Prenatal Anxiety, Depression Associated With MH Symptoms in Children, Independent of Genetic Risk
Anxiety and depression among pregnant mothers was associated with a greater risk of internalizing and externalizing symptoms among their children even after controlling for the child ’s genetic risk for mental disorders, according to astudy published this week in theJournal of the American Academy of Child& Adolescent Psychiatry.“Our findings suggest that genetics alone do not fully account for the association between prenatal depression and child mental health,” wrote Lawrence Chen, B.Sc., and Kieran O’Donnell, Ph.D., of the Douglas Research Centre at McGill University in Canada, and colleagues.Chen, O ’Donn...
Source: Psychiatr News - November 16, 2023 Category: Psychiatry Tags: ALSPAC externalizing symptoms internalizing symptoms polygenic risk score prenatal anxiety prenatal depression Source Type: research

Patients With Parkinson ’s May Be at High Risk of Suicidal Thinking, Behavior
Individuals with Parkinson ’s disease may be at significantly higher risk for suicidal thinking and behavior than people without the disease, according to ameta-analysis published this week inJAMA Neurology.“Patients with [Parkinson’s disease] possess multiple risk factors for suicidality, such as advanced age, living with a chronic condition, as well as limitations in physical mobility and functional ability,” wrote Aaron Shengting Mai, M.S., of the National University of Singapore; Yinxia Chao, M.D., Ph.D., of the National Neuroscience Institute in Singapore; and colleagues. Efforts at early detection and managem...
Source: Psychiatr News - November 15, 2023 Category: Psychiatry Tags: behavior hopelessness ideation JAMA Neurology Parkinson ' s disease sleep suicide Source Type: research

New Survey Data Highlight the Scope of Nation ’s Behavioral Health Crisis
Substance use disorder continues to haunt tens of millions of adults and youth living in the United States, according to the results of the2022 National Survey on Drug Use and Health (NSDUH). Yet, most of those surveyed did not seek treatment for substance use nor did they think they should.These were among the many findingsreleased yesterday by the Substance Abuse and Mental Health Services Administration (SAMHSA), which conducts the annual survey to capture a snapshot of the mental health needs of people living in the United States.Using both in-person and web surveys, the NSDUH asks U.S. civilians aged 12 or older to re...
Source: Psychiatr News - November 14, 2023 Category: Psychiatry Tags: adults co-occurring substance use disorder mental illness National Survey on Drug Use and Health nsduh samhsa suicide treatment seeking youth Source Type: research

New Survey Data Released Highlight the Scope of Nation ’s Behavioral Health Crisis
Substance use disorder continues to haunt tens of millions of adults and youth living in the United States, according to the results of the2022 National Survey on Drug Use and Health (NSDUH). Yet, most of those surveyed did not seek treatment for substance use nor did they think they should.These were among the many findingsreleased yesterday by the Substance Abuse and Mental Health Services Administration (SAMHSA), which conducts the annual survey to capture a snapshot of the mental health needs of people living in the United States.Using both in-person and web surveys, the NSDUH asks U.S. civilians aged 12 or older to re...
Source: Psychiatr News - November 14, 2023 Category: Psychiatry Tags: adults co-occurring substance use disorder mental illness National Survey on Drug Use and Health nsduh samhsa suicide treatment seeking youth Source Type: research

Impacts of Childhood Adversity on Mental Health May Be Delayed for Some Youth, Study Suggests
Children who do not develop mental health problems early in life despite exposure to multiple adversities may experience such challenges in early adulthood, suggests areport inThe American Journal of Psychiatry.“Although resilient individuals may escape their childhood relatively unscathed, the stress of maintaining psychological health despite adversity may catch up with them later in development,” wrote William E. Copeland, Ph.D., of the University of Vermont and colleagues.Copeland and colleagues examined data fromThe Great Smoky Mountains Study, a longitudinal study that tracked the outcomes of three cohorts of chi...
Source: Psychiatr News - November 13, 2023 Category: Psychiatry Tags: AJP American Journal of Psychiatry anxiety childhood adversity depression financial health physical health resilience Source Type: research

