Small Study: Babies’ Attention Problems May Portend Autism Later.

HealthDay (2/9, Preidt) reported, “Attention problems might be seen in six-month-old infants who are later diagnosed with autism,” according to a study published online in the journal Biological Psychiatry. “The study included 67 infants at high risk for developing autism and 50 low-risk infants.” After following the babies’ eye movements as they watched a video of a lady performing everyday actions, researchers found that, “compared to the other infants, those who were later diagnosed with autism spent less time watching the social activities depicted in the video.” Even when the babies did pay attention, they still spent less time observing the lady’s face.

Kids With Autism More Likely To Have Feeding Issues.HealthDay (2/10, Preidt) reported, “Children with autism are five times more likely than other kids to have feeding issues, such as being especially picky eaters or having ritualistic behaviors or extreme tantrums during meals,” according to a study published online in the Journal of Autism and Developmental Disorders. “These problems can lead to deficiencies in calcium, protein and other nutrients,” the study found. The investigators “added that there is growing evidence that feeding problems and dietary patterns among children with autism may put them at increased risk for long-term health problems such as poor bone growth, obesity and cardiovascular disease.”

Related Links:

— “Infants’ Inattentiveness Might Signal Later Autism, Study Says, “Robert Preidt, HealthDay, February 08, 2013.

Review Calls For Better Studies To Identify Treatments For Traumatized Kids.

USA Today (2/11, Healy) reports that according to a review published Feb. 11 in the journal Pediatrics, “better studies are needed to identify effective treatments for kids exposed to traumatic events, such as accidents, natural disasters and school shootings.” In fact, “in the analysis of 6,647 research abstracts on psychological and pharmacological therapies, only a few psychological treatments were shown to help kids 17 and under in the short term, and no medications were shown to have benefit.” The article adds, “The Agency for Healthcare Research and Quality, operated by the US Department of Health and Human Services, commissioned the study ‘to identify gaps in the current scientific literature and highlight important areas for future research,’ according to the journal report.”

The AP (2/11) reports, “According to research cited in the report, about two-thirds of US children and teens younger than 18 will experience at least one traumatic event, including shootings and other violence, car crashes and weather disasters. … Most will not suffer any long-term psychological problems, but about 13 percent will develop symptoms of post-traumatic stress, including anxiety, behavior difficulties and other problems related to the event.” The AP points out “that no one knows which treatments are best, or if certain ones work better for some children but not others.”

Related Links:

— “How best to treat traumatized kids? Research not clear, “Michelle Healy, USA Today, February 11, 2013.

Sebelius, Duncan To Lead Campaign On Mental Health.

The Hill (2/13, Viebeck) “Healthwatch” blog reports, “The Obama administration is planning a national campaign to encourage the discussion of mental health issues in light of recent mass shootings.” HHS Secretary Kathleen Sebelius announced Tuesday that she and Education Secretary Arne Duncan “will lead the effort, which will begin within weeks.” She said, “There is no question that the recent tragedy in Newtown broke the hearts of the nation. But it also gives us an opportunity to address some important issues that have gone unaddressed for too long.”

Related Links:

— “Obama administration to launch mental health dialogue, “Elise Viebeck, The Hill, February 12, 2013.

Folic Acid Associated With Lower Risk For Autism.

A new study, published online Feb. 13 in the Journal of the American Medical Association, further suggests the importance of folic acid in fetal neural development. The study received wide coverage from print media and medical websites. Although the websites of the three major US television networks cover the story, only the NBC Nightly News featured an on-air segment devoted to the study.

NBC Nightly News (2/12, story 11, 0:25, Williams) reported that “a new study found that women who take folic acid supplements around the time they become pregnant may be 40% less likely to have children with autism.”

USA Today (2/12, Szabo) reports, “In the new study, which included more than 85,000 Norwegian children, doctors asked pregnant women to fill out a questionnaire about supplement use, both before and during their pregnancies.” Investigators “then followed the children, born between 2002 to 2008, for an average of six years.”

