Patients With Mental Illness May Not Receive Cancer Symptom Screening
Cancer patients with major mental illness are less likely to be screened for common cancer symptoms such as pain and fatigue than cancer patients without a major mental illness, suggests areport inPsycho-Oncology.“There is evidence that patients with [major mental illness] are at a greater risk for delayed cancer diagnosis, experience unequal standards of care, and generally poorer disease outcomes due to a constellation of patient, provider, and health care system factors,” wrote Laura E. Davis, a Ph.D. student at McGill University; Alyson Mahar, Ph.D., of ICES in Toronto; and colleagues. Routine cancer symptom screen...
Source: Psychiatr News - August 29, 2023 Category: Psychiatry Tags: bipolar disorder cancer cancer symptoms depression psycho-oncology psychotic illness schizophrenia Source Type: research

Antipsychotic Polypharmacy Increases Risk of Hypertension, Study Suggests
Individuals who take multiple antipsychotics to manage schizophrenia symptoms have three times the risk of developing hypertension relative to those taking one antipsychotic, according to astudy published inSchizophrenia Bulletin. The risk of hypertension was greatest when the patients were taking multiple first-generation antipsychotics.“[T]he risks of developing hypertension and its cardiovascular consequences over time need to be considered when making decisions on whether [antipsychotic polypharmacy] is justified,” wrote Emily Eyles, Ph.D., of the University of Bristol and colleagues. If antipsychotic polypharmacy ...
Source: Psychiatr News - August 28, 2023 Category: Psychiatry Tags: antipsychotics first-generation antipsychotics monotherapy polypharmacy schizophrenia Schizophrenia Bulletin second-generation antipsychotics Source Type: research

Mental Health Service Use, Spending Jumped During Pandemic, Remain Elevated
Spending on mental health services among Americans with private health insurance has surged since the beginning of the COVID-19 pandemic, aresearch letter published today inJAMA Health Forum has found. The results suggest that spending on mental health services is continuing to rise even as the use of telehealth has plateaued.Jonathan H. Cantor, Ph.D., of the RAND Corporation and colleagues examined data from 1,554,895 mental health service claims to ascertain trends in mental health services use and spending during three periods:Pre-pandemic, before the declaration of the public health emergency (January 1, 2019, to March...
Source: Psychiatr News - August 25, 2023 Category: Psychiatry Tags: COVID-19 pandemic JAMA Health Forum Jonathan Cantor mental health services public health emergency telehealth Source Type: research

Written Exposure Therapy May Be Viable Treatment for PTSD
Veterans with posttraumatic stress disorder (PTSD) who participated in written exposure therapy experienced similar improvements as those in a more intensive, prolonged exposure therapy, according to astudy published this week inJAMA Psychiatry. Veterans in the written exposure therapy group were also less likely to drop out of the therapy.While there are several evidence-based psychotherapies for PTSD, such as prolonged exposure therapy, these therapies can be time intensive and many patients drop out before completing them, wrote Denise Sloan, Ph.D., of the Veterans Affairs Boston Healthcare System and colleagues. “Wri...
Source: Psychiatr News - August 24, 2023 Category: Psychiatry Tags: CAPS-5 exposure therapy JAMA Psychiatry posttraumatic stress disorder prolonged exposure therapy PTSD veterans writing written exposure therapy Source Type: research

Youth in Foster Care More Likely Than Peers to Be Prescribed Multiple Psychiatric Medications
Youth in the foster care system are more likely to be prescribed two or more psychiatric medications than other youth covered by Medicaid, according to areport published this week inJAMA Pediatrics.“High rates of psychotropic prescription are concerning because of the limited safety and efficacy data for individuals younger than 18 years,” wrote Sarah Lieff, Ph.D., M.P.H., of Mathematica and colleagues at the U.S. Department of Health and Human Services. Mathematica is a research and data analytics consulting firm.The researchers analyzed data from the 2019 Centers for Medicare& Medicaid Services ’ Transformed Me...
Source: Psychiatr News - August 23, 2023 Category: Psychiatry Tags: antidepressants antipsychotics foster system JAMA Pediatrics Medicaid polypharmacy psychotropic medications stimulants youth Source Type: research

