Antidepressant use in Alzheimer’s disease increases risk for head injury, TBI

Healio (8/21, Oldt) reports, “Risks for head injuries and traumatic brain injuries [TBI] were significantly higher among adults newly diagnosed with Alzheimer’s disease who recently began using antidepressants,” researchers found after conducting “a matched cohort study of 10,910 new antidepressant users and 21,280 matched nonusers between 2005 and 2011.” The findings were published Aug. 1 in Alzheimer’s Research & Therapy.

Related Links:

— “Antidepressant use in Alzheimer’s disease increases risk for head injury, TBI,” Taipale H, et al., Healio, August 21, 2017.

Proton Pump Inhibitors May Not Increase Alzheimer’s Disease Risk

HealthDay (8/18, Preidt) reported that research published in the American Journal of Gastroenterology suggests “proton pump inhibitors do not appear to increase Alzheimer’s disease risk.” Investigators analyzed “data from Finland on nearly 71,000 Alzheimer’s disease patients and nearly 283,000 people without the disease.”

The researchers “found that use of the drugs was not associated with an increased risk of Alzheimer’s, even among those who took a higher dose or used the drugs for more than three years.”

Related Links:

— “Popular Heartburn Drugs Don’t Raise Risk of Alzheimer’s: Study,” Robert Preidt, HealthDay, August 18, 2017.

Men With Gambling Addictions May Be More Likely To Have Endured Childhood Traumas

Reuters (8/17, Rapaport) reports that research suggests “men with gambling addictions are more likely than their peers to have endured childhood traumas like physical abuse or violence at home, and treatment needs to address this underlying stressor.”

In the study of more than 3,000 men, investigators found that “compared with men who rarely if ever placed wagers, the men with a pathological addiction to gambling were more than twice as likely to have witnessed violence at home or to have experienced physical abuse or assault growing up.”

Additionally, “they were…more than three times as likely to have suffered a serious or life-threatening injury as” children. The findings were published in Addictive Behaviors.

Related Links:

— “Adult gambling addiction tied to childhood trauma,” Lisa Rapaport, Reuters, August 17, 2017.

Guns May Be Factor In Higher Suicide Rates In Rural Counties, Study Suggests.

The New York Times (8/17, Bakalar, Subscription Publication) “Well” blog reports that research indicates “suicide rates are higher in rural counties…and the reason is firearm use by men.” The findings were published in the American Journal of Public Health.

Kaiser Health News (8/17) reports that “in 2015, rural communities saw 19 people per 100,000 kill themselves, compared with 11 per 100,000 in urban areas, according to the federal Centers for Disease Control and Prevention’s injury statistics database.” Investigators “analyzed a sample of about 6,200 Maryland residents, age 15 and older, and found that when gun-related suicides were excluded, there was no significant difference in rates between rural and urban areas.”

Healio (8/17) also covers the story.

Related Links:

— “Guns Play Oversize Role in Rural Suicides,” NICHOLAS BAKALAR, New York Times, August 17, 2017.

How To Safely Stop Using Antidepressants

U.S. News & World Report (8/15, Levine) contributor David Levine discusses how to safely stop using antidepressants. Levine writes that “deciding to go off antidepressants ‘should be considered thoughtfully and made with the support of your physician or therapist to make sure you’re not stopping prematurely,’ according to Harvard Health Publications, from Harvard Medical School.”

However, “There may in fact be no need to stop.” Dr. Anita Everett, president of the American Psychiatric Association, said, “People have been on antidepressants for 20 or 30 years, with no evidence of any harm.”

Related Links:

— “How to Stop Antidepressants Safely,” David Levine, U.S. News & World Report, August 15, 2017.

Growing Number Of Companies Encourage Use Of Mental-Health Days.

The Wall Street Journal (8/15, Fontana, Subscription Publication) reports that a growing number of companies are attempting to remove the stigma from mental illness and are encouraging the use of mental-health days. Nonetheless, many workers continue to hide their issues with mental illness. Clare Miller, director of the Center for Workplace Mental Health at the American Psychiatric Association Foundation, says, “Silence often equals shame.” She adds, “It adds power to the stigma by not feeling free to share all of yourself at work.”

Related Links:

— “Some Companies Want You to Take a Mental-Health Day,” Francesca Fontana, Wall Street Journal, August 15, 2017.

Medical Professionals Uncertain Whether Parents Falsifying Children’s Illnesses Marks Psychological Condition Or Abuse

CNN (8/15, Nedelman) reports on its website that medical researchers are discussing how to differentiate between Munchausen syndrome by proxy – a disorder in which parents falsify, agitate, or induce an illness in children to secure “their role as the desperate, knowledgeable parent,” one researcher said – and medical child abuse.

CNN follows the story of one woman who faked her own cancer scare and then “infected her daughter with harmful bacteria” and allegedly “removed blood from her daughter so that she would become anemic.” One researcher termed the behaviors “disorders of deception,” while others say it is an intentional form of abuse rather than a psychological condition.

The American Psychiatric Association’s diagnostic manual includes a diagnosis of a “factitious disorder imposed on another,” although the medical community has not reached a consensus on how to characterize it.

Related Links:

— “A ‘disorder of deception’: When a mom makes her child sick,” Michael Nedelman, CNN, August 15, 2017.

US Antidepressant Use Increasing, Data Indicate

NBC Nightly News (8/15, story 8, 0:30, Holt) reported, “New numbers out from the CDC show about one in eight Americans over age 12 reports taking antidepressants.”

According to TIME (8/15, Sifferlin), the report from the National Center for Health Statistics indicates “that from 2011 through 2014, the most recent data available,” nearly “13% of people 12 and older said they took an antidepressant in the last month.” This “number is up from 11% in 2005-2008.”

Medscape (8/15, Brooks) reports, “For the period 2011-2014, women were about twice as likely as men to report past-month antidepressant medication use (16.5% vs 8.6%).” Meanwhile, “Overall, antidepressant use increased with age, from 3.4% among people aged 12 to 19 years to 19.1% among those aged 60 years and older.” Medscape adds, “Increased use with age occurred in both men and women.” HealthDay (8/15, Mundell) also covers the story.

Related Links:

— “13% of Americans Take Antidepressants,” Alexandra Sifferlin, Time, August 15, 2017.

Clozapine May Reduce Mortality, Protect Against Self-harm In Patients With Treatment-resistant Schizophrenia

Medscape (8/14, Yasgur) reports that research suggests “clozapine…reduces mortality and protects against self-harm in patients with treatment-resistant schizophrenia.” Researchers “found a nearly twofold higher mortality rate among patients with treatment-resistant schizophrenia who were not being treated with clozapine, compared with those treated with the” medication. The findings also “suggest a deleterious effect of other antipsychotics on self-harm compared to clozapine.” The research was published online July 28 in the American Journal of Psychiatry.

Related Links:

Medscape (requires login and subscription)

Smoking During Pregnancy Increasing Among Women With Depression

HealthDay (8/14, Preidt) reports that research suggests “smoking during pregnancy is on the rise among American women with depression.” Investigators looked at data on approximately “8,500 mothers-to-be who took part in an annual government health survey.” The data showed “a 2.5 percent rise in smoking rates among pregnant women with depression between 2002 and 2014.” The findings were published online in the October issue of Drug and Alcohol Dependence.

Related Links:

— “Smoking on the Rise Among Pregnant Women With Depression,” Robert Preidt, HealthDay, August 14, 2017.