The New York Times (2/13, A20, Rabin, Subscription Publication) reports, “Women taking folic acid, a B vitamin, before pregnancy were less likely to give birth to children with the most severe form of autism.” However, the Times points out that “the absolute risk that a child would have autism disorder was very low: 0.2 percent among women not taking folic acid, versus 0.1 percent among those who did.”

The Los Angeles Times (2/12, Kaplan) “Booster Shots” blog reports, “Among the 85,176 children in the study, 270 (or 0.32%) received an ASD diagnosis – 114 (0.13%) had autistic disorder, 56 (0.07%) had Asperger syndrome and 100 (0.12%) were diagnosed with ‘pervasive developmental disorder-not otherwise specified,’ or PPD-NOS.” These youngsters “were more likely to be born to women who did not take folic acid. In the raw analysis, mothers who skipped the supplement were more than 2.1 times more likely to have a child with autistic disorder compared with mothers who took the supplement.”

Bloomberg News (2/13, Kitamura) reports, “The study was funded by the Norwegian government and the U.S. National Institutes of Health.”

According to MedPage Today (2/13, Neale), “‘The finding that periconceptional supplement use might reduce the risk of autism is encouraging; however, it is important to confirm this finding in other population-based birth cohorts,’ Robert Berry, MD, MPHTM, of the CDC’s Division of Birth Defects and Developmental Disorders in Atlanta, and colleagues wrote in an accompanying editorial. The fact that folic acid supplementation was not associated with an increased risk of autism spectrum disorders is reassuring, they said, and ‘this should ensure that folic acid intake can continue to serve as a tool for the prevention of neural tube birth defects.'”

Also covering the story are Reuters (2/13, Pittman), the Huffington Post (2/13, Pearson), the CNN (2/12, Sloane) “The Chart” blog, the NPR (2/13, Hamilton) “Shots” blog, HealthDay (2/13, Reinberg), Forbes (2/13, Herper), the ABC News (2/13, Lupkin) “Medical Unit” blog, a “MyHealthNewsDaily” feature on the NBC News (2/13, Winters) website, the CBS News (2/13, Castillo) website, and the Daily Mail (UK) (2/13).

Related Links:

— “Association Between Maternal Use of Folic Acid Supplements and Risk of Autism Spectrum Disorders in Children, The JAMA Network, February 13, 2013.

Studies Find Association Between Hearing Loss, Dementia.

The New York Times (2/11, Bouton) “Well” blog examines the relationship between hearing loss and dementia. “In a 2011 paper in the Archives of Neurology, Dr. [Frank] Lin and colleagues found a strong association between the two. The researchers looked at 639 subjects, ranging in age at the beginning of the study from 36 to 90 (with the majority between 60 and 80).” Participants were followed for about 18 years. “‘Compared to individuals with normal hearing, those individuals with a mild, moderate, and severe hearing loss, respectively, had a two-, three- and five-fold increased risk of developing dementia over the course of the study,’ Dr. Lin wrote in an e-mail summarizing the results.” A study of 1,984 seniors published online last month in JAMA Internal Medicine confirmed the 2011 study’s results.

Related Links:

— “Straining to Hear and Fend Off Dementia, “Katherine Bouton, New York Times, February 11, 2013.

Small Study: ED Overcrowding May Be Linked To Later PTSD Symptoms In ACS Patients.

Bloomberg News (2/12, Pettypiece) reports, “Chaotic, overcrowded emergency” departments (EDs) “may cause some heart patients to develop post-traumatic stress disorder,” according to research letter (2/12) published in JAMA Internal Medicine. Researchers “tracked 135 patients who came to the” ED “at a New York City hospital with a condition called acute coronary syndrome [ACS].” The investigators “compared the traffic at the” ED “during the time they were there with whether the patients experienced symptoms of PTSD a month later.”

