Digital Health Technologies May Circumvent Barriers To Treating Patients With OCD, Experts Posit

Psychiatric News (3/30) reports, “People with obsessive-compulsive disorder (OCD) can benefit from medication and/or psychotherapy that teaches them to confront situations that trigger obsessive fears while refraining from performing compulsions,” but “for many with OCD, these therapies may be out of reach due to therapists’ availability, cost, location, and more,” investigators concluded. Now, “increasing evidence suggests that digital health technologies, including videoconferencing and other approaches (for example, online platforms, websites, and mobile applications) can circumvent these barriers,” experts concluded in an column published online March 26 in Psychiatric Services, a publication of the American Psychiatric Association.

Related Links:

— “Psychiatrists Offer 5 Strategies for Integrating Videoconferencing Into OCD Treatment, Psychiatric News, March 30, 2021

About 20% Of High School Students In Colorado Reported Having Handgun Access, Data Indicate

HealthDay (3/29, Murez) reports, “About 20% of high school students” in Colorado “reported having handgun access,” investigators found after reviewing “data from the Healthy Kids Colorado Survey, which is used to assess health behaviors, risk and protective factors among more than 46,000 students.” The study also revealed that “students who were American Indian, multiracial or white reported significantly higher access than Hispanic, Black or Asian American students.” The findings were published online March 29 in the Journal of Pediatrics.

Related Links:

— “1 in 5 Colorado Teens Has Easy Access to a Gun: Study “Cara Murez, HealthDay, March 29, 2021

Cannabis Almost as Addictive as Opioids Among Teens, Study Finds

Bloomberg (3/29, Kary) reports, “Teenagers’ addiction rates for cannabis are about the same as for prescription opioids,” researchers concluded in a study “based on data from 2015 to 2018 collected by national surveys done by an agency of the U.S. Department of Health and Human Services.” The study revealed that one “year after first trying cannabis, almost 10.7% of adolescents age 12 to 17 met the criteria of addiction.” Teens “in the same age group who tried prescription opioids had a similar addiction rate of 11.2%.”

HCPlive (3/29, Kunzmann) reports, “Substance use disorder is more prevalent among cannabis and prescription” medication “users who initiated use in their adolescence than in their early adulthood,” researchers also concluded. The findings were published online March 29 in a research letter in JAMA Pediatrics.

Related Links:

— “Cannabis Almost as Addictive as Opioids Among Teens, Study Finds “Tiffany Kary, Bloomberg, March 29, 2021

Studies Examine Need For Mental Healthcare Services Among US Children And Teens

Modern Healthcare (3/29, Johnson, Subscription Publication) reports that “despite the need for” mental healthcare services, “many of the same barriers that have been responsible for hindering access to behavioral healthcare services in the past,” such as shortages of clinicians, “narrow networks and weak reimbursement,” still exist and have been exacerbated by the COVID-19 pandemic. Figures from the American Academy of Pediatrics reveal that “there are about 9.75 pediatric psychiatrists for every 100,000 children in the U.S., with some states having fewer than four for every 100,000.” With the majority of mental health professionals “concentrated in urban areas, the current supply levels leave about 70% of counties without a child psychiatrist.”

HealthDay (3/29, Collins) reports, “Over half of high-risk children in the United States are not receiving behavioral health services critical to their mental, emotional and physical well-being,” investigators concluded after examining “the results from three national surveys of children’s exposure to violence, which included nearly 12,000 kids aged 10 to 17 and caregivers of children aged two to nine.” Researchers “found that between 41% and 63% of high-risk youths surveyed went without any professional help.” The findings were published online March 15 in JAMA Network Open.

Psychiatric News (3/29) reports, “Roughly one in five U.S. adolescents received mental health care between 2005 and 2018, with the greatest proportion receiving care for internalizing mental health conditions such as depression and suicidal ideation,” investigators concluded after examining “data from 230,070 adolescents aged 12 to 17 years who were interviewed as part of the National Survey on Drug Use and Health from January 1, 2005, through December 31, 2018.” The findings were published online March 25 in JAMA Psychiatry.

Related Links:

— “Why Are Half of U.S. Kids With Mental Health Issues Not Getting Treatment? “Sarah Collins, HealthDay, March 29, 2021

Remote Learning Reportedly Allowing Many Students To Get More Sleep

The Washington Post (3/26, Ellison) reported, “Sleep-deprived adolescents – forced for generations to wake for school before the chimes of their circadian clocks – have had an unexpected break amid the anxiety and losses of the pandemic,” as “remote learning has allowed many of them to stay in bed an extra hour or more, providing a ‘natural experiment’ that sleep experts hope will inform the long and stubborn debate over school starting times.” But “so far, many results are anecdotal.” While “some kids are sleeping longer and more soundly, starting classes ready and refreshed,” other kids “are tossing and turning, beset by anxiety or staying up later staring at screens.” But these “varying experiences offer families and schools a glimpse of the effects of later schedules – and the possibility that the past year will yield enough evidence to persuade schools to follow scientists’ guidance to begin the school day no earlier than 8:30 a.m.”

