSM-5 Are Released

WEDNESDAY, Feb. 10 (HealthDay News) -- Proposed revisions to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) were released Feb. 10 by the American Psychiatric Association.

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AHRQ: U.S. Adults Seeing Big Barriers to Specialty Care

WEDNESDAY, Feb. 10 (HealthDay News) -- In 2007, about one in 13 of U.S. adults reported that access to specialist care was a "big problem," according to a December report issued by the Agency for Healthcare Research and Quality (AHRQ).

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FDA Initiative Aims to Cut Medical Radiation Exposure

WEDNESDAY, Feb. 10 (HealthDay News) -- The U.S. Food and Drug Administration has launched a new initiative that aims to reduce exposure to radiation from computed tomography (CT), nuclear medicine studies and fluoroscopy, the three procedures that are the main sources of medically-related radiation exposure.

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Tamoxifen Treatment Linked to Worse Cognitive Function

WEDNESDAY, Feb. 10 (HealthDay News) -- Postmenopausal women with breast cancer have worse cognitive function after treatment with tamoxifen but not exemestane, according to a study published online Feb. 8 in the Journal of Clinical Oncology.

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Use of Feeding Tubes in Adults With Dementia Varies Widely

TUESDAY, Feb. 9 (HealthDay News) -- Feeding tube insertions in older individuals with advanced cognitive impairment -- a practice that has drawn scrutiny in the literature -- varied widely in U.S. hospitals during a recent period, according to research published in the Feb. 10 issue of the Journal of the American Medical Association.

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Executive Dysfunction With High BP May Help Predict Dementia

TUESDAY, Feb. 9 (HealthDay News) -- In elderly adults, executive dysfunction -- but not memory dysfunction -- accompanied by hypertension may help predict progression to dementia and provide an opportunity to intervene, according to a study in the February issue of the Archives of Neurology.

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Paroxetine May Compromise the Efficacy of Tamoxifen

TUESDAY, Feb. 9 (HealthDay News) -- Women with breast cancer who take tamoxifen and the antidepressant paroxetine (Paxil), which has been hypothesized to reduce the effectiveness of tamoxifen, may be at higher risk of dying of breast cancer, according to research published online Feb. 8 in BMJ.

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Economic Status Linked to Anxiety, Depression in Cancer

MONDAY, Feb. 8 (HealthDay News) -- Women with low socioeconomic status (SES) who are diagnosed with breast cancer are likely to suffer higher levels of anxiety and depression than women with medium or high SES, according to a study published online Feb. 8 in Cancer.

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H1N1 Vaccination Still Highly Recommended

MONDAY, Feb. 8 (HealthDay News) -- Despite H1N1 virus levels stabilizing, transmission remains an issue and vaccination continues to be an effective option for prevention of this potentially serious condition, according to a Feb. 5 press briefing by the U.S. Centers for Disease Control.

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Many American Adults Do Not Get Recommended Vaccines

MONDAY, Feb. 8 (HealthDay News) -- Although most parents ensure their children are vaccinated, adults often do not receive recommended vaccinations themselves, according to a new report, Adult Immunization: Shots to Save Lives.

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Coalition Launches Campaign to Limit Residents' Hours

FRIDAY, Feb. 5 (HealthDay News) -- To prevent medical errors caused by doctor fatigue, a coalition of public interest and patient safety groups is urging the Accreditation Council for Graduate Medical Education (ACGME) to limit the amount of time residents must work without sleep to 16 hours and to increase resident supervision.

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Diabetes Patients, Doctors May Have Different Health Priorities

FRIDAY, Feb. 5 (HealthDay News) -- While diabetes patients with comorbidities and their primary care providers are usually in concordance over what their health priorities are, concordance tends to be lower among the least healthy patients and those with non-health competing demands, according to a study published online Feb. 2 in the Journal of General Internal Medicine.

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Blood Sugar Levels Shown to Affect Reward Preferences

THURSDAY, Feb. 4 (HealthDay News) -- Blood glucose levels appear to affect whether a person is more likely to prefer a reward now or later, according to a study published online Jan. 20 in Psychological Science.

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Health Care Spending Makes Record Leap in GDP Share

THURSDAY, Feb. 4 (HealthDay News) -- A growth in health spending in 2009, coupled with a sagging economy, created the largest one-year jump in health care's share of the nation's gross domestic product since 1960, according to an article published online Feb. 4 in Health Affairs.

