Stroke Survivors May Face An Increased Risk Of Developing Depression

HealthDay (9/7, Preidt) reports, “Stroke survivors face an increased risk of developing depression,” researchers found after analyzing “national databases in Denmark to compare depression risk among stroke survivors and people with no history of stroke.” Investigators found that “in the first three months after having a stroke, survivors’ risk of depression was eight times higher than among people with no history of stroke.”

According to Healio (9/7, Oldt), the findings were published online Sept. 7 in JAMA Psychiatry. An accompanying editorial observed the “study indicates the need for a reappraisal of the importance of the stroke lesion in triggering depression in the context of background predisposing factors.”

Related Links:

— “Stroke Survivors Often Struggle With Depression,” Robert Preidt, HealthDay, September 7, 2016.

Uninsured Rate Historically Low, Survey Shows

The Wall Street Journal (9/7, Radnofsky, Subscription Publication) reports the Centers for Disease Control and Prevention’s National Health Interview Survey found that the number of uninsured people in the US remained historically low in early 2016, with only 8.6% of respondents living without healthcare coverage.

The AP (9/7, Alonso-Zaldivar) reports the uninsured rate “has been cut by nearly half under Obama’s law.” The survey “estimated that 27.3 million people remained uninsured in the first three months of this year, about 21 million fewer than in 2010, when Obama signed the Affordable Care Act.”

Related Links:

— “Percentage of Uninsured Historically Low,” LOUISE RADNOFSKY, Wall Street Journal, September 7, 2016. [SUBSCRIPTION REQUIRED]

EHRs Slow Physicians Down, Distract Them From Meaningful Face Time Caring For Patients

The ABC News (9/6, Mehta) website reports, “Interactions with physicians have dramatically changed since the introduction of electronic health records (EHRs), with the switch from paper intended to increase physician interactions with patients.” Now researchers have found that physicians “may spend nearly half their time documenting and performing administrative tasks rather than having face-to-face time with patients.”

STAT (9/6, Bush) reports, “Electronic health records slow doctors down and distract them from meaningful face time caring for patients,” researchers found in a “time and motion study published” in the Annals of Internal Medicine.

Related Links:

— “Doctors May Spend Nearly Half Their Time on ‘Paperwork,’ Study Says,” DR. SHAILJA MEHTA, ABC News, September 6, 2016.

Adults With Arthritis May Have Significantly Higher Odds Of Suicide Attempts

MedPage Today (9/6, Swift) reports that research suggests “adults with arthritis” may have “significantly higher odds of suicide attempts.” Investigators found, “in an analysis that adjusted for sociodemographics, childhood adversities, lifetime mental health, and chronic pain, the odds ratio for suicide attempts among adults with arthritis was 1.46 (95% CI 1.15-1.85).” The data indicated that, “compared with people without arthritis, the prevalence of ever attempting suicide was higher for both male patients (3.9% versus 2%) and female patients (5.3% versus 3.2%).” The findings of the large study were published in the September issue of Rheumatology International.

Related Links:

— “Higher Odds of Suicide Attempts in Adults With Arthritis,” Diana Swift, MedPage Today, September 6, 2016.

Physically Active Patients With COPD Less Likely To Experience Depression, Anxiety

MedPage Today (9/4, Boyles) reported that research indicated individuals “with chronic obstructive pulmonary disease (COPD) who remained physically active were less likely to experience depression and anxiety as their disease progressed.” In the large study, researchers found that “higher physical activity level at baseline was associated with an 11% reduced risk of developing anxiety over 5 years of follow-up, and a 15% reduced risk for depression.” Meanwhile, in a separate “study, a survey of hospital- and community-based exercise practitioners in Canada found that many programs were not following international guidelines for exercise therapy in a COPD patient population.” Both studies were presented at the European Respiratory Society International Congress.

Related Links:

— “ERS: Exercise Curtails COPD Depression, Anxiety,” Salynn Boyles, MedPage Today, September 4, 2016.

Research Examines Difficulty Of Finding Psychiatrists In The US

The Washington Post (9/2, Humphreys) “Wonkblog” reported that despite efforts to make healthcare more accessible to Americans over the last decade, research indicates even those with healthcare coverage have trouble finding psychiatrists.

A study led found that from 2003 to 2013, “adult primary-care physicians increased by 9.5 percent and the number of neurologists increased by 35.7 percent,” but the number of psychiatrists fell by 0.2 percent. Another study conducted by the same researchers revealed that most physicians accept private and public insurance, but just 50 percent of psychiatrists do so.

The article said this is due to the fact that psychiatrists “are much in demand and can therefore often keep their practices full on a cash-only basis.”

Related Links:

— “The troubling reason it’s so hard to find a psychiatrist in the United States,” Keith Humphreys, Washington Post, September 2, 2016.

Evidence Links Loneliness To Physical Illness, Functional And Cognitive Decline

On the front of its Science Times section, the New York Times (9/6, D1, Hafner, Subscription Publication) reports in a nearly 1,800-word article on the physical and mental effects of loneliness experienced by the elderly. In the UK and in the US, “roughly one in three people older than 65 live alone.” Investigators “have found mounting evidence linking loneliness to physical illness and to functional and cognitive decline.” Loneliness, “as a predictor of early death” even surpasses obesity.

Related Links:

— “Researchers Confront an Epidemic of Loneliness,” KATIE HAFNER, New York Times, September 5, 2016.

Relatives Who Care For Dementia Patients Often Experience Frustration

The Washington Post (9/4, Bluth) reported relatives who care for patients with advanced dementia often experience difficulty because they can no longer communicate with their loved ones, according to a study published in the American Journal of Alzheimer’s Disease & Other Dementias. Researchers found that many family caretakers were often frustrated with their relatives with dementia because they could no longer communicate what they needed or when they were in pain.

Related Links:

— “How dementia makes it harder to offer end-of-life comfort,” Rachel Bluth, Washington Post, September 4, 2016.

Antipsychotic Medications May Raise Pneumonia Risk In Patients

Medscape (9/1, Brooks) reports, “Antipsychotic medications raise the risk for pneumonia in patients with (and without) Alzheimer’s disease (AD),” researchers found. Investigators report “the risk is highest at the start of antipsychotic treatment but remains increased with long-term use.” The findings of the 60,584-participant study were published online Aug. 30 in CHEST.

Related Links:

Medscape (requires login and subscription)

Children Of Parents With Psychiatric Illness At Higher Risk For Suicide and Violence

HealthDay (9/1, Mozes) reports, “Some children of parents with a history of psychiatric illness may be at higher risk for attempting suicide and/or engaging in violent behavior,” researchers found after examining data on some 1.7 million “Danes born between 1967 and 1997.” The findings were published online Aug. 31 in JAMA Psychiatry.

Related Links:

— “Parents’ Psychiatric Issues May Adversely Affect Some Children,” Alan Mozes, HealthDay, September 1, 2016.