Treatment for Type 2 Diabetes May Reduce Depressive Symptoms in Some Adults
Glucagon-like peptide-1 (GLP-1) receptor agonists —a common treatment for type 2 diabetes—may also help to reduce depressive symptoms in adults, suggests ameta-analysis published inThe American Journal of Geriatric Psychiatry.People with diabetes are known to be at greater risk of depression than those without the disease, wrote co-author Lixin Guo, M.D., of the Chinese Academy of Medical Sciences and colleagues. Though GLP-1 is a hormone produced in the gut that is released in response to food, GLP receptors are also present in the brain. Animal studies have suggested that activation of these receptors may produce ant...
Source: Psychiatr News - August 22, 2023 Category: Psychiatry Tags: antidepressant effects depression diabetes GLP-1 GLP-1 receptor agonist Parkinson ' s disease The American Journal of Geriatric Psychiatry Source Type: research

SSRIs May Increase Risks Associated With Anti-Amyloid Alzheimer's Medications
Doctors should be careful about prescribing anti-amyloid medications to patients with Alzheimer ’s disease who are taking antidepressants, caution the authors of aletter published inAlzheimer ’s& Dementia.Despite the recent buzz around theU.S. Food and Drug Administration ’s approval of multiple anti-amyloid medications for the treatment of Alzheimer ’s disease, it is well known that these drugs come with some risks, including internal swelling and bleeding in the brain. Several selective serotonin reuptake inhibitors (SSRIs) also increase the risk of internal bleeding, and as depression is common among people ...
Source: Psychiatr News - August 21, 2023 Category: Psychiatry Tags: Alzheimer ' s & Dementia s disease antidepressants brain bleed brain swelling depression risks SSRIs Source Type: research

More Than Three-Fourths of Adolescents Who Vape Have Tried to Quit
Most adolescents who vape have tried to quit at least once, astudy inAddictive Behaviors has found. The study also revealed which vaping cessation methods that adolescents are interested in trying.Emily Jones, M.D., of Boston University and colleagues analyzed the responses of 185 adolescents aged 14 to 19 years who completed online questionnaires about vaping. All participants had vaped at least 10 times in their lives prior to completing the questionnaire, 159 participants currently vaped, and 26 participants were former vapers. Current vaping was defined as vaping at least once a day in the last 30 days, and previous va...
Source: Psychiatr News - August 18, 2023 Category: Psychiatry Tags: addiction risk socioeconomic status vaping vaping cessation vaping cessation methods Source Type: research

Suicidal Behavior in Patients With MDD Associated With Death of Any Cause
Individuals with major depressive disorder (MDD) who exhibit suicidal behavior have 2.6 times the risk of dying from any cause compared with people with MDD who do not, according to astudy published this week inJAMA Psychiatry.“[MDD] is an important risk factor of suicidal behavior, but the added burden of suicidal behavior and MDD on the patient and societal level, including all-cause mortality, is not well studied,” wrote Johan Lundberg, M.D, Ph.D., of the Karolinska Institutet in Stockholm and colleagues. “Also, the contribution of various prognostic factors for suicidal behavior has not been quantified in larger ...
Source: Psychiatr News - August 17, 2023 Category: Psychiatry Tags: anxiety Johan Lundberg Karolinska Institutet major depressive disorder personality disorders substance use suicidal behavior Source Type: research

Respondents to APA Poll Express Confidence in Psychiatry as Innovative Field
Nearly three-quarters of respondents to anAPA survey released this week said that they believe psychiatry is an innovative field that helps people with mental and substance use disorders. In addition, half of the respondents said they would consider brain imaging or genetic testing if it was recommended by a physician.The survey asked respondents a series of questions about their awareness of a variety of innovative mental health tests and treatments —brain imaging, genetic testing, ketamine, psychedelic drugs, and deep brain stimulation—as well as about emerging technologies such as artificial intelligence (AI), chatb...
Source: Psychiatr News - August 16, 2023 Category: Psychiatry Tags: and deep brain stimulation APA survey artificial intelligence brain imaging climate change genetic testing gun violence. ketamine psychedelic drugs psychiatric innovation Source Type: research

