Sleep Problems in Late Childhood, Early Adolescence Linked to Psychiatric Symptoms
Children aged 9 to 13 who experience sleep problems may be more likely to experience internalizing symptoms (such as depression and anxiety) and/or externalizing symptoms (such as aggression and rule-breaking behaviors) than children who do not experience sleep problems, according to areport inJAMA Psychiatry.“Our findings emphasize the need for early identification and treatment of sleep problems in childhood to ameliorate or potentially prevent mental health difficulties in early adolescence,” wrote Rebecca Cooper, M.P.O., and Vanessa Cropley, Ph.D., both of the University of Melbourne, and colleag ues.The researcher...
Source: Psychiatr News - April 12, 2023 Category: Psychiatry Tags: ABCD study early adolescence externalizing problems internalizing problems JAMA Psychiatry late childhood night sweats nightmares psychiatric symptoms sleep problems somatic problems Source Type: research
Anniversary of Parent ’s Death Linked to Increased Suicide Risk in Some Adult Children
The anniversary of a parent ’s death appears to be associated with an increased risk of suicide among women, according to areport published today inJAMA Network Open.“In this case-crossover study using Swedish national register data, we found evidence of an anniversary reaction among women, with an increased risk of suicide most consistently observed during the 2-day period following the anniversary of a parent’s death. Among men, we observed a reduced risk of suicide around the anniversary,” wrote Alessandra Grotta, Ph.D., of Stockholm University and colleagues.Grotta and colleagues relied on linked data from 1990...
Source: Psychiatr News - April 11, 2023 Category: Psychiatry Tags: adults children death anniversary JAMA Network Open maternal death parental death suicide suicide prevention women Source Type: research
Patients on Clozapine Found to Significantly Increase Use of Community-Based MH Programs
Individuals with schizophrenia who began treatment with clozapine significantly increased their use of community-based services and decreased their use of psychiatric inpatient services over the next six months, according to areport inPsychiatric Servicesin Advance.“Entering community-based care is a major goal in the recovery and optimization of longitudinal outcomes of individuals with schizophrenia,” wrote Deepak Sarpal, M.D., of the University of Pittsburgh and colleagues. “Our results suggest that clozapine treatment shifts resources from costly inp atient care to services focused on community-based care and lon...
Source: Psychiatr News - April 10, 2023 Category: Psychiatry Tags: Allegheny County Data Warehouse clozapine community-based services Deepak Sarpal Psychiatric Services schizophrenia Source Type: research
Prenatal Exposure to Lithium in Drinking Water Linked to Higher Risk of Autism Spectrum Disorder
Children born to mothers whose household tap water has higher levels of naturally occurring lithium may have a higher risk of being diagnosed with autism spectrum disorder, astudy inJAMA Pediatrics has found.Zeyan Liew, Ph.D., M.P.H., of Yale School of Public Health and colleagues analyzed data from 8,842 children in Denmark with autism spectrum disorder and 43,864 of their peers without the disorder. All of the children were born from 2000 through 2013 and were followed to 2016. The researchers measured the concentration of lithium in 151 Danish public waterworks and used the addresses where the mothers lived while pregna...
Source: Psychiatr News - April 7, 2023 Category: Psychiatry Tags: autism spectrum disorder Denmark drinking water lithium Yale Zeyan Liew Source Type: research
Promoting Parental Mental Health, Access to Preschool May Reduce MH Inequities in Children
Promoting parental mental health and preschool attendance among socioeconomically disadvantaged children can reduce mental health problems, according to astudy published this week inPediatrics.“Evidence suggests only 9% to 27% of children aged 4 to 13 years with mental health problems access mental health services, with barriers to access disproportionately impacting families experiencing socioeconomic disadvantage,” wrote Sharon Goldfeld, Ph.D., of the Centre for Community Child Heal th at the Murdoch Children’s Research Institute in Melbourne, Australia, and colleagues. “Reducing children’s mental health inequi...
