Office-Based Buprenorphine Treatment Program May Benefit Patients With Opioid Use Disorder Discharged From Short-Term Detox Program, Study Indicates

Psychiatry Advisor (9/19, Rans) reports, a study suggests “linkage to an office‐based buprenorphine treatment program following discharge from a short-term managed detoxification program was associated with reduced rates of illicit opioid use in patients with opioid use disorder.” The findings from the randomized trial published in Addiction showed “that patients in the short-term detoxification program had significantly reduced rates of illicit opioid use at follow-up on day 12,” 35, 95, and 185.

Related Links:

— “Post-Detoxification Primary Care Treatment Linked to Reduced Illicit Opioid Use, “Caleb Rans, Psychiatry Advisor, September 19, 2019

Children With Severe Behavior Issues May Be More Likely To Have Insomnia In Adulthood Than Youngsters With Normal Behavior, Study Indicates

Reuters (9/18, Rapaport) reports, “Treating kids’ behavior problems might have the additional benefit of reducing their risk of insomnia as adults,” researchers concluded after following “8,050 people over more than four decades, assessing behavior problems at ages 5, 10 and 16, then administering sleep surveys when participants were 42 years old.” The study revealed that children “with severe behavior issues were 39 percent more likely to have insomnia by the time they were adults than children who had normal behavior.” The findings were published online in JAMA Network Open.

Related Links:

— “Childhood behavior problems linked to insomnia in adulthood, “Lisa Rapaport, Reuter, September 18, 2019

Parental Incarceration May Be Associated With Increased Risk Of Mental Illness In Offspring, Study Indicates

Medscape (9/18, Brauser, Subscription Publication) reports, “Parental incarceration is associated with a significantly increased risk of mental illness in offspring that can start in childhood and extend into adulthood,” research indicated. In the study, which involved “more than 1400 participants,” investigators found that “children of incarcerated parents were twice as likely to have a childhood diagnosis of depression,” attention-deficit/hyperactivity disorder, “and conduct disorder compared with their counterparts whose parents did not serve jail time.” The findings were published online Aug. 23 in JAMA Network Open.

Related Links:

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Obesity Treatment In Youth Not Associated With Increased Risk Of Depression Or Anxiety, Meta-Analysis Suggests

Psychiatric News (9/17) reports that “obesity treatment in youth is not associated with an increased risk of depression or anxiety; rather, the analysis points to the mental health benefits of such programs for this population.” The findings of the 44-study meta-analysis were published online Sept. 16 in JAMA Pediatrics.

Related Links:

— “Meta-Analysis Highlights Potential Mental Health Benefits of Obesity Treatment for Youth, Psychiatric News, September 17, 2019

Research Indicates Hysterectomy Tied To Long-Term Depression, Anxiety Risk

HealthDay (9/17, Preidt) reports a study of over 2,000 women who underwent hysterectomies but did not undergo removal of the ovaries “found they had about a 7% increased risk of depression and a 5% increased risk of anxiety over 30 years.” Women who were between 18 and 35 at the time of the procedure “had the highest (12%) risk of depression, according to the study,” published in Menopause.

Related Links:

— “Hysterectomy Tied to Depression, Anxiety, “Robert Preidt, HealthDay, September 17, 2019

One in 16 U.S. women say first sexual experience was involuntary, survey study indicates

The AP (9/16, Tanner) reports a survey study of over 13,000 women age 18 to 44 indicates “the first sexual experience for 1 in 16 U.S. women was forced or coerced intercourse in their early teens.” The findings were published in JAMA Internal Medicine.

Reuters (9/16, Rapaport) reports, “The average age at which women became sexually active when they were forced was 15.6 years, compared with 17.4 years for women who reported a voluntary first sexual experience.” Furthermore, “women’s first sexual encounters were with much older men when they were forced: 27 years old on average compared with 21 years with voluntary sexual initiation.”