PTSD Symptoms in Women May Increase Cardiovascular, Neurocognitive Disease Risk
High levels of posttraumatic stress disorder (PTSD) among women was associated with greater risk of carotid artery disease, according to astudy inJAMA Network Open. Further, among women who tested positive for the Alzheimer ’s risk gene APOEε4, greater PTSD symptoms were associated with greater brain small vessel disease and poorer cognitive performance.“Women have double the risk of PTSD relative to men,” wrote Rebecca Thurston, Ph.D., of the University of Pittsburgh and colleagues. “PTSD is associated with a 50% to 60% increased risk of incident [cardiovascular disease] and elevated stroke and dementia risk. Whi...
Source: Psychiatr News - November 9, 2023 Category: Psychiatry Tags: APOE e4 cardiovascular disease cognitive performance dementia neurocognitive disease PTSD small vessel disease white mater hyperintensity Source Type: research

Practicing Kindness Has Positive Impact on Mental Health, APA Poll Finds
In a world where much feels outside of our control, U.S. adults largely recognize the positive feelings that stem from practicing small acts of kindness.This was one of the major takeaways from APA ’s most recentHealthy Minds Poll, which asked 2,210 adults living in the United States about the ways in which they practice kindness, most often see others practicing acts of kindness, and more. According to the survey, 89% said that showing others kindness made them feel better, and 90% said receiving an act of kindness made them feel better.Those polled were also asked to reflect on their feelings of anxiety over current ev...
Source: Psychiatr News - November 8, 2023 Category: Psychiatry Tags: anxiety APA poll donation gratitude greeting strangers happiness Healthy Minds Poll helping others hope impact of kindness on mental health Petros Levounis Saul Levin volunteering Source Type: research

Psychiatrists, Patients See Important Gains in 2024 Medicare Physician Fee Schedule
APA advocacy scored important victories for psychiatrists and patients in the2024 Medicare Physician Fee Schedule, released by the Centers for Medicare and Medicaid Services (CMS) last week. These include policies regarding physician reimbursement, outpatient telepsychiatry, MIPS (Merit-Based Incentive Payment System) reporting, and virtual supervision of trainees. The new policies will go into effect January 1, 2024.Importantly, CMS accepted APA ’s recommendation to increase the relative value units (RVUs) for psychotherapy codes used alongside a code for an evaluation and management (E/M) services by approximately 19.1...
Source: Psychiatr News - November 7, 2023 Category: Psychiatry Tags: Center for Medicare and Medicaid Services CMS evaluation and management Intensive outpatient programs physician fee schedule resident supervision telehealth telepsychiatry Source Type: research

Clinical Trial Supports Use of Brexpiprazole for Alzheimer's Agitation, Study Suggests
The Food and Drug Administration ’sdecision to approve brexpiprazole (Rexulti) for the treatment of agitation related to Alzheimer ’s disease in May was met with a mixed response. While some viewed the drug approval as apositive step for treating a common behavioral symptom of dementia,others questioned whether the benefits of the medication were worth the risk. Today,JAMA Neurologypublished the results of a key phase 3 clinical trial used in the FDA ’s decision.The trial of adults aged 55 to 90 with a diagnosis of probable Alzheimer ’s disease who were experiencing agitation found that those who took brexpiprazole...
Source: Psychiatr News - November 6, 2023 Category: Psychiatry Tags: agitation Alzheimer ' s disease brexpiprazole CMAI FDA Food and Drug Administration JAMA Neurology Lundbeck Otsuka side effects Source Type: research

APA Collaborates With Other Medical Associations to Release New Addiction Resource Documents
Yesterday, APA joined three other major medical associations in releasing two resource documents listing the top 10 facts that both the public and every physician should know about addiction.APA worked with the American Academy of Addiction Psychiatry, the American Academy of Family Physicians, and the American Society of Addiction Medicine to develop the resource documents. The lists are a product of ameeting of medical association leaders that APA President Petros Levounis, M.D., M.A., convened this past summer. The meeting focused on ways that physicians can work together to combat addiction.“Top Ten Things Everyone S...
Source: Psychiatr News - November 3, 2023 Category: Psychiatry Tags: addiction addiction treatment alcohol use disorder nalmefene naloxone Petros Levounis substance use disorder Source Type: research

APA Collaborates With Other Medical Associations to Release of New Addiction Resource Documents
Yesterday, APA joined three other major medical associations in releasing two resource documents listing the top 10 facts that both the public and every physician should know about addiction.APA worked with the American Academy of Addiction Psychiatry, the American Academy of Family Physicians, and the American Society of Addiction Medicine to develop the resource documents. The lists are a product of ameeting of medical association leaders that APA President Petros Levounis, M.D., M.A., convened this past summer. The meeting focused on ways that physicians can work together to combat addiction.“Top Ten Things Everyone S...
Source: Psychiatr News - November 3, 2023 Category: Psychiatry Tags: addiction addiction treatment alcohol use disorder nalmefene naloxone Petros Levounis substance use disorder Source Type: research

Report Finds VA ’s Prescribing of Benzodiazepines to Homeless ‘Risky,’ ‘Inappropriate’
Homeless veterans with mental illness who use Veterans Affairs (VA) health services are less likely to receive prescriptions for benzodiazepines than those with mental illness who are not homeless, according to areport published this week inPsychiatric Services. When homeless veterans are prescribed benzodiazepines, however, they appear more likely than their peers to receive prescriptions that put them at risk for substance use disorder, overdose, and death, the study found.Drug overdose is a leading cause of death among homeless people, and benzodiazepines are often implicated in such overdose deaths, wrote Katherine Koh...
Source: Psychiatr News - November 2, 2023 Category: Psychiatry Tags: alcohol use benzodiazepines death drug use homeless overdose prescribing substance use disorder VA veterans Source Type: research

APA Announces Candidates for 2024 Election
The APA Nominating Committee, chaired by immediate Past APA President Rebecca Brendel, M.D., J.D., reports the following slate of candidates for APA ’s 2024 Election. This slate has been approved by the Board of Trustees and is considered official.The deadline for petition candidates is November 15, 2023. APA voting members may cast their ballots from January 2, 2024, to January 31, 2024.For more election information, please visit theElection section of APA ’s website.President-ElectTheresa M. Miskimen, M.D.Michele Reid, M.D.TreasurerSteve Koh, M.D.Cheryl D. Wills, M.D.Trustee-at-LargeFarha Abbasi, M.D.Patricia Westmor...
Source: Psychiatr News - November 1, 2023 Category: Psychiatry Tags: APA Board of Trustees APA election APA Nominating Committee ' s 2024 election Source Type: research

Rise in Virtual Visits Linked to More After-Hours EHR Work
As virtual visits for health care expanded rapidly in response to the COVID-19 pandemic, the amount of time physicians spent using electronic health records (EHRs) outside of clinic hours also crept up. Thefindings, which were published yesterday inJAMA Internal Medicine, suggest that physicians offering telemedicine visits may need more time to complete EHR documentation.“[A]lthough telemedicine may offer a convenient option for patients, it exhibits a dramatic dose-response association with EHR time that exacerbates EHR burden for physicians,” A. Jay Holmgren, Ph.D., M.H.I., of the University of California, San Franc...
Source: Psychiatr News - October 31, 2023 Category: Psychiatry Tags: afterhours work COVID-19 EHR electronic health records JAMA Internal Medicine pandemic telemedicine virtual visits Source Type: research

Rise in Virtual Visits Linked to More Afterhours EHR Work
As virtual visits for health care expanded rapidly in response to the COVID-19 pandemic, the amount of time physicians spent using electronic health records (EHRs) outside of clinic hours also crept up. Thefindings, which were published yesterday inJAMA Internal Medicine, suggest that physicians offering telemedicine visits may need more time to complete EHR documentation.“[A]lthough telemedicine may offer a convenient option for patients, it exhibits a dramatic dose-response association with EHR time that exacerbates EHR burden for physicians,” A. Jay Holmgren, Ph.D., M.H.I., of the University of California, San Franc...
Source: Psychiatr News - October 31, 2023 Category: Psychiatry Tags: afterhours work COVID-19 EHR electronic health records JAMA Internal Medicine pandemic telemedicine virtual visits Source Type: research