Source: Psychiatr News - April 6, 2023 Category: Psychiatry Source Type: research
Psychiatrists Outline Ethical Considerations Related to Psychedelics
“As psychedelic therapies gain increasing prominence, it is vital that psychiatrists remain mindful of unique ethical and practical challenges surrounding their use in clinical settings,” wrote Gregory Barber, M.D., a psychiatrist in private practice in Bethesda, Md., and Charles Dike, M.D., M.P .H., chair of the APA Ethics Committee, in areview article appearing inPsychiatric Services in Advance. Dike is also an associate professor of psychiatry at Yale University School of Medicine.Contemporary research on psychedelics for the treatment of mental illness is focused primarily on psilocybin, found in a type of mushroom...
Source: Psychiatr News - April 5, 2023 Category: Psychiatry Tags: access Charles Dike equity ethical considerations Gregory Barber informed consent off-label use patient vulnerabilty psychedelics Psychiatric Services Source Type: research
Patient Asks You to Certify Emotional Support Animal: What Should You Do?
Multiple studies show the mental health benefits of pet ownership. What ’s less clear from a small number of studies is the clinical benefits that emotional support animals offer for patients with psychiatric symptoms. Anarticle inPsychiatric Services explores several factors psychiatrists should consider when asked by patients to write certification letters designating their pets as emotional support animals.“ESAs [emotional support animals] are different from service animals and other disability-related assistance animals,” wrote past APA president Reneé Binder, M.D., of the University of California, San Francisco...
Source: Psychiatr News - April 4, 2023 Category: Psychiatry Tags: Americans With Disabilities Act certification emotional support animal ESA federal law Psychiatric Services psychiatrists Renee Binder state law Source Type: research
Stimulant Prescriptions Spiked During Pandemic, CDC Report Finds
The percentage of adults receiving prescriptions for stimulants increased from 2016 to 2021 and jumped from 2020 to 2021, particularly among women, according to anarticle in the CDC ’sMorbidity and Mortality Weekly Report.“The prevalence of diagnosed ADHD [attention-deficit/hyperactivity disorder] and associated treatment in adults [have] increased in recent decades,” wrote Melissa Danielson, M.S.P.H., of the CDC’s Division of Human Development and Disability and colleagues. “The current study adds to evidenc e that the increasing trend in the percentage of adults receiving prescriptions for stimulants … contin...
Source: Psychiatr News - April 3, 2023 Category: Psychiatry Tags: ADHD attention-deficit/hyperactivity disorder CDC medication trends Morbidity and Mortality Weekly Report prescriptions stimulants Source Type: research
APA Responds to DEA ’s Proposed Rules Regarding Telehealth, Buprenorphine
Today APA filed two letters with the U.S. Drug Enforcement Administration (DEA) in response to two proposed rules that if finalized would affect how health professionals implement telehealth services and prescribe certain controlled medications. The proposed rules, which were developed with the U.S. Department of Health and Human Services and in close coordination with the U.S. Department of Veterans Affairs andannounced on February 24, would extend certain flexibilities in these areas after the COVID-19 public health emergency expires on May 11. Yet in several ways the proposed rules are more restrictive than what the pub...
Source: Psychiatr News - March 31, 2023 Category: Psychiatry Tags: APA barriers to care buprenorphine controlled substances costs DEA opioid use disorder proposed rule public health emergency telehealth Source Type: research
FDA Approves Naloxone Nasal Spray for Over-the-Counter Sale
The U.S. Food and Drug Administration (FDA) yesterdayapproved Narcan (naloxone) 4 mg hydrochloride nasal spray for purchase without a prescription. Narcan rapidly reverses the effects of an opioid overdose.“Naloxone is a critical tool in addressing opioid overdoses, and today’s approval underscores the extensive efforts the agency has undertaken to combat the overdose crisis,” Patrizia Cavazzoni, M.D., director of the FDA’s Center for Drug Evaluation and Research, said in an FDA news release.The FDA ’s action “paves the way” for Narcan to be sold in drugstores, supermarkets, convenience stores, gas stations, ...
