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March 2017 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for March 2017. 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.

Vertical Integration Insurance Products of Higher Quality

FRIDAY, March 31, 2017 (HealthDay News) -- Insurance products offered by hospitals and health systems, known as vertical integration, are generally of higher quality than other contracts, according to a study published in the March issue of Health Affairs.

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Brain Changes May Mark Risk of Financial Exploitation in Seniors

FRIDAY, March 31, 2017 (HealthDay News) -- For older adults, financial exploitation is associated with brain differences in regions associated with socioemotional functioning, according to a study published online March 28 in the Journals of Gerontology: Series A.

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90 Percent of U.S. Physicians Satisfied With Career Choice

FRIDAY, March 31, 2017 (HealthDay News) -- Nine out of 10 American doctors are happy with their choice of profession, even though they have some challenges, according to an American Medical Association (AMA) survey of 1,200 doctors, residents, and medical students, conducted in February.

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Doctors Should Consider QoL in Tx of Facial Port-Wine Stain

FRIDAY, March 31, 2017 (HealthDay News) -- Having a facial port-wine stain (PWS) has a significant negative impact on patient quality of life (QoL), according to a study published in the April issue of the Journal of the American Academy of Dermatology.

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Increases in Heroin Use in the U.S. Greater Among Whites

THURSDAY, March 30, 2017 (HealthDay News) -- From 2001-2002 to 2012-2013 there was an increase in the prevalence of heroin use and heroin use disorder, according to a study published online March 29 in JAMA Psychiatry.

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Substance Abuse Is a Treatable Chronic Medical Condition

WEDNESDAY, March 29, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented for the prevention and treatment of substance use disorders.

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Alcohol Consumption Trending Upward Among Older Adults

WEDNESDAY, March 29, 2017 (HealthDay News) -- For adults age 60+ years, there is an upward trend in the prevalence of current drinking, according to a study published online March 24 in Alcoholism: Clinical & Experimental Research.

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TV Ads for ACA Enrollment Linked to Decline in Uninsured Rates

TUESDAY, March 28, 2017 (HealthDay News) -- The volume of insurance advertisements during the first Affordable Care Act enrollment period correlated with change in uninsurance rates, with a higher volume of television advertisements linked to declines in uninsurance, according to a study published online March 15 in Health Affairs.

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Teens Exposed to Opioid Rx at Risk for Serious Outcomes

TUESDAY, March 28, 2017 (HealthDay News) -- Teenagers with prescription opioid exposures are more likely to have health care facility (HCF) admission and serious medical outcomes than younger children, according to a study published online March 20 in Pediatrics.

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ACP Issues Challenge to Cut Task Burden and Put Patients First

TUESDAY, March 28, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented to address the impact of administrative tasks and reduce the administrative burden on clinicians.

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Paid Malpractice Claims Cut in Half From 1992 to 2014 in U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published online March 27 in JAMA Internal Medicine.

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Impact of Breastfeeding on Child Development May Be Short-Lived

MONDAY, March 27, 2017 (HealthDay News) -- Breastfeeding has only one positive benefit on children's cognitive and noncognitive development after propensity score-matching, according to a study published online March 27 in Pediatrics.

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Suicide Risk Not Up With New Rx of 5α-Reductase Inhibitor for BPH

MONDAY, March 27, 2017 (HealthDay News) -- For older men, initiation of a new prescription of a 5α-reductase inhibitor for the treatment of benign prostatic hyperplasia is not associated with increased risk of suicide, according to a study published online March 20 in JAMA Internal Medicine.

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Recent Decline in Prescription Opioid Use Among U.S. Teens

FRIDAY, March 24, 2017 (HealthDay News) -- For adolescents, medical and nonmedical use of prescription opioids has declined in recent years, according to a study published online March 20 in Pediatrics.

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Treatment Seeking Low Among Teens With Eating Disorders

FRIDAY, March 24, 2017 (HealthDay News) -- Adolescents with eating disorders infrequently seek treatment, according to a study published online March 21 in the International Journal of Eating Disorders.

