U.S. Preventive Services Task Force Recommends Screening Adults for Anxiety Disorders
The U.S. Preventive Services Task Force (USPSTF)for the first time is recommending that adults under the age of 65 receive screening for anxiety disorders. Thefinal recommendation statement by the USPSTF was published today inJAMA.“Amid the mental health crisis in the United States, the Task Force worked to provide primary care professionals and their patients with recommendations on evidence-based screening,” task force vice chair Michael Silverstein, M.D., M.P.H., said in aUSPSTF Bulletin. “Fortunately, screening all adults for depression, including those who are pregnant and postpartum, and screening adults younge...
Source: Psychiatr News - June 20, 2023 Category: Psychiatry Tags: anxiety disorder asymptomatic general anxiety disorder JAMA PTSD screening suicidality U.S. Preventive Services Task Force Source Type: research

Depression Risk May Rise During First Two Years of Oral Contraceptive Use
The first two years of oral contraceptive use may raise the risk of depression in women and adolescents compared with their peers who have never used oral contraceptives, astudy inEpidemiology and Psychiatric Sciences has found.Åsa Johansson, Ph.D., of Uppsala University in Sweden and colleagues analyzed data from 264,557 women from the UK Biobank, a population-based cohort that recruited participants aged 37 to 71 years from across the United Kingdom between 2006 and 2010. Among the women in the current study, 80.6% had used oral contraceptives. The median time from first initiation to last use of oral contraceptives was...
Source: Psychiatr News - June 16, 2023 Category: Psychiatry Tags: birth control depression depressive symptoms Epidemiology and Psychiatric Sciences oral contraceptives UK Biobank Source Type: research

Only 1 in 4 Adolescent Treatment Facilities Offers Buprenorphine for Opioid Use Disorder
Only a quarter of U.S. residential treatment facilities for adolescents offer buprenorphine, and only 11% offer buprenorphine for ongoing treatment, according to astudy published this week inJAMA. Buprenorphine is the only medication for opioid use disorder approved by the U.S. Food and Drug Administration for use in those aged 16 to 18 years.“Residential treatment facilities provide an opportunity to reach young people with a range of evidence-based supports at a pivotal time in their lives, and it is crucial that buprenorphine is made available as one of those options,” Nora Volkow, M.D., director of the National Ins...
Source: Psychiatr News - June 15, 2023 Category: Psychiatry Tags: adolescents buprenorphine JAMA medication-assisted treatment opioid use disorder secret shopper Source Type: research

Only 1 in 4 Adolescent Treatment Facilities Offer Buprenorphine for Opioid Use Disorder
Only a quarter of U.S. residential treatment facilities for adolescents offer buprenorphine, and only 11% offer buprenorphine for ongoing treatment, according to astudy published this week inJAMA. Buprenorphine is the only medication for opioid use disorder approved by the U.S. Food and Drug Administration for use in those aged 16 to 18 years.“Residential treatment facilities provide an opportunity to reach young people with a range of evidence-based supports at a pivotal time in their lives, and it is crucial that buprenorphine is made available as one of those options,” Nora Volkow, M.D., director of the National Ins...
Source: Psychiatr News - June 15, 2023 Category: Psychiatry Tags: adolescents buprenorphine JAMA medication-assisted treatment opioid use disorder secret shopper Source Type: research

Survey Reveals Stark Difficulty in Obtaining Appointments With Child Psychiatrists
Calls to hundreds of child psychiatrists listed as in-network with Blue Cross –Blue Shield (BCBS) in three major U.S. cities led to appointments for children just 11% of the time, according to theresults of a “secret shopper” survey published inPsychiatric Services.Phone numbers were frequently wrong, many psychiatrists were no longer accepting new patients, and other calls went unanswered. Moreover, the average wait time for a visit was more than a month, and few of the psychiatrists contacted were willing to accept patients who were covered by Medicaid.“[O]ur results confirm what many already know: In the midst o...
Source: Psychiatr News - June 14, 2023 Category: Psychiatry Tags: appointment Blue Cross-Blue Shield child child psychiatrist depression Psychiatric Services in Advance secret shopper survey wait time wrong numbers Source Type: research

