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

Older Adults With ADHD May Be More Sensitive to Vascular Damage in the Brain
Older adults with attention-deficit/hyperactivity disorder (ADHD) may be particularly vulnerable to the harmful effects of vascular damage, according to areport published today inThe American Journal of Geriatric Psychiatry.The small study revealed that while older adults with ADHD had less vascular damage in their brains than a matched group of older adults without ADHD, the impact of vascular damage on memory or executive function was greater in adults with ADHD than those without.The findings suggest “ADHD lowers the threshold for experiencing the harmful effects of late-life brain pathology, and that older adults wit...
Source: Psychiatr News - October 30, 2023 Category: Psychiatry Tags: ADHD attention-deficit/hyperactivity disorder cognition older adults processing speed The American Journal of Geriatric Psychiatry vascular damage white matter hyperintensities Source Type: research

Reducing Burnout in VA Therapists: Study Points to Role of Institutional Support
Burnout is widespread among U.S. health care workers. Just this week, the Centers for Disease Control and Prevention (CDC)released a report that showed nearly 50% of health workers feel burned out.Yesterday,Psychiatric Servicespublished an article that suggests that when therapists feel institutional support for the evidence-based treatments they provide, they report less burnout and greater job satisfaction.The rates of burnout among those who practice psychotherapy at the Veterans Health Administration (VHA) —including psychologists, social workers, and licensed professional mental health counselors—are particularly ...
Source: Psychiatr News - October 27, 2023 Category: Psychiatry Tags: burnout evidence-based treatments job satisfaction Measurement-based care Psychiatric Services psychotherapy scheduling Source Type: research

Should Psychiatrists Advocate Banning Screens From Kids ’ Bedrooms?
Numerous studies have established a strong link between evening screen time and poor sleep quality. Yet should that association result in guidance from a child and adolescent psychiatrist, urging families to institute blanket bans on screens in bedrooms? That question was debated yesterday at this year ’s American Academy of Child and Adolescent Psychiatry’s (AACAP) annual meeting in New York City by members of AACAP’s Media Committee.At the start of the debate, Paul Weigle, M.D., the session ’s chair, took a poll of the room, asking if attendees thought child and adolescent psychiatrists should advocate banning sc...
Source: Psychiatr News - October 26, 2023 Category: Psychiatry Tags: AACAP annual meeting addiction American Association of Child and Adolescent Psychiatrists debate developing brain screen bans sleep youth Source Type: research

Over 60% of Youth Who Vape Cannabis Report Psychological Distress
Youth who reported experiencing severe psychological distress were more likely to vape cannabis in the previous month than those who did not report psychological distress, according to areport in theAmerican Journal of Preventive Medicine.“Some adolescents may use cannabis to regulate distress, and adolescence is an important developmental period for intervention as adolescents who use cannabis as a coping mechanism may go on to develop problematic use,” wrote lead author Delvon T. Mattingly, Ph.D., of the University of Kentucky and colleagues.The researchers looked at the association between cannabis vaping and psycho...
Source: Psychiatr News - October 25, 2023 Category: Psychiatry Tags: adolescents American Journal of Preventive Medicine cannabis National Youth Tobacco Survey psychological distress vaping Source Type: research

Childhood Neglect May Alter Pleasure Experience Later in Life
Young adults who experienced neglect as children may have more difficulty feeling pleasure than those who were abused, astudy inDepression& Anxiety suggests.“[Childhood trauma] exerts a lasting impact on cognition, emotion, and behavior in adulthood,” wrote Xiongzhao Zhu, Ph.D., of Central South University and colleagues. “Children who have experienced neglect may receive less attention and care from caregivers, resulting in less frequency of rece iving feedback related to rewards and thus affecting reward learning.”Anhedonia —the inability to feel pleasure or engage in enjoyable activities—is a common symp...
Source: Psychiatr News - October 24, 2023 Category: Psychiatry Tags: child abuse child neglect childhood trauma Depression & Anxiety major depressive disorder obsessive-compulsive disorder Source Type: research

Study Compares Clinical Outcomes of Older Adults Prescribed 10 Common Antidepressants
Older adults with depression may be least likely to discontinue or switch treatment when prescribed sertraline for the first time compared with other antidepressants, suggests areport inThe American Journal of Psychiatry. The study compared one-year outcomes in 93,000 Danish residents with depression who for the first time filled a prescription for one of 10 antidepressants. The research was funded in part by the Health Research Foundation of the Central Denmark Region.“Although clinical trials are considered the gold standard in drug effectiveness research, their experimental conditions often do not represent complex, r...
Source: Psychiatr News - October 23, 2023 Category: Psychiatry Tags: antidepressants cardiovascular problems death depression falls older adults sertraline The American Journal of Psychiatry treatment discontinuation Source Type: research

