Most People Experiencing Homelessness Have Mental Health Disorders, Study Finds
Sixty-seven percent of people experiencing homelessness worldwide have a mental health disorder, according to areport published yesterday inJAMA Psychiatry. Additionally, the prevalence of mental health disorders among this population appears to be on the rise.“The relationship between mental health disorders and homelessness is complex and bidirectional,” wrote Rebecca Barry, Ph.D., of the University of Calgary and colleagues. “[M]ental health disorders may lead to situations that result in homelessness, or homelessness may be a stressor contributi ng to the development or worsening of mental health disorder symptom...
Source: Psychiatr News - April 18, 2024 Category: Psychiatry Tags: antisocial personality disorder homeless JAMA Psychiatry mental health disorders meta-analysis North America Rebecca Barry schizophrenia substance use disorders systematic review University of Calgary Source Type: research

Access to In-Network Mental Health Care Still Lags Far Behind Other Medical Care
Patients are far more likely to go out of network to obtain health care from mental health professionals than from medical or surgical professionals, areport by RTI International has found.In research that was partially funded by APA, Tami L. Mark, Ph.D., M.B.A., and William J. Parish, Ph.D., M.A., analyzed enrollment data and claims from more than 22 million individuals captured annually from 2019 through 2021 to evaluate out-of-network use and reimbursement rates across all 50 states.The researchers found that patients went out of network 3.5 times more often to see a behavioral health professional (physician or nonphysi...
Source: Psychiatr News - April 17, 2024 Category: Psychiatry Tags: billing codes health care insurance out of network parity pay disparities reimbursement RTI International Source Type: research

Generic Drug Combination Cuts Drinking in Adults With Severe Alcohol Use Disorder
Adults with severe alcohol use disorder (AUD) who took a combination of a generic antihypertensive and antihistamine reduced their daily alcohol consumption by about 24 grams —nearly the amount in two standard drinks—over those taking a placebo, according to areport inAddiction.“Considering the small number of approved medications and current limited use of pharmacotherapy for AUD, all with limited-to-moderate efficacy, patients with AUD as well as their physicians [need] additional treatments,” wrote lead author Henri-Jean Aubin of the Université Paris-Saclay in Vill ejuif, France, and colleagues.Aubin and collea...
Source: Psychiatr News - April 16, 2024 Category: Psychiatry Tags: abstinence alcohol consumption alcohol use disorder antihistamine AUD cyproheptadine drinking hypertensive Prazosin standard drink Source Type: research

Adult ADHD Linked to Later Lewy Body Disease, Cognitive Impairment
Adults with attention-deficit/hyperactivity disorder (ADHD) may be at increased risk of dementia and cognitive impairment compared with those without ADHD, according to areport in theAmerican Journal of Geriatric Psychiatry. Adults with ADHD seem particularly susceptible to dementia associated with Lewy body disease, a disorder characterized by abnormal deposits of proteins called Lewy bodies in the brain that results in various forms of cognitive impairment, delirium-like symptoms, Parkinson ’s-like movement problems, and hallucinations.“Determining whether there is an association between ADHD and subsequent conversio...
Source: Psychiatr News - April 15, 2024 Category: Psychiatry Tags: ADHD attention deficit hyperactivity disorder cognitive impairment dementia hallucinations Lewy bodies Parkinsons Source Type: research

Psychedelic Use in Psychiatry Requires Complex Informed Consent, Experts Say
Discussions. ”(Image: Getty Images/iStock/mediaphotos)APA ’s Good Faith Estimates Survey: Please Respond TodayAPA is in discussions with its partner medical societies about the challenges patients are facing in accessing buprenorphine due to the opioid settlements. If you are experiencing or hearing about challenges, pleaseemail the details to APA. APA will continue to advocate for access and reduced burdens of helping patients receive the treatment they deserve.For previous news alerts,click here. (Source: Psychiatr News)
Source: Psychiatr News - April 12, 2024 Category: Psychiatry Tags: conflicts of interest ethics exploitation informed consent JAMA Psychiatry Paul Applebaum perceptual changes psychedelics Rebecca Brendel touching Source Type: research

