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November 2013 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for November 2013. 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.

Insurance Exchanges May Benefit Small Medical Practices

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Small medical practices may not need to offer their employees health insurance, although there may be advantages to doing so, according to an article published Nov. 10 in Medical Economics.

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Practices Should Start Preparing for Transition to ICD-10

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Practices should start preparing for the transition to International Classification of Diseases, 10th Revision (ICD-10), according to an article published Nov. 10 in Medical Economics.

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No Link Between Menopausal Hormones and Cognition

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Postmenopausal hormone levels are not generally associated with cognition or mood, according to a study published online Nov. 25 in the Proceedings of the National Academy of Sciences.

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Optimal Testosterone Levels Tied to Survival in Older Men

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Higher and lower levels of testosterone (T) and its metabolites may raise mortality risk in older men, according to a study published online Nov. 20 in the Journal of Clinical Endocrinology & Metabolism.

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CDC: More Than One in 10 Kids Diagnosed With ADHD

MONDAY, Nov. 25, 2013 (HealthDay News) -- More than one in 10 children and adolescents are diagnosed with attention-deficit/hyperactivity disorder (ADHD), an increase of 42 percent in less than a decade, according to a study published online Nov. 25 in the Journal of the American Academy of Child & Adolescent Psychiatry.

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American Medical Groups Protesting Physician Cuts

MONDAY, Nov. 25, 2013 (HealthDay News) -- Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

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White House Extends Enrollment Deadline for Health Insurance

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Consumers who want to enroll in a health insurance plan through HealthCare.gov will get a few extra days to sign up for coverage that will take effect on Jan. 1. The deadline for buying insurance through the federal health insurance exchange will be pushed from Dec. 15 to Dec. 23, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS) said during a Friday news conference.

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Recession-Linked Losses Impact Alcohol Outcomes

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Recession-induced economic losses are associated with alcohol outcomes, according to a study published online Nov. 20 in Alcoholism: Clinical & Experimental Research.

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Rape, Sexual Assault Likely Underestimated by Crime Survey

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Rape and sexual assault are likely underestimated on the National Crime Victimization Survey (NCVS) and a new survey should be developed for more accurate estimation of incidence, according to a report published by the National Academy of Sciences.

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Unemployment Linked to Accelerated Biological Aging

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Young adult men who are unemployed for long periods have shorter telomeres, a sign of accelerated biological aging, according to a study published online Nov. 20 in PLOS ONE.

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CDC Report: Health Disparities Persist in America

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Despite progress in some areas, health disparities remain for many Americans, health officials reported Thursday. These inequalities are related to income, education, sex, race, ethnicity, employment and sexual orientation, and they all affect Americans' health and well-being, according to the U.S. Centers for Disease Control and Prevention.

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PTSD Linked to Overweight, Obesity in Women

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Women with symptoms of posttraumatic stress disorder (PTSD) are more likely to become overweight or obese, according to a study published online Nov. 20 in JAMA Psychiatry.

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Recessions Linked to Worse Cognitive Function Later

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Living through recessions is associated with worse cognitive function later in life, with the critical age range differing for men and women, according to a study published online Nov. 20 in the Journal of Epidemiology & Community Health.

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Surgeons Emotionally Affected by Surgical Complications

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Many surgeons are profoundly emotionally affected by surgical complications, according to a study published in the December issue of the British Journal of Surgery.

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USPSTF Identifies High Priority Evidence Gaps for Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has produced their third annual report for Congress identifying high-priority evidence gaps specifically relating to the care of older adults.

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Short-Term Aerobic Exercise Improves Memory in Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Even shorter term regular aerobic exercise can increase resting cerebral blood flow, and improve memory and cardiovascular health in older sedentary adults, according to a study published online Nov. 12 in Frontiers in Aging Neuroscience.

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Health Care Frustration Higher in U.S. Than Other Countries

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Compared to 10 other high-income industrialized nations, adults in the United States are more likely to go without health care because of costs, experience difficulty paying medical bills, and deal with frustrating health insurance paperwork or disputes such as unpaid claims, according to a report published by The Commonwealth Fund.