Substance-Induced Psychosis Linked to Increased Risk of Suicide Attempt
Experiencing substance-induced psychosis may raise the risk of suicide attempt, astudy inAddictionhas found. Substance-induced psychosis, also known as substance-induced psychotic disorder, is a form of psychosis brought on by using or withdrawing from alcohol or other substances and usually dissipates within a month of stopping substance use.Carsten Hjorth øj, Ph.D., M.Sc., of the Copenhagen Research Center for Mental Health and the University of Copenhagen and colleagues analyzed data from 5,806,700 people aged 13 years or older who lived in Denmark from January 1, 1995, to August 10, 2017. The researchers followed the ...
Source: Psychiatr News - August 15, 2023 Category: Psychiatry Tags: alcohol Carsten Hjorth øj cocaine opioids risk of suicide attempt sedatives substance-induced psychosis University of Copenhagen Source Type: research

FDA Targeted Ban on Flavored E-Cigarettes Did Not Significantly Reduce Youth Use
In January 2020, the Food and Drug Administration (FDA) beganstepping up enforcement against the sale of most sweet-flavored e-cigarette cartridges as part of an effort to reduce e-cigarette use among youth. Astudy published today inJAMA Network Open suggests that this targeted enforcement was not associated with a significant decline in e-cigarette use among youth.Karin Kasza, Ph.D., of Roswell Park Comprehensive Cancer Center in Buffalo, N.Y., and colleagues wrote that the FDA ’s limited action “left open an avenue through which youth continued use of flavored e-cigarettes through using devices not covered by the enf...
Source: Psychiatr News - August 14, 2023 Category: Psychiatry Tags: E-cigarettes FDA ban on sweet flavors flavored e-cigarettes Karin Kasza sweet e-cigarette flavors Source Type: research

Lithium May Reduce Psychiatric Hospitalizations in People With Bipolar, Major Depressive Disorder
Taking lithium may significantly reduce the risk of psychiatric hospitalization for people who have major depressive disorder or bipolar disorder, astudy in theJournal of Affective Disordershas found.Maurizio Pompili, M.D, Ph.D., of Sapienza University in Rome and colleagues analyzed data from the health records of 260 adult patients who had either major depressive disorder or bipolar disorder and had been admitted to the psychiatric unit of Sant ’Andrea University Hospital in Rome between February 2019 and August 2020. The researchers compared the patients’ psychiatric hospitalization rates for the 12 months before th...
Source: Psychiatr News - August 11, 2023 Category: Psychiatry Tags: antipsychotics bipolar disorder depression hospitalizations Journal of Affective Disorders lithium Source Type: research

Cancer Survivors Commonly Engage in Risky Drinking, Study Suggests
Alcohol consumption and risky drinking behaviors are prevalent among both cancer survivors and patients who have received cancer treatment within the past year, according to astudy published today inJAMA Network Open.“Alcohol consumption, which is ubiquitous in the U.S. and causally linked with multiple types of cancer … is also associated with adverse health outcomes among individuals with a diagnosis of cancer, including higher risks of recurrence or onset of new primary cancers as well as death,” wrote Mengyao Shi, M.B.B.S., M.P.H., of Washington University in St Louis School of Medicine and colleagues. “In addi...
Source: Psychiatr News - August 10, 2023 Category: Psychiatry Tags: alcohol alcohol consumption All of Us Research program binge drinking cancer survivors risky drinking Source Type: research

Patients Found Less Likely to Cancel Telepsychiatry Visits, Study Shows
Patients with depression who scheduled an appointment to see a psychiatrist between July 2020 and October 2022 were less likely to miss or cancel the appointment if it was virtual compared with in person, according to areport published today inPsychiatric Services.“Appointment completion was higher for telepsychiatry than for in-person care among all patient characteristics studied,” wrote Catherine K. Ettman, Ph.D., of Johns Hopkins Bloomberg School of Public Health and colleagues. The findings “suggest that telepsychiatry is associated with improved e fficiency and continuity of care.”The researchers examined ele...
Source: Psychiatr News - August 9, 2023 Category: Psychiatry Tags: appointments depression disparities in-person visits outpatient care pandemic Psychiatric Services telepsychiatry Source Type: research