Illicit Ketamine Use Linked to Depression in Youth
Recreational ketamine use appears to be associated with depressive symptoms in youth, astudy in theAmerican Journal on Addictions has found. The study also suggests that the higher the dose of ketamine and more frequent use, the higher the risk of depression.“Although recent trials suggest that ketamine administration in clinical settings is efficacious in treating treatment-resistant depression, our study demonstrates that past-year recreational ketamine use is actually a risk factor for reporting current depressive symptoms among adolescents,” wro te Joseph J. Palamar, Ph.D., of the New York University Grossman Schoo...
Source: Psychiatr News - January 28, 2022 Category: Psychiatry Tags: American Journal on Addictions APA election depression ketamine Monitoring the Future recreational use Source Type: research

Most Patients Considered Good Candidates for Telemedicine, Psychiatrists Report
Psychiatrists view telemedicine as a tool to facilitate engagement with care, encourage patients to keep appointments, and improve adherence with treatment, according to areport published yesterday inPsychiatric Services in Advance.The pandemic has made telemedicine a permanent part of psychiatric practice, allowing psychiatrists to approach care through a hybrid model of in-person and virtual visits. “However, hybrid models add another layer of complexity, requiring clinicians to use their judgment to make individualized decisions about the appropriateness of different modalities,” wrote Lori Uscher-Pines, Ph.D., of t...
Source: Psychiatr News - January 27, 2022 Category: Psychiatry Tags: engagement with care hybrid in-person care patient preference Psychiatric Services in Advance psychiatrists telemedicine Source Type: research

People With Depression More Likely to Endorse Misinformation About COVID Vaccines
Individuals with moderate to severe depressive symptoms are more likely to say they believe misinformation about COVID-19 vaccines than those without depressive symptoms, according to areport in JAMA Open Network. Moreover, individuals who believed misinformation about COVID vaccines were less likely to be vaccinated or be willing to get the vaccine.“As such, individuals already burdened with depression may be at a higher risk of COVID-19,” wrote lead author Roy H. Perlis, M.D., M.Sc., of Massachusetts General Hospital and colleagues.The researchers analyzed data from U.S. adults who responded to at least one of two on...
Source: Psychiatr News - January 26, 2022 Category: Psychiatry Tags: APA election COVID COVID vaccine depression JAMA Network Open misinformation survey U.S. adults Source Type: research

Stigmatizing Words Found More Common in Black Patients ’ Electronic Health Records
Health care professionals may be more likely to use such terms as “agitated,” “aggressive,” and “not compliant” to describe Black patients in their medical notes than White patients, areport inHealth Affairs suggests.“Our findings suggest disproportionate use of negative patient descriptors for Black patients compared with their White counterparts, which raises concerns about racial bias and possible transmission of stigma in the medical record,” wrote Michael Sun and Elizabeth L. Tung, M.D., of the Universi ty of Chicago and colleagues.Numerous studies point to evidence of unequal treatment by race in the ...
Source: Psychiatr News - January 25, 2022 Category: Psychiatry Tags: aggressive agitated bias EHR electronic health records Health Affairs history and physical notes medical record negative descriptor noncompliant Source Type: research

Teens Found to Benefit From Social Support, Healthy Activities During Pandemic
This study helps us understand how modifiable lifestyle factors affect the mental health and well-being of adolescents, and it can inform the development of interventions to protect youth during a major life stress. This is important now, as we continue to grapple with the pandemic, and also in futu re crisis response at the local or national level.”To read more on this topic, see thePsychiatric News article “Long-Term Impact of COVID-19 on Children, Adolescents Constitutes Public Health Emergency. ”(Image: iStock/piola666)One Week Left to Vote in APA ’s 2022 Election!The voting period for APA ’s 2022 election cl...
Source: Psychiatr News - January 24, 2022 Category: Psychiatry Tags: ABCD study APA election COVID-19 emotional health family friends Journal of Adolescent Health Nora Volkow outdoor activities pandemic relationships teens Source Type: research

