June 2014 Briefing - Psychiatry

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

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Guidance Issued for Addressing Primary Ovarian Insufficiency

MONDAY, June 30, 2014 (HealthDay News) -- Adolescents diagnosed with primary ovarian insufficiency should be offered counseling and hormonal therapy, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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Exposure to Violent TV Linked to Poorer Executive Function

MONDAY, June 30, 2014 (HealthDay News) -- Exposure to violent television is associated with poorer executive functioning and slower white matter growth in young adult males, according to a study published in the July issue of Brain and Cognition.

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Gluten-Free Diet May Lift the 'Fog' of Celiac Patients

FRIDAY, June 27, 2014 (HealthDay News) -- The "brain fog" experienced by many celiac disease patients seems to improve as their intestines heal after adopting a gluten-free diet, a small new study suggests. The study appears in the July issue of the journal Alimentary Pharmacology and Therapeutics.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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CDC: One in 10 Deaths Due to Excessive Drinking

THURSDAY, June 26, 2014 (HealthDay News) -- Nearly one in 10 deaths among working-age adults in the United States are attributable to excessive drinking, according to a study published online June 26 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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Adults With Asperger Syndrome May Have Higher Suicide Risk

WEDNESDAY, June 25, 2014 (HealthDay News) -- Adults with Asperger syndrome are much more likely to think about and attempt suicide than those in the general population, according to a study published online June 25 in The Lancet Psychiatry.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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Brain Iron Levels May Indicate Response to ADHD Treatment

MONDAY, June 23, 2014 (HealthDay News) -- Imaging measures of brain iron levels may be an indicator of response to treatment in attention deficit hyperactivity disorder (ADHD), according to a study published online June 17 in Radiology.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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IOM: Too Little Known About PTSD Treatments for Veterans

MONDAY, June 23, 2014 (HealthDay News) -- U.S. government agencies must do more to determine whether treatments are actually helping veterans suffering from post-traumatic stress disorder (PTSD), say experts involved in a new report from the Institute of Medicine (IOM).

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Exercise Induces Hypothalamic Cell Proliferation in Mice

MONDAY, June 23, 2014 (HealthDay News) -- Exercise training induces hypothalamic cell proliferation in adult mice and improves insulin sensitivity, but blocking cell proliferation does not prevent insulin action, according to an experimental study published online June 4 in Diabetes.

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Antidepressant Use Doesn't Up Congenital Cardiac Defect Risk

FRIDAY, June 20, 2014 (HealthDay News) -- Selective serotonin-reuptake inhibitor (SSRI) and other antidepressant use in the first trimester is not associated with increased risk of congenital cardiac defects, according to a study published June 19 in the New England Journal of Medicine.

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Depression Ups Risk of Death in Women With Heart Disease

FRIDAY, June 20, 2014 (HealthDay News) -- Among younger women being evaluated for coronary artery disease (CAD), the presence of depressive symptoms is associated with increased risk of death, according to research published June 18 in the Journal of the American Heart Association.

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Sharp Rise in 'Meth'-Linked ER Visits in U.S.

THURSDAY, June 19, 2014 (HealthDay News) -- The number of methamphetamine-related visits to U.S. hospital emergency departments jumped from about 68,000 in 2007 to almost 103,000 in 2011, the latest year for which such data is available, a new federal government report finds.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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Docs Asked to Judge Patients' Competency to Carry Guns

THURSDAY, June 19, 2014 (HealthDay News) -- Some U.S. jurisdictions are now requiring a doctor's OK for people to carry a concealed gun, but a new survey suggests many doctors aren't comfortable with that role. The new survey is reported in the June 19 issue of the New England Journal of Medicine.

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Teen Suicide Attempts Up Post-Antidepressant Warnings

THURSDAY, June 19, 2014 (HealthDay News) -- Teen suicide attempts rose nearly 22 percent after the U.S. Food and Drug Administration (FDA) warned about dangers of antidepressants, a new study finds. The report was published June 18 in BMJ online.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

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Text Message Program Seems Effective for Smoking Cessation

WEDNESDAY, June 18, 2014 (HealthDay News) -- An automated, personalized, and interactive mobile health program, Text2Quit, seems to be effective for promoting smoking cessation, according to a study published online June 5 in the American Journal of Preventive Medicine.

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Depressed Patients Perceive Worse Hand Functioning

WEDNESDAY, June 18, 2014 (HealthDay News) -- Patients with depression or catastrophization perceive worse hand function before and after treatment for atraumatic hand/wrist conditions, according to a study published in the May 21 issue of The Journal of Bone & Joint Surgery.

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Tips Offered for Finding Buyer for Medical Practice

TUESDAY, June 17, 2014 (HealthDay News) -- Suggestions are provided for finding a buyer for a medical practice in an article published online June 10 in Medical Economics.

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U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
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Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

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Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

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Depressive Symptoms Tied to Incident T2DM in Black Women

MONDAY, June 16, 2014 (HealthDay News) -- Among African-American women, depressive symptoms and antidepressant use are associated with incident type 2 diabetes, according to a study published online June 5 in Diabetes Care.

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HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

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Posttraumatic Stress Disorder Ups Risk of Preterm Birth

FRIDAY, June 13, 2014 (HealthDay News) -- Pregnant women with likely diagnoses of both posttraumatic stress disorder (PTSD) and a major depressive episode are at increased risk of preterm birth, according to research published online June 11 in JAMA Psychiatry.

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Inverse Link for Cognitive Impairment, Heart Health

FRIDAY, June 13, 2014 (HealthDay News) -- Intermediate and high cardiovascular health (CVH), measured with Life's Simple 7 scores, correlate with lower incidence of cognitive impairment, according to a study published online June 11 in the Journal of the American Heart Association.

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Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

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Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

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Recession Linked to >10,000 Suicides in N. America, Europe

THURSDAY, June 12, 2014 (HealthDay News) -- The Great Recession that began in 2007 appears to have taken more than a financial toll: New research suggests that the economic downturn could be linked with more than 10,000 suicides across North America and Europe.

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Mindfulness, Cognitive Therapy Beneficial in Diabetes

WEDNESDAY, June 11, 2014 (HealthDay News) -- For patients with diabetes and depressive symptoms, individual mindfulness-based cognitive therapy (MBCT) and individual cognitive behavior therapy (CBT) improve depressive symptoms, according to a study published online June 4 in Diabetes Care.

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Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

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Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

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Depression With Atypical Features Tied to Obesity

MONDAY, June 9, 2014 (HealthDay News) -- The atypical subtype of major depressive disorder (MDD) strongly predicts obesity, according to a study published online June 4 in JAMA Psychiatry.

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Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

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Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

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Antidepressants Vary in Contribution to Weight Gain

FRIDAY, June 6, 2014 (HealthDay News) -- Antidepressants vary in their propensity to contribute to weight gain, according to a study published online June 4 in JAMA Psychiatry.

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Pot Isn't Harmless, Top U.S. Health Official Says

THURSDAY, June 5, 2014 (HealthDay News) -- States joining the march toward marijuana legalization need to take a step back and consider the drug's adverse effects on health, the U.S. drug "czar" argues in a new paper.

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Bilingualism May Aid Later-Life Cognition

THURSDAY, June 5, 2014 (HealthDay News) -- Bilingualism may have a positive effect on later-life cognition, according to a study published online June 2 in the Annals of Neurology.

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Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Significant Posttraumatic Stress in Youths After Boston Marathon

THURSDAY, June 5, 2014 (HealthDay News) -- Youths experienced significant posttraumatic stress resulting from not only the Boston Marathon bombing attack itself but also from the subsequent interagency manhunt and shelter-in-place warning, according to a study published online June 2 in Pediatrics.

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Midlife HTN Affects Late-Life BP, Brain Pathology Link

THURSDAY, June 5, 2014 (HealthDay News) -- For older men and women without dementia, the impact of late-life blood pressure on brain pathology varies with their history of midlife hypertension, according to a study published online June 4 in Neurology.

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Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

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Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

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One in Eight U.S. Children Will Be Maltreated by Age 18

TUESDAY, June 3, 2014 (HealthDay News) -- Maltreatment is likely to be confirmed for one in eight U.S. children by age 18, according to a study published online June 2 in JAMA Pediatrics.

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Holistic Exercise Program Seems Feasible in Dementia

TUESDAY, June 3, 2014 (HealthDay News) -- A holistic exercise program seems feasible and acceptable for people with dementia, according to a feasibility study published online April 25 in the Journal of Bodywork and Movement Therapies.

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EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

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Intensive Lifestyle Changes Lead to Lasting Improvement in T2DM

MONDAY, June 2, 2014 (HealthDay News) -- For obese/overweight adults with type 2 diabetes, an intensive lifestyle intervention (ILI) is associated with a reduced risk of incident depression and with better physical function, according to a study published in the June issue of Diabetes Care.

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Negative Social Interactions Linked to Incident HTN in Women

MONDAY, June 2, 2014 (HealthDay News) -- For older adults, negative social interactions are associated with increased risk of developing hypertension, according to a study published in the June issue of Health Psychology.

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Physician's Briefing