Modern Healthcare (2/11, Subscription Publication) reports that the researchers found that “there was a connection between a crowded ED and getting symptoms of PTSD.”

MedPage Today (2/12, Petrochko) reports that in particular, researchers found that “greater emergency department crowding was tied to higher levels of one-month PTSD symptoms (Β=2.0, P<0.05) induced by ACS." The findings "remained significant after adjusting for patient characteristics (Β=2.5, P=0.01) and length of stay (Β=3.0, P=0.02)." HealthDay (2/12, Reinberg) reports that study author Donald Edmondson said, "The modern emergency department is excellent at acute care, but a number of health system and hospital-level pressures have overcrowded them to a point where being treated there can, at times, worsen long-term prognosis." Related Links:

— “Crowded Emergency Rooms Linked to PTSD in Chest Patients,”Shannon Pettypiece, Bloomberg, February 12, 2013.

VA Concerned About Suicide Rates Among Veterans.

USA Today (2/12, Zoroya) reports that the “historic pace of troop suicides confounding the military through the war years is following servicemembers into civilian life, according to preliminary analyses of new veteran data.” While “only 4.5% of men ages 18-34 are veterans, veterans account for 10.8% of suicides in that age group, according to statistics from the Department of Veterans Affairs. The numbers are based on death data collected by the VA from 21 states.”

Rep. Miller Pushing To Increase Speed Of VA Claims Processing. USA Today (2/11, King) reports Rep. Jeff Miller (R-FL), chair of the House Veterans Affairs Committee, “wants to speed up the time it takes to process veterans’ disability claims.” It is one of his two main priorities “outlined in a recent interview in his Capitol Hill Office. The other is providing veterans greater access to mental health services by allowing them to access the TRICARE system that serves active-duty military personnel.”

Related Links:

— “Suicide rate for veterans worries VA,”Gregg Zoroya, USA Today, February 12, 2013.

About 8% Of Stroke Survivors May Consider Suicide.

The AP (2/8, Marchione) reports, “One in 12 stroke survivors thought about suicide or that they would be better off dead,” according to research presented yesterday at the American Stroke Association conference in Honolulu. “That’s more than those with other health problems such as heart attacks or cancer, and it suggests that depression after stroke is more serious than many had realized.” The AP explains, “Depression may develop partly because strokes damage the very thing that controls mood – the brain, said a neurologist with no role in the study, Dr. Brian Silver of Brown University and Rhode Island Hospital.”

HealthDay (2/8, Preidt) reports, “The investigators analyzed data from the 2005 to 2010 US National Health and Nutrition Examination Surveys and found that nearly eight percent of stroke survivors reported suicidal thoughts, compared with about six percent of heart attack survivors, five percent of diabetes patients and four percent of cancer patients.” Notably, “stroke survivors who had more severe depression, were younger, had higher body mass index…had less education, and were poorer, single or women were more likely to have suicidal thoughts,” the study found. “Seventeen percent of the people who’d had a stroke also had depression, which is the most common mental health complication in stroke survivors, the study authors noted.”

Related Links:

— “STUDY: MANY STROKE SURVIVORS THINK ABOUT SUICIDE,”Marilynn Marchione, Associated Press, February 7, 2013.

Maternal Depression, Domestic Violence May Raise Kids’ Risk For AD/HD.

HealthDay (2/8, Mann) reports, “Preschoolers whose parents report depression and intimate partner violence may be more likely to develop attention-deficit/hyperactivity disorder (AD/HD) by the age of six.” Furthermore, “young children with depressed moms may be more likely to receive prescription drugs to treat behavioral and mental health issues down the road,” according to a study published online Feb. 4 in the journal JAMA Pediatrics. The study “included more than 2,400 children who were three years old” and their parents who answered questionnaires regarding domestic violence and personal depression history.

Related Links:

— “Maternal Depression, Violence at Home May Raise Child’s ADHD Risk, “Denise Mann, HealthDay, February 7, 2013.