Growing number of youths being prescribed multiple psychiatric drugs simultaneously

The New York Times (2/16, Richtel ) reported “growing numbers of children and adolescents are being prescribed multiple psychiatric drugs to take simultaneously, according to a” study published in a research letter in JAMA Network Open that “looked at the prescribing patterns among patients 17 or younger enrolled in Medicaid in Maryland from 2015 to 2020.” The study “found that in 2015, 4.2% of Medicaid enrollees under the age of 17 in Maryland had overlapping prescriptions of three or more different classes of psychiatric medications.” The “figure rose to 4.6% in 2020.” The data reveal that psychotropic polypharmacy “‘was significantly more likely among youths who were disabled or in foster care,’ the new study noted.”

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— “The New York Times (requires login and subscription)

Nearly half of health care workers have witnessed discrimination against patients

According to USA Today (2/15, Alltucker), a report from the Commonwealth Fund and the African American Research Collaborative found that “47% of U.S. health care workers” surveyed “said they witnessed discrimination against patients, and 52% said that racism against patients was a major problem.” Researchers found that “employees at health facilities with a higher percentage of Black or Latino patients witnessed higher rates of discrimination.” The survey found that “at hospitals with a majority of Black patients, 70% of workers said they witnessed discrimination against patients based on their race or ethnicity.” Meanwhile, “for hospitals with mostly Latino patients, that figure was 61%.”

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— “Nearly half of health care workers have witnessed racism, discrimination, report shows,”Ken Alltucker, USA TODAY, February 15, 2024

Research Identifies Most Effective Exercises For Easing Depression

HealthDay (2/15, Miller) reports that research indicates “walking, jogging, yoga,” and “strength training…are the most effective exercises for easing depression.” Those “activities can be used on their own or combined with medication and psychotherapy, according to an evidence review.” Although “low-intensity activities like walking and yoga are OK, the more vigorous the activity, the bigger the benefits, the Australian-led team found.” The findings were published in the BMJ.

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— “Walking, Jogging, Yoga Are All Good Medicine for Depression,”Carole Tanzer Miller, HealthDay, February 15, 2024

Percentage Of Overdose Deaths Linked To Smoking Drugs Increased Sharply In Recent Years, Report Finds

CNN (2/15, Christensen ) reports, “The percentage of overdose deaths linked to smoking drugs rose sharply in recent years, overtaking injection as the leading route of drug use involved in such deaths, according to a new report from the” CDC. Investigators “compared data on drug deaths from January to June 2020 with data from July to December 2022.” The data indicated that “the percentage of overdose deaths that involved smoking increased almost 74% – from 13.3% to 23.1% – between 2020 and 2022.” Over that “same time period, the percentage of overdose deaths involving injections fell from 22.7% to 16.1%.”

The AP (2/15, Stobbe ) reports, “The number and percentage of deaths with evidence of snorting also increased, though not as dramatically as smoking-related deaths, the study found.”

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— “Smoking drugs now linked to more overdose deaths than injecting drugs, report finds,”Jen Christensen, CNN, February 15, 2024

FTC, HHS launch investigation into causes of generic drug shortages

The New York Times (2/14, Jewett ) reports, “The Federal Trade Commission and the Department of Health and Human Services said on Wednesday that they would examine the causes of generic drug shortages and the practices of ‘powerful middlemen’ that are involved in the supply chain.” The investigation “is aimed at the group purchasing organizations and drug distributors that have been in the spotlight in recent months as drug shortages reached a 10-year peak.” FTC and HHS “want to examine the companies’ influence on how the drugs are sold to hospitals and other health facilities, assessing whether the middlemen put pressure on pricing and manufacturing that led to breakdowns.”

Reuters (2/14, Leo) reports, “The FTC will seek information about drug distributors and hospital purchasing groups and their contracting practices, market concentration and compensation.” The agency “will examine if these companies have misused their market power to push down prices of generic drugs so much that some manufacturers cannot profit and have stopped production, in turn causing the shortages.”

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— “The New York Times (requires login and subscription)

Risk Of Suicide In First Few Days After Discharge, Study Shows

MedPage Today (2/14, DePeau-Wilson ) reports, “Patients hospitalized for depression had a very high risk of suicide in the first few days after discharge, a longitudinal Finnish registry study showed.” The “analysis of nearly 200,000 hospitalizations for depression from 1996 to 2017 revealed a suicide incidence rate of 6,062 per 100,000 person-years during days 0-3 following discharge.” The data indicated that “suicide incidence remained high but fell to 3,884 per 100,000 person-years in the 4-7 days after discharge…and continued to fall thereafter.” The findings were published in JAMA Psychiatry.

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Being Bullied In Childhood More Than Triples Likelihood Of Later Mental Health Problems, Study Finds

HealthDay (2/14, Miller) reports, “When bullies destroy a young victim’s trust, mental health problems are likely to follow them into adulthood, a new study warns.” Investigators “looked at data from 10,000 children in the U.K. who were followed for nearly 20 years.” The “researchers found that kids who were bullied at age 11 and then became distrustful by age 14 were roughly 3.5 times more likely to have mental health problems by age 17 than those who were more trusting.” The research was published in Nature Mental Health.

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— “Being Bullied in Childhood More Than Triples Risk of Mental Health Struggles Later,”Carole Tanzer Miller, HealthDay, February 14, 2024

Researchers Identify Factors Associated With Lower Likelihood Of Depression Screening During COVID-19 Pandemic

HCP Live (2/13, Derman) reports, “Video and phone telehealth appointments, non-English speakers, older adults > 75 years old, and patients on Medicaid were less likely to have depression screenings during” the COVID-19 pandemic “than in-person visits, English speakers, patients aged 18 – 30 years, and patients with private insurance, a new study found.” This study, which “examined 57,301 eligible visits with 37,250 patients,” was published in JAMA Network Open.

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— “Depression Screening Rates during COVID-19 Low Among Telehealth Appointments,”Chelsie Derman, HCP Live , February 13, 2024

Greater Daily Sugar Intake Was Associated With Higher Prevalence Of Depression, Study Finds

Healio (2/13, Rhoades) reports, “A greater daily intake of sugar in people’s diets was associated with a higher prevalence of depression, according to a study.” Investigators “found that, after adjusting for several confounders, a 100 g per day increase in sugar was associated with a 28% higher prevalence of depression.” The researchers also found that “compared with participants in the first quartile of daily sugar intake — meaning, those who consumed the least amount of sugar each day — participants in the fourth quartile had an OR of 1.33…for depression.” The findings were published in BMC Psychiatry.

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— “Study: High daily sugar intake increases risk for depression,”Andrew (Drew) Rhoades, Healio, February 13, 2024

Familiar Scents Could Help Unlock Specific Memories In People With Depression, Study Suggests

NBC News (2/13, Bendix ) reports that a study “suggests that familiar scents could help unlock” specific memories in people with depression. Investigators found that “people with depression recalled more specific memories when they were exposed to familiar scents — such as ground coffee or tobacco — than when they heard words that corresponded to those smells, such as ‘coffee’ or ‘cigarette.’” The findings were published in JAMA Network Open.

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— “Familiar scents unlock memories in people with depression. Could ‘smell therapy’ help patients?,”Aria Bendix, NBC News, February 13, 2024