CBT More Effective Than Mindfulness for Prolonged Grief Symptoms Over Time, Study Finds
Both grief-focused cognitive-behavioral therapy (CBT) and mindfulness-based cognitive therapy improved patients ’ symptoms of prolonged grief disorder immediately after 11 weeks of treatment, according to astudy published yesterday inJAMA Psychiatry. Grief-focused CBT, however, was more effective in reducing patients ’ symptom severity six months after treatment ended.“[B]etween 15% and 25% of patients with prolonged grief disorder offered grief-focused cognitive behavior therapy decline to participate in treatment, and between 17% and 50% may not respond to treatment,” wrote Richard A. Bryant, Ph.D., of the Univer...
Source: Psychiatr News - April 25, 2024 Category: Psychiatry Tags: cognitive behavior therapy JAMA Psychiatry meditation mindfulness-based cognitive therapy Ph.D. prolonged grief disorder Randomized Clinical Trial Richard A. Bryant University of New South Wales Source Type: research
Very Young Children Exposed to Anesthesia May Be at Higher Risk of Childhood Bipolar Disorder
Infants and toddlers who are exposed to general anesthesia may be at increased risk for bipolar disorder later in childhood compared with infants and toddlers who are not exposed, according to areport inSchizophrenia Bulletin. The association remained after adjusting for other childhood comorbidities and parental psychiatric diagnoses.“In the context of pediatric care, it is essential to recognize the substantial perioperative trauma experienced by children, both physically and psychologically,” wrote Mingyang Sun, M.D., of the People’s Hospital of Zhenghzou University in Henan, China, and colleagues. “Emerging evi...
Source: Psychiatr News - April 24, 2024 Category: Psychiatry Tags: anesthesia bipolar disorder children general anesthesia hospital risk factor sevoflurane Taiwan toddlers Source Type: research
Peer-Supported Problem-Solving May Help Older Rural Adults With Depression
Older adults who completed 12 weeks of self-guided problem-solving therapy (PST) supported by trained peer volunteers had significant and lasting improvements in their depression scores, according to areport inPsychiatric Services in Advance. PST is a psychotherapy that teaches people to generate realistic solutions to life problems that contribute to depression.“PST with a clinician should be considered a preferred treatment option when resources are available,” wrote Brooke Hollister, Ph.D., at the University of California, San Francisco, and colleagues. However, self-guided-PST supported by trained peer counselors ...
Source: Psychiatr News - April 23, 2024 Category: Psychiatry Tags: depression older adults peer support problem solving therapy Psychiatric Services psychotherapy rural self-guided learning Source Type: research
Overactive Bladder Linked to Depressive Symptoms
People who have been diagnosed with overactive bladder are nearly three times as likely to have depression than those without overactive bladder, astudy in theJournal of Affective Disorders has found.Xiansheng Zhang, M.D., Ph.D., of Anhui Medical University in Hefei, China, and colleagues examined responses from adults who participated in the National Health and Nutrition Examination Survey from 2005 to 2018 and who had complete data related to depression and urinary function. The researchers excluded adults who had conditions that could affect their urination, such as pregnancy, benign prostate issues, certain cancers, or...
Source: Psychiatr News - April 22, 2024 Category: Psychiatry Tags: depression Journal of Affective Disorders National Health and Nutrition Examination Survey nocturia overactive bladder risk factors social functioning urinary problems Source Type: research
One in Four People With Schizophrenia or Bipolar Have Multiple Physical Health Problems
Astudy inLancet Psychiatry reports that adults with schizophrenia or bipolar disorder are more than twice as likely as those without these disorders to have multiple physical health problems like heart disease or diabetes. Further, the presence of multiple physical problems was more common in adults with schizophrenia or bipolar disorder than the presence of multiple psychiatric disorders.“While health services and treatment guidelines often operate on the assumption that individuals have a single principal diagnosis, these results attest to the clinical complexity many people with severe mental illness face in relation ...
