Girls Diagnosed With AD/HD May Have Higher Risk For Multiple Mental Disorders That Often Lead To Later Problems, Meta-Analysis Indicates

HCP Live (11/18, Lutz) reported that girls who are diagnosed with attention-deficit/hyperactivity disorder (AD/HD) may “have a higher risk for multiple mental disorders that often lead to problems down the road,” researchers found after examining “data on nearly 2,000 girls primarily aged 8 to 13 years old, with and without” AD/HD, “in a meta-analysis of 18 studies.” The findings were published in the September issue of Pediatrics.

Related Links:

— “Girls with ADHD Often have Comorbid Behavioral Disorders,”Rachel Lutz, MD Magazine, November 18, 2016.

Teens Living In Cohesive Neighborhoods May Experience Fewer Symptoms Of Depression, Anxiety, Researchers Say

HealthDay (11/18, Salamon) reported, “Teenagers living in cohesive neighborhoods – where trusted neighbors get involved in monitoring each other’s children – experience fewer symptoms of depression and anxiety,” researchers found examining “information on more than 2,200 children born in large US cities.” The findings were published in the November issue of Health Affairs.

Related Links:

— “Neighborhoods May Be Key to Teens’ Mental Well-Being,” Maureen Salamon, HealthDay, November 18, 2016.

Report From US Surgeon General Highlights Scope Of Addiction Crisis

The Washington Post (11/17, Bernstein) says that on Thursday, US Surgeon General Dr. Vivek Murthy unveiled a landmark report which “places drug and alcohol addiction alongside smoking, AIDS and other public health crises of the past half-century, calling the current epidemic ‘a moral test for America.’”

USA Today (11/17, Hafner) says the report, called “Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health,” found that “one in seven Americans,” or nearly 21 million people, will face substance addiction, but only about “10% of those now addicted receive treatment.” Data also show one person “dies every 19 minutes from opioid or heroin overdose alone.”

On its website, ABC News (11/17, Mohney) says that at present, “the number of people with a substance use disorder exceeds the number of people diagnosed with cancer – any kind of cancer, according to the report.” In addition, while data show “32,744 people died from car accidents in 2014, the report found that approximately 50,000 people died from either an opioid, alcohol or other drug overdose that year.”

Related Links:

— “Landmark report by Surgeon General calls drug crisis ‘a moral test for America’,”Lenny Bernstein, The Washington Post, November 17, 2016.

Certain Factors May Predict Depression In Women With Diabetes, Study Suggests

According to HCP Live (11/17, Smith), an “analysis of data” from the National Health and Nutrition Examination Survey “has identified a number of factors that predict depression in women with diabetes.” The findings of the 946-participant study reveal that “being less than 65 years old, having failed to complete high school, having self-reported poor health, being inactive due to poor health and suffering pain that interfered with usual activities” were all factors “significantly associated with an even greater risk of depression.” The findings were published online November 9 in the Diabetes Educator.

Related Links:

— “Age, Education, Health Status Predict Depression Risk in Women with Diabetes,”Andrew Smith, MD Magazine, November 17, 2016.

Exercise May Be Effective Treatment For Depression And May Even Help Prevent It, Studies Indicate

The New York Times (11/16, Reynolds, Subscription Publication) reports, “Exercise may be an effective treatment for depression and might even help prevent us from becoming depressed in the first place,” the findings of three studies suggest. The three “studies pool outcomes from past research involving more than a million men and women and, taken together, strongly suggest that regular exercise alters our bodies and brains in ways that make us resistant to despair.” The studies can be seen here, here, and here.

Related Links:

— “How Exercise Might Keep Depression at Bay,”Gretchen Reynolds, The New York Times, November 16, 2016.

Women With History Of Depression May Have Lower Survival Odds With Breast Cancer, Study Suggests

Reuters (11/15, Rapaport) reports that research suggests “women with a history of depression may have lower survival odds with breast cancer than patients without past mental health problems.” The study included approximately “45,000 women with early-stage breