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September 2014 Briefing - Psychiatry

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

American Academy of Neurology Issues Opioid Guidelines

TUESDAY, Sept. 30, 2014 (HealthDay News) -- The risks of opioids outweigh their benefits for treating chronic noncancer pain such as chronic headaches, low back pain, and fibromyalgia, according to a new statement from the American Academy of Neurology (AAN).

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'Just-in-Time' Methodology Can Reduce Patient Waiting Times

MONDAY, Sept. 29, 2014 (HealthDay News) -- Having trainee physicians review cases prior to clinic hours can reduce patient waiting times, flow times, and clinic session times, according to a study published online Sept. 16 in Pain Medicine. The management process studied was first popularized by Toyota in Japan.

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AMA Launches Three Programs for Physician Wellness

MONDAY, Sept. 29, 2014 (HealthDay News) -- Physicians' personal health is a global concern and three initiatives are being developed to encourage positive change, according to a report from the American Medical Association (AMA).

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Stress Might Be Even More Unhealthy for the Obese

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Recurring emotional stress may trigger a stronger biochemical response in overweight people, possibly increasing their risk of chronic illnesses such as heart disease and type 2 diabetes, according to new study published online Aug. 5 in Brain, Behavior, and Immunity.

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Experiences Trump Things, Even Before Purchase

FRIDAY, Sept. 26, 2014 (HealthDay News) -- People derive value from the anticipation of purchasing something, and this anticipation tends to be greater for an experiential purchase than for a material purchase, according to a study published online Aug. 21 in Psychological Science.

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Researchers Evaluate Blood Test for Psychosis

FRIDAY, Sept. 26, 2014 (HealthDay News) -- A blood test may help identify people at risk for psychosis, according to a study published online Aug. 6 in Schizophrenia Bulletin.

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Cognitive Behavioral Therapy Beats Tai Chi for Insomnia

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Cognitive behavioral therapy (CBT) is better than tai chi for late-life insomnia, according to a study published in the September issue of SLEEP.

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Yoga Offers Benefits to Patients With Bipolar Disorder

FRIDAY, Sept. 26, 2014 (HealthDay News) -- For individuals with bipolar disorder, yoga seems to be beneficial, with positive emotional, cognitive, and physical effects, according to a study published in the September issue of the Journal of Psychiatric Practice.

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Depression Linked to Worse Bypass Grafting Outcomes

FRIDAY, Sept. 26, 2014 (HealthDay News) -- For patients with established ischemic heart disease undergoing coronary artery bypass grafting (CABG), depression is associated with increased mortality and poor cardiovascular outcomes, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

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Behavioral Therapy Deemed Best for Social Anxiety Disorder

FRIDAY, Sept. 26, 2014 (HealthDay News) -- Antidepressants are commonly used to treat social anxiety disorder, but a new report argues that psychotherapy is a better first option. The report was published online Sept. 26 in The Lancet Psychiatry.

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Targeted Therapy May Help Relieve 'Complicated Grief'

THURSDAY, Sept. 25, 2014 (HealthDay News) -- For people mired in grief after a loved one's death, a specially designed therapy may work better than a standard treatment for depression, according to a study published online Sept. 24 in JAMA Psychiatry.

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Can Media Multitasking Alter Your Brain?

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Multitasking with smartphones, laptop computers, and other media devices could change the structure of your brain, according to a study published online Sept. 24 in PLOS ONE.

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Memory Slips in Senior Years May Signal Dementia Risk

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Healthy elderly people who begin reporting memory lapses are significantly more likely to be diagnosed with dementia roughly a decade later, according to a study published online Sept. 24 in Neurology.

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Family-Based Therapy Can Aid Those With Anorexia

THURSDAY, Sept. 25, 2014 (HealthDay News) -- Family-based therapies can benefit adolescents with anorexia nervosa, according to a study published online Sept. 24 in JAMA Psychiatry.

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Most Doctors Are Over-Extended or at Full Capacity

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Most physicians report being over-extended or at full capacity, according to a survey conducted by Merritt Hawkins for The Physicians Foundation.

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Meditation May Benefit Those Who Suffer From Migraines

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Mindfulness-based stress reduction (MBSR) is a safe and practical intervention for adults with migraine headaches, according to research published online July 18 in Headache.

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Few Children Taking ADHD Drugs Also Getting Psychotherapy

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Few children who take medication for attention-deficit/hyperactivity disorder also undergo behavioral therapy, and the rates vary six-fold across counties in the United States, according to a research letter published online Sept. 22 in JAMA Pediatrics.

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Report Identifies Game Changers for U.S. Health Care

WEDNESDAY, Sept. 24, 2014 (HealthDay News) -- Imagine if doctors and hospitals got paid for providing better care, not more care, and patients had better data for making informed health choices. A new report suggests that's the direction the U.S. health system is headed.

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FDA Warns Doctors of Danger From 'Fake' Drugs

TUESDAY, Sept. 23, 2014 (HealthDay News) -- The number of "rogue" wholesale distributors selling fake or unapproved prescription drugs is growing, so doctors need to be vigilant when purchasing medicines, the U.S. Food and Drug Administration warned Tuesday.

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Generic Discount Drug Program Use Has Increased Over Time

TUESDAY, Sept. 23, 2014 (HealthDay News) -- Use of the generic discount drug program (GDDP) for filling prescriptions with generic drugs has increased since its introduction, according to a research letter published online Sept 22 in JAMA Internal Medicine.

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NIH Adds $10M to Encourage Gender Balance in Clinical Trials

TUESDAY, Sept. 23, 2014 (HealthDay News) -- The U.S. National Institutes of Health is investing $10 million in additional funding in scientific trials to encourage researchers to consider gender in their preclinical and clinical studies.

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Health Conditions Expected to Worsen Due to Climate Change

MONDAY, Sept. 22, 2014 (HealthDay News) -- A new study warns that rising temperatures and altered weather patterns in the United States may soon exacerbate many existing health risks. The study was published online Sept. 22 in the Journal of the American Medical Association, ahead of the United Nations' summit on climate change, which kicks off Tuesday in New York City.

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Low Iron Intake During Pregnancy Linked to Autism Risk

MONDAY, Sept. 22, 2014 (HealthDay News) -- Taking iron supplements as prescribed may play a role in reducing the risk of having a child with autism spectrum disorder (ASD), according to research published online Sept. 22 in the American Journal of Epidemiology.

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E-Cigarettes Don't Help Cancer Patients Quit Smoking

MONDAY, Sept. 22, 2014 (HealthDay News) -- Smokers with cancer who used e-cigarettes along with traditional cigarettes were more dependent on nicotine than those who didn't use the devices, a Memorial Sloan Kettering study found. These patients were also just as likely -- or less likely -- to have quit smoking than patients who didn't use e-cigarettes.

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Unsolicited Job Leads May Negatively Impact Mental Health

MONDAY, Sept. 22, 2014 (HealthDay News) -- Unsolicited job leads can have a deleterious effect on mental health, according to a study published in the June issue of the Journal of Health and Social Behavior.

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Systemwide Changes Needed to Restrain Health Care Spending

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Systemwide changes are necessary to prevent excessive health care spending, and so are tools to help consumers make better, more informed medical choices, according to a white paper published in June by Vitals.

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Presence of Peers Ups Health Workers' Hand Hygiene

FRIDAY, Sept. 19, 2014 (HealthDay News) -- The presence of other health care workers improves hand hygiene adherence, according to a study published in the October issue of Infection Control and Hospital Epidemiology.

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Family Squabbles Can Derail Recovery From Cancer Surgery

FRIDAY, Sept. 19, 2014 (HealthDay News) -- Cancer patients burdened by stress and family conflicts before surgery may face a higher risk for complications following their operation, according to a study published in a recent issue of the Journal of Gastrointestinal Surgery.

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Study Explores Link Between PTSD and Food Addiction

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Women who have the largest number of posttraumatic stress disorder (PTSD) symptoms are almost three times more likely to develop an addiction to food, according to a study published online Sept. 17 in JAMA Psychiatry.

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One Dose of Antidepressant Changes Brain Connectivity

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Just a single dose of a common antidepressant can quickly alter the way brain cells communicate with one another, according to early research published online Sept. 18 in Current Biology.

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CDC: Almost Everyone Needs a Flu Shot

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Less than half of all Americans got a flu shot last year, so U.S. health officials on Thursday urged that everyone 6 months and older get vaccinated for the coming flu season. "It's really unfortunate that half of Americans are not getting the protection from flu they could get," said Thomas Frieden, M.D., director of the U.S. Centers for Disease Control and Prevention, during a morning news conference.