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Diversity Growth Incremental in the Medical Professions

THURSDAY, Feb. 4 (HealthDay News) -- One hundred years after the Flexner Report recommended closing five of the seven African-American medical schools then extant, African-Americans and other minorities remain grossly underrepresented in the medical professions, according to an article in the February issue of Academic Medicine.

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Chronic Obstructive Pulmonary Disease Linked to Depression

THURSDAY, Feb. 4 (HealthDay News) -- Patients with chronic obstructive pulmonary disease (COPD) may be at an increased risk of developing depression, according to a study in the February issue of Chest.

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Not All Terminally Ill Receive Desired End-of-Life Care

WEDNESDAY, Feb. 3 (HealthDay News) -- Most terminally ill patients receive end-of-life care consistent with their stated preferences, and are more likely to receive the care they prefer if they have discussed their preferences with a physician, according to a study published online Feb. 1 in the Journal of Clinical Oncology.

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The Lancet Retracts Study Linking MMR Vaccine, Autism

WEDNESDAY, Feb. 3 (HealthDay News) -- On Feb. 2, The Lancet retracted a controversial 1998 study that linked the measles, mumps and rubella (MMR) vaccine to autism and gastrointestinal problems.

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Hippocampal Volume Found to Increase With Aerobic Exercise

WEDNESDAY, Feb. 3 (HealthDay News) -- Aerobic exercise can increase the volume of the hippocampus in schizophrenia patients, and may have a role in the treatment of disabilities associated with the condition, according to a study in the February issue of the Archives of General Psychiatry.

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Cost Barrier Linked to Less Health Behavior Counseling

WEDNESDAY, Feb. 3 (HealthDay News) -- When patients are required to pay for previously free health behavior counseling, use of the services drops dramatically, according to research published online Feb. 2 in the American Journal of Preventive Medicine.

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Lower Brain Serotonin Seen in Infants Who Died of SIDS

TUESDAY, Feb. 2 (HealthDay News) -- Lower levels of medullary serotonin in infants who died of sudden infant death syndrome (SIDS) suggest that a serotonin deficiency may play a role in the condition, according to research published in the Feb. 3 issue of the Journal of the American Medical Association.

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Antidepressant May Aid Post-Stroke Cognitive Recovery

TUESDAY, Feb. 2 (HealthDay News) -- Stroke patients who receive the antidepressant escitalopram within three months of their stroke show improvement in cognitive functioning as compared to those receiving either placebo or Problem Solving Therapy, according to a study in the February issue of the Archives of General Psychiatry.

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Omega-3s May Reduce Risk of Developing Psychotic Disorder

TUESDAY, Feb. 2 (HealthDay News) -- Young people with subclinical psychotic symptoms who take omega-3 polyunsaturated fatty acids (PUFAs) may have reduced risk of progression to a full-blown psychotic disorder, according to a study in the February issue of the Archives of General Psychiatry.

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Extended Use of Nicotine Patch Linked to Benefits

TUESDAY, Feb. 2 (HealthDay News) -- The use of transdermal nicotine patches for an extended duration, compared to the standard eight-week therapy, may improve the chances of smoking abstinence, according to research published in the Feb. 2 issue of the Annals of Internal Medicine.

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President Proposes $911 Billion Budget for HHS

TUESDAY, Feb. 2 (HealthDay News) -- As part of his 2011 budget proposal, President Barack Obama has proposed $911 billion for the U.S. Health and Human Services (HHS) Department, according to a Feb. 1 announcement by the secretary of HHS, Kathleen Sebelius.

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Foster Care Quality Linked to Hyperactive Youths' Progress

MONDAY, Feb. 1 (HealthDay News) -- The degrees of parental warmth and hostility, as well as the number of foster-care moves, affect the progression of inattention, hyperactivity and impulsivity among children placed in foster care, according to a study published online Feb. 1 in Pediatrics.

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FDA, Eli Lilly Announce Olanzapine Labeling Changes

MONDAY, Feb. 1 (HealthDay News) -- On Jan. 29, the U.S. Food and Drug Administration and the pharmaceutical company Eli Lilly announced changes to the prescribing information for olanzapine (Zyprexa).

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New Rules Require Parity for Mental Health Benefits

MONDAY, Feb. 1 (HealthDay News) -- Group health plans will no longer be able to limit benefits for mental health or substance abuse disorders, or require patients to pay more for these benefits, according to new rules issued by the U.S. government on Jan. 29.

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