Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for May 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Impaired Vision Tied to Perceived Discrimination in Older Adults

FRIDAY, May 31, 2019 (HealthDay News) — Older adults with impaired vision are at increased risk for perceived discrimination, which in turn is associated with poorer emotional well-being, according to a study published online May 30 in JAMA Ophthalmology.

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Esketamine Nasal Spray May Improve Refractory Depression Outcomes

FRIDAY, May 31, 2019 (HealthDay News) — Esketamine nasal spray plus an oral antidepressant appears to be a safe and effective treatment for patients with treatment-resistant depression, according to a study published online May 21 in The American Journal of Psychiatry.

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Exercise, Therapy May Improve Depression, Diabetes Outcomes

FRIDAY, May 31, 2019 (HealthDay News) — Exercise and/or behavioral treatment interventions may provide clinically meaningful improvements in depression outcomes in adults with type 2 diabetes (T2DM) and major depressive disorder (MDD), according to a study published online May 21 in Diabetes Care.

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Weight-Based Teasing Linked to Gain in BMI, Fat Mass for Youth

THURSDAY, May 30, 2019 (HealthDay News) — For youth with or at risk for overweight, weight-based teasing (WBT) is associated with a greater gain in body mass index (BMI) and fat mass, according to a study published online May 30 in Pediatric Obesity.

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Stepped Tx for Alcohol Use Disorder Studied in HIV Patients

THURSDAY, May 30, 2019 (HealthDay News) — Integrated stepped alcohol treatment (ISAT) reduces alcohol consumption in patients with HIV and a known drinking problem, according to a study published online May 17 in The Lancet HIV.

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High Costs Associated With Physician Burnout in U.S.

THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.

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Transgender No Longer Classified as Mental Health Disorder by WHO

WEDNESDAY, May 29, 2019 (HealthDay News) — Transgender people will no longer be classified as having a mental disorder by the World Health Organization.

CNN Article

Teen Team Sports Participation Benefits Adult Mental Health

WEDNESDAY, May 29, 2019 (HealthDay News) — Among individuals exposed to adverse childhood experiences (ACEs), team sports participation in adolescence is associated with better adult mental health, according to a study published online May 28 in JAMA Pediatrics.

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Reading Visit Notes May Improve Medication Management

WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.

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Work Burnout, Gaming Addiction Classified as Diseases by WHO

TUESDAY, May 28, 2019 (HealthDay News) — Work burnout is now a legitimate medical diagnosis, and gaming addiction is a mental health disorder, the World Health Organization says.

CNN Article
Newsweek Article

Regulation of Intestinal Microbiota Beneficial for Anxiety

TUESDAY, May 28, 2019 (HealthDay News) — Regulation of the intestinal microbiota appears to be effective for improving anxiety symptoms, with nonprobiotic interventions performing better than probiotic interventions, according to a review published online May 17 in General Psychiatry.

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Risk for Suicide Attempts in Children Doubles With Parental Opioid Use

FRIDAY, May 24, 2019 (HealthDay News) — Children of parents who use prescription opioids are at nearly double the risk for suicide attempts, according to a study published online May 22 in JAMA Psychiatry.

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U.S. Lawmakers Say WHO Opioid Guidelines Too Lax

THURSDAY, May 23, 2019 (HealthDay News) — The World Health Organization’s pain care guidelines contain false claims about the safety of prescription opioid painkillers and should be withdrawn, two U.S. lawmakers say.

AP News Article

Most Patients at High Risk of Opiate Overdose Do Not Receive Naloxone Rx

THURSDAY, May 23, 2019 (HealthDay News) — Patients at high risk of opioid overdose rarely receive prescriptions for naloxone, despite many interactions with the health care system, according to a study published online May 3 in JAMA Network Open.

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Pediatricians Should Encourage Fish Consumption for Children

THURSDAY, May 23, 2019 (HealthDay News) — Fish and shellfish consumption should be encouraged for children, according to a technical report published online May 20 in Pediatrics.

