CDC Report: LGBTQ People With Underlying Health Issues Face Higher COVID-19 Risks

The Washington Post (2/17, Schmidt) reports that a “report the CDC released this month found that gay, lesbian and bisexual people in the United States have higher rates of self-reported underlying conditions associated with severe covid-19 outcomes, including asthma, cancer, heart disease, obesity, kidney disease and stroke, than heterosexual people.” Within this community, “Black and Hispanic people are particularly vulnerable, according to the report, which relied on 2017-2019 data from a collection of population health surveys called the Behavioral Risk Factor Surveillance System.” But “as the report’s authors point out, no one knows the true toll of the virus on that community – because the United States is not collecting the data necessary to study it.”

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— “The Washington Post (requires login and subscription)

Mental Illness Linked To Poorer Physical Health And Accelerated Aging Later In Life, Study Indicates

CNN International (2/17, Rogers, Rogers) reports researchers found that people with mental illness early in life may have “poorer physical health and accelerated aging in adulthood.” The findings were published in JAMA Psychiatry. Dr. Brent Forester, a member of APA’s Council on Geriatric Psychiatry, said, “We think about depression as a disease that originates in the brain with chemical disturbances and things like that. But depression probably is a systemic illness that affects the entire body. The longer I’ve done this work, and the longer that I’ve worked with older adults in particular, the more I think of psychiatric illness as not a brain disorder, but as a whole-body disorder.”

Psychiatric News (2/17) reports the association remained “even after controlling for a host of other factors that might explain early aging, such as poor health in childhood; being overweight; smoking; or a history of cancer, diabetes, or heart attack.”

Healio (2/17, Gramigna) also covers the study.

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— “People with multiple mental disorders may age several years faster, study finds “Kristen Rogers, CNN, February 17, 2021

Recreational Substance Use Appears To Be Associated With Premature ASCVD, Study Suggests

HealthDay (2/16) reports recent research suggests recreational “substance use is associated with an increased likelihood of premature and extremely premature atherosclerotic cardiovascular disease (ASCVD).” In the study, researchers “found that patients with premature ASCVD had significantly higher use of tobacco, alcohol, cocaine, amphetamine, and cannabis compared with patients with nonpremature ASCVD.” The findings and an accompanying editorial were published in the journal Heart.

MedPage Today (2/16, Lou) also reports on the study.

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— “Recreational Substance Use Linked to Premature Atherosclerotic CVD, HealthDay, February 16, 2021

Young Teenage Girls Who Spend More Time On Social Media Than Their Peers Are More Likely To Die By Suicide, Study Indicates

HealthDay (2/16, Mozes) reports researchers found in a long-term study that young teenage girls who spend more time on social media than their peers are more likely to die by suicide. The findings were published in the Journal of Youth and Adolescence.

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— “As Social Media Time Rises, So Does Teen Girls’ Suicide Risk ” Alan Mozes, HealthDay, February 16, 2021

Switching Patients With Serious Mental Illness Who Take One Or More Antipsychotics To Aripiprazole Or Ziprasidone May Lead To Weight Loss And Other Cardiometablic Improvements, Review Study Indicates

Psychiatric News (2/16) reports “switching patients with serious mental illness who are taking one or more antipsychotics to aripiprazole or ziprasidone may lead to weight loss and other cardiometabolic improvements,” according to a meta-analysis published in Schizophrenia Bulletin. The researchers “analyzed 61 articles, which described studies of 8,554 people (mean age, 39 years) – the majority of whom had been diagnosed with schizophrenia or schizoaffective disorder, bipolar disorder, or comorbid mental disorders.”

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— “Switching to Aripiprazole or Ziprasidone May Reduce Weight Gain in Patients Taking Antipsychotics, Psychiatric News, February 16, 2021

Experts Say The COVID-19 Pandemic Has Had A Severe Impact On The Mental Health Of Frontline Medical Workers

ABC News (2/16, Reshef, Schwartz-Lavares, Moll-Ramírez) reports experts say healthcare workers who have been on the frontlines of the COVID-19 pandemic “will have to face a mental health reckoning after being in the trenches fighting the global pandemic.” ABC News adds, “Experts say there is still not enough data to assess the psychological toll COVID-19 has had on physicians in the past year.” Some healthcare workers, including Dr. Lorna Breen at New York-Presbyterian Allen Hospital, have died by suicide during the pandemic, due to the trauma of the pandemic, according to their families and friends. Before the pandemic, 300-400 physicians died by suicide each year, according to the APA.

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— “An urgent mental health crisis: Health workers facing immense psychological toll from pandemic “Erielle Reshef,Ashley Schwartz-Lavares, and Victoria Moll-Ramirez, ABC News, February 16, 2021

Professionals “Increasingly Alarmed” By “Deteriorating Mental State Of Young People”

The New York Times (2/14, Kwai) reports that with COVID restrictions “set to drag into the spring or even the summer, mental health professionals are growing increasingly alarmed about the deteriorating mental state of young people, who they say have been among the most badly affected by a world with a foreshortened sense of the future.” The Times says that as they remain “last in line for vaccines and with schools and universities shuttered, young people have borne much of the burden of the sacrifices being made largely to protect older people, who are more at risk from severe infections.”

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— “‘What’s the Point?’ Young People’s Despair Deepens as Covid-19 Crisis Drags On ” Isabella Kwai and Elian Peltier, The New York Times, February 14, 2021

Some Psychiatrists Say Telepsychiatry Appointments Can Offer Unique Benefits

Medscape (2/12, James, Subscription Publication) reported that one of the reasons the APA is pushing for changes in reimbursement to telemedicine appointments to be made permanent is that some psychiatrists, such as Dr. Manuel Pacheco at Tufts Medical Center, say they have seen benefits from telepsychiatry visits. Dr. Pacheco, who is “on an APA committee that’s endorsed that shift in reimbursement to be permanent,” said, “I can hear their cat or their dog. Even on telephone visits, you can kind of hear how the patient lives…. So it really helps you to have increased access to your patient.” Medscape added, “The APA is also calling for research to gain an understanding of the pandemic’s full impact and to document and measure all the ways it is changing barriers and driving innovation in what it describes as the landscape of healthcare delivery.”

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Medscape (requires login and subscription)