Source: Psychiatr News - April 19, 2024 Category: Psychiatry Tags: bipolar disorder chronic disease comorbidities Lancet Psychiatry physical health premature mortality schizophrenia Source Type: research
Most People Experiencing Homelessness Have Mental Health Disorders, Study Finds
Sixty-seven percent of people experiencing homelessness worldwide have a mental health disorder, according to areport published yesterday inJAMA Psychiatry. Additionally, the prevalence of mental health disorders among this population appears to be on the rise.“The relationship between mental health disorders and homelessness is complex and bidirectional,” wrote Rebecca Barry, Ph.D., of the University of Calgary and colleagues. “[M]ental health disorders may lead to situations that result in homelessness, or homelessness may be a stressor contributi ng to the development or worsening of mental health disorder symptom...
Source: Psychiatr News - April 18, 2024 Category: Psychiatry Tags: antisocial personality disorder homeless JAMA Psychiatry mental health disorders meta-analysis North America Rebecca Barry schizophrenia substance use disorders systematic review University of Calgary Source Type: research
Access to In-Network Mental Health Care Still Lags Far Behind Other Medical Care
Patients are far more likely to go out of network to obtain health care from mental health professionals than from medical or surgical professionals, areport by RTI International has found.In research that was partially funded by APA, Tami L. Mark, Ph.D., M.B.A., and William J. Parish, Ph.D., M.A., analyzed enrollment data and claims from more than 22 million individuals captured annually from 2019 through 2021 to evaluate out-of-network use and reimbursement rates across all 50 states.The researchers found that patients went out of network 3.5 times more often to see a behavioral health professional (physician or nonphysi...
Source: Psychiatr News - April 17, 2024 Category: Psychiatry Tags: billing codes health care insurance out of network parity pay disparities reimbursement RTI International Source Type: research
Generic Drug Combination Cuts Drinking in Adults With Severe Alcohol Use Disorder
Adults with severe alcohol use disorder (AUD) who took a combination of a generic antihypertensive and antihistamine reduced their daily alcohol consumption by about 24 grams —nearly the amount in two standard drinks—over those taking a placebo, according to areport inAddiction.“Considering the small number of approved medications and current limited use of pharmacotherapy for AUD, all with limited-to-moderate efficacy, patients with AUD as well as their physicians [need] additional treatments,” wrote lead author Henri-Jean Aubin of the Université Paris-Saclay in Vill ejuif, France, and colleagues.Aubin and collea...
Source: Psychiatr News - April 16, 2024 Category: Psychiatry Tags: abstinence alcohol consumption alcohol use disorder antihistamine AUD cyproheptadine drinking hypertensive Prazosin standard drink Source Type: research
Adult ADHD Linked to Later Lewy Body Disease, Cognitive Impairment
Adults with attention-deficit/hyperactivity disorder (ADHD) may be at increased risk of dementia and cognitive impairment compared with those without ADHD, according to areport in theAmerican Journal of Geriatric Psychiatry. Adults with ADHD seem particularly susceptible to dementia associated with Lewy body disease, a disorder characterized by abnormal deposits of proteins called Lewy bodies in the brain that results in various forms of cognitive impairment, delirium-like symptoms, Parkinson ’s-like movement problems, and hallucinations.“Determining whether there is an association between ADHD and subsequent conversio...
Source: Psychiatr News - April 15, 2024 Category: Psychiatry Tags: ADHD attention deficit hyperactivity disorder cognitive impairment dementia hallucinations Lewy bodies Parkinsons Source Type: research
Psychedelic Use in Psychiatry Requires Complex Informed Consent, Experts Say
Discussions. ”(Image: Getty Images/iStock/mediaphotos)APA ’s Good Faith Estimates Survey: Please Respond TodayAPA is in discussions with its partner medical societies about the challenges patients are facing in accessing buprenorphine due to the opioid settlements. If you are experiencing or hearing about challenges, pleaseemail the details to APA. APA will continue to advocate for access and reduced burdens of helping patients receive the treatment they deserve.For previous news alerts,click here. (Source: Psychiatr News)
Source: Psychiatr News - April 12, 2024 Category: Psychiatry Tags: conflicts of interest ethics exploitation informed consent JAMA Psychiatry Paul Applebaum perceptual changes psychedelics Rebecca Brendel touching Source Type: research
Nonemergency ED Use Higher Among Infants of Mothers With Perinatal Depression, Study Finds
Compared with infants of mothers with no perinatal depression symptoms, those born to mothers with mild or moderate/severe symptoms were significantly more likely to have emergency department (ED) visits for nonemergency reasons, according to astudy published inHealth Affairs.“Perinatal mental health conditions affect 20% of birthing people and are associated with a range of adverse child outcomes, including increased ED use,” wrote Slawa Rokicki, Ph.D., M.S., of Rutgers University. “This may be a result of increased illness or injury due to biological effects of d epression on infant health or inadequate infant care...