Pandemic Sparks Increase in Mental Health, Substance Use Outpatient Visits Among Physicians
The number of outpatient visits for mental health and substance use by physicians jumped 27% in the first year of the COVID-19 pandemic, astudy published today inJAMA Network Open has found.“We observed increases in mental health and substance use visits during the COVID-19 pandemic that, consistent with surveys finding high levels of self-reported anxiety, depression, and stress in physicians during the pandemic, may indicate worsening physician mental health,” wrote Daniel T. Myr an, M.D., M.P.H., of the Ottawa Hospital Research Institute in Canada and colleagues.The researchers analyzed data from the records of 34,0...
Source: Psychiatr News - January 21, 2022 Category: Psychiatry Tags: COVID-19 in-person visits JAMA Network Open mental health pandemic physicians psychiatrists substance use virtual visits Source Type: research

Veterans With and Without SMI Equally Likely to Receive COVID-19 Vaccine
Veterans with serious mental illness (SMI) are just as likely as veterans without SMI to be vaccinated against COVID-19, according to astudy published this week inPsychiatric Services in Advance.“Because individuals with [SMI] are at higher risk for COVID-19 infection and death, COVID-19 vaccine uptake in this population is a key concern,” wrote Taona P. Haderlein, Ph.D., M.A., of the Veterans Emergency Management Evaluation Center in North Hills, Calif., and colleagues. “Researchers have noted that fear of contracting COVID-19 via COVID-19 vaccination, as well as the ‘infodemic’ of misinformation from media outl...
Source: Psychiatr News - January 20, 2022 Category: Psychiatry Tags: COVID vaccine COVID-19 serious mental illness SMI smoking vaccines veterans Source Type: research

Psoriatic Arthritis Linked to Depression, Anxiety, and Anhedonia
Individuals with psoriatic arthritis (a form of psoriasis characterized by chronic inflammation of joints, tendons, and ligaments) have higher rates of depression than those with non-arthritic psoriasis (a skin disease that causes red, itchy patches), according to areport in theJournal of Consultation-Liaison Psychiatry. Although there was no significant difference in suicidal thinking between psoriasis patients with and without arthritis, all psoriasis patients reported higher rates of suicidality than the general population.“We recommend routine depression screening among psoriasis patients, in particular when psoriati...
Source: Psychiatr News - January 19, 2022 Category: Psychiatry Tags: anhedonia anxiety APA election depression Hospital Anxiety and Depression Scale Journal of Consultation and Liaison Psychiatry psoriasis psoriatic arthritis Source Type: research

More Behavioral Issues Reported in Children When School Is Virtual
The behavior of children forced to switch learning formats during the pandemic was worse when their learning was remote, according to surveys of their parents. Thefindings were published inJAMA Pediatrics.“The COVID-19 pandemic has interrupted the education of more than 1 billion children worldwide, with many experiencing shifts between remote, hybrid, and in-person learning,” wrote Emily C. Hanno, Ph.D., of Harvard University and colleagues. To assess the impact of these changes on youth’s beh avior, the researchers asked 405 parents of children (average age 7.5 years) who were participating in the broader Early Lea...
Source: Psychiatr News - January 18, 2022 Category: Psychiatry Tags: AMA webinar behavioral issues children COVID-19 hybrid learning in-person learning JAMA Pediatrics No Surprise Act remote learning Source Type: research

FDA Issues Warning About Dental Risk With Transmucosal Buprenorphine
The U.S. Food and Drug Administration (FDA) has issued aDrug Safety Communication about dental problems associated with the use of buprenorphine products that dissolve in the mouth (transmucosal) and is requiring that a new warning about the risk of dental problems be added to the prescribing information and patient medication guides for these products. The dental problems include tooth decay, cavities, dental abscesses/infection, tooth erosion, or tooth loss.The warnings come after an FDA review of cases reported to the agency or published in the medical literature revealed 305 cases of dental problems, 131 of them classi...
Source: Psychiatr News - January 14, 2022 Category: Psychiatry Tags: buprenorphine dental problems Drug Safety Communication FDA opioid use disorder oral health public health emergency samhsa Smita Das transmucosal Source Type: research