Source: Psychiatr News - March 30, 2023 Category: Psychiatry Tags: APA Emergent BioSolutions FDA Food and Drug Administration naloxone narcan opioid overdose OTC over the counter medication Robert Califf substance use disorder Source Type: research
Hospital Incentive Program Found to Increase Buprenorphine Prescriptions for Patients With OUD
Pennsylvania patients with opioid use disorder (OUD) were more likely to receive a prescription for buprenorphine within 30 days of a visit to the emergency department (ED) if they were seen at a hospital participating in the state ’s Opioid Hospital Quality Improvement Program than those seen at a hospital that did not participate in this program. These findings are described in arecent report inJAMA Health Forum.“With surging rates of opioid overdose deaths, ED encounters present a crucial opportunity to engage patients with OUD treatment,” wrote Keisha T. Solomon, Ph.D., of Howard University and colleagues. “The...
Source: Psychiatr News - March 29, 2023 Category: Psychiatry Tags: buprenorphine emergency department hospital incentives JAMA Health Forum medication for OUD MOUD opioid use Pennsylvania substance use disorder Source Type: research
Experts Call for Consistent Screening of Food Insecurity Among Adolescents
It is well established that adolescents experiencing food insecurity (inconsistent access to enough safe and affordable food to live an active, healthy life) are at greater risk of physical and mental problems. In aViewpoint article published yesterday in JAMA Pediatrics, Kaitlyn Harper, Ph.D., M.Sc., M.A., of Johns Hopkins Bloomberg School of Public Health and Hilary Seligman, M.D., M.A.S., of the University of California, San Francisco (UCSF), describe the need to integrate an accurate and reliable screening tool to assess food insecurity into clinical settings.“TheBiden-Harris national strategic plan emphasizes the im...
Source: Psychiatr News - March 28, 2023 Category: Psychiatry Tags: adolescents depression food insecurity JAMA Pediatrics morbidity risky health behaviors screening viewpoint youth Source Type: research
Attention Bias Modification Treatment Found Effective for Social Anxiety Disorder
People with social anxiety disorder may benefit from an intervention that trains them to focus their attention on neutral facial expressions more than negative ones, according to areport inAJP in Advance. In a clinical trial, participants with social anxiety disorder who received 10 sessions of an attention bias modification treatment over 12 weeks experienced similar symptom improvements as those who received 12 weeks of escitalopram —a first-line treatment for the disorder.“Social anxiety disorder involves chronic fear and avoidance of scrutiny,” wrote Gal Arad, M.A., of Tel Aviv University, Daniel S. Pine, M.D., o...
Source: Psychiatr News - March 27, 2023 Category: Psychiatry Tags: American Journal of Psychiatry eye-tracking intervention facial expression gaze-contingent music reward therapy scowl Social anxiety disorder Source Type: research
Sleep Apnea Linked to Increased Risk of Suicide Attempts
People who are diagnosed with sleep apnea may have an increased risk of dying by suicide, astudy in theJournal of Psychiatric Research has found. Sleep apnea is a potentially serious disorder in which breathing repeatedly stops and starts during sleep.Che-Sheng Chu, M.D., of Kaohsiung Veterans General Hospital in Kaohsiung City, Taiwan, and colleagues examined data from the Taiwan National Health Insurance Research Database. The researchers selected 7,095 adults aged 20 years or older who had been diagnosed with sleep apnea between 1998 and 2010 and 28,380 adults without sleep apnea who were matched based on their age, sex...
Source: Psychiatr News - March 24, 2023 Category: Psychiatry Tags: depression diabetes disrupted sleep Journal of Psychiatric Research repeat suicide attempts sleep apnea Source Type: research
Antipsychotic Polypharmacy at Higher Doses Does Not Increase Hospitalization Risk, Study Finds
Patients with schizophrenia appear to be at a lower risk of hospitalization for physical health issues when taking high doses of two or more antipsychotic medications concurrently (polypharmacy) than when taking just one antipsychotic medication (monotherapy) at the same dose, according to astudy published yesterday inAJP in Advance.“When patients were treated with high-dose antipsychotic monotherapy …, they had approximately a 20% higher risk of severe cardiovascular outcomes leading to hospitalization compared with periods when the same patients were treated with corresponding high-dose combination therapy,” wrote ...
Source: Psychiatr News - March 23, 2023 Category: Psychiatry Tags: AJP antipsychotics cardiovascular hospitalization monotherapy nonpsychiatric hospitalization polypharmacy schizophrenia Source Type: research
