Study Identifies Barriers To Taking Medications For AUD

Psychiatric News (3/14) reported, “Patients cite stigma, lack of knowledge, and concerns over side effects as the biggest barriers to taking medications for alcohol use disorder (AUD), according [to] a study.” Researchers found that “for some patients, medications did not align with their treatment goals because they wanted to reduce their alcohol use rather than eliminate it completely.” The findings were published in Alcohol: Clinical & Experimental Research.

Related Links:

— “Stigma, Unfamiliarity Identified as Patient Barriers to Medications for AUD,” Psychiatric News, March 14, 2025

Concussion damage remains visible in athletes’ brains for up to a year after being cleared to play

HealthDay (3/13, Thompson ) reports a new study suggests that “concussed college athletes had brain changes that remained visible in brain scans up to a year after they’d been cleared to return to play.” Athletes participating in the study “had MRI scans taken before their seasons began, as well as five days, one to three months, and a year after returning to play following a concussion. Concussed players still showed signs of brain injury in MRI scans taken an average five days after concussion, when they’d been cleared to resume play, results show.” Researchers noted “those signs of brain injury lasted for up to one year later.” In addition, “players with concussion had significantly reduced blood flow in their brain’s fronto-insular cortex, a region that helps control thinking, memory, emotion and social behavior.” While researchers said “this lower blood flow diminished over time,” it was “still detectable a year after their concussion.” The study was published in Neurology.

Related Links:

— “Concussion Damage Lingers In Athletes’ Brains Up To A Year,” Dennis Thompson, HealthDay, March 13, 2025

Americans’ Views Of Mental, Physical Health Reach Lowest Point In Nearly 25 Years, Survey Finds

The Hill (3/13, Timotija ) reports a Gallup survey publishedThursday suggests that “Americans’ views of their mental and physical health are at the lowest point in nearly 25 years, a downturn that accelerated at the beginning of the COVID-19 pandemic and has continued since.” According to the poll, about three-quarters of Americans rated their mental health (at 75 percent) and physical health (at 76 percent) as “excellent” or “good.” But the number of respondents “who described their mental health as ‘excellent’ shrunk to 31 percent. Regarding physical health, those characterizing it as ‘excellent’ went down to 24 percent, Gallup found.” The survey reached a low in 2022, “when the number of Americans who said their mental health rating was ‘excellent’ dropped to 31 percent. The lowest figure for physical health was in 2023 at 24 percent.”

Related Links:

— “Views of mental, physical health lowest in almost 25 years: Gallup,” Filip Timotija, The Hill, March 13, 2025

Childhood Cancer Survivors Have Higher Suicidal Ideation Risk, Analysis Finds

Healio (3/13, Shinkle) reports an analysis found that “childhood cancer survivors in Europe exhibited higher risk for suicidal ideation than the general population.” Researchers analyzed “16 studies that examined suicide…or suicidal ideation.” Results showed “childhood cancer survivors exhibited significantly increased risk for suicidal ideation…but not for suicide…compared with the general European population.” A subgroup analysis “revealed a higher prevalence of suicidal ideation among childhood cancer survivors during active cancer treatment than during the rest of the follow-up period.” Investigators concluded, “Future research could further stratify childhood cancer survivors based on factors such as cancer type, treatment modality and socioeconomic background to provide a more nuanced understanding of suicidality risk.” The analysis was published in JAMA Network Open.

Related Links:

— “Suicidal ideation significantly higher among childhood cancer survivors,” Matthew Shinkle, Healio, March 13, 2025

E-Cigarette Use Linked To Lower Rates Of Smoking Among Young People, Analysis Finds

Healio (3/12, Kellner ) reports a meta-analysis found that “greater e-cigarette accessibility and use appeared to be associated with lower rates of smoking among young people.” A systematic review “of 126 studies evaluating the relationship between e-cigarette use and smoking among people aged 29 years or younger” concluded that “most population-level studies demonstrated that e-cigarette availability led to lower rates of smoking.” In contrast, nearly “all individual-level studies revealed a link between current vaping and future smoking among young people, but the researchers noted it was unclear whether there was a causal relationship.” Overall, the researchers “noted that their conclusions were based on very low certainty evidence and future research could yield different results,” but said the “study findings suggest that vaping may not increase smoking across populations of young people.” Findings from the analysis were published in Addiction.