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Effect of Statins on Cognitive Function Unclear

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Current published evidence is lacking and further research is needed to establish an effect of statins on cognitive function, according to a review published in the Nov. 19 issue of the Annals of Internal Medicine.

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In-Bedroom Media Access Tied to Sleep Problems in ASD

TUESDAY, Nov. 19, 2013 (HealthDay News) -- For boys with autism spectrum disorder (ASD), media-related variables impact sleep time, according to a study published online Nov. 18 in Pediatrics.

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Obama Nominates Health Care Law Backer to Be Surgeon General

FRIDAY, Nov. 15, 2013 (HealthDay News) -- An early supporter and advocate for the Affordable Care Act has been nominated by President Barack Obama to be the country's next surgeon general.

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Macular Degeneration Not Tied to Alzheimer's, Dementia

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Individuals with age-related macular degeneration (AMD) do not have an elevated risk for Alzheimer's disease (AD) or dementia, according to a study published online Nov. 14 in JAMA Ophthalmology.

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Obama: You Can Keep Your Health Plan (for a Year)

THURSDAY, Nov. 14 (HealthDay News) -- Bending to political pressure, President Barack Obama on Thursday announced a plan to allow Americans to keep their health insurance plans for another year, even if that coverage would have been cancelled because it fails to meet new rules under the Affordable Care Act.

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No Promises on Nov. 30 ACA Website Fix: U.S. Tech Chief

THURSDAY, Nov. 14 (HealthDay News) -- The nation's chief of information technology would not confirm on Wednesday whether the hobbled HealthCare.gov insurance exchange website would be fixed by month's end.

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Health Care Enrollments Fall Far Short of White House Estimates

THURSDAY, Nov. 14 (HealthDay News) -- The Obama administration late Wednesday released a report revealing a disappointing number of health plan enrollments through the new federal and state insurance exchanges. Just over 106,000 Americans enrolled in health plans through the new marketplaces from Oct. 1 through Nov. 2, U.S. Health and Human Services Secretary Kathleen Sebelius said during a news conference.

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Depression Risk Drops From Pre- to Post-Final Period

THURSDAY, Nov. 14 (HealthDay News) -- There is a higher risk of depression before and a lower risk after the final menstrual period (FMP), according to a study published online Nov. 13 in JAMA Psychiatry.

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Many Would Give Health Plans Private Info to Save Money: Poll

WEDNESDAY, Nov. 13 (HealthDay News) -- Many Americans say they'd submit to insurance company medical tests and lifestyle monitoring in exchange for lower-cost premiums, a new Harris/HealthDay poll finds.

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Cognitive Strategy Cuts Stress in Mothers of Children With Autism

WEDNESDAY, Nov. 13 (HealthDay News) -- A cognitive intervention to teach problem-solving skills reduces stress and depressive symptoms in mothers of children who recently have been diagnosed with autism spectrum disorder, according to research published online Nov. 11 in JAMA Pediatrics.

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Population Aging Crisis May Have Been Overestimated

WEDNESDAY, Nov. 13 (HealthDay News) -- Use of an alternative measure for assessing the number of dependent older people suggests that the population aging crisis may have been overestimated, according to an analysis published online Nov. 12 in BMJ.

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Teen Bullies, Bullied Engage in More Sexual Risk-Taking

TUESDAY, Nov. 12 (HealthDay News) -- High school bullies and bully-victims are more likely to engage in casual sex and sex under the influence of alcohol and drugs than their peers, with the association seen primarily for heterosexual youth, according to a study published online Nov. 11 in Pediatrics.

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Initial Health-Plan Enrollment Falls Below Expectations

TUESDAY, Nov. 12 (HealthDay News) -- Fewer than 50,000 people have enrolled in health insurance through the federal HealthCare.gov website, according to published reports. The tally represents enrollment in the troubled federal health insurance exchange from its launch date on Oct. 1 through last week, the Wall Street Journal reported Monday. HealthCare.gov serves as the insurance exchange for people in 36 states.