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Strategies Can Help Docs Lower Their Tax Burden

THURSDAY, Sept. 18, 2014 (HealthDay News) -- Strategies are presented to help physicians lower their tax burden in an article published Sept. 2 in Medical Economics.

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Internists Report Considerable EMR-Linked Time Loss

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Use of electronic medical record (EMR) systems is associated with considerable loss of free time per clinic day, according to a research letter published online Sept. 8 in JAMA Internal Medicine.

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Doctors Promoting Transparency With Patients

WEDNESDAY, Sept. 17, 2014 (HealthDay News) -- Efforts to increase transparency among doctors are underway, according to an article published in The Boston Globe.

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CDC: Opioid-Related Deaths Quadrupled in Past Decade

TUESDAY, Sept. 16, 2014 (HealthDay News) -- The number of Americans dying from accidental overdoses of opioid analgesics jumped significantly from 1999 to 2011, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Fewer U.S. Teens Using Illegal Drugs and Alcohol

TUESDAY, Sept. 16, 2014 (HealthDay News) -- Illegal drug use among teens in the United States is on the decline, according to a new federal report. Alcohol use, binge drinking, and the use of tobacco products among young people between the ages of 12 and 17 also dropped between 2002 and 2013, according to the report from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Over a Quarter of Hospital Orders Classified As Defensive

TUESDAY, Sept. 16, 2014 (HealthDay News) -- More than one-quarter of hospital medicine services were rated by ordering physicians as at least a partially defensive order, according to a research letter published online Sept. 15 in JAMA Internal Medicine.

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Schizophrenia Deemed Group of Eight Separate Disorders

MONDAY, Sept. 15, 2014 (HealthDay News) -- Schizophrenia is not a single disorder but rather a group of eight distinct disorders, each caused by changes in gene clusters that lead to different symptoms, according to research published online Sept. 15 in The American Journal of Psychiatry.

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New Role of Patient As Consumer Requires Market Changes

FRIDAY, Sept. 12, 2014 (HealthDay News) -- The new consumer retail market in U.S. health care is necessary and will benefit consumers, and as consumers take on more costs of care, access to information to help them make informed decisions is crucial, according to a recent white paper published by Vitals.

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Errata Frequently Seen in Medical Literature

MONDAY, Sept. 15, 2014 (HealthDay News) -- Errata, including those that may materially change the interpretation of data, are frequent in medical publications, according to a study published in the August issue of The American Journal of Medicine.

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Mechanism Proposed for Nicotine Gateway Hypothesis

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Mechanisms underlying nicotine use as a gateway to cocaine use have been proposed in a Shattuck lecture published in the Sept. 4 issue of the New England Journal of Medicine.

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AAFP Joins Coalition to Prevent Misuse of ADHD Meds

FRIDAY, Sept. 12, 2014 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has joined the Coalition to Prevent ADHD Medication Misuse (CPAMM), which launched Aug. 28.

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Adding Antipsychotic Med May Improve Behavior in ADHD

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Adding an antipsychotic medication, such as risperidone, to stimulant therapy and parent training may improve parent ratings for behavioral problems in children with attention-deficit/hyperactivity disorder (ADHD), according to research published in the September issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

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Opioid Overdose Prevention Needed in Young Adult Users

FRIDAY, Sept. 12, 2014 (HealthDay News) -- Many young adult nonmedical prescription opioid (PO) users are relatively uninformed about overdose awareness, avoidance, and response strategies, according to a study published online Aug. 22 in The International Journal of Drug Policy.

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Physician Describes Impact of Malpractice Suit

THURSDAY, Sept. 11, 2014 (HealthDay News) -- A family doctor who was involved in a malpractice suit describes the impact on her practice of medicine in an article published online in the September/October issue of the Annals of Family Medicine.

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AB Blood Type May Be Linked to Risk of Memory Loss

THURSDAY, Sept. 11, 2014 (HealthDay News) -- Blood group AB and higher factor VIII are associated with increased incidence of cognitive impairment, according to a study published online Sept. 10 in Neurology.

