Fraction Of People Diagnosed As Having MDD May Have Misdiagnosed BP-I, Survey Study Concludes

MedPage Today (11/10, DePeau-Wilson) reports, “A fraction of people diagnosed as having major depressive disorder (MDD) may have misdiagnosed bipolar I disorder (BP-I),” investigators concluded in a study revealing that “among more than 75,000 people surveyed online, 302 people with MDD had potentially misdiagnosed BP-I.” The findings were presented in a poster at the Neuroscience Education Institute Congress.

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Belief That LAI Antipsychotics For Schizophrenia Should Be Reserved For Patients With Severe Symptoms Or Adherence Issues May Be Contributing To Their Underutilization, Survey Study Suggests

MedPage Today (11/10, DePeau-Wilson) reports, “The belief that long-acting injectable (LAI) antipsychotics for schizophrenia should be reserved for patients with severe symptoms or adherence issues may be contributing to their underutilization,” researchers concluded in a 380-participant, “nationwide survey of psychiatric clinicians.” The survey study revealed that “low LAI prescribers were more likely to say these therapies should only be used for patients with more severe symptoms (50% vs 21% for high prescribers) or with adherence issues (82% vs 50%, respectively).” The findings were presented at the Neuroscience Education Institute Congress.

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History Of Violence, Having An Impulsive Or Behavioral Disorder May Be Predictors Of Substance Use Among Youths Admitted To A Child And Adolescent Psychiatry Inpatient Unit, Study Suggests

MedPage Today (11/9, DePeau-Wilson) reports, “A history of violence and having an impulsive or behavioral disorder were predictors of substance use among youths admitted to a child and adolescent psychiatry inpatient unit,” investigators concluded in a study that “reviewed 1,101 patient charts.” Additionally, “patient age was…a significant predictor of substance use,” the study revealed. The findings were disclosed in a poster presentation at the Neuroscience Education Institute Congress.

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Inpatient And Outpatient Volume Appear To Have Increased For Pediatric Patients With An Eating Disorder Following The Onset Of The COVID-19 Pandemic, Study Suggests

Healio (11/9, Weldon) reports, “Inpatient and outpatient volume increased for pediatric patients with an eating disorder following the onset of the COVID-19 pandemic,” researchers concluded after examining “data from 14 U.S. medical centers, as well as one private eating disorder program.” Following “an initial decline in admissions at the start of the pandemic lockdowns, the sites reported a significant increase in admissions of 7.2% per month through April 2021, followed by a 3.6% decrease per month through the following December.” The findings were published online Nov. 7 in JAMA Pediatrics.

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— “Eating disorder admissions increased after start of pandemic “Rose Weldon, Healio, November 9, 2022

Investigators Examine Racial, Ethnic Disparities In Buprenorphine Treatment

According to the New York Times (11/9, Baumgaertner), “even when Black and Hispanic patients start a prescription for buprenorphine – the most popular medication to help those in recovery fight cravings – the typical duration of their treatment is shorter than that of white patients,” investigators concluded in findings published online Nov. 9 in a research letter in JAMA Psychiatry. After sorting through “15 years of prescription data by race and ethnicity,” the study team found that “the percentage of minority patients who remained on buprenorphine for more than 180 days – the minimum recommended duration – was significantly below that of white patients.”

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— “Medication Treatment for Addiction Is Shorter for Black and Hispanic Patients, Study Finds “Emily Baumgaertner, The New York Times , November 9, 2022

Many adults in U.S. report sleep problems, disturbances, study shows

CNN (11/8, LaMotte) reports, “Americans are failing in their endless quest for adequate slumber, leading to deficits that can impact health, according to a” study that “analyzed sleep data on over 9,000 Americans age 20 and older collected by the National Health and Nutrition Examination Survey between 2017 and March 2020.” Nearly “30% of respondents had trouble falling or staying asleep and about 27% were very sleepy during the day, according to the study.” The findings published in JAMA Network Open also revealed that “over 30% of adults reported an hour of sleep debt…while nearly 1 in 10 adults had a sleep debt of two hours or more.”

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— “Sleep deprivation affects nearly half of American adults, study finds “Sandee LaMotte, CNN, November 8, 2022

Medical Groups Warn President Biden EDs Are Reaching “Breaking Point” Amid Lack Of Beds, Staffing Shortages

The Hill (11/8, Choi) reports, “A group of medical organizations on Monday warned President Biden that hospital emergency departments were reaching a ‘breaking point’ as they deal with influxes of patients seeking beds that are not available.” The organizations, including the American Psychiatric Association, “cautioned that the issue of ‘boarding,’ keeping admitted patients in emergency departments due to lack of space, has been brought to a ‘crisis point’ by staffing shortages.” The groups in a letter to Biden “stated that the issue is driving an ‘exodus of excellent physicians, nurses and other health care professionals.’”

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— “Biden warned staffing shortages sparking exodus of emergency room physicians, nurses “Joseph Choi, The Hill, November 8, 2022

Change In Depressive Symptoms May Be Tied To Change In Body Weight, Study Indicates

Healio (11/8, Welsh) reports, “For individuals, a change in depressive symptoms was associated with change in body weight, and the association was stronger for those with overweight or obesity than those with a normal BMI,” researchers concluded in a study that “collected data monthly on mental health and body weight from August 2020 to April 2021 for 2,133 U.K. adults.” Next, “using random intercepts regression models, researchers assessed associations of depression, anxiety and stress with weight.” The findings were presented at Obesity Week 2022.

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— “Change in depressive symptoms may predict change in BMI “Erin T. Welsh, Healio, November 8, 2022

Adolescents who vape are starting younger, vaping more intensely, study finds

CNN (11/7, Howard) reports on research finding that though a smaller percentage of teens use e-cigarettes, “those who do vape are starting younger and they’re using e-cigarettes more intensely.” According to the study, among teens who “only use e-cigarettes, the percentage who used the products within the first five minutes of waking up in a day was less than 1% between the years 2014 and 2017, but that shifted to 10.3% from 2017 through 2021.” Additionally, “among adolescents who currently use any type of tobacco product, the proportion whose first-ever use of a product at a young age was an e-cigarette increased from 27.2% in 2014 to 78.3% in 2019, and remained at 77% in 2021.” The findings were published in JAMA Network Open.

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— “More adolescent e-cigarette users report vaping within five minutes of waking up, new study finds “Jacqueline Howard, CNN, November 7, 2022

Women’s Group Sessions At Single Psychiatric Unit Improve Participants’ Understanding, Comfort Discussing Reproductive Health, Small Survey Shows

MedPage Today (11/7, DePeau-Wilson) reports, “Women’s group sessions conducted at a single psychiatric unit improved participants’ understanding and comfort discussing topics related to reproductive health, according to survey data from a small trial program.” Following “13 sessions, all of the 32 participants said they better understood the contraceptive options available to them and reported feeling better prepared to seek the contraceptive methods that were most appropriate for them, noted” researchers in a presentation during the 2022 Neuroscience Education Institute Congress.

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