Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for October 2018. 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.

Opioid Use Often Persists in Workers’ Compensation Claimants

WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Many patients in a workers’ compensation cohort have persistent opioid use, according to a study published online Oct. 26 in JAMA Network Open.

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Diagnoses, Treatment of Mental Health Conditions Up in College

WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Among college students, self-reported diagnoses and treatment of mental health conditions are increasing, according to a study published online Oct. 24 in the Journal of American College Health.

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Peer Support Aids Patients With T2DM, Depressive Symptoms

TUESDAY, Oct. 30, 2018 (HealthDay News) — Peer support reduces hospitalizations for diabetes patients with depressive symptoms, according to a study published online Oct. 29 in Diabetes Care.

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AMA Announces Initiative to Reinvent Physician Training

TUESDAY, Oct. 30, 2018 (HealthDay News) — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.

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Mortality Among Young People Declined From 1999 to 2015

TUESDAY, Oct. 30, 2018 (HealthDay News) — Mortality rates for infants and youths generally declined in the United States from 1999 to 2015, though they remain higher than rates in Canada and England/Wales, with especially high rates among black and American Indian/Alaskan Native youth, according to a study published online Oct. 1 in JAMA Pediatrics.

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Guidelines Presented for Lumbar Puncture in Alzheimer’s Dx

TUESDAY, Oct. 30, 2018 (HealthDay News) — The Alzheimer’s Association has released appropriate-use criteria for lumbar puncture and cerebrospinal fluid (CSF) testing in Alzheimer’s disease diagnosis, according to a review article published online Oct. 10 in Alzheimer’s & Dementia.

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Many Hospitals Noncompliant With Record Request Regulations

MONDAY, Oct. 29, 2018 (HealthDay News) — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.

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Odds of Overweight/Obesity Up for Children With Autism

MONDAY, Oct. 29, 2018 (HealthDay News) — Children with autism spectrum disorder (ASD) have increased odds of overweight/obesity compared with general population controls after adjustment for child co-occurring conditions, according to a study published online Oct. 9 in The Journal of Pediatrics.

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Trump Administration Announces Plan to Cut Drug Prices

FRIDAY, Oct. 26, 2018 (HealthDay News) — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.

HHS Study
New York Times Article

Giving Patients Treatment Choice Improves PTSD Outcomes

FRIDAY, Oct. 26, 2018 (HealthDay News) — Giving patients with post-traumatic stress disorder (PTSD) their preferred treatment improves adherence and symptoms, according to a study published online Oct. 19 in The American Journal of Psychiatry.

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Alcohol Disorder Screening in Women Post-RYGB Inadequate

FRIDAY, Oct. 26, 2018 (HealthDay News) — Assessing the frequency and quantity of alcohol consumption may be inadequate for identifying alcohol-related problems in women who have undergone Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online Oct. 11 in the Annals of Surgery.

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Neither Haloperidol, Ziprasidone Shortens Delirium in ICU

THURSDAY, Oct. 25, 2018 (HealthDay News) — For patients with acute respiratory failure or shock and hypoactive or hyperactive delirium in the intensive care unit, neither haloperidol nor ziprasidone alters the duration of delirium compared with placebo, according to a study published online Oct. 22 in the New England Journal of Medicine.

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Half of Women to Develop Stroke, Dementia, or Parkinsonism

THURSDAY, Oct. 25, 2018 (HealthDay News) — One in two women and one in three men will develop dementia, stroke, or parkinsonism during their lifetime, according to a study published online Oct. 1 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Pace of Change Has Accelerated in Alternative Payment Models

THURSDAY, Oct. 25, 2018 (HealthDay News) — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

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Arthritis in Adulthood Linked to Childhood Maltreatment

WEDNESDAY, Oct. 24, 2018 (HealthDay News) — The prevalence of arthritis is higher among adults who experience severe and/or frequent childhood maltreatment, according to a study published online Oct. 17 in Arthritis Care & Research.

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Most Supplements Contain Prohibited Stimulants

WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.

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USPSTF Recommends Screening Women for Partner Violence

TUESDAY, Oct. 23, 2018 (HealthDay News) — Clinicians should screen women of reproductive age for intimate partner violence (IPV) and refer women to ongoing support services if necessary, according to a U.S. Preventive Services Task Force (USPSTF) final recommendation statement published in the Oct. 23/30 issue of the Journal of the American Medical Association.

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White House Unveils New Insurance Option for Small Firms

TUESDAY, Oct. 23, 2018 (HealthDay News) — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

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High Uptake, Acceptability of Rapid Fentanyl Test Strips

MONDAY, Oct. 22, 2018 (HealthDay News) — Young adults who report injecting drugs or using heroin, cocaine, or illicitly obtained prescription pills report high uptake and acceptability of fentanyl test strips to detect illicitly manufactured fentanyl, according to a study published online Oct. 18 in the International Journal of Drug Policy.

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Model Identifies Adolescents at Risk for Smoking Initiation

THURSDAY, Oct. 18, 2018 (HealthDay News) — A novel prognostic tool can be used to accurately identify adolescents at risk for initiating cigarette smoking, according to a study published online Oct. 1 in Pediatrics.