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Benzodiazepine Use Linked to Increased Alzheimer's Risk

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- Benzodiazepine use is associated with an increased risk of Alzheimer's disease, with exposure density correlating with increased strength of association, according to a study published online Sept. 9 in BMJ.

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Reanalyses of RCTs Can Lead to Different Conclusions

WEDNESDAY, Sept. 10, 2014 (HealthDay News) -- More than one-third of the small number of reanalyses of randomized clinical trials (RCTs) have implied conclusions different from those of the original articles, according to a study published online Sept. 9 in the Journal of the American Medical Association.

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Meds of Questionable Benefit Often Prescribed to Elderly

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Medications of questionable benefit are often prescribed for patients with advanced dementia, adding substantially to the costs of care, according to research published online Sept. 8 in JAMA Internal Medicine.

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For Some, Health Insurance More Costly Than Uninsured Penalty

TUESDAY, Sept. 9, 2014 (HealthDay News) -- For some young people in the United States, the cost of paying a penalty for not buying health insurance will be lower than the lowest-cost insurance, according to a study published online Sept. 9 in the Annals of Internal Medicine.

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Stopping SSRI Use Not Found to Cut Risk of Miscarriage

TUESDAY, Sept. 9, 2014 (HealthDay News) -- Increased risk of miscarriage is observed whether women receive selective serotonin reuptake inhibitors during early pregnancy or discontinue their use before pregnancy, according to research published in the October issue of Obstetrics & Gynecology.

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Sibling Bullies May Leave Lasting Effects

MONDAY, Sept. 8, 2014 (HealthDay News) -- Being bullied by a sibling as a child is a potential risk factor for depression, self-harm, and anxiety in early adulthood, according to a study published online Sept. 8 in Pediatrics.

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Report Explores Patients' Portal Preferences

MONDAY, Sept. 8, 2014 (HealthDay News) -- Patients want portals that include features such as appointment scheduling, viewing test results, and checking prescription refills, and are frustrated with unresponsive staff and poor interfaces, according to a report published by Software Advice.

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Health Care Spending Expected to Rise in 2014 Through 2023

MONDAY, Sept. 8, 2014 (HealthDay News) -- While health spending growth was slow in 2013, health spending is expected to increase in 2014 and remain higher through 2023, according to a study published online Sept. 3 in Health Affairs.

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Serious Childhood Burns Tied to Long-Term Mental Health Risks

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Adult survivors of childhood burns are at increased risk for depression and suicidal thoughts, according to a new study published in the September issue of Burns.

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Nearly 10 Percent of Americans Admit to Illicit Drug Use

FRIDAY, Sept. 5, 2014 (HealthDay News) -- Nearly 10 percent of Americans aged 12 and older were illicit drug users in 2013, and almost 20 million said they used marijuana, making it the most widely used drug, U.S. health officials reported Thursday. Two states, Colorado and Washington, permit the recreational use of marijuana.

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Blog: Seven Most Common Physician Social Media Misses

THURSDAY, Sept. 4, 2014 (HealthDay News) -- The most common physician social media misses and missteps can be avoided, allowing doctors to take advantage of marketing opportunities on all major social media channels, according to the author of a recent Vitals blog.

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Sleep Quality Tied to Brain Atrophy Over Time

THURSDAY, Sept. 4, 2014 (HealthDay News) -- Sleep quality is associated with longitudinal measures of cortical atrophy, according to a study published online Sept. 3 in Neurology.

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People With OCD May Have Higher Odds for Schizophrenia

THURSDAY, Sept. 4, 2014 (HealthDay News) -- People with obsessive-compulsive disorder (OCD) may be at higher risk for schizophrenia, according to research published online Sept. 3 in JAMA Psychiatry.

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Cannabis Withdrawal Common in Substance Abusing Teens

TUESDAY, Sept. 2, 2014 (HealthDay News) -- Teens who develop withdrawal symptoms from marijuana are more likely to meet the guidelines for marijuana dependence and for mood disorders, according to a new study published recently in the Journal of Addiction Medicine.

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Family Meals May Defuse Cyberbullying's Impact

TUESDAY, Sept. 2, 2014 (HealthDay News) -- Having regular family meals may help protect teens from the harmful mental health effects of "cyberbullying," a new study suggests. The study was published online Sept. 1 in JAMA Pediatrics.

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