APA Official Says People Should Exercise At Home To Stay Healthy And Keep A Routine

CNBC (3/16, Stieg) reports the coronavirus pandemic “has meant millions of people around the world are adjusting to life indoors.” Joshua Morganstein, chair of the APA’s Committee on Psychiatric Dimensions of Disasters, said on CNBC that people should continue exercising to stay healthy and to try to maintain a routine as much as possible. The article then offers several recommendations on how to workout from home.

Related Links:

— “The best at-home workout streaming services to try during COVID-19, “Cory Stieg, CNBC, March 16, 2020

Coronavirus May Reportedly Heighten Preexisting Fears Of Illness Or Contamination In People With Anxiety Or OCD

The Washington Post (3/13, Schaaff) reported that people “with anxiety and obsessive-compulsive disorders are feeling an even heavier burden in these stress-producing times.” The article said, “Those whose therapy involves touching objects without washing their hands or overcoming an urge to avoid contact with potential germs now are seeing everyone around them washing their hands, stocking up on hand sanitizers and avoiding large gatherings.” The article quoted therapists who specialize in the treatment of anxiety disorders discussing how the news and public health advice could be potentially overwhelming for their patients.

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— “Requires Login and Subscription, The Washington Post

Older Adults May Face Increased Risk Of 1-Year Postoperative Mortality When They Have Cognitive, Psychological, And Functional Impairments, Study Shows

MedPage Today (3/11, Havinka) reports “Cognitive, psychological, and functional impairments increased the risk of 1-year postoperative mortality among older adults, according to national survey data.” Specifically, “in a cohort of 1,341 patients age 66 and older, individuals were significantly more likely to die within 1 year of major surgery if they had dementia…or depression…after adjusting for multimorbidity and surgery type, reported” study authors. The findings were published online in JAMA Surgery.

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Chronic Pain In Children May Lead To Anxiety And Depression, Child Psychiatrist Says

HealthDay (3/11) reports, “Chronic pain can keep kids from being social and active, leading to anxiety and depression…says” Taranjeet Jolly, MD, a child “psychiatrist at Penn State Health Milton S. Hershey Medical Center in Harrisburg,” PA. What’s more, “this can turn into a vicious cycle – worsening depression and anxiety can also worsen pain perception.” Parents should talk with their youngsters “about what’s going on and follow up with a pediatrician, he suggested.” If a child “is diagnosed with depression, follow up with a child psychiatrist, he advised.”

Related Links:

— “When Chronic Pain Leads to Depression in Kids, HealthDay, March 11, 2020

Alcoholics Anonymous, Twelve-Step Programs May Lead To Increased Rates, Lengths Of Abstinence Compared With Other Common Treatments, Systematic Review Indicates

The New York Times (3/11, Frakt, Carroll) reports, “An updated systematic review published” online March 11 in the Cochrane Database of Systematic Reviews “found that A.A. (Alcoholics Anonymous) leads to increased rates and lengths of abstinence compared with other common treatments.” Additionally, “Alcoholics Anonymous not only produced higher rates of abstinence and remission, but it also did so at a lower cost, the Cochrane review found. A.A. meetings are free to attend,” while treatments using the healthcare system can be expensive.

USA Today (3/11, Rodriguez, O’Donnell) reports the review “had the opposite findings of a similar study published by Cochrane in 2006 that found ‘no experimental studies unequivocally demonstrated the effectiveness of AA or TSF (Twelve-step facilitation) approaches for reducing alcohol dependence of problems.’”

Reuters (3/11, Carroll) reports, “In an analysis of pooled data from 27 earlier studies, researchers found a 20% higher rate of abstinence for one year among people who attended AA or a 12-step program that encourages participation in AA.” Included in the review were “studies that compared 12-step programs to other addiction treatments.” The 27 studies “included 10,565 patients with an average age of 34.”

Providing similar coverage are Newsweek (3/11, Crowley) and Healio (3/11, Gramigna).