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Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes

THURSDAY, Oct. 18, 2018 (HealthDay News) — Patients with diabetes have increased mortality due to suicide, alcohol-related causes, and accidents than those without diabetes, according to a study published in the November issue of the European Journal of Endocrinology.

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Sharp Drop in U.S. Life Expectancy Rankings by 2040

THURSDAY, Oct. 18, 2018 (HealthDay News) — The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040, a new study says.

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Maternal Trauma Associated With Low Male Infant Birthweight

THURSDAY, Oct. 18, 2018 (HealthDay News) — Higher lifetime trauma among women is associated with decreased birthweight among male offspring, according to a study published Sept. 6 in The Journal of Pediatrics.

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Adverse Childhood Experiences Tied to Burnout in BSN Students

THURSDAY, Oct. 18, 2018 (HealthDay News) — Undergraduate nursing students who had a higher number of adverse childhood experiences (ACEs) before enrollment have higher levels of burnout and depression during school, according to a study published online Sept. 22 in the Journal of Professional Nursing.

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Procurement Requirements Drive Interoperability in Health Care IT

THURSDAY, Oct. 18, 2018 (HealthDay News) — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.

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Recreational Marijuana Now Legal in Canada

WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Recreational marijuana became legal in Canada today, and while many welcome the move, others have serious concerns.

The New York Times Article
CMAJ Editorial

Lung Cancer Deaths 28% Lower in California Than Rest of U.S.

WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Annual lung cancer mortality was 28 percent lower in California than in the rest of the United States in 2013, according to a study published online Oct. 10 in Cancer Prevention Research.

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Well-Being of Young Adults on Kidney Replacement Tx Studied

WEDNESDAY, Oct. 17, 2018 (HealthDay News) — For young adults receiving kidney replacement therapy (KRT), well-being and medication adherence are associated with psychological morbidity, according to a study published online Oct. 16 in the Clinical Journal of the American Society of Nephrology.

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Long-Term Benzodiazepines Do Not Up Mortality in COPD, PTSD

WEDNESDAY, Oct. 17, 2018 (HealthDay News) — For patients with chronic obstructive pulmonary disease (COPD) and comorbid posttraumatic stress disorder (PTSD), long-term benzodiazepine use is not associated with mortality, but there is an association for short-term benzodiazepine use, according to a study published online Oct. 12 in the Annals of the American Thoracic Society.

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Dose Range of IV Ketamine for Adjunct Tx of Depression Tested

WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Two subanesthetic dosages of ketamine appear to provide significant symptom relief to patients with treatment-resistant depression (TRD), according to a study published online Oct. 3 in Molecular Psychiatry.

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Few Seniors Who Self-Harm Referred for Mental Health Care

TUESDAY, Oct. 16, 2018 (HealthDay News) — Most older adults who self-harm are not referred to mental health services, according to a study published online Oct. 15 in The Lancet Psychiatry.

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Without Medicaid Expansion, Poor Patients Forgo Medical Care

MONDAY, Oct. 15, 2018 (HealthDay News) — Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.

AP News Article

Age, Sex Affect Extended Post-Concussion Symptoms in Children

MONDAY, Oct. 15, 2018 (HealthDay News) — Age, sex, and family factors play a role in the persistence of post-concussion symptoms (PCSs) one year after injury, according to a study published online Oct. 15 in Pediatrics.

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Active Pharmaceuticals ID’d in >700 Dietary Supplements

MONDAY, Oct. 15, 2018 (HealthDay News) — Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open.

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Violent Video Games Tied to Physical Aggression

FRIDAY, Oct. 12, 2018 (HealthDay News) — Playing violent video games is associated with subsequent increases in physical aggression, according to research published online Oct. 2 in the Proceedings of the National Academy of Sciences.

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Multicomponent Intervention Can Reduce Sitting Time at Work

FRIDAY, Oct. 12, 2018 (HealthDay News) — A multicomponent intervention (Stand More At [SMArT] Work) can reduce sitting time over the short, medium, and long terms, according to a study published online Oct. 10 in The BMJ.

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Higher Perceived Stress Linked to Lower Fecundability in Women

THURSDAY, Oct. 11, 2018 (HealthDay News) — Higher levels of perceived stress are associated with slight decreases in fecundability among women but not men, according to a study recently published in the American Journal of Epidemiology.

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Aetna-CVS Merger Approved

WEDNESDAY, Oct. 10, 2018 (HealthDay News) — A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.

The New York Times Article

Prevalence of Anxiety, Depression Up for Adults With Arthritis

WEDNESDAY, Oct. 10, 2018 (HealthDay News) — The age-standardized prevalences of symptoms of anxiety and depression among adults with arthritis are 22.5 and 12.1 percent, which are considerably higher than those among adults without arthritis, according to research published in the Oct. 5 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Risk of Opioid-Benzodiazepine Overlap Up for Dual Prescribing

TUESDAY, Oct. 9, 2018 (HealthDay News) — Receiving prescriptions from both the U.S. Department of Veterans Affairs (VA) and Medicare Part D is associated with increased risk for overlapping of opioid and benzodiazepine prescriptions, according to a study published online Oct. 9 in the Annals of Internal Medicine.