Nonemergency ED Use Higher Among Infants of Mothers With Perinatal Depression, Study Finds
Compared with infants of mothers with no perinatal depression symptoms, those born to mothers with mild or moderate/severe symptoms were significantly more likely to have emergency department (ED) visits for nonemergency reasons, according to astudy published inHealth Affairs.“Perinatal mental health conditions affect 20% of birthing people and are associated with a range of adverse child outcomes, including increased ED use,” wrote Slawa Rokicki, Ph.D., M.S., of Rutgers University. “This may be a result of increased illness or injury due to biological effects of d epression on infant health or inadequate infant care...
Source: Psychiatr News - April 11, 2024 Category: Psychiatry Tags: depression screening emergency department infants maternal mental health Nonemergent perinatal depression postpartum depression Rutgers University Slawa Rokicki Source Type: research

Suppressing Emotions, Feeling Like a Burden Linked to Suicidal Behavior in Preteens
Preteen children who have more trouble expressing their feelings and who perceive themselves as a greater burden to others may be on the cusp of having suicidal thoughts and behaviors (STB), according to areport in theJournal of the American Academy of Child and Adolescent Psychiatry.Increases in caregiver criticism and conflict are also risk factors for impending STBs, according to the study. Preteen girls with these traits are at especially high risk.“Preadolescent STBs are dramatically increasing, and it is critical to identify risk factors that can be clinically assessed and modified with treatment,” wrote Renee Th...
Source: Psychiatr News - April 10, 2024 Category: Psychiatry Tags: burden child and adolescent psychiatry conflict depression preteen rumination suicidal thoughts suicidality suppressed feelings Source Type: research

Study Finds No Link Between Acetaminophen Use During Pregnancy And Autism, ADHD Risk
Children exposed to acetaminophen in the womb do not appear to have an increased risk of autism or attention-deficit/hyperactivity disorder (ADHD), according to a studypublished today inJAMA. While a broad analysis of Swedish families found a slightly increased rate of these disorders in children exposed to acetaminophen in the womb, the researchers found no evidence acetaminophen was responsible when factoring in genetic or family influence.“Results of this study indicate that the association between acetaminophen use during pregnancy and neurodevelopmental disorders is a noncausal association.,” wrote Viktor H. Ahlqv...
Source: Psychiatr News - April 9, 2024 Category: Psychiatry Tags: acetaminophen ADHD attention deficit hyperactivity disorder autism JAMA pregnancy risk factor Sweden Tylenol Source Type: research

APA Opposes Efforts to Ban Diversity Initiatives in Medical Education
On Friday APA issued astatement opposing efforts to ban diversity, equity, and inclusion (DEI) programs and initiatives in medical education.“In today’s medical schools and academic psychiatry departments, the principles of diversity, equity, and inclusion are critical to ensure that the next generation of physicians can serve the needs of evolving, diverse, underrepresented, and underserved patient populations,” the statement said .“Recently, there have been efforts to ban these principles in colleges and universities. This presents a chilling and undesirable development that restricts the ability of medical stude...
Source: Psychiatr News - April 8, 2024 Category: Psychiatry Tags: affirmative action APA statement DEI diversity equity inclusion legislation medical education Supreme Court Source Type: research

High Blood Glucose, Triglycerides Linked to Long-Term Risk of Mental Disorders
Individuals with elevated blood levels of glucose and triglycerides have an increased risk of depression, anxiety, and stress-related disorders, as do individuals with low blood levels of HDL cholesterol ( “good cholesterol”), astudy inJAMA Network Open has found. Further, elevated levels of glucose or triglycerides were present in individuals who developed one of these disorders as far back as 20 years prior to diagnosis.Charilaos Chourpiliadis, M.D., of the Karolinska Institutet in Stockholm and colleagues analyzed data from 211,200 participants in the Apolipoprotein-Related Mortality Risk cohort who underwent occupa...
Source: Psychiatr News - April 5, 2024 Category: Psychiatry Tags: anxiety blood test cardiovascular depression glucose good cholesterol HDL cholesterol Karolinska Institute stress triglycerides Source Type: research