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Incidence of Parkinson Disease Increased in Bipolar Disorder

WEDNESDAY, May 22, 2019 (HealthDay News) — Patients with bipolar disorder (BD) have an increased incidence of Parkinson disease (PD), according to a study published online May 22 in Neurology.

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Depression, PTSD Linked to More Participation in Cardiac Rehab

WEDNESDAY, May 22, 2019 (HealthDay News) — The presence of comorbid depression and/or posttraumatic stress disorder (PTSD) is associated with increased participation in cardiac rehabilitation (CR) among patients with ischemic heart disease, according to a study published online May 22 in the Journal of the American Heart Association.

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Treatment Rates Low for Parents With Opioid Use Disorder

WEDNESDAY, May 22, 2019 (HealthDay News) — Rates of treatment are low for parents with opioid use disorder (OUD) or other substance use disorders (SUDs), according to a study published in the May/June issue of the Annals of Family Medicine.

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Poor Broadband Penetration in Rural Areas Limits Telemedicine

TUESDAY, May 21, 2019 (HealthDay News) — Broadband penetration rates are considerably lower in the most rural counties, especially where access to primary care physicians and psychiatrists is inadequate, according to a study published online May 21 in the Annals of Internal Medicine.

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Gender Gap in U.S. Youth Suicide Narrowed From 1975 to 2016

TUESDAY, May 21, 2019 (HealthDay News) — There was a significant reduction in the gap between male and female rates of suicide among youth aged 10 to 19 years in the United States from 1975 through 2016, according to a study published online May 17 in JAMA Network Open.

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Regular Puzzle Use May Improve Cognition in Older Adults

TUESDAY, May 21, 2019 (HealthDay News) — Older adults who regularly perform word and number puzzles have higher cognitive functioning than those who do not engage in such activities, according to two studies recently published in the International Journal of Geriatric Psychiatry.

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Rates of Depression Up in U.S. Women at Hospital to Give Birth

TUESDAY, May 21, 2019 (HealthDay News) — From 2000 to 2015, the rates of depressive disorders recorded for women during delivery hospitalization increased nationally, according to a study published online May 9 in Obstetrics & Gynecology.

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Clinical Drug Diversion Costly to Health Care Organizations

TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.

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Racial Disparity Seen in Prescriptions for Buprenorphine

MONDAY, May 20, 2019 (HealthDay News) — Black patients are less likely to receive a buprenorphine prescription to treat opioid use disorder, according to a research letter published online May 8 in JAMA Psychiatry.

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Access to Care Worse for Sexual-Minority Cancer Survivors

MONDAY, May 20, 2019 (HealthDay News) — Sexual-minority cancer survivors have worse access to care and higher odds of poor quality of life (QOL), according to a study published online May 20 in Cancer.

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Many Lives Could Be Saved if All Hospitals Had Grade A Rating

FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.

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Private Insurers Pay 241 Percent of What Medicare Would Pay

FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.

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Study Describes TBI Caregiver QOL Measurement System

THURSDAY, May 16, 2019 (HealthDay News) — A new tool, the Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL), combines five new measures and 10 existing measures and can identify health-related quality of life (HRQOL) among caregivers of individuals with TBI, according to a study published in the April issue of the Archives of Physical Medicine and Rehabilitation.

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Heroin Overdose ED Visits Decreased From 2017 to 2018

FRIDAY, May 17, 2019 (HealthDay News) — From 2017 to 2018, there was a decrease in heroin overdose emergency department visits, although the declines were not consistent among states, according to a study published online May 16 in the American Journal of Public Health.

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More U.S. Adults Show Signs of Despair As They Enter Middle Age

THURSDAY, May 16, 2019 (HealthDay News) — Indicators of despair are rising among U.S. adults entering midlife, according to a study published in the May issue of the American Journal of Public Health.

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Americans Increasingly Open About Mental Health

THURSDAY, May 16, 2019 (HealthDay News) — Americans are becoming more positive about mental health, although some stigma remains, according to the results of a new poll released by the American Psychological Association (APA).