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REACH II, VA Did Not Increase Spending in Dementia Care

FRIDAY, March 24, 2017 (HealthDay News) -- Caregiver participation in Resources for Enhancing Alzheimer's Caregivers Health (REACH II or REACH VA) behavioral interventions is not associated with increased Veterans Affairs or Medicare expenditures, according to a study published online March 13 in the Journal of the American Geriatrics Society.

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30-Day Mortality Down During Joint Commission Survey Weeks

THURSDAY, March 23, 2017 (HealthDay News) -- Patients admitted to the hospital during The Joint Commission on-site inspections (surveys) have reduced mortality compared to that seen during non-survey weeks, according to research published online March 20 in JAMA Internal Medicine.

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Single Dose of SSRI Prompted Healthy Food Choices During Test

THURSDAY, March 23, 2017 (HealthDay News) -- The serotonin reuptake inhibitor citalopram is associated with making more healthy food choices, according to a study published online recently in Cognitive, Affective, & Behavioral Neuroscience.

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Spouses Bereaved by Suicide Have Elevated Health Risks

THURSDAY, March 23, 2017 (HealthDay News) -- Spouses bereaved by suicide have elevated risks of mental, physical, and social health outcomes, according to a study published online March 22 in JAMA Psychiatry.

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Review: Treatment Options for Benzodiazepine Dependence

THURSDAY, March 23, 2017 (HealthDay News) -- Effective treatment of benzodiazepine dependence includes cognitive behavioral therapy and motivational approaches, according to a study published in the March 22 issue of the New England Journal of Medicine.

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Higher Risk of Death From Injury Among Individuals With Autism

WEDNESDAY, March 22, 2017 (HealthDay News) -- Individuals with autism have an increased risk of death from injury, with suffocation, asphyxiation, and drowning identified as the leading causes of injury mortality, according to a study published online March 21 in the American Journal of Public Health.

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Black, Asian Medical Students Less Likely to Be AΩA Members

TUESDAY, March 21, 2017 (HealthDay News) -- Black and Asian medical students are less likely to be members of the Alpha Omega Alpha (AΩA) honor society than white students, according to a study published online March 6 in JAMA Internal Medicine.

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Behavioral Activation Plus Low Vision Rehab Beneficial in AMD

MONDAY, March 20, 2017 (HealthDay News) -- Behavioral activation (BA) plus low vision rehabilitation with an occupational therapist (OT-LVR) is more effective than conventional low vision optometry services for patients with age-related macular degeneration (AMD), according to a study published in the March issue of Investigative Ophthalmology & Visual Science.

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Initial Rx Can Affect Likelihood of Long-Term Opioid Use

FRIDAY, March 17, 2017 (HealthDay News) -- Doctors who limit the supply of opioids they prescribe to three days or less may help patients reduce their risk of dependence and addiction, according to research published in the March 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Los Angeles eConsult Program Can Reduce Wait Times

FRIDAY, March 17, 2017 (HealthDay News) -- Implementation of an electronic system for provision of specialty care was rapidly adopted in Los Angeles, and it can reduce wait times to see specialists, according to a study published in the March issue of Health Affairs.

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CDC: Suicide Rates Up in Less Urban Regions of United States

FRIDAY, March 17, 2017 (HealthDay News) -- Although the U.S. suicide rate has been rising gradually since 2000, suicides in less urban areas are outpacing those in more urban areas, according to research published in the March 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Initiation of Renal Replacement Therapy Impacts HRQoL

FRIDAY, March 17, 2017 (HealthDay News) -- The initiation of renal replacement therapy (RRT) impacts health-related quality of life (HRQL) among patients with end-stage kidney disease, according to a study published online Feb. 27 in the Journal of Renal Care.