Family History of Treatment-Resistant Depression May Be Risk Factor for Antidepressant Resistance
Individuals with a family history of treatment-resistant depression (TRD) have an increased risk of experiencing antidepressant resistance themselves, astudy published yesterday inJAMA Psychiatry found. Further, individuals with a family history of TRD have a greater risk of other psychiatric illnesses and dying by suicide.“In recent years, an increasing number of genetic studies have attempted to understand the genetic architecture of antidepressant response or TRD phenotype,” wrote Chih-Ming Cheng, M.D., of the Taipei Veterans General Hospital in Taiwan and colleagues. “Although the efforts to understand the g enet...
Source: Psychiatr News - April 4, 2024 Category: Psychiatry Tags: ADHD antidepressant resistance anxiety bipolar disorder Chih-Ming Cheng family risk factors genetics OCD schizophrenia suicide Taiwan National Health Insurance Program treatment-resistant depression Source Type: research

Clozapine, LAIs Found Effective in Patients With First-Episode Psychosis and Cannabis Use Disorder
Individuals with first-episode psychosis (FEP) and cannabis use disorder who were prescribed any antipsychotic were significantly less likely to be hospitalized for psychosis than similar patients who did not receive an antipsychotic, according to areport inSchizophrenia Bulletin.Clozapine and long-acting injectable (LAI) formulations of risperidone, aripiprazole, and paliperidone were the most effective medications at preventing relapse and hospitalization due to psychosis. Clozapine was also most effective at preventing hospitalization due to substance use.Alexander Denissoff, M.D., of the University of Turku, Finland, a...
Source: Psychiatr News - April 3, 2024 Category: Psychiatry Tags: cannabis Finland first-episode psychosis health registries hospitalization relapse schizophrenia substance use disorder Source Type: research

Social Media Found to Be More Helpful to Children Today Than in 2022
While U.S. adults remain divided on the mental health impacts of social media, more parents view social media as helpful to their children ’s mental health than they did two years ago. These are some of the findings fromAPA ’s latest Healthy Minds Monthly Poll released today.For example, 31% of parents in 2024 said they believe that social media has helped their child ’s mental health, up from 24% in 2022; 31% of parents today also believe social media has helped their child’s self-esteem, up from 23% in 2022. These changes reflect fewer parents viewing social media as a neutral influence, as the number of parents ...
Source: Psychiatr News - April 2, 2024 Category: Psychiatry Tags: APA poll Healthy Minds mental health Morning Consult parents self-esteem social media technology Source Type: research

Sports Gamblers More Likely to Binge Drink, Study Shows
People who gamble on sports are disproportionately more likely to engage in binge drinking, aresearch letter inJAMA Network Open reports.Joshua B. Grubbs, Ph.D., of the University of New Mexico and colleagues analyzed data from 4,363 adults about their gambling and drinking habits. The researchers assessed sports betting status by asking participants whether they had placed bets on sporting events or esports or participated in daily fantasy sports over the past 12 months. Sports gamblers were then separated into four groups according to how many times they bet on sports in the past year: those who bet once or twice, those ...
Source: Psychiatr News - April 1, 2024 Category: Psychiatry Tags: binge drinking esports fantasy sports JAMA Network Open Joshua Grubbs NIDA quick screen version 1.0 sports gambling Source Type: research

More Patients Take OUD Medications When Treatment Centers Offer Them Onsite
Individuals with opioid use disorder (OUD) are much more likely to take buprenorphine or methadone if their treatment center offers these medications onsite, according to ananalysis appearing inPsychiatric Services in Advance.“In July 2018, Philadelphia became the first U.S. municipality to mandate the availability of medications for opioid use disorder (MOUD) in publicly funded substance use disorder treatment agencies,” wrote Rebecca E. Stewart, Ph.D. of the University of Pennsylvania Perelman School of Medicine, a nd colleagues. However, treatment agencies could either provide medications onsite or have a documented...
Source: Psychiatr News - March 29, 2024 Category: Psychiatry Tags: medication for opioid use disorder MOUD on-site OUD treatment Rebecca Stewart Source Type: research