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Recs Updated for TB Screening, Treatment in Health Care Workers

THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Cannabis Legalization Not Tied to Higher Health Care Utilization

THURSDAY, May 16, 2019 (HealthDay News) — Legalization of recreational cannabis is not associated with changes in health care utilization, as measured by length of stay or health care costs, according to a study published in the May issue of BMJ Open.

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Risk for Miscarriage Up With Benzodiazepine Use in Early Pregnancy

WEDNESDAY, May 15, 2019 (HealthDay News) — The risk for spontaneous abortion (SA) is increased among early pregnancies with incident exposure to benzodiazepines, according to a study published online May 15 in JAMA Psychiatry.

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Healthy Lifestyle Recommended for Reducing Dementia Risk

WEDNESDAY, May 15, 2019 (HealthDay News) — Guidelines emphasizing adoption of a healthy lifestyle for reducing the risk for cognitive decline and dementia have been developed by the World Health Organization.

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Risk Reduction of Cognitive Decline and Dementia: WHO Guidelines

Thyroid Hormones Not Endorsed for Subclinical Hypothyroidism

WEDNESDAY, May 15, 2019 (HealthDay News) — Thyroid hormones are not recommended for adults with subclinical hypothyroidism (SCH), according to an article published online May 14 in The BMJ.

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Worldwide Prevalence of Eating Disorders Increased Since 2000

WEDNESDAY, May 15, 2019 (HealthDay News) — Eating disorders are highly prevalent worldwide, especially among women, according to research published in the May issue of the American Journal of Clinical Nutrition.

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Computer-Based Training Studied in Children With Fragile X Syndrome

WEDNESDAY, May 15, 2019 (HealthDay News) — No significant difference in outcomes was observed in children and adolescents with fragile X syndrome (FXS) receiving adaptive versus nonadaptive in-home cognitive training, according to a study published online April 15 in the Journal of Neurodevelopmental Disorders.

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Mindful Music Listening Aids Cognitive Recovery After Stroke

TUESDAY, May 14, 2019 (HealthDay News) — Music listening interventions appear to be a promising approach to improving cognitive recovery following a stroke, according to a study recently published in the International Journal of Stroke.

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U.S. Parents Worried About Child’s Communication Skills

TUESDAY, May 14, 2019 (HealthDay News) — One-quarter of parents with children younger than age 8 years are concerned about their child’s ability to communicate, according to poll results released by the American Speech-Language-Hearing Association (ASHA).

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Patients Find Note Reading Important for Health Management

MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.

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Higher Risk for Cancer, Mortality Seen With Pediatric-Onset IBD

MONDAY, May 13, 2019 (HealthDay News) — Individuals with pediatric-onset inflammatory bowel disease (pIBD) have an increased risk for cancer and mortality, according to a study published online May 9 in Alimentary Pharmacology & Therapeutics.

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Adverse Childhood Experiences Linked to Worse Lupus Outcomes

MONDAY, May 13, 2019 (HealthDay News) — Adverse childhood experiences (ACEs) are associated with worse patient-reported systemic lupus erythematosus (SLE) outcomes, according to a study published online May 9 in Arthritis Care & Research.

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Health Professionals Supportive of Medicinal Cannabis

FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.

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Fatal Overdoses Reduced With Pharmacist Dispensation of Naloxone

FRIDAY, May 10, 2019 (HealthDay News) — Only state naloxone access laws (NALs) allowing direct dispensing of naloxone by pharmacists appear to be useful in cutting fatal overdose rates, according to a study published online May 6 in JAMA Internal Medicine.

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Suicide Attempts by Self-Poisoning Have Increased in Teens

FRIDAY, May 10, 2019 (HealthDay News) — In children aged younger than 19 years, the incidence and rate of suicide attempts using self-poisoning have increased since 2011, according to research published online May 1 in The Journal of Pediatrics.

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Doctors Aware of Patient Difficulties Affording Medical Care

FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.

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2018 Saw More Employed Physicians Than Self-Employed

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).