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Analysis Describes Economic Anatomy of U.S. Health Care

TUESDAY, Nov. 12 (HealthDay News) -- Despite the increases in resources devoted to health care in the United States, multiple health care metrics show that the United States is trailing peer nations, according to a special communication published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

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Depression Linked to Accelerated Cellular Aging

TUESDAY, Nov. 12 (HealthDay News) -- Patients with major depressive disorder (MDD) have shorter telomeres, indicating accelerated cellular aging, according to a study published online Nov. 12 in Molecular Psychiatry.

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Gun Violence in PG-13 Movies Has Tripled Since 1985

MONDAY, Nov. 11 (HealthDay News) -- Youth are exposed to increasing gun violence in top-selling PG-13-rated films, according to a study published online Nov. 11 in Pediatrics.

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Weight Loss in One Partner May Complicate Relationship

MONDAY, Nov. 11 (HealthDay News) -- When one person in a couple loses weight, the extent to which the partner embraces the changes in lifestyle influences post-weight-loss interaction, according to research published online Oct. 24 in Health Communication.

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Obama 'Sorry' Some People Losing Health Coverage

FRIDAY, Nov. 8 (HealthDay News) -- President Barack Obama said he's "sorry" some Americans are losing their insurance coverage as a result of his signature health-reform law, but his administration is pressing ahead with the law's implementation. It's estimated that 5 percent of Americans have individual health insurance policies, and many of these people are receiving cancellation notices as insurers switch to plans that comply with new health-reform requirements.

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White House Boosts Insurance Coverage for Mental Illness

FRIDAY, Nov. 8 (HealthDay News) -- U.S. health officials unveiled long-awaited rules Friday that require insurance companies to cover treatment for mental illnesses and addiction the same way they cover physical illnesses. The regulations will make the 2008 Mental Health Parity and Addiction Equity Act a reality, and fulfill a generation-long effort to improve benefits and treatment for people with mental health issues or substance abuse problems.

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Socioeconomic, Marital Status Affect Death From Accidents

FRIDAY, Nov. 8 (HealthDay News) -- Both socioeconomic status (SES) and marital status are important factors impacting mortality risk from unintentional injuries, according to research published online Sept. 29 in Social Science Research.

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Texting Affects Relationships for Better and for Worse

FRIDAY, Nov. 8 (HealthDay News) -- The use of texting to communicate affects partner attachment and relationship satisfaction and stability in young adults, according to research published in the Journal of Couple and Relationship Therapy.

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Altered Brain Circuitry May Contribute to Pain in Fibromyalgia

FRIDAY, Nov. 8 (HealthDay News) -- Patients with fibromyalgia have disrupted brain responses to pain-related reward and punishment, according to research published online Nov. 7 in Arthritis & Rheumatism.

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Telemedicine Represents Enhanced Care Model

THURSDAY, Nov. 7 (HealthDay News) -- Telemedicine may represent an effective care model but there are associated concerns, specifically relating to reimbursement and legal issues, according to an article published Oct. 25 in Medical Economics.

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FDA to Ban Trans Fats in Foods

THURSDAY, Nov. 7 (HealthDay News) -- U.S. health officials announced Thursday a plan to phase out heart-harmful trans fats in processed foods and restaurant fare. U.S. Food and Drug Administration Commissioner Margaret Hamburg, M.D., said the proposed restrictions on the use of trans fats could prevent 20,000 heart attacks a year and 7,000 deaths.

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Aspiring Doctors Are Optimistic About the Future of Medicine

THURSDAY, Nov. 7 (HealthDay News) -- Aspiring doctors are optimistic about the future of medicine, according to a report published by the National Academy of Future Physicians and Medical Scientists.

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For Hospitalized Adults, Light Inversely Tied to Fatigue, Mood

THURSDAY, Nov. 7 (HealthDay News) -- For hospitalized adult patients, light exposure is inversely associated with fatigue and total mood disturbance, according to a study published online Oct. 27 in the Journal of Advanced Nursing.

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Amount of Care Similar for Rural, Urban Medicare Users

THURSDAY, Nov. 7 (HealthDay News) -- Although there may be a limited supply of physicians in some rural areas, little difference is found in the amount of health care received by Medicare beneficiaries for rural versus urban areas within the same region, according to research published in the November issue of Health Affairs.

