Exercise May Be Protective Against Developing Depression, Study Indicates

The New York Times (2/13, Reynolds) reports, “Jogging for 15 minutes a day, or walking or gardening for somewhat longer, could help protect people against developing depression,” researchers concluded in a study published online Jan. 23 in JAMA Psychiatry. For the study, investigators turned “to the UK Biobank, an enormous database of genetic and health information for almost 400,000 men and women.” Next, the study team “identified people who carried at least one of several gene variants believed to increase the likelihood someone will be active. Most of those people were active, and few of them had experienced depression.” Using “Mendelian randomization,” the study authors found that, “statistically, the ideal amount of exercise to prevent depression started at about 15 minutes a day of running or other strenuous exercise,” while “less-taxing activities like fast walking, housework and so on also afforded protection against depression, but it took about an hour a day to have an effect.”

Related Links:

— “Exercise May Help to Fend Off Depression, ” Gretchen Reynolds, The New York Times, February 13, 2019

Teenagers Who Use Cannabis May Be At Higher Risk For Depression And Suicidal Thoughts As Young Adults, Review Indicates

Reuters (2/13, Kate, Kelland) reports researchers found in a medical literature review that “teenagers who use cannabis have a higher risk of developing depression and suicidal thoughts as young adults and should be made aware of those risks by parents and” physicians. The findings were published online Feb. 13 in JAMA Psychiatry.

The Philadelphia Inquirer (2/13, Pattani) reports researchers “reviewed data from nearly a dozen studies that included more than 23,000 people,” and “found that marijuana use in adolescence is linked with an increased risk of depression, as well as suicidal thoughts and attempts, before age 32.” The article adds that “the researchers concluded that about 400,000 cases of adolescent depression in the U.S. are potentially attributable to marijuana.”

Healio (2/13, Demko) reports Gabriella Gobbi, MD, PhD, of McGill University’s department of psychiatry, one of the study’s authors, said, “Little attention has been specifically paid in the public health discourse as to the impact of adolescent cannabis use on the risk of developing depressive symptoms and mood disorders, even though researchers have published on this topic since the 1970s. The adolescent brain is indeed still under development and psychotropic drugs used at this time may thus alter the physiological neurodevelopment, especially of the frontal cortex and limbic system.”

Also covering the study are HealthDay (2/13, Gordon), Newsweek (2/13, Gander), U.S. News & World Report (2/13, Lardieri), BBC News Online (UK) (2/13), The Guardian (UK) (2/13, Davis), and the Telegraph (UK) (2/13, Donnelly).

Related Links:

— “Teen cannabis use linked to higher risk of adolescent depression, “Kate, Kelland, Reuters, February 13, 2019

Veterans With Dishonorable Discharges Due To Behaviors Attributed To Their PTSD Must Wait Years For Their VA Benefits

The Wall Street Journal (2/12, Subscription Publication) reports that if veterans do not have honorable discharges, they have to wait around four years before even signing up for benefits or healthcare because they have to wait for the VA to determine whether or not they are still considered veterans. Such veterans often exhibited characteristic behaviors attributed to PTSD, and due to these actions, their ability to receive VA healthcare and other benefits is put into peril.

Related Links:

— “He Has a Purple Heart, but the VA Wouldn’t Call Him a Veteran, “Rose Carmen Goldberg, The Wall Street Journal, February 12, 2019

USPSTF Recommends Counseling To Prevent Perinatal Depression In At-Risk Women

The New York Times (2/12, Belluck) reports the United States Preventive Services Task Force issued a recommendation for cognitive behavioral and interpersonal therapy as preventive measures against perinatal depression. More serious than postpartum depression, perinatal depression impacts between 180,000 and 800,000 US women annually during pregnancy or after, and has health implications for both mother and child. The USPSTF “recommended counseling for women with one or more of a broad range of risk factors, including a personal or family history of depression; recent stresses like divorce or economic strain; traumatic experiences like domestic violence; or depressive symptoms that don’t constitute a full-blown diagnosis.” The recommendation was published in JAMA.

The Wall Street Journal (2/12, Abbott, Subscription Publication) reports most insurance plans must follow guidelines issued by the USPSTF, and therefore per the recommendation, preventive therapy for at-risk pregnant women or new mothers should be covered without a copay. Moreover, previous recommendations have focused attention on women already experiencing signs of depression, while the new recommendation targets at-risk women for preventive interventions.

The AP (2/12) reports perinatal depression impacts as many as one in seven women. Meanwhile, “an accompanying editorial cautions that most women won’t have easy access to specialists and may need options such as counseling via smartphone.”

The New York Times (2/12, Belluck) separately posts a guide to using the recommendations and how and where to get help for potential perinatal depression.