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Minority Residents Experience Burdens Linked to Race/Ethnicity

TUESDAY, Oct. 9 2018 (HealthDay News) — Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.

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Congress Passes Bill to Fight Opioid Crisis

FRIDAY, Oct. 5, 2018 (HealthDay News) — A bipartisan bill to fight the opioid addiction crisis in the United States has been passed by Congress. President Donald Trump said he would sign the bill into law.

AP News Article

Industry-Funded Trials Often Involve Employees in Studies

FRIDAY, Oct. 5, 2018 (HealthDay News) — Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.

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Digital Cognitive Therapy Eases Daytime Effects of Insomnia

FRIDAY, Oct. 5, 2018 (HealthDay News) — Digital cognitive behavioral therapy (dCBT) is effective in improving functional health, psychological well-being, and sleep-related quality of life in people reporting insomnia, according to a study published online Sept. 25 in JAMA Psychiatry.

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Clinical Comorbidities Up After Arthroscopic Hip Surgery

FRIDAY, Oct. 5, 2018 (HealthDay News) — Following elective arthroscopic hip surgery, the rate of seven major clinical comorbidities increases significantly, according to a study published online Sept. 27 in the British Journal of Sports Medicine.

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Sexual Harassment, Assault Tied to Women’s Health Issues

FRIDAY, Oct. 5, 2018 (HealthDay News) — Sexual harassment and sexual assault among midlife women are associated with poorer physical and mental health, according to a study published online Oct. 3 in JAMA Internal Medicine.

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Daily Drinking Associated With Increased Mortality Risk

FRIDAY, Oct. 5, 2018 (HealthDay News) — Daily drinking, even at low levels, may be detrimental to one’s health, according to a study published online Oct. 3 in Alcoholism: Clinical & Experimental Research.

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Tips Provided for Budgeting in Medical Residency

THURSDAY, Oct. 4, 2018 (HealthDay News) — Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.

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Price Hikes Noted in Small Subset of Generic Drugs

THURSDAY, Oct. 4, 2018 (HealthDay News) — A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.

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Three-Quarters of Health Care Workers Got Flu Shot Last Year

THURSDAY, Oct. 4, 2018 (HealthDay News) — Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Treatment Linked to Cognitive Scores in Breast Cancer Survivors

WEDNESDAY, Oct. 3, 2018 (HealthDay News) — For breast cancer survivors, treatment and age-related phenotypes and genotypes are associated with a longitudinal decrease in cognitive function, according to a study published online Oct. 3 in the Journal of Clinical Oncology.

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High HbA1c After T1DM Diagnosis Predicts Psychiatric Comorbidity

WEDNESDAY, Oct. 3, 2018 (HealthDay News) — High average glycated hemoglobin (HbA1c) levels during the first two years after type 1 diabetes onset predict higher risk for psychiatric diagnoses, according to a study published online Sept. 29 in Diabetes Care.

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Opioid-Related Hospital Use Up in Elderly Adults

WEDNESDAY, Oct. 3, 2018 (HealthDay News) — Rates of opioid-related prescriptions and health care utilization are rising among seniors, according to two September statistical briefs released by the Agency for Healthcare Research and Quality (AHRQ). The reports relied on data from the Healthcare Cost and Utilization Project and the Medical Expenditure Panel Survey.

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Uninsured Rate at 8.8 Percent in First Quarter of 2018

WEDNESDAY, Oct. 3, 2018 (HealthDay News) — In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).

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For Employer-Based Plans, Spending Across Services Steady

TUESDAY, Oct. 2, 2018 (HealthDay News) — Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.

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Global Cognition Up for Youth Meeting Movement Guidelines

TUESDAY, Oct. 2, 2018 (HealthDay News) — Meeting recommendations on adequate sleep time and physical activity and limiting recreational screen time are associated with superior global cognition among children, according to a study published online Sept. 26 in The Lancet Child & Adolescent Health.

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Interviews Can Help Ensure Physician Candidates Fit Culture

TUESDAY, Oct. 2, 2018 (HealthDay News) — In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.

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Number of Health-Related Data Breaches Increasing

TUESDAY, Oct. 2, 2018 (HealthDay News) — The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.

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Insufficient Sleep Tied to Unsafe Behaviors in High School Students

MONDAY, Oct. 1, 2018 (HealthDay News) — For high school students, sleeping less than eight hours on an average school night is associated with increased odds of selected unsafe behaviors, according to a research letter published online Oct. 1 in JAMA Pediatrics.

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More Non-Elderly Americans Uninsured in 2017 Versus 2016

MONDAY, Oct. 1, 2018 (HealthDay News) — From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.

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Mental Health Disparities ID’d Among Students of Color

MONDAY, Oct. 1, 2018 (HealthDay News) — College students of color have lower mental health-related treatment use relative to white students, according to a study published in the September issue of the Journal of Adolescent Health.

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