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Depressive Symptoms Linked to PTSD Post Hip Fracture Repair

THURSDAY, March 16, 2017 (HealthDay News) -- For older individuals, hip fracture does not induce full posttraumatic stress disorder (fPTSD), according to a study published online Feb. 27 in the Journal of the American Geriatrics Society.

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Nursing Discharge Plan Promotes Therapeutic Adherence

THURSDAY, March 16, 2017 (HealthDay News) -- A nursing discharge plan is effective for promoting therapeutic adherence for patients discharged from the psychiatric intensive care unit, according to a study published online Feb. 23 in the Journal of Clinical Nursing.

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Women Underrepresented Among Grand Rounds Speakers

WEDNESDAY, March 15, 2017 (HealthDay News) -- Women seem to be underrepresented among academic grand rounds (GR) speakers, according to a research letter published online March 6 in JAMA Internal Medicine.

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Concurrent Benzodiazepine, Opioid Use Up Significantly

WEDNESDAY, March 15, 2017 (HealthDay News) -- From 2001 to 2013, concurrent benzodiazepine/opioid use significantly increased in privately-insured patients in the United States, according to a report published online March 14 in The BMJ.

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Blood Test Promising for ID of Early Depression, Schizophrenia

WEDNESDAY, March 15, 2017 (HealthDay News) -- The first objective, physiological marker for two major psychiatric disorders has been developed, according to a study published online March 13 in Experimental Physiology.

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Low Self-Esteem Linked to Anxiety/Depression in SLE

WEDNESDAY, March 15, 2017 (HealthDay News) -- For patients with systemic lupus erythematosus (SLE), measures of psychosocial reserve capacity may be associated with depression and anxiety, according to a study published online March 6 in the International Journal of Rheumatic Diseases.

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Support for Health Law Up to 48 Percent in February

TUESDAY, March 14, 2017 (HealthDay News) -- Support for the health law is increasing, with most Americans feeling that Medicaid should continue as it is today, according to a report published by Kaiser Health News.

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Internet CBT Ups Sexual Function in Breast Cancer Survivors

TUESDAY, March 14, 2017 (HealthDay News) -- For breast cancer survivors (BCSs) with sexual dysfunction, an internet-based cognitive behavioral therapy (CBT) intervention can improve sexual functioning, according to a study published online Feb. 27 in the Journal of Clinical Oncology.

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Experimental Nutrient Kit May Avert Postpartum Depression

TUESDAY, March 14, 2017 (HealthDay News) -- Researchers suggest that three days of an experimental dietary supplementation may eliminate depressed mood after childbirth, according to a study published online March 13 in the Proceedings of the National Academy of Sciences.

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Synthetic Cannabinoids Tied to High-Risk Behavior in Adolescents

MONDAY, March 13, 2017 (HealthDay News) -- Adolescents who use synthetic cannabinoids are at a heightened risk for violent behavior, high-risk sexual activity, and abuse of other drugs, according to research published online March 13 in Pediatrics.

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Postcode Stress, PTSD Seen After Unsuccessful Resuscitation

MONDAY, March 13, 2017 (HealthDay News) -- Critical care nurses who experience unsuccessful cardiopulmonary resuscitation may experience moderate levels of postcode stress and posttraumatic stress disorder (PTSD) symptoms, according to a study published in the March issue of the American Journal of Critical Care.

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Aromatherapy Massage Helpful for Female Cancer Patients

FRIDAY, March 10, 2017 (HealthDay News) -- Female cancer patients report positive experiences with aromatherapy massage (ATM), according to a study published online March 2 in the Journal of Clinical Nursing.

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Yoga + Coherent Breathing May Help Treat Depression

THURSDAY, March 9, 2017 (HealthDay News) -- Weekly sessions of yoga and deep breathing exercises can help ease symptoms of depression, according to a study published online Feb. 16 in the Journal of Alternative and Complementary Medicine.