Related Links:

— “Alcoholics Anonymous vs. Other Approaches: The Evidence Is Now In, “Austin Frakt and Aaron E. Carroll,  The New York Times,  March 11, 2020

Migrant Density May Reduce Risk For Psychotic Disorders Among Migrants And Their Children, Research Suggests

Healio (3/10, Gramigna) reports, “Migrant density may reduce risk for psychotic disorders among migrants and their children,” investigators concluded after collecting “Swedish register data of migrants and their children born between 1982 and 1996,” then tracking “participants from age 15 years or date of migration until study end, death or emigration and used an ICD-10 diagnosis of nonaffective psychosis as the outcome.” The findings of the 468,223-individual, “national, longitudinal cohort study” were published online March 5 in The Lancet Psychiatry.

Related Links:

— “Migrant density associated with risk for nonaffective psychosis, “Joe Gramigna, Healio, March 10, 2020

Reading Another Person’s Firsthand Account Of A Suicidal Crisis May Reduce Suicide Risk In Individuals With Suicidal Thoughts, Research Suggests

Medscape (3/10, Yasgur, Subscription Publication) reports, “Reading another person’s firsthand account of a suicidal crisis appears to reduce suicide risk in individuals with suicidal thoughts, even in persons who have previously attempted suicide,” researchers concluded. For the study, investigators randomized “266 adults…who had recently experienced suicidal ideation into three groups.” Of this group of people, “51 had attempted suicide within the past year.” The study revealed that “suicidal adults who read a first-person account by an individual who successfully coped with such a crisis experienced a 20% reduction in suicidal thoughts.” The findings were published online Dec. 17 in the British Journal of Psychiatry.

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In Small Study, Gabapentin Appears To Be Effective For Treating AUD

MedPage Today (3/9, Monaco) reports, “Gabapentin (Neurontin, Gralise) may be a useful aid for people suffering from alcohol use disorder (AUD),” research indicated. During the “16-week trial, 27% adults who met the criteria for AUD, and who received up to 1,200 mg a day of gabapentin, had no heavy drinking days versus only 9% of those on placebo.” the study revealed. The findings were published online March 9 in JAMA Internal Medicine.

Psychiatric News (3/9) reports the study “enrolled 96 adults who met the DSM-5 diagnosis for AUD, including alcohol withdrawal.”

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MedPage Today (requires login and subscription)

Suicide Rates Increasing Among US Farmers, Particularly In The Midwest

In a nearly 5,000-word feature piece, USA Today (3/9, Wedell, Sherman, Chadde) reports, “Farmers are among the most likely to die by suicide, compared with other occupations…a January study by the Centers for Disease Control and Prevention” concluded. That same study also revealed that “suicide rates overall had increased by 40% in less than two decades.” While suicides have “plagued agricultural communities across the nation,” the Midwest has seen a particular rise. There “extreme weather and falling prices have bludgeoned dairy and crop producers in recent years.” In fact, “more than 450 farmers killed themselves across nine Midwestern states from 2014 to 2018, according to data collected by the USA TODAY Network and the Midwest Center for Investigative Reporting.” These suicides also “coincide with the near-doubling of calls to a crisis hotline operated by Farm Aid, a nonprofit agency whose mission is to help farmers keep their land.”

Related Links:

— “Midwest farmers face a crisis. Hundreds are dying by suicide, “Katie Wedell, Lucille Sherman and Sky Chadde, USA TODAY, March 9, 2020

Nearly 20 Percent Of Informal Caregivers Report Being In Fair, Poor Health, Researchers Discover

Reuters (3/7, Crist) reported that “nearly one in five caregivers who support ill family members or friends describe their own health as fair or poor, according to a new U.S. study” published in the CDC Morbidity and Mortality Weekly Report. In that analysis, researchers found “overall, about one in five participants had provided care to a family member or friend in the previous 30 days, and another 17% expected to become caregivers in the next two years.” The study also discovered “nearly half of unpaid caregivers were under age 45.”

Related Links:

— “Informal caregivers often in poor health themselves, “Carolyn Crist, Reuters, March 7, 2020