Source: Psychiatr News - April 11, 2024 Category: Psychiatry Tags: depression screening emergency department infants maternal mental health Nonemergent perinatal depression postpartum depression Rutgers University Slawa Rokicki Source Type: research
Suppressing Emotions, Feeling Like a Burden Linked to Suicidal Behavior in Preteens
Preteen children who have more trouble expressing their feelings and who perceive themselves as a greater burden to others may be on the cusp of having suicidal thoughts and behaviors (STB), according to areport in theJournal of the American Academy of Child and Adolescent Psychiatry.Increases in caregiver criticism and conflict are also risk factors for impending STBs, according to the study. Preteen girls with these traits are at especially high risk.“Preadolescent STBs are dramatically increasing, and it is critical to identify risk factors that can be clinically assessed and modified with treatment,” wrote Renee Th...
Source: Psychiatr News - April 10, 2024 Category: Psychiatry Tags: burden child and adolescent psychiatry conflict depression preteen rumination suicidal thoughts suicidality suppressed feelings Source Type: research
Study Finds No Link Between Acetaminophen Use During Pregnancy And Autism, ADHD Risk
Children exposed to acetaminophen in the womb do not appear to have an increased risk of autism or attention-deficit/hyperactivity disorder (ADHD), according to a studypublished today inJAMA. While a broad analysis of Swedish families found a slightly increased rate of these disorders in children exposed to acetaminophen in the womb, the researchers found no evidence acetaminophen was responsible when factoring in genetic or family influence.“Results of this study indicate that the association between acetaminophen use during pregnancy and neurodevelopmental disorders is a noncausal association.,” wrote Viktor H. Ahlqv...
Source: Psychiatr News - April 9, 2024 Category: Psychiatry Tags: acetaminophen ADHD attention deficit hyperactivity disorder autism JAMA pregnancy risk factor Sweden Tylenol Source Type: research
APA Opposes Efforts to Ban Diversity Initiatives in Medical Education
On Friday APA issued astatement opposing efforts to ban diversity, equity, and inclusion (DEI) programs and initiatives in medical education.“In today’s medical schools and academic psychiatry departments, the principles of diversity, equity, and inclusion are critical to ensure that the next generation of physicians can serve the needs of evolving, diverse, underrepresented, and underserved patient populations,” the statement said .“Recently, there have been efforts to ban these principles in colleges and universities. This presents a chilling and undesirable development that restricts the ability of medical stude...
Source: Psychiatr News - April 8, 2024 Category: Psychiatry Tags: affirmative action APA statement DEI diversity equity inclusion legislation medical education Supreme Court Source Type: research
High Blood Glucose, Triglycerides Linked to Long-Term Risk of Mental Disorders
Individuals with elevated blood levels of glucose and triglycerides have an increased risk of depression, anxiety, and stress-related disorders, as do individuals with low blood levels of HDL cholesterol ( “good cholesterol”), astudy inJAMA Network Open has found. Further, elevated levels of glucose or triglycerides were present in individuals who developed one of these disorders as far back as 20 years prior to diagnosis.Charilaos Chourpiliadis, M.D., of the Karolinska Institutet in Stockholm and colleagues analyzed data from 211,200 participants in the Apolipoprotein-Related Mortality Risk cohort who underwent occupa...
Source: Psychiatr News - April 5, 2024 Category: Psychiatry Tags: anxiety blood test cardiovascular depression glucose good cholesterol HDL cholesterol Karolinska Institute stress triglycerides Source Type: research
