The New York Times (12/2, Friedman) reported, “Americans are five times more likely to say their stress level increases rather than decreases during the holidays,” And while such “higher stress levels aren’t only caused by a lack of physical activity, the lethargy certainly doesn’t help, said” Rebecca Brendel, MD, JD, “President of the American Psychiatric Association and an Associate Professor of Psychiatry at Harvard University Medical School.” Because “exercise can be a key way to combat the stress of the season,” the article provided “easy fitness strategies” to help people keep their spirits up.

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— “Stressed During the Holidays? There’s an Exercise for That. “Danielle Friedman, The New York Times, December 2, 2022

According to the Washington Post (12/5, A1, St. George, Strauss), across the US, “adolescent depression and anxiety – already at crisis levels before the pandemic – have surged amid the isolation, disruption and hardship of” the COVID-19 pandemic. However, “even as federal coronavirus relief money has helped schools step up their efforts to aid students, they also have come up short,” and it still remains “unclear how much money is going to mental health, how long efforts will last or if they truly reach those who struggle most.”

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Healio (12/1, Downey) reports, “Childhood poverty was associated with increases in externalizing problems,” such as “aggression and hyperactivity,” but “not internalizing” (i.e., depression, anxiety), “over time in early adolescence,” investigators concluded in a study that included 7,569 children, 1,042 of whom “lived below the poverty threshold.” The findings were published online in JAMA Network Open.

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— “Poverty linked to externalizing problems in early adolescence “Ken Downey Jr., Healio, December 1, 2022

The Washington Post (12/1, Reynolds Lewis) reports, “The stress of pandemic lockdowns prematurely aged the brains of teenagers by at least three years and in ways similar to changes observed in children who have faced chronic stress and adversity,” according to a study published in Biological Psychiatry: Global Open Science. Researchers compared “MRI scans of a group of 128 children, half taken before and half at the end of the first year of the pandemic” and “found growth in the hippocampus and amygdala, brain areas that respectively control access to some memories and help regulate fear, stress and other emotions.” Researchers “also found thinning of the tissues in the cortex, which is involved in executive functioning.”

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Medscape (7/6, Subscription Publication) reported, “High use of telemental health services by patients with serious mental illness (SMI) who live in nonmetropolitan US counties is associated with improvements in key outcomes, including greater post-hospitalization follow-up, new research suggests.” In this “nationwide study, researchers drew on Medicare data from nearly 3000 counties covering the period from 2000 to 2018.” The “results show that counties in which there was greater use of telemental health services reported higher increases of clinical visits and better follow-up after hospitalization among patients with bipolar 1 disorder and schizophrenia or other psychotic disorders.” The findings were published online June 27 in JAMA Network Open.

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Medscape (10/21, Swift Yasgur, Subscription Publication) reported, “Menopause appears to be an independent risk factor for relapse in women with schizophrenia spectrum disorders (SSDs),” investigators concluded after having “studied a cohort of close to 62,000 people with SSDs, stratifying individuals by sex and age.” The study revealed that beginning “between the ages of 45 and 50 years – when the menopausal transition is underway – women were more frequently hospitalized for psychosis compared with men and women younger than 45 years.” What’s more, the “protective effect of antipsychotic medication was highest in women younger than 45 years and lowest in women aged 45 years or older, even at higher doses.” The findings were published online Oct. 5 in the journal Schizophrenia Bulletin.

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According to the AP (10/22, Ungar), “a growing body of research shows that bipolar disorder, schizophrenia and the in-between diagnosis of schizoaffective disorder share common genetic underpinnings as well as overlapping symptoms and signs.” Some investigators, however, “while acknowledging common genetic underpinnings of bipolar, schizoaffective disorder and schizophrenia, are skeptical about framing them as on a psychosis continuum, particularly if that leads to changing categories” used “to diagnose people with each disorder.” Those experts “say the current criteria are useful in deciding treatment and care.”

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— “Genes link bipolar, schizophrenia, once thought unrelated “Laura Ungar , AP, October 22, 2022

MedPage Today (11/7, DePeau-Wilson) reported, “Using long-acting injectable (LAI) antipsychotic therapies rather than oral agents for schizophrenia was tied to demographic and clinical factors, a single-center retrospective cohort study suggested.” Younger age “predicted which patients received LAI antipsychotic treatment,” and “length of first admission also predicted LAI use…said” one researcher. The findings of the 246-patient study were presented at the 2022 Neuroscience Education Institute Congress.

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USA Today (11/28, Ryu) reported, “Schizophrenia is a lifelong, psychotic disorder that affects fewer than 1% of the U.S. population, but is one of the most stigmatized mental illnesses,” affecting “how people think, feel and act.” While “people have also associated it with mass violence or shootings,” mental health clinicians “warn the relationship between schizophrenia and violence is often oversimplified and rarely ever causal.” Even though “it’s true that some may exhibit aggression or unpredictability when their symptoms go untreated or when combined with substance use, research has supported that most are not actually violent.” In fact, “serial killers are more likely to exhibit antisocial personality disorders (such as sociopathy or psychopathy), according to the American Psychiatric Association, and those with schizophrenia are at increased risk of becoming victims, rather than perpetrators, of violence.”

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— “Do you really know what schizophrenia is? Most people don’t. “Jenna Ryu, Jenna Ryu, November 28, 2022

MedPage Today (11/30, DePeau-Wilson) reports, “A simulated driving program reduced inattention and risk of crashing among teens with” attention-deficit/hyperactivity disorder (AD/HD) “compared with conventional driver’s training, according to a small study” of 152 teens “that used a program combining computer-based and driving simulator training.” During the “15-minute simulated drives, teens in the training group had a mean of 16.5 long glances…from the road per drive compared with 28.0 long glances per drive in those who did not undergo the training at 1 month…and 15.7 versus 27.0 long glances, respectively, at 6 months…reported” investigators online in The New England Journal of Medicine. American Psychiatric Association Council on Children, Adolescents, and Their Families Chair Anish Dube, MD, MPH, who was not involved in the study, said, “Any kind of interventions that you have that are reducing or minimizing that risk of adverse events, I think these are steps in the right direction.”

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