May 2010 Briefing - Psychiatry

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

Underage Drinking Emergency Room Visits Rise Over Holiday

MONDAY, May 31 (HealthDay News) -- Daily underage drinking-related visits to hospital emergency departments are higher over the three-day Memorial Day weekend than on an average day, according to a new study from the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Depression Key Consideration in Acute Coronary Syndrome

FRIDAY, May 28 (HealthDay News) -- Health care providers should address depressive symptoms in survivors of acute coronary syndrome (ACS), especially women, whose early recovery may differ from their male counterparts, according to a prospective longitudinal study published in the May issue of Applied Nursing Research.

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New Tramadol Label Warns of Suicide, Overdose Risks

WEDNESDAY, May 26 (HealthDay News) -- The U.S. Food and Drug Administration and Ortho-McNeil-Janssen have alerted health care professionals of changes to the prescribing information warnings section for tramadol, a centrally acting synthetic opioid analgesic used to manage moderate to moderately severe chronic pain.

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Drug Switch Tied to Depression Remission at Six Months

WEDNESDAY, May 26 (HealthDay News) -- More than one-third of adolescents with treatment-resistant depression may achieve remission within six months after simply switching their medication or undergoing cognitive behavioral therapy along with a medication switch, and those who show symptom benefits early after switching are more likely to have lasting benefits, according to a study published online May 17 in the American Journal of Psychiatry.

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Brain Injury Patients Plagued by Poor Sleep, Depression

TUESDAY, May 25 (HealthDay News) --Patients with traumatic brain injury exhibit disrupted circadian rhythms and lower levels of melatonin production, contributing to poor sleep quality, anxiety and depression, according to a study in the May 25 issue of Neurology.

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Visceral Fat, Total Brain Volume Inversely Associated

MONDAY, May 24 (HealthDay News) -- In middle-aged adults, abdominal fat -- especially visceral fat -- is inversely associated with total brain volume, according to research published online May 20 in the Annals of Neurology.

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On-Time Vaccinations in First Year Don't Hurt Development

MONDAY, May 24 (HealthDay News) -- Children who are vaccinated on schedule in their first year of life exhibit neuropsychological development at ages 7 to 10 that is as good as or better than children who receive delayed vaccination or do not get vaccinated, according to a study published online May 24 in Pediatrics.

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Intervention Improves Parent-Autistic Child Interactions

FRIDAY, May 21 (HealthDay News) -- A parent-mediated social communication intervention in preschool children with autism improves parent-child interaction but does not result in clinically significant benefits in autism severity, according to research published in the May 21 online edition of The Lancet.

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Article Addresses Suicide Risks for Seniors in Residential Homes

THURSDAY, May 20 (HealthDay News) -- Elderly residents of communal living facilities are at risk of suicidal behaviors that may be due to their underlying reasons for moving into the residential homes, and public health systems and residential communities should take steps to counter these behaviors, according to an article published online May 18 in PLoS Medicine.

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Depression Common at End of Terminal Cancer

THURSDAY, May 20 (HealthDay News) -- Depression is a common condition among patients with metastatic cancer, and those with a combination of psychosocial vulnerability and greater physical suffering are at the highest risk, according to a study in the Journal of Clinical Oncology.

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Optimism Not Linked to Plastic Surgery Satisfaction

WEDNESDAY, May 19 (HealthDay News) -- Baseline pessimism and optimism are not associated with patient satisfaction with facial plastic surgery, and those treated for depression show greater satisfaction than patients not treated for depression, according to research published in the May/June issue of the Archives of Facial Plastic Surgery.

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Major Depression Prevalent After Traumatic Brain Injury

TUESDAY, May 18 (HealthDay News) -- Within the first year after traumatic brain injury (TBI), more than half of patients meet criteria for major depressive disorder (MDD), which independently predicts poorer health-related quality of life, according to research published in the May 19 issue of the Journal of the American Medical Association.

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Learning/Management Model Effective for Anxiety Treatment

TUESDAY, May 18 (HealthDay News) -- A blended intervention approach to anxiety treatment is superior to usual care for patients treated in primary care clinics, according to research published May 18 in the Journal of the American Medical Association.