Adverse Childhood Experiences Found to Accelerate Aging
Individuals exposed to a greater number ofadverse childhood experiences (ACEs) —for example, violence, abuse, and neglect early in life—may age more rapidly than those with fewer of these experiences early in life, suggests areport published Monday inJAMA Network Open.The study, which involved data collected from more than 850 middle-aged adults at two time points, found that participants who reported four or more ACEs were likely to have molecular biomarkers that suggested they were older than their chronological ages.Previous research has suggested that “ACEs may modulate epigenetic pathways associated with biologi...
Source: Psychiatr News - June 13, 2023 Category: Psychiatry Tags: ACEs Adverse Childhood Experiences aging biological aging epigenetics JAMA Network Open Source Type: research

School-Based Group Therapy Shows Mental Health Benefits for Teen Girls of Color
This study marks one of the first studies of a dolescent mental health for young women of color [and] ... provides rigorous evidence about how to systematically reduce the prevalence of these challenges at scale through an innovative, group-based, in-school model of therapy.”The WOW program —which the authors noted was “designed specifically by and for Black and Latinx women”—includes 39 group lessons designed around five themes: self-awareness, emotional intelligence, healthy relationships, visionary goal setting, and leadership. The WOW curriculum incorporates elements of cog nitive-behavioral therapy, acceptan...
Source: Psychiatr News - June 12, 2023 Category: Psychiatry Tags: ACT black CBT Chicago group therapy Hispanic Latinx narrative therapy school Science Advances Source Type: research

Black Children Less Likely to Receive Adequate Medication for Psychiatric Disorders
Black children are more likely to receive inadequate pharmacotherapy for their mental health conditions than children in other racial groups, astudy inPsychiatric Services in Advance has found. The study also suggests that children who have anxiety are more likely to receive inadequate pharmacotherapy than children who have other mental illnesses.Andrea S. Young, Ph.D., of Johns Hopkins University School of Medicine and colleagues analyzed data from 601 children aged six to 12 years who had visited one of nine outpatient mental health clinics and participated in the Longitudinal Assessment of Manic Symptoms study. The chil...
Source: Psychiatr News - June 9, 2023 Category: Psychiatry Tags: anxiety Black children health disparities inadequate medication pharmacotherapy Psychiatric Services race treatment Source Type: research

Americans Agree Cigarettes Are Unsafe, Yet 21% Report Smoking Every Day
More Americans consider cigarettes to be addictive and dangerous than those who express such concerns about cannabis, alcohol, and technology. These were among thelatest findings from a national APA poll released today.“It is clear that we have gotten the message through that cigarettes are dangerous and addictive,” but more can be done to educate Americans about other potentially addictive behaviors, APA President Petros Levounis, M.D., M.A., said in a news release. “For instance, vaping is just as, if not more, addictive than cigarette smoking.”The poll was conducted by Morning Consult between April 20 and 22 amo...
Source: Psychiatr News - June 8, 2023 Category: Psychiatry Tags: addiction alcohol APA poll cannabis use cigarettes Morning Consult Petros Levounis Saul Levin technology vaping Source Type: research

MH Symptoms of Survivors of Severe COVID-19 Improve With Follow-Up Care
Veterans who received outpatient care from a clinic that provided psychiatric services after being discharged from the intensive care unit (ICU) for severe COVID-19-related illness showed significant mental health improvements in the months following their discharge. Thefindings of the small study were published in the May/June issue of theJournal of the Academy of Consultation-Liaison Psychiatry.More than half of ICU survivors will acquire post-intensive care syndrome (PICS) in the months following hospital discharge, wrote George E. Sayde, M.D., M.P.H., of Tulane University and colleagues. “Within this cohort, the prev...
Source: Psychiatr News - June 7, 2023 Category: Psychiatry Tags: anxiety COVID-19 depression GAD-7 intensive care unit Journal of the Academy of Consultation-Liaison Psychiatry PHQ-9 PLC-5 post-ICU posttraumatic stress disorder Source Type: research