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CDC: Uninsurance Levels Did Not Change Significantly in 2018

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Higher Risk for Mental Disorders Seen in Patients With Psoriasis

THURSDAY, May 9, 2019 (HealthDay News) — Patients with psoriasis have an increased risk for mental disorders, with time to onset starting within two to three months after diagnosis, according to two research letters published online May 8 in JAMA Dermatology.

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Prices Will Soon Be Included in TV Drug Ads

WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.

AP News Article

In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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Alcohol Consumption Per Capita Increasing Among Adults

WEDNESDAY, May 8, 2019 (HealthDay News) — Global goals for reducing alcohol use are unlikely to be achieved, with the global adult per-capita consumption projected to continue increasing to 2030, according to a study published online May 7 in The Lancet.

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Recommendations Issued for Treating Tourette Syndrome

TUESDAY, May 7, 2019 (HealthDay News) — In a new American Academy of Neurology guideline published in the May 7 issue of Neurology, recommendations are presented for treating Tourette syndrome and other chronic tic disorders.

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Efforts Needed to Ensure Publication of All Trials

TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.

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External Reference Pricing Could Cut Drug Costs in U.S.

TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.

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Children With Chronic Illness Can Have Normal Life Satisfaction

MONDAY, May 6, 2019 (HealthDay News) — Children with chronic illness have lower general health, but their life satisfaction is comparable to that of their peers without chronic illness, according to a study published online May 6 in Pediatrics.

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Positive Emotion Intervention Cuts Caregiver Stress

MONDAY, May 6, 2019 (HealthDay News) — The LEAF (Life Enhancing Activities for Family caregivers) intervention may help to reduce the stress of caregiving for a family member with dementia, according to a study published in the May issue of Health Psychology.

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Diagnosis of Autism Spectrum Disorders Reliable in Toddler Years

MONDAY, May 6, 2019 (HealthDay News) — Autism spectrum disorder (ASD) has high diagnostic stability, with stable diagnosis starting at 14 months of age, according to a study published online April 29 in JAMA Pediatrics.

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More Than Half of U.S. Adults Have Medical Financial Hardship

FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.

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Cocaine-, Psychostimulant-Involved Death Rates Increasing

THURSDAY, May 2, 2019 (HealthDay News) — Drug overdose deaths involving cocaine and psychostimulants accounted for 19.8 and 14.7 percent, respectively, of all 2017 drug overdose deaths, and the death rates are continuing to increase, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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New Drugs May Influence Social Behaviors in Those With Autism

THURSDAY, May 2, 2019 (HealthDay News) — Balovaptan, an orally administered selective vasopressin V1a receptor antagonist, is associated with improved adaptive behaviors for men with autism spectrum disorder (ASD), while arginine vasopressin (AVP), a neuropeptide involved in promoting mammalian social behaviors, may improve social impairments in children with ASD, according to two phase 2 studies published online May 1 in Science Translational Medicine.

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Living Alone Tied to Increased Risk for Mental Disorders

WEDNESDAY, May 1, 2019 (HealthDay News) — Living alone is positively associated with common mental disorders (CMDs) in the general population in England, according to a study published online May 1 in PLOS ONE.

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FDA Puts Tough Warning Label on Ambien, Lunesta, Other Sleep Aids

WEDNESDAY, May 1, 2019 (HealthDay News) — The U.S. Food and Drug Administration is requiring a new boxed warning on sleep medications such as Ambien, Lunesta, and Sonata due to dangers from daytime drowsiness the day after their use.

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Cognitive Function Does Not Predict Pediatric Bariatric Surgery Outcome

WEDNESDAY, May 1, 2019 (HealthDay News) — Youth with cognitive impairment or developmental disability (CI/DD) have weight-loss trajectories after bariatric surgery similar to those of their peers with typical cognitive function, according to a study published online in the May issue of Pediatrics.

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Mental Health Treatment, Diagnoses Up in Military Children

WEDNESDAY, May 1, 2019 (HealthDay News) — Diagnosed mental health conditions, pharmaceutical treatment, and outpatient visits for mental health all increased among U.S. pediatric military dependents from 2003 to 2015, according to a study published online April 10 in Psychiatric Services.

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