Psychiatric News (3/11) reports a study found that “patients with private insurance who saw behavioral health professionals went out-of-network for their care more often than their peers who received care from medical or surgical health professionals.” Researchers observed that “across all settings, patients with substance use disorder (SUD) were most likely to go out-of-network for care, followed by those with a mental disorder and those who received medical or surgical care.” The study was published in Psychiatric Services.

Related Links:

— “Out-of-Network Care More Common in Substance Use, Mental Disorder Treatment,” Psychiatric News, March 11, 2025

Psychiatric News (3/10) reports a study found that “alexithymia – a condition associated with difficulty in identifying and describing one’s own emotions – may be a strong influence in how much sensory sensitivity people with autism spectrum disorder experience.” The researchers “conducted a series of modeling analyses to examine the interaction between the severity of alexithymia, sensory issues, and/or autism in” twin pairs in which at least one twin had autism. The analysis “found a strong correlation between autism and sensory symptoms; however, after controlling for alexithymia, the association between autism and sensory symptoms was no longer significant. In contrast, the correlation between alexithymia and sensory symptoms was significant, even after factoring in the influence of autism.” They concluded, “This suggests that alexithymia and sensory processing share genetic factors, independent of those that increase the likelihood of autism.” The study was published in Translational Psychiatry.

Related Links:

— “Sensory Sensitivity in People With Autism May Be Due to Emotional Blindness,” Psychiatric News, March10 , 2025

Healio (3/10, Jenkins ) reports early study results suggest that “people who engage in moderate to vigorous physical activity may be less likely to develop dementia, stroke, anxiety, depression and sleep disorders compared with those with more sedentary behavior.” Researchers found that “moderate to vigorous physical activity had a strong protective effect on neuropsychiatric diseases…whereas more sedentary time was a risk factor.” They stated, “Our findings reinforce a dose-response relationship between physical activity and health benefits, supporting public health guidelines and highlighting exercise as a cost-effective and accessible preventive strategy, particularly for high-risk populations.” Preliminary results from the study will be presented at the American Academy of Neurology’s Annual Meeting.

Related Links:

— “Exercise tied to reduced risk for some neuropsychiatric diseases,” Cassandra Jenkins, Healio, March 10, 2025 — Free registration required

Psychiatric News (3/7) reported a study found that “girls who experience childhood trauma are at a higher risk of developing internalizing symptoms like depression and anxiety by ages 12 to 14, an association that is partially explained by starting puberty ahead of their peers.” Researchers found that “early starters had significantly higher exposure to trauma at baseline compared with slow or typical developers, while slow developers had lower trauma exposure compared with typical developers. Slow developers also had significantly lower internalizing symptoms compared with early starters and typical developers.” The studywas published in The Journal of Child Psychology and Psychiatry.

Related Links:

— “Childhood Trauma, Early Puberty Associated With Internalizing Symptoms in Girls,” Psychiatric News, March 7, 2025

MedPage Today (3/7, Monaco ) reported that a large systematic review and meta-analysis found that “about 40% of adults with chronic pain had clinical symptoms of depression and anxiety.” Researchers found that “as for formal diagnoses, 36.7% of people with chronic pain met criteria for major depressive disorder (MDD), and 16.7% met criteria for generalized anxiety disorder (GAD).” They noted these rates were “markedly higher than population norms,” which are about “8% and 3%, respectively, for U.S. adult population prevalence.” In addition, “6.3% of chronic pain sufferers met diagnostic criteria for persistent depressive disorder, 7.5% for panic disorder, and 2.2% for social anxiety disorder.” The study was published in JAMA Network Open.

Related Links:

— MedPage Today (requires login and subscription)

HealthDay (3/6, Thompson ) reports a study found that “chronic stress can increase young women’s risk of stroke.” Researchers asked participants aged 18 to 49 to complete “a 10-question survey about their stress levels, and stroke patients were asked to recall the stress they’d faced in the month prior to their stroke.” They found that “stroke patients were more likely to have at least moderate stress levels.” And “about 46% had moderate or high stress levels, compared to 33% of those who hadn’t suffered a stroke.” After researchers adjusted “for other factors that affect stroke risk,” they determined “that moderate stress was associated with a 78% increased risk of stroke in women. They did not find a link between stress and stroke in men, however.” The study was published in Neurology.

Related Links:

— “Chronic Stress Boosts Stroke Risk In Young Women,” Dennis Thompson, HealthDay, March 6, 2025

Healio (3/6, Mahoney ) reports a study found that “patients with glaucoma appeared to have poorer general health, mental health and quality of life, with more severe visual field impairment linked to worsening physical health outcomes.” Prior research had shown “that the progression of glaucoma, fear of blindness and limitations in performing daily activities lead to reduced quality of life (QoL) and mental health conditions such as anxiety and depression.” Researchers concluded, “Our findings underscore the importance of considering the psychological aspects of glaucoma management, particularly for patients with more advanced visual field loss.” The study was published in Cureus.

Related Links:

— “Glaucoma associated with poorer mental health, quality of life,” Moira Mahoney, Healio, March 6, 2025

The Hill (3/5, Irwin ) reports that more than 31 million Americans borrowed money for health care in 2024, according to a West Health-Gallup survey. These individuals accumulated approximately $74 billion in debt despite having some form of health insurance. The majority of borrowers were “were ages 18-29, 30-39 and 40-49,” with only 2% over 65. Black and Hispanic Americans were more likely to borrow, with 23% of Black respondents and 16% of Hispanic adults doing so, compared to 9% of white adults. Additionally, 58% of Americans “say they are at least somewhat concerned that a major health event will put them in debt.” The survey included 3,583 respondents and had a margin of error of 2.1 percentage points.

Related Links:

— “31 million Americans borrowed money for health care last year: Poll,” Lauren Irwin, The Hill, March 5, 2025

The New York Times (3/5, Belluck ) reports a new study sheds light on postpartum depression, which “affects about one in every seven women who give birth, but little is known about what happens in the brains of pregnant women who experience it.” Researchers found that “women with symptoms of depression in the first month after giving birth also had increases in the volume of their amygdala.” In addition, “women who rated their childbirth experience as difficult or stressful – a perception that is often associated with postpartum depression – also showed increases in the volume of the hippocampus, a brain area that helps regulate emotions.” The study is part of a “growing body of research that has found that certain brain networks, especially those involved in social and emotional processing, shrink during pregnancy, possibly undergoing a fine-tuning process in preparation for parenting.” The study was published in Science Advances.

Related Links:

— “The New York Times (requires login and subscription)

Medical Economics (3/4, Littrell) reports a study suggests “that patients who perceive discrimination in health care settings are more likely to delay seeking medical care due to nervousness. This trend is particularly prevalent among younger adults and racial and ethnic minorities.” According to researchers, “mediation analysis revealed that patient-clinician communication significantly influenced the relationship between discrimination and care delays, with the strongest impact observed among younger adults – ages 18 to 44 – and racial and ethnic minority groups.” Researchers believe the “study underscores the importance of fostering effective and inclusive communication with patients – particularly those from historically marginalized groups.” They concluded, “By prioritizing better [communication], health care delays associated with patient apprehension related to perceived discrimination may be reduced.” The study was published in JAMA Network Open.

Related Links:

— “Patients’ fear of discrimination drives health care delays,” Austin Littrell, Medical Economics, March 4, 2025