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Bilingualism Delays Onset of Dementia, Even in Illiterate

WEDNESDAY, Nov. 6 (HealthDay News) -- Onset of dementia symptoms is delayed in people who are bilingual, even among those who are illiterate, according to a study published online Nov. 6 in Neurology.

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Sebelius on Exchange Website: 'Delay Is Not an Option'

WEDNESDAY, Nov. 6 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius said Wednesday that the Obama administration will not consider delaying implementation of health reform. Nor will it take down HealthCare.gov -- the troubled health insurance marketplace website -- while it's being fixed. "For millions of Americans, delay is not an option," Sebelius told the Senate Finance Committee during a hearing on the new health insurance marketplace. "People's lives depend on this," she said.

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Interactive Computer Program Beneficial in Depression

TUESDAY, Nov. 5 (HealthDay News) -- Use of a tailored interactive multimedia computer program (IMCP) in primary care improves antidepressant drug recommendations, mental health referral, or both, but does not affect mental health at 12 weeks, according to a study published in the Nov. 6 issue of the Journal of the American Medical Association.

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Senators Seek Answers on Health Marketplace Woes

TUESDAY, Nov. 5 (HealthDay News) -- A top Obama administration health official said Tuesday that HealthCare.gov -- the troubled federal website used to sign up for insurance -- is improving, and insisted that private information provided during the online application process is safe and secure.

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In the Doctor's Lounge With Dr. Cindy Haines

FRIDAY, Nov. 1 (HealthDay News) -- This is the second issue of a monthly letter from me, HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. The intention of this letter (and the intention of what we do at HealthDay) is to provide tools of communication. At Physician's Briefing, this is by providing you, the busy and buried health care professional, news and information that matters to you in a way that won't slow you down. The intention is to provide news that can help you stay abreast of changing clinical guidelines, cutting-edge technologies, and novel treatment options. And now, we offer free Continuing Medical Education (CME) credits for you on select clinical articles, enabling you to get (at least) two birds with one stone.

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In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
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Physique Concerns Linked to Adverse Outcomes for Teen Boys

TUESDAY, Nov. 5 (HealthDay News) -- For adolescent boys, concerns about thinness and muscularity are associated with adverse outcomes, according to a study published online Nov. 4 in JAMA Pediatrics.

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J&J to Pay $2B for Improperly Marketing Antipsychotic Drug

TUESDAY, Nov. 5 (HealthDay News) -- Johnson & Johnson will pay more than $2 billion in fines and plead guilty to a misdemeanor for improperly marketing its antipsychotic drug Risperdal and two other medications, the U.S. Department of Justice announced Monday.

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USPSTF: Evidence Lacking for Cognitive Impairment Screening

MONDAY, Nov. 4 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to assess the balance of benefits and harms of cognitive impairment screening for older adults without signs or symptoms of cognitive impairment. This draft recommendation statement is based on an evidence review published in the Nov. 5 issue of the Annals of Internal Medicine.

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Bariatric Surgery May Improve Sexual Function in Women

MONDAY, Nov. 4 (HealthDay News) -- Women who undergo bariatric surgery to achieve weight loss have significant improvements in sexual function, according to research published online Nov. 4 in JAMA Surgery.

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Child Milestone Delay With Parent Violence, Stress Exposure

MONDAY, Nov. 4 (HealthDay News) -- Exposure to parent-reported intimate partner violence (IPV) or parental psychological distress (PPD) is associated with delayed attainment of developmental milestones during the first 72 months of life, according to a study published online Nov. 4 in Pediatrics.

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Six People Signed Up on Day One of Federal Exchange Website

FRIDAY, Nov. 1 (HealthDay News) -- Just six people enrolled for health insurance through the federal HealthCare.gov website the first day of operation on Oct. 1, just-released Obama administration documents show.

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Physician Buy-In Key to Reducing Health Care Costs

FRIDAY, Nov. 1 (HealthDay News) -- Physician buy-in is essential for creation of any new payment system aimed at reducing health care costs, according to an article published Oct. 21 in Medical Economics.

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Drug Effective for Parkinson's Disease Psychosis

FRIDAY, Nov. 1 (HealthDay News) -- An investigational drug is safe and effective in the treatment of Parkinson's disease psychosis, according to a study published online Nov. 1 in The Lancet.

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