Opinions Vary And No National Standards Exist On Role Of Urine Testing To Monitor Adults Who Take Medications For AD/HD

Kaiser Health News (3/25, Zionts) reported, “Some adults who take prescription medication for attention-deficit/hyperactivity disorder” (AD/HD) “are required to have their urine tested for drugs several times a year,” whereas “others never are tested.” Several physicians “told KHN there are varying opinions and no national standards on the role of urine testing to monitor adults who take” medications for AD/HD, “so patients face dramatically different requirements, depending on their clinics’ and health insurers’ policies.”

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— “Some ADHD patients are drug-tested often, while others are never asked “Arielle Zionts, Kaiser Health News , March 25, 2023

Teens with closer relationships to parents have lower chance of substance abuse

HealthDay (3/23) reports, “Teens who report better relationships with their moms and dads are healthier both mentally and physically and less likely to abuse drugs or alcohol as young adults, according to researchers.” The study also reveals that these teens “reported lower levels of stress and depression, as well as lower use of nicotine, alcohol, cannabis and other drugs.” The findings were published in JAMA Network Open.

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— “Close Bond With Your Teen Can Keep Them Physically Healthy, Too: Study “Denise Mann, HealthDay, March 23, 2023

SUDs Appear To Share Common Genetic Signature, Genome-Wide Association Study Suggests

Medscape (3/23, Brooks, Subscription Publication) reports, “Substance use disorders (SUDs), including alcohol, tobacco, cannabis, or opioids, appear to share a common genetic signature,” researchers concluded in a “genome-wide association study” that “looked for variations in the genome that were closely associated with SUDs in more than one million people of European ancestry and 92,630 people of African ancestry.” The findings were published online March 22 in the journal Nature Mental Health.

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Lawmakers From Several States Seeking To Address Eating Disorder Crisis

According to the AP (3/23, Stobbe), “lawmakers in Colorado, California, Texas, New York and elsewhere are taking big, legislative swings at the eating disorder crisis.” Proposed legislation from “across the U.S.” includes “restricting social media algorithms from promoting potentially harmful content; prohibiting the sale of weight loss pills to minors; and adding eating disorder prevention into middle and high school curriculums.” The proposals follow “a spike in eating disorder cases as pandemic lockdowns pushed youth into long bouts of isolation.”

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— “Surge in eating disorders spurs state legislative action “Jesse Bedayn, AP, March 23, 2023

Relentless Online Exposure To Largely Unattainable Physical Ideals May Be Driving Up Risk For Eating Disorders, Particularly Among Young Girls, Scoping Review Suggests

According to HealthDay (3/23, Mozes), “a broad new” scoping “review of 50 recent studies across 17 countries finds that relentless online exposure to largely unattainable physical ideals may be driving up the risk for eating disorders, particularly among young girls.” The findings were published online March 22 in the journal PLOS Global Public Health.

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— “Too Much Social Media Could Raise Risk for Eating Disorders “Alan Mozes, HealthDay, March 23, 2023

CDC Studies Examine Rising Prevalence Of ASD In US Children, Pandemic’s Effect On Detection Of ASD In Younger Children

The New York Times (3/23, Anthes) reports, “The prevalence of autism spectrum disorder” (ASD) in US “children rose between 2018 and 2020, continuing a long-running trend, according to a” CDC study published online March 24 in its Morbidity and Mortality Weekly Report. The study revealed that “in 2020, an estimated one in 36 eight-year-olds had autism, up from one in 44 in 2018,” with rates appearing to rise faster for Black and Hispanic youngsters than for white children. What’s more, “an accompanying study, also published on” March 24, indicates that “the pandemic may have disrupted or delayed the detection of autism in younger children.” The findings from both studies “are based on data from the Autism and Developmental Disabilities Monitoring Network, which has used health and education records to track autism in communities across the United States since 2000.”

The AP (3/23, Slevin, Bedayn) reports, “To estimate how common autism is, the CDC checks health and school records in 11 states and focuses on eight-year-olds, because most cases are diagnosed by that age.” While “other researchers have their own estimates…experts say the CDC’s estimate is the most rigorous and is considered the gold standard.”

According to Reuters (3/23, Steenhuysen), the second study “focused on early intervention, researchers compared the rates of autism identification of four-year-olds in 2020 to what eight-year-olds had received four years earlier.” The study found that “during the first three months of 2020, four-year-olds were getting many more evaluations and services for autism,” but “when the pandemic hit in March 2020, ‘there was a very striking drop-off in those autism identification services being received,’ study author Kelly Shaw of the CDC said in an interview.”

Also covering the story are Healio (3/23, Weldon) and HealthDay (3/23, Murez).

Related Links:

— “Autism Prevalence Rises Again, Study Finds “Emily Anthes, The New York Times, March 23, 2023

Drug Shortages Increased By Nearly 30 Percent Last Year Compared With 2021, Senate Committee Report Says

NBC News (3/22, Shabad, Tsirkin) reports, “Children’s medication, antibiotics and treatment for ADHD are among a number of drugs that have been in short supply in recent months – and these shortages of critical medications are only rising, according to a new report” prepared “by Democrats on the Senate Homeland Security and Governmental Affairs Committee.”

According to the New York Times (3/22, Jewett), the report “found that drug shortages increased by nearly 30 percent last year compared with 2021, with an average shortage lasting 18 months and some spanning 15 years.”

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— “Drug shortages are rising and pose a national security risk, new report warns ” Rebecca Shabad and Julie Tsirkin, NBC News, March 22, 2023

Survey Reveals Gaps In Parents’ Understanding Of Their College Students’ Mental Health Problems

Psychiatric News (3/22) reports, “College students are far more likely to report having experienced an eating disorder, depression, or suicidal ideation compared with what parents report knowing about their children’s experiences with mental illness, according to” the 2022 College Student Behavioral Health Report (PDF), published March 22 by United Healthcare. The report, which “was conducted by YouGov, an international Internet-based market research and data analytics firm,” surveyed “1,034 participants, 506 of whom were current college students, and 528 of whom were the parents of college students.”

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— “Parents May Underestimate Frequency of Mental Health Concerns Among College Students, Psychiatric News, March 22, 2023

Greater social support for older adults with depression may help boost verbal functioning

MedPage Today (3/21, Monaco) reports, “Greater social support for older adults with depression helped boost verbal functioning, researchers” concluded. In the “cross-sectional study” involving “54 participants with an average age of 72,” researchers found that “seniors with major depressive disorder tended to score higher on phonemic fluency – measured by Controlled Oral Word Association Test…– when they had higher levels of perceived social support.” What’s more, “this association went both ways,” the study revealed. The findings were published online March 21 in a research letter in JAMA Network Open.

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Women With Severe Mental Illness Less Likely To Receive Recommended Treatment For Breast Cancer, Review Suggests

Psychiatric News (3/21) reports, “Women with severe mental illness (SMI) – such as schizophrenia, bipolar disorder, or major depression — are less likely to receive recommended treatment for breast cancer than those without SMI, according to a [new] report.” Researchers “included 13 studies in the review, which included a total of 299,193 participants.” Among “these, four studies estimated the odds of receiving guideline-appropriate breast cancer treatment in people with schizophrenia and related psychotic disorders and/or mood disorders.” The review was published online March 9 in Psycho-Oncology.

Related Links:

— “Breast Cancer in Women With Severe Mental Illness Often Undertreated, Review Suggests, Psychiatric News, March 21, 2023