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ACA's Medicaid Expansion May Pose Challenges to Timely Care

THURSDAY, March 9, 2017 (HealthDay News) -- People living in states that expanded Medicaid under the Affordable Care Act (ACA) are less likely to be uninsured or struggling with the strain of unpaid medical bills, but they also seem to have increased difficulty receiving timely care, according to research published in the March 9 issue of the New England Journal of Medicine.

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Off-Label Donepezil Rx for MCI Could Be Risky for Some Patients

WEDNESDAY, March 8, 2017 (HealthDay News) -- Donepezil should not be prescribed to patients with mild cognitive impairment without first giving them a genetic test, according to research published recently in the Journal of Alzheimer's Disease.

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Ketamine Beneficial for Certain Patients With Mood Disorders

WEDNESDAY, March 8, 2017 (HealthDay News) -- Use of ketamine for treatment of mood disorders should include appropriate patient selection and consideration of potential risks of treatment, according to a consensus statement published online March 1 in JAMA Psychiatry.

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Fewer Americans Actively Trying to Lose Weight

TUESDAY, March 7, 2017 (HealthDay News) -- One in every three people in the United States is now obese, compared with one in five 20 years ago, but many have given up on trying to lose the excess weight, according to a research letter published in the March 7 issue of the Journal of the American Medical Association.

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Five Million American Seniors Now Living With Alzheimer's

TUESDAY, March 7, 2017 (HealthDay News) -- Alzheimer's disease claims nearly twice as many American lives annually as it did just 15 years ago, according to the 2017 Alzheimer's Disease Facts and Figures report, published March 7 by the Alzheimer's Association.

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Patients Reluctant to Comply With Drug-Only Psychiatric Treatment

TUESDAY, March 7, 2017 (HealthDay News) -- Mental health patients are more likely to reject treatment if it involves only medication, according to a study published online March 6 in Psychotherapy.

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Republicans Introduce Affordable Care Act Replacement

TUESDAY, March 7, 2017 (HealthDay News) -- An initial Republican replacement for the Affordable Care Act was formally introduced in the House of Representatives on Monday.

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Most Health Care Providers Can Offer Cost Estimate

MONDAY, March 6, 2017 (HealthDay News) -- Most provider organizations can offer a cost estimate, although few patients request one, according to a report published by Becker's Hospital CFO.

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Exercise Treatments Best for Reducing Cancer-Related Fatigue

FRIDAY, March 3, 2017 (HealthDay News) -- Exercise and/or behavioral and educational therapy may be more effective than prescription drugs for dealing with cancer-related fatigue, according to a meta-analysis published online March 2 in JAMA Oncology.

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Insecticides Linked to Behavioral Issues in Children

FRIDAY, March 3, 2017 (HealthDay News) -- Children exposed to a widely-used group of insecticides (pyrethroids) may be at increased risk for behavioral problems, according to a study published online March 1 in Occupational & Environmental Medicine.

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Wide Variation Found for Amount of Melatonin in Supplements

THURSDAY, March 2, 2017 (HealthDay News) -- Many over-the-counter melatonin products are inaccurately labeled, according to a study published in the Feb. 15 issue of the Journal of Clinical Sleep Medicine.

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Overall, 8.8 Percent of U.S. Population Uninsured in 2016

THURSDAY, March 2, 2017 (HealthDay News) -- Overall, 8.8 percent of individuals of all ages were uninsured in the first nine months of 2016, which marked a nonsignificant reduction from 2015, according to a Feb. 14 report from the National Center for Health Statistics.

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Specific Autoimmune Diseases Tied to Subsequent Dementia Risk

THURSDAY, March 2, 2017 (HealthDay News) -- Patients with autoimmune diseases appear to have an increased risk of developing dementia, according to a study published online March 1 in the Journal of Epidemiology & Community Health.

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Past Prescribing Behavior Predicts Choice of Insomnia Rx

THURSDAY, March 2, 2017 (HealthDay News) -- In treatment of insomnia, historical preference for a certain medication is highly predictive of future prescribing behavior, according to a study published online Feb. 9 in Scientific Reports.

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Physician's Briefing
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