Related Links:

— “Analysis suggests e-cigarette use may be linked to lower rates of smoking,” Sara Kellner, Healio, March 12, 2025

SAMHSA Staff Could Be Halved By Week’s End

The New York Times (3/12, Hoffman ) reports Substance Abuse and Mental Health Services Administration staff “could be cut by 50 percent” by the end of the week, according to senior staff officials. The federal agency’s “broad mandate includes overseeing 988, the National Suicide and Crisis Lifeline,” as well as “regulating outpatient clinics that dispense opioid treatment drugs such as methadone” and “directing funds to drug courts.” It also “provides best-practice training and resources for hundreds of nonprofits and state agencies” and acts as a “federal watchdog that closely monitors the spending of taxpayer-funded grants for mental health and addiction.” Rates of US overdose fatalities remain high, but they “have been declining consistently since 2023. Many drug policy experts say SAMHSA is the federal agency most directly responsible.” In interviews, current and former SAMHSA staff warn “the threat posed by layoffs and policy shifts is beginning to be felt at sites everywhere, from the heart of troubled city neighborhoods to rural outposts.”

Related Links:

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

Depressive Symptoms Increasing Among US Teenagers Who Do Not Engage In Risk Behaviors, Data Show

Healio (3/11, Herpen) reports data suggest that “an increase in depressive symptoms was observed among U.S. teenagers without, rather than with, behavioral risk factors, underscoring the need for greater screening in this population.” Results show that “depressive symptoms rose as much or more from 2007 to 2021 among students engaging in few or no risk behaviors as students who did engage in such behaviors, with the trend observed for both boys and girls.” Researchers found that “depressive symptoms increased in high school students from 28.4% in 2007 to 42.3% in 2021,” noting the “largest increases occurred among girls and non-Hispanic white students.” The data were published in The Lancet Regional Health Americas.

Related Links:

— “Depressive symptoms rising faster in US teens who do not engage in risk behaviors,” Robert Herpen, MA, Healio, March 11, 2025

Patients With Substance Use Disorder Most Likely To Go Out-Of-Network For Care, Study Finds

Psychiatric News (3/11) reports a study found that “patients with private insurance who saw behavioral health professionals went out-of-network for their care more often than their peers who received care from medical or surgical health professionals.” Researchers observed that “across all settings, patients with substance use disorder (SUD) were most likely to go out-of-network for care, followed by those with a mental disorder and those who received medical or surgical care.” The study was published in Psychiatric Services.

Related Links:

— “Out-of-Network Care More Common in Substance Use, Mental Disorder Treatment,” Psychiatric News, March 11, 2025

Alexithymia May Be Strong Influence In How Much Sensory Sensitivity People With Autism Spectrum Disorder Experience, Study Finds

Psychiatric News (3/10) reports a study found that “alexithymia – a condition associated with difficulty in identifying and describing one’s own emotions – may be a strong influence in how much sensory sensitivity people with autism spectrum disorder experience.” The researchers “conducted a series of modeling analyses to examine the interaction between the severity of alexithymia, sensory issues, and/or autism in” twin pairs in which at least one twin had autism. The analysis “found a strong correlation between autism and sensory symptoms; however, after controlling for alexithymia, the association between autism and sensory symptoms was no longer significant. In contrast, the correlation between alexithymia and sensory symptoms was significant, even after factoring in the influence of autism.” They concluded, “This suggests that alexithymia and sensory processing share genetic factors, independent of those that increase the likelihood of autism.” The study was published in Translational Psychiatry.

Related Links:

— “Sensory Sensitivity in People With Autism May Be Due to Emotional Blindness,” Psychiatric News, March10 , 2025

Physical Activity Has Strong Protective Effect On Neuropsychiatric Diseases, Study Suggests

Healio (3/10, Jenkins ) reports early study results suggest that “people who engage in moderate to vigorous physical activity may be less likely to develop dementia, stroke, anxiety, depression and sleep disorders compared with those with more sedentary behavior.” Researchers found that “moderate to vigorous physical activity had a strong protective effect on neuropsychiatric diseases…whereas more sedentary time was a risk factor.” They stated, “Our findings reinforce a dose-response relationship between physical activity and health benefits, supporting public health guidelines and highlighting exercise as a cost-effective and accessible preventive strategy, particularly for high-risk populations.” Preliminary results from the study will be presented at the American Academy of Neurology’s Annual Meeting.

Related Links:

— “Exercise tied to reduced risk for some neuropsychiatric diseases,” Cassandra Jenkins, Healio, March 10, 2025 — Free registration required