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Fathers Show Risk of Prenatal, Postpartum Depression

TUESDAY, May 18 (HealthDay News) -- A substantial number of expecting and new fathers have prenatal and postpartum depression, and paternal depression is moderately correlated with maternal depression, according to research published in the May 19 issue of the Journal of the American Medical Association.

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Appearance-Focused Approach May Reduce Indoor Tanning

MONDAY, May 17 (HealthDay News) -- Among women who tan indoors and exhibit seasonal affective disorder (SAD) symptoms or pathological tanning motives, an appearance-focused skin cancer prevention intervention may help reduce indoor tanning, according to a study published in the May issue of Archives of Dermatology.

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Many Have Low Distress During Prostate Cancer Surveillance

MONDAY, May 17 (HealthDay News) -- Men with low-risk prostate cancer on active surveillance generally have favorably low anxiety and distress in the first nine months of surveillance, according to research published in the May issue of The Journal of Urology. Another article in the same issue examines how health status and life expectancy influenced selection of men age 75 and older for prostate-specific antigen (PSA) screenings before the United States Preventive Services Task Force (USPSTF) recommended against screening them.

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Higher Pesticide Exposure Linked to Increased ADHD Risk

MONDAY, May 17 (HealthDay News) -- High levels of organophosphate exposure have been associated with adverse effects on neurodevelopment, and cross-sectional data suggest that levels of exposure common in U.S. children may contribute to attention-deficit/hyperactivity disorder (ADHD) prevalence, according to research published online May 17 in Pediatrics.

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Patterns Changing in Substance Use Admissions

MONDAY, May 17 (HealthDay News) -- Some patterns of substance use treatment admissions changed substantially from 1998 to 2008, according to a study published in April by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency within the U.S. Department of Health and Human Services.

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Treatment Found to Reduce Depression in Psoriasis

FRIDAY, May 14 (HealthDay News) -- Treating psoriasis patients with adalimumab is associated with reduced depression and improved quality of life compared to placebo, according to research published in the May issue of the Journal of the American Academy of Dermatology.

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Early Child Care May Affect Functioning in Teenage Years

FRIDAY, May 14 (HealthDay News) -- The quality and quantity of early child care is associated with functioning, including academic achievement, at age 15, according to a study published in the May/June issue of Child Development. Another study in the same issue found increased cortisol levels in children when they were at full-time, home-based day care versus when they were at home.

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Autism Onset Patterns Linked to Developmental Outcomes

THURSDAY, May 13 (HealthDay News) -- In children under age 3, the onset of autism has three distinct patterns -- regression, plateau, and no loss or plateau -- which substantially affect developmental, diagnostic and educational outcomes, according to a study published April 2 in the Journal of Autism and Developmental Disorders.

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Mental Health Disorders Stable Among U.K. Military Personnel

THURSDAY, May 13 (HealthDay News) -- From 2003 to 2009, the prevalence of mental health disorders, such as anxiety and depression, among military personnel from the United Kingdom remained stable, although those deployed to Iraq or Afghanistan have an increased risk of alcohol misuse compared with those who have not been deployed, according to a study published online May 13 in The Lancet.

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Pramipexole Beneficial for Depression in Parkinson's

THURSDAY, May 13 (HealthDay News) -- The dopamine agonist pramipexole improves depression in patients with Parkinson's disease, suggesting that it could become an important antidepressant treatment for these patients, according to a study published online May 10 in the The Lancet Neurology.

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New FDA Program Targets Misleading Drug Advertising

WEDNESDAY, May 12 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new program to educate health care providers regarding their role in making certain that advertisements and promotions for prescription drugs are truthful and not misleading.

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Abuse Linked to Depression in Older Women

TUESDAY, May 11 (HealthDay News) -- In older, functionally independent women, physical and/or verbal abuse is associated with increased depressive symptoms and poorer mental health, according to a study published in the May/June issue of the Annals of Family Medicine. A second study published in the journal found that older adults with depressive symptoms may benefit as much from an individualized physical activity program as from social visits.

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Impulse Control Disorders Common in Parkinson's Disease

TUESDAY, May 11 (HealthDay News) -- Impulse control disorders (ICDs) are fairly common in people with Parkinson's disease and are associated with several clinical and demographic variables -- particularly dopamine-replacement therapies, according to research published in the May issue of the Archives of Neurology.