Absence of Mood Improvement in Two Weeks May Predict Failure to Respond to TMS
If patients with major depressive disorder (MDD) demonstrate only limited mood improvements after two weeks of repetitive transcranial magnetic stimulation (rTMS), it may be a sign their treatment plans should be adjusted, suggests astudy published inDepression& Anxiety.“Insurers typically approve 36 [rTMS] sessions for patients with MDD. ... It is imperative to maximize benefit from the finite number of treatments [that] most patients can access,” wrote Alex Mirman, M.D., of the UCLA Semel Institute for Neuroscience and Human Behavior and colleagues. “Early, accurate prediction of nonresponse could allow clinici...
Source: Psychiatr News - January 13, 2022 Category: Psychiatry Tags: APA election Depression & Anxiety Inventory of Depressive Symptomatology Self Report mood improvements repetitive transcranial magnetic stimulation response rTMS vote Source Type: research

FDA Approves Novel Drug to Treat Insomnia
The U.S. Food and Drug Administration (FDA)has approved Quviviq (daridorexant) 25 mg and 50 mg for the treatment of adult patients with insomnia.The FDA has recommended that Quviviq be classified as a controlled substance, and it is expected to be available to patients in May 2022, following scheduling by the U.S Drug Enforcement Administration, according to amedia release by Idorsia Ltd, maker of Quviviq.Unlike many insomnia medications that act to sedate the brain, Quviviq is a dual orexin receptor antagonist, which works to reduce overactive wakefulness.The efficacy of Quviviq was evaluated in two multicenter, randomize...
Source: Psychiatr News - January 12, 2022 Category: Psychiatry Tags: DEA falling asleep FDA Idorsia Ltd insomnia Philip Muskin Quviviq wake after sleep Source Type: research

People With AUD May Benefit From Combination of Ketamine, Mindfulness Therapy
This study demonstrated that treatment with three infusions of ketamine was well tolerated in patients with alcohol use disorder and was associated with more days of abstinence from alcohol at six-month follow-up. The findings suggest a possible beneficial effect of adding psychological therapy a longside ketamine treatment,” the authors concluded.For related information, see theAmerican Journal of Psychiatryarticle “A Single Ketamine Infusion Combined With Motivational Enhancement Therapy for Alcohol Use Disorder: A Randomized Midazolam-Controlled Pilot Trial. ”(Image: iStock/georgeoprea9)CMS Field Tests Psychiatry ...
Source: Psychiatr News - January 11, 2022 Category: Psychiatry Tags: abstinence ajp in advance alcohol use disorder AUD heavy drinking ketamine mindfulness therapy relapse relapse prevention Well-Being Source Type: research

Failure to Respond to Antipsychotics Early May Predict Long-Term Outcomes in Youth With Psychosis
Adolescents with first-episode psychosis who do not respond to aripiprazole or quetiapine within four weeks appear unlikely to respond to the medications eight weeks later, reports astudy in theJournal of the American Academy of Child and Adolescent Psychiatry.“[Y]oung people with psychosis usually face years of psychiatric treatment, and pharmacotherapy is essential for recovery. Yet, antipsychotics should be administered with caution in adolescents due to an increased risk of side effects,” wrote Anne Katrine Pagsberg, M.D., Ph.D., of the University of Copenhagen, Denmark, and colleagues. “Being able to identify no...
Source: Psychiatr News - January 10, 2022 Category: Psychiatry Tags: antipsychotics aripiprazole first-episode psychosis Journal of the American Academy of Child and Adolescent Psychiatry quetiapine Source Type: research

Social Workers in Primary Care Practices Found to Increase Access to MH Care
Deploying behavioral health social workers in primary care settings can increase the likelihood that patients with depression or anxiety will receive treatment within 30 days of their diagnosis, astudy published today inPsychiatric Services in Advance has found.Elizabeth R. Pfoh, Ph.D., M.P.H., of the Cleveland Clinic ’s Center for Value-Based Care Research and colleagues examined data from 68,659 adults who had at least one primary care visit between 2016 and 2019 and a new diagnosis of depression, anxiety, or both. Behavioral health social workers were deployed in 40 practices between 2017 and 2019. Patients were group...
Source: Psychiatr News - January 7, 2022 Category: Psychiatry Tags: anxiety depression mental health care primary care Psychiatric Services psychiatrist social workers therapist Source Type: research