Related Links:

— “Depression During and After Pregnancy Can Be Prevented, National Panel Says. Here’s How, “Pam Belluck, The New York Times, February 12, 2019

FDA To Increase Oversight Of Dietary Supplements

The Washington Post (2/11, McGinley) reports the Food and Drug Administration announced that it plans to increase oversight of the dietary supplements industry due to increased risks to customers, including “unlisted drug ingredients, and false and misleading claims about health benefits.” The FDA “underscored the need for greater oversight by announcing it had sent 12 warning letters and five advisory letters earlier this month to companies the FDA said are selling dozens of products that contain unapproved drugs or make illegal claims for treating Alzheimer’s and other serious diseases.”

The New York Times (2/11, B6, Kaplan) reports FDA Commissioner Scott Gottlieb “suggested that Congress strengthen the F.D.A.’s authority over” the supplements “industry, which sells as many as 80,000 kinds of powders and pills with little federal scrutiny.” During an interview, Gottlieb said, “People haven’t wanted to touch this framework or address this space in, really, decades and I think it’s time we do it.” Gottlieb said he was especially concerned about supplements that claim to cure diseases, which may prevent or delay people from seeking medical treatment, saying, “We know there are effective therapies that can help patients with Alzheimer’s. But unproven supplements that claim to treat the disease but offer no benefits can prevent patients from seeking otherwise effective care.”

Related Links:

— “FDA launches tougher oversight of supplements, ” Laurie McGinley, The Washington Post, February 11, 2019

About One In Every Six US Children Has At Least One Mental Illness, Study Indicates

Reuters (2/11, Rapaport) reports, “Roughly in six U.S. kids have at least one mental [illness], and only about half of them receive treatment from a mental health professional,” researchers found.

HealthDay (2/11, Gordon) reports investigators arrived at this conclusion after examining survey data “from a nationally representative group of more than 50,000 children under 18 years of age.” The findingswere published online Feb. 11 in a research letter in JAMA Pediatrics.

Related Links:

— “One in six U.S. kids have mental health disorders, “Lisa Rapaport, Reuters, February 11, 2019

Youth suicides more common in states with high rate of gun ownership, study suggests

Reuters (2/8, Banerjee) reports a new study suggests that “youth suicides happen more often in U.S. states with high rates of household gun ownership.” Specifically, data show that “in the 10 states with the highest youth suicide rates, 53 percent of households owned guns.” In contrast, results show that “in the 10 states with the lowest youth suicide rates, only 20 percent of households owned guns.” The findings were published in the American Journal of Preventive Medicine.

Related Links:

— “More youth suicides seen in states with high gun ownership rates, “Ankur Banerjee, Reuters, February 8, 2019

People With Borderline Personality Disorder Have Higher Risk For Premature Death From Suicide, Other Causes, Research Suggests

Medscape (2/8, Yasgur, Subscription Publication) reported that a study suggests that people “with borderline personality disorder (BPD) are at high risk for premature death from suicide as well as other causes.” Researchers followed nearly “300 patients with BPD and 72 comparison patients who had other personality disorders (PDs).” Over the 24-year “follow-up period, almost 6% of BPD patients died by suicide, vs only 1.4% of comparison patients; 14% of BPD patients died by causes other than suicide, compared to only 5.5% of comparison participants.” The findings were published online in the Journal of Clinical Psychiatry.

Related Links:

Medscape (requires login and subscription)

After Teenager’s Suicide, Instagram Prohibits Posts Of Graphic Images Of Self-Harm

The New York Times (2/7, Jacobs) reports that on Thursday, Instagram announced “it would no longer allow graphic images of self-harm, such as cutting, on its platform,” a change which seems to come “in response to public attention to how the social network might have influenced a 14-year-old’s suicide.” Adam Mosseri, the head of Instagram, issued a statement explaining the change, noting “a distinction between graphic images about self-harm and nongraphic images, such as photos of healed scars,” which will still be allowed but will be “more difficult to find.”

Related Links:

— “Instagram Bans Graphic Images of Self-Harm After Teenager’s Suicide, “Julia Jacobs, The New York Times, February 7, 2019

Having Chronic Rhinosinusitis May Increase Risk For Depression And/Or Anxiety, Study Indicates

Medscape (2/7, Hackethal, Subscription Publication) reports, “Having chronic rhinosinusitis (CRS) may increase the risk for depression and/or anxiety compared with not having the condition,” researchers concluded in a study involving 16,224 adults with CRS and 32,448 without CRS. The findings were published online Feb. 7 in JAMA Otolaryngology – Head and Neck Surgery.

Related Links:

Medscape (requires login and subscription)