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Opioid Misuse Risk Factors Differ for Men and Women

MONDAY, May 10 (HealthDay News) -- Men at risk for the misuse of prescription opioids taken for pain are more likely to have legal and behavioral problems, while women who misuse are more likely to have emotional or psychological issues, according to a study in the April issue of the Journal of Pain.

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Poor Sleep Common in Assisted Living Facility Residents

MONDAY, May 10 (HealthDay News) -- Many residents of assisted living facilities (ALFs) experience poor sleep, which appears to correlate with lower quality of life, difficulty in daily functioning, and increased depression, according to research published in the May issue of the Journal of the American Geriatrics Society.

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Nerve Block Successfully Treats Post-Traumatic Stress Disorder

FRIDAY, May 7 (HealthDay News) -- The injection of a local anesthetic in a cervical vertebra to create a stellate ganglion block (SGB) in the sympathetic nervous system has been shown to successfully relieve the symptoms of post-traumatic stress disorder (PTSD) in veterans of combat in Iraq, according to case reports from the Walter Reed Army Medical Center published online April 20 in Pain Practice.

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Spouses of Dementia Patients Have Higher Risk of Dementia

FRIDAY, May 7 (HealthDay News) -- Among older married couples in which one spouse has dementia, the other spouse -- especially the husband -- has a significantly higher risk of also developing dementia, and a potential causal factor may be the chronic, often severe stress associated with dementia caregiving, according to a study published online May 6 in the Journal of the American Geriatrics Society.

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Autonomous Motivation May Have Large Role in Weight Loss

FRIDAY, May 7 (HealthDay News) -- Autonomous motivation is a potential intervention target for increasing adherence to self-monitoring in a weight-loss program and weight loss itself, according to a study published in the May 2010 issue of the Journal of Nutrition Education and Behavior.

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Frontal Lobes Divide to Represent Simultaneous Goals

THURSDAY, May 6 (HealthDay News) -- Though the left and right medial frontal cortex in the human brain jointly drive the performance of a single task, they divide to drive the pursuit of two concurrent goals simultaneously, according to research published in the April 16 issue of Science.

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Mutation Linked to Tourette's Identified in Family

WEDNESDAY, May 5 (HealthDay News) -- A genetic mutation resulting in abnormal histamine biosynthesis has been identified in a father and his offspring, all of whom have Tourette's syndrome, pointing to a role for histaminergic neurotransmission in the modulation and mechanism of Tourette's, according to research published online May 5 in the New England Journal of Medicine.

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Motor Vehicle Accidents Leading Cause of Teen Death

WEDNESDAY, May 5 (HealthDay News) -- On average, more than 16,000 12- to 19-year-olds die each year in the United States, and the leading cause of death among this age group is motor vehicle accidents, according to a new report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Magnetic Stimulation Found Effective for Depression

MONDAY, May 3 (HealthDay News) -- The use of daily left prefrontal repetitive transcranial magnetic stimulation (rTMS) is likely an effective and safe option for the treatment of major depressive disorder, according to a study in the May issue of the Archives of General Psychiatry.

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Antidepressants in Pregnancy May Impact Child Behavior

MONDAY, May 3 (HealthDay News) -- Antidepressant use during pregnancy and twin birth weight differences may affect later behavior in children, while nicotine use during pregnancy may lead to sleep disturbances in children, according to three studies published in the May issue of the Archives of Pediatrics & Adolescent Medicine.

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Obese Children Are More Likely to Be Bullied

MONDAY, May 3 (HealthDay News) -- Obese children are more likely to be bullied than their normal-weight peers, regardless of several potential academic, social and sociodemographic confounders, according to research published online May 3 in Pediatrics.

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Spanking Ranks Low as Discipline Option in U.S. Poll

MONDAY, May 3 (HealthDay News) -- When it comes to child discipline, most parents today opt to reason with their child, take away something the child enjoys, or ground the child or put him or her in timeout to get their point across instead of spanking, according to research published in the April 16 issue of C.S. Mott Children's Hospital National Poll on Children's Health.

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