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— “The Washington Post (requires login and subscription)

More Young Adults In US Report Feeling Anxious, Depressed During Past Six Months Of Pandemic, Study Finds

Reuters (3/26, Chander) reported, “More young adults in the United States reported feeling anxious or depressed during the past six months of the COVID-19 pandemic, and fewer people reported getting the help they needed, according to a U.S. government study released on Friday.” According to the story, “the percentage of adults under age 30 with recent symptoms of an anxiety or a depressive disorder rose significantly about five months after the U.S. imposed COVID-19 related lockdowns, and reported rising deaths from the fast-spreading virus.” Specifically, “Between August 2020 and February 2021, this number went up to 41.5% from 36.4%, as did the percentage of such people reporting that they needed, but did not receive, mental health counseling.”

Newsweek (3/27, Fearnow) reported that the study was published Friday in the CDC’s Morbidity and Mortality Weekly Report.

Related Links:

— “More under-30 Americans report anxiety, depression during pandemic – CDC “Vishwadha Chander, Reuters, March 26, 2021

People With Schizophrenia, Co-Morbid Insomnia May Be At Increased Risk For Suicidal Ideation, Recent Suicide Attempt, and Greater Psychopathology, Research Suggests

Healio (3/26, Gramigna) reported, “Individuals with schizophrenia and co-morbid insomnia were at increased risk for suicidal ideation, recent suicide attempt and greater psychopathology,” researchers concluded after using “regression models to evaluate associations between current insomnia; suicidal ideation over the past two weeks; suicide attempt in the past six months evaluated via either the Calgary Depression Scale for Schizophrenia or self-report; and current psychopathology for individuals with baseline data from the Clinical Antipsychotic trials of Intervention Effectiveness.” The article does not disclose the number of study participants. The findings were published online March 23 in the Journal of Clinical Psychiatry.

Related Links:

— “Insomnia tied to increased risk for suicidality in people with schizophrenia “Joe Gramigna, Healio, March 26, 2021

People Who Suffer Abuse As Children May Continue To Have Higher Levels Of Inflammatory Biomarkers As Adults, Small Study Indicates

Medscape (3/25, Lowry, Subscription Publication) reports, “People who suffer abuse as children continue to have higher levels of inflammatory biomarkers as adults, likely placing them at increased risk for chronic health problems,” researchers concluded. In an 85-participant study “assessing trajectories of inflammation over a three-year period in healthy adults, those who reported higher rates of physical, sexual, or emotional abuse had higher levels of bio-inflammatory blood markers vs those who reported lower rates of abuse,” the study revealed. In addition, “these individuals…had significantly higher rates of loneliness and depression.” The findings were presented at the virtual Anxiety and Depression Association of America Conference 2021.

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Medscape (requires login and subscription)

Telehealth Treatment In Intensive Acute Care Psychiatric Setting May Be Tied To Equivalent Patient Satisfaction As In-Person Treatment, Researchers Say

Healio (3/25, Gramigna) reports, “Telehealth treatment in an intensive acute care psychiatric setting was associated with equivalent patient satisfaction as in-person treatment,” researchers concluded in a study that “analyzed data of 207 individuals treated virtually between May 2020 and September 2020, as well as of a comparison group of 207 individuals treated in the in-person partial program the year prior.” The findings were published online March 16 in the Journal of Clinical Psychiatry.

Related Links:

— “Patient satisfaction high for psychiatric telehealth platforms in partial hospital program “Joe Gramigna, Healio, March 25, 2021

Certain Non-Medication Approaches May Be As Good, Better Than Medication In Treating Depression In Patients With Dementia, Systematic Review Suggests

HealthDay (3/25, Preidt) reports, “Exercise, mental stimulation and massage are among the drug-free therapies that are as good or better than medication in treating depression in” patients with dementia, investigators concluded after systematically reviewing “256 studies that ncluded a total of more than 28,000 people with dementia with or without major depression.” The findings of the systematic review were published online March 24 in the BMJ.

Related Links:

— “‘Non-Drug’ Approaches Can Fight Depression in People With Dementia “Robert Preidt, HealthDay, March 25, 2021