Few Mental Health Programs Specifically Geared Toward LGBTQ Youth, Report Finds
Evidence suggests that youth who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ)are more likely to experience mental health problems than those who identify as heterosexual and cisgender. Yet, areport inJAMA Pediatrics has found that few U.S. mental health facilities that offer services for youth include treatments or groups specifically tailored to LGBTQ youth.“Compared with heterosexual or cisgender youth, LGBTQ youth have 3 times higher prevalence of depression and anxiety, and 42% have considered suicide,” wrote Kristen R. Choi, Ph.D., R.N., of the University of California, Los Angeles, and collea...
Source: Psychiatr News - June 6, 2023 Category: Psychiatry Tags: access to care gender minority JAMA Pediatrics LGBTQ mental health mental health problems sexual minority Source Type: research

Study Identifies Risk Factors Linked to Suicide Attempt After Depression Diagnosis
Soldiers who receive a diagnosis of bipolar disorder or traumatic stress on the same day they receive their first diagnosis of depression are more likely to attempt suicide in the next 30 days, according toa report inBMC Psychiatry. However, soldiers who received a diagnosis of depression and a sleep disorder on the same day are much less likely of an imminent suicide attempt.“Identifying individuals at imminent SA [suicide attempt] risk is a difficult and important clinical task when depression is diagnosed,” wrote Holly Herberman Mash, Ph.D., of the Uniformed Services University of the Health Sciences and colleagues....
Source: Psychiatr News - June 5, 2023 Category: Psychiatry Tags: alcohol use disorder bipolar disorder BMC Psychiatry Combat medic Holly Herberman Mash major depression STARRS suicidal ideation suicide attempt Source Type: research

Physical Restraints Linked to Poorer Outcomes Among Older Patients With Dementia
Older patients with dementia and behavioral disturbances who are physically restrained during hospitalizations spend more days in the hospital and are less likely to be discharged to their home compared with peers who are not physically restrained during hospitalization, a study in theJournal of the American Geriatrics Society has found.“Multidisciplinary approaches involving all health care team members, in partnership with families, are needed to minimize the use of [physical restraints] and lessen the negative consequences when they are introduced,” wrote Amteshwar Singh, M.D., M.Ed., of the Johns Hopkins University...
Source: Psychiatr News - June 2, 2023 Category: Psychiatry Tags: Amteshwar Singh dementia health disparities physical restraints Source Type: research

Smoking Cessation Does Not Worsen Mental Health Outcomes, Study Finds
Smoking cessation may be associated with improved mental health outcomes among people with and without psychiatric disorders, according to astudy published yesterday inJAMA Network Open.“Many people who smoke state that they want to quit, but many continue because they report that smoking helps relieve stress and offers other mental health benefits,” wrote Angela Difeng Wu, M.Sc., and Min Gao, Ph.D., of the University of Oxford, and colleagues. “The belief that cigarettes are calming is widespread, and some health professionals may deter people with mental health disorders from trying to stop smoking.”Wu, Gao, and ...
Source: Psychiatr News - June 1, 2023 Category: Psychiatry Tags: anxiety depression EAGLES Evaluating Adverse Events in a Global Smoking Cessation Study Hospital Anxiety and Depression Scale Source Type: research

Heart Attack Linked to Faster Cognitive Decline Over Time, Study Suggests
Individuals who experience a myocardial infarction (heart attack) appear to have a faster cognitive decline over time than those who do not experience a myocardial infarction, according to areport published yesterday inJAMA Neurology.The findings point to the importance of tracking the cognitive function of patients who have experienced a myocardial infarction and suggest that high-risk patients should be counseled on the potential cognitive ramifications of such an event, wrote lead author Michelle C. Johansen, M.D., Ph.D., of Johns Hopkins University and colleagues. “The findings also suggest that p...
Source: Psychiatr News - May 31, 2023 Category: Psychiatry Tags: cognition executive function heart attack JAMA Neurology memory Source Type: research