HealthDay (9/16, Gordon) reports, “Women who were forced into their first sexual experience were twice as likely to report being in fair or poor health as women whose first sexual experience was voluntary.” Additionally, “women forced into sex their first time also were nearly twice as likely to have had an unwanted first pregnancy.” Meanwhile, “they were also far more likely to have pelvic inflammatory disease, endometriosis, and problems with ovulation or menstruation, the study found.”

Related Links:

— “Many US women say 1st sexual experience was forced in teens, “Lindsey Tanner, AP, September 16, 2019

Exposure To Gender Identity Conversion Efforts May Be Associated With Adverse Mental Health Outcomes Among Transgender Adults, Researchers Say

Healio (9/16, Demko) reports, “Lifetime and childhood exposure to gender identity conversion efforts were linked to adverse mental health outcomes among transgender adults, including severe psychological distress, suicidal ideation and suicide attempts,” research indicated. The findings of the 27,715-participant study were published online Sept. 11 in JAMA Psychiatry.

Related Links:

— “Gender identity conversion linked to psychological distress, suicide attempts, “Savannah Demko, Healio, September 16, 2019

Teens Who Are Involved In A Motor Vehicle Accident May Have Slower Development Of Working Memory Than Adolescents Not Involved In A Crash, Small Study Indicates

Psychiatric News (9/16) reports research indicated that “adolescents who were involved in a motor vehicle accident had slower development of their working memory than adolescents who were not involved in a crash.” Investigators arrived at this conclusion after analyzing “data from a longitudinal study of 118 youth in Philadelphia, who received regular assessments of working memory, sensation seeking, substance dependence, and more between the ages of 11 and 20,” then looking at data from “a follow-up survey on driving experience.” The findings were published Sept. 13 in JAMA Network Open.

Related Links:

— “Slower Development of Working Memory in Adolescents Associated With Motor Vehicle Crashes, Psychiatric News, September 16, 2019

Opinion: Assisted Outpatient Treatment Can Help Those With Mental Illness

STAT (9/13) carried an opinion piece by DJ Jaffe, executive director of Mental Illness Policy Org., who argues for greater utilization of assisted outpatient treatment. Jaffe wrote, “the most important and compassionate change the Trump administration and the federal government can make is to increase the number of psychiatric beds available to those who need them.” Furthermore, Jaffe advocates for eliminating Medicaid’s Institutes for Mental Disease exclusion, which “creates a financial incentive for states to deny hospital admission to people with serious mental illness, discharge them before they are ready, and close psychiatric hospital beds.” Jaffe adds that “extensive research shows that assisted outpatient treatment reduces homelessness, arrest, incarceration, and hospitalization by 70% or so and cuts costs to taxpayers by 50%,” and “is widely supported by advocates for the seriously mentally ill.” Assisted outpatient treatment “has been endorsed by the…American Psychiatric Association,” and other groups.

Related Links:

— “Wider use of assisted outpatient treatment could help individuals with mental illness, “DJ Jaffe, STAT, September 13, 2019

Data Indicate Heroin Treatment Admissions Involving Methamphetamine Increasing

Psychiatric News (9/13) reported a study found “methamphetamine is involved in an increasing number of treatment admissions for heroin, especially among adolescents.” The findings, published in Addiction, involve “data from more than 3.5 million treatment admissions for heroin between 2008 and 2017.” The data show “in 2017, individuals aged 12 to 24 had the highest rates of admissions for heroin use involving methamphetamine of all the age groups examined: 27.8% of heroin treatment admissions for adolescents aged 12 to 17 years involved methamphetamine, and 17.4% of heroin treatment admissions for young adults aged 18 to 24 involved methamphetamine.” Heroin treatment admissions involving methamphetamine were higher for women than men, at 15.1 percent and 10.8 percent, respectively.

Related Links:

— “Methamphetamine Involved in Rising Number of Heroin Treatment Admissions, Psychiatric News, September 13, 2019