Young Athletes At Risk For Certain Health Problems

In a piece directed to parents, HealthDay (8/1, Canter) reports, “Young” female athletes “who eat too little risk menstrual irregularity, weak bones and eating disorders.” Some sports appear to be “riskier than others” when it comes to eating issues, “namely those that involve endurance or weight-classes and those that emphasize appearance, especially thinness.”

In another parent-focused piece, HealthDay (8/1, Canter) reports, “Exercise has many health benefits for boys,” but “some sports come with cautions, especially those with weight classes that could lead to excessive dieting or even anorexia.” A physician’s “evaluation is important if you see signs for concern.”

Related Links:

— “Is Your Daughter, the Athlete, Eating Enough?, ” Len Canter, HealthDay, August 01, 2019

High Remission Rates May Be Observed In Patients With Three Or More Follow-up Visits After Routine Depression Screening And Treatment, Researchers Say

Healio (8/1, Miller) reports, “High remission rates were observed in patients with three or more follow-up visits after routine depression screening and treatment,” researchers concluded after utilizing “VitalSign6 – a software program that utilizes the PHQ-9 screening tool and supports treatment decisions – on a convenience sample of 25,000 patients (mean age, 40.88 years) who were previously screened with the PHQ-2.” The findings were published in the July/August issue of the Annals of Family Medicine.

Related Links:

— “Remission rates high among patients with multiple follow-up visits for depression, “Janel Miller, Healio, August 01, 2019

Ruling On “Junk” Medical Insurance Plans Will Put People With Mental Illness At Risk, APA President Says

Medscape (8/1, Young, Subscription Publication) reports, “A coalition of health groups,” including the American Psychiatric Association (APA), “is continuing its legal challenge to the Trump administration’s policy that allows extended use of short-term medical insurance plans,” contending that such “‘junk’ plans put consumers at risk of being unable to afford care if they fall seriously ill, despite having purchased insurance.” On July 29, the coalition “filed an appeal to a July 19 ruling from Judge Richard Leon of the US District Court for the District of Columbia,” but the judge “found against arguments presented by…members of the coalition in a 2018 court filing.” The judge’s “ruling will put people with mental illness at risk, said APA president Bruce Schwartz, MD.” In a statement, Dr. Schwartz said, “These plans could be catastrophic for many Americans with mental illness or substance use disorders if these disorders are excluded from coverage.”

Related Links:

— “APA, Others Battle Trump Policy of Extended Use of ‘Junk’ Insurance, “Kerry Dooley Young, Medscape, August 01, 2019

Clozapine May Be Associated With Better Effectiveness Outcomes Compared With Nonclozapine Second-Generation Antipsychotics, Meta-Analysis Indicates

Healio (7/31, Demko) reports, “Clozapine was linked to an 18% lower risk for hospitalization and 27% lower risk for all-cause discontinuation compared with nonclozapine second-generation antipsychotics, despite greater illness severity in patients with schizophrenia receiving clozapine,” researchers concluded. The 63-cohort study meta-analysis also revealed, however, that clozapine use was “associated with a higher risk for cardiometabolic-related outcomes.” The findings were published online July 31 in JAMA Psychiatry. The author of an accompanying editorial observed, “The meta-analysis…supports evidence that clozapine is effective as it is used in the real world.” MD Magazine (7/31, Walter) also covers the study.

Related Links:

— “Clozapine tied to better effectiveness outcomes than other second-generation antipsychotics, “Savannah Demko, Healio, July 31, 2019

Stigma About Being Overweight May Cause Physical And Emotional Harm To Men, Study Indicates

HealthDay (7/31, Preidt) reports, “Stigma about being overweight can cause physical and emotional harm to men,” researchers concluded after surveying some “1,750 men across the” US. The study revealed that “weight-related stigma (both internalized and from other people) was associated with higher rates of depressive symptoms and dieting.” The findings were published online in the journal Obesity.

Related Links:

— “Overweight Men May Feel Stigmatized, Too, ” Robert Preidt, HealthDay, July 31, 2019

Youth With Bipolar Disorder Who Take Lithium May Be Less Likely To Attempt Suicide Than Those Who Take Other Mood Stabilizers, Research Suggests

Psychiatric News (7/31) reports, “Youth with bipolar disorder who take lithium may be less likely to attempt suicide than those who take other mood stabilizers,” researchers concluded after analyzing “longitudinal data collected from the Course and Outcome of Bipolar Youth…study, which included 413 youth aged seven to 17 who met criteria for DSM-IV bipolar spectrum disorders.” Next, investigators examined “data collected from 340 youth during 2,638 follow-ups to assess whether the youth who took lithium differed on these measures compared with those who took antimanic anticonvulsants, first- and second-generation antipsychotics, and/or lamotrigine.” The findings were published online July 29 in the Journal of the American Academy of Child & Adolescent Psychiatry.

Related Links:

— “Lithium Found Superior to Other Mood Stabilizers in Improving Outcomes in Youth With Bipolar Disorder, Psychiatric News, July 31, 2019

Children Living In Areas Offering Statewide Child Psychiatric Telephone Consultation Programs May Be More Likely To Receive Mental Health Services Than Peers Living In States Without Such Programs, Researchers Say

Medscape (7/30, Vlessides, Subscription Publication) reports, “Children who live in areas that offer statewide child psychiatric telephone consultation programs are significantly more likely to receive mental health services than their counterparts who live in states without such programs,” researchers concluded after using “weighted information on 245,512 children and adolescents (aged five to 17 years) from 2003, 2007, 2011, and 2016 to identify those who received mental health services.” The study revealed that “compared to 2003, children in 2016 were 37% more likely to receive mental health services.” The findings were published online June 27 in the Journal of the American Academy of Child and Adolescent Psychiatry.

Related Links:

— “Call-In Consults the Answer to Severe Child Psychiatrist Shortage?, “Michael Vlessides, Medscape, July 30, 2019

Questions Assessing Frequency Of Alcohol, Cannabis And Other Illicit Drug Use May Correctly Determine Which Adolescents Have Substance Use Disorders, Study Indicates

Healio (7/30, Mille) reports, “Questions that assessed frequency of use of alcohol, cannabis and other illicit drugs correctly determined which adolescents had substance use disorders,” researchers concluded after pooling “survey data from 169,986 respondents between 12 and 20 years of age to the National Survey on Drug Use and Health from a six-year period, focusing on tobacco use in the past month and cannabis, alcohol and other illicit drug use in the past year.” The findings were published in the July issue of the Journal of the American Board of Family Medicine.

Related Links:

— “Drug use within 3 days sufficient to identify substance abuse disorder in younger teens, “Janel Miller, Healio, July 30, 2019