Mental Illness, Substance Use Disorder Linked to Stroke
Having a history of mental illness or substance use disorder (SUD) may be linked to an increased risk of stroke, astudy in theJournal of Psychiatric Research has found.Yann Le Strat, M.D., of Louis Mourier Hospital, in Colombes, France, and colleagues examined data from 36,309 participants aged 18 years and older in theNational Epidemiologic Survey on Alcohol and Related Conditions-III.As part of the survey, participantswere asked whether during the last 12 months, they had experienced a stroke, and then whether this diagnosis was confirmed by a doctor or other health professionals. The researchers assessed past 12-month m...
Source: Psychiatr News - October 20, 2023 Category: Psychiatry Tags: anxiety disorders DSM-5 mental illness mood disorders National Epidemiologic Survey on Alcohol and Related Conditions-III opioid use disorder stroke substance use disorder Source Type: research

Latinx Youth With MH Problems May Have Greater Cardiometabolic Risks in Later Adolescence
Latinx middle schoolers who experience internalizing symptoms such as anxiety or depression have a greater risk of developing sleep problems, being overweight or obese, and engaging in sedentary behavior by the time they reach high school, according to astudy published in theJournal of Adolescent Health.“Irrefutable evidence identifies mental health as an important correlate of health behaviors and physical health outcomes underlying cardiometabolic risk,” wrote Kathleen Roche, M.S.W., Ph.D., of the Milken Institute School of Public Health at George Washington University and colleagues. “Publ ic health concerns regar...
Source: Psychiatr News - October 19, 2023 Category: Psychiatry Tags: adolescents anxiety depression headache internalizing symptoms Journal of Adolescent Health Latinx obesity sleep stomachache Source Type: research

State MH Reporting Requirements Vary for Firearm Background Checks
States vary widely in the reporting of mental health data to the federal system known asNICS that conducts background checks on people who want to own a firearm, astudy appearing inJAMA Internal Medicine has found.“Firearm access by individuals with mental illness is associated with increased risk of suicide or homicide,” wrote Deirdre Brown, J.D., Ph.D., of Seattle University School of Law and colleagues. “Although NICS [National Instant Criminal Background Check System] is intended to be a nationwide database, the substantial variability in reporting requirements across states suggests that the intended purpose of ...
Source: Psychiatr News - October 18, 2023 Category: Psychiatry Tags: background checks firearms JAMA Internal Medicine mental health reporting National Instant Criminal Background Check System NICS state laws suicide Source Type: research

Don ’t Shut Down Conversations When Youth Present With ‘Trending’ Disorders, Psychiatrist Says
Youth increasingly rely on social media to diagnose themselves with a variety of psychiatric illnesses —a trend that has been met with more than a few raised eyebrows.In ashort article in theJournal of the American Academy of Child& Adolescent Psychiatry, child and adolescent psychiatrist David C. Rettew, M.D., described how he works with youth with so-called “trending presentations” and cautions against the dangers of oversimplifying such cases. Ask patients direct questions about whether they have a specific diagnosis in mind, as well as the research that led them to this conclusion: “[I]t is common for ...
Source: Psychiatr News - October 17, 2023 Category: Psychiatry Tags: child and adolescent psychiatry Journal of the Academy of Child & TikTok trending presentations youth YouTube Source Type: research

Narcissistic Traits May Predict Patients ’ Response to CBT for Depression
The presence of narcissistic traits may predict how well a patient responds to cognitive-behavioral therapy (CBT) for depression, according to astudy published inThe Lancet Psychiatry.“In the past decade of personality and personality disorder research, narcissism has emerged as a dimensional construct that is present both in individuals who are mentally healthy and in psychiatric clinical populations,” wrote Maike Richter, M.Sc., Simon Mota, Ph.D., of the University of Müns ter in Germany and colleagues. “Clinical practice shows that narcissistic traits below the threshold for narcissistic personality disorder are ...
Source: Psychiatr News - October 16, 2023 Category: Psychiatry Tags: CBT cognitive-behavior therapy depression narcissism narcissistic traits psychoanalytic interactional therapy The Lancet Psychiatry Source Type: research

Mental Health Services Conference Kicks Off With Presidential Session on Addiction
Understanding of the causes of substance use disorder (SUD) and behavioral addictions has come a long way since the 1980s, when addiction was recognized as a biopsychosocial illness, said APA President Petros Levounis M.D., M.A., yesterday in the opening session of APA ’sMental Health Services Conference. His presentation included a historical perspective of addiction and a discussion of a newer, more modern neurobiological framework that describes how addiction changes the circuitry of the brain.Levounis described SUD and behavioral addictions as a complex interplay between psychological forces and neurobiological force...
Source: Psychiatr News - October 13, 2023 Category: Psychiatry Tags: addiction frontal lobes Mental Health Services Conference neurobiology opioid epidemic Petros Levounis pleasure-reward pathways self-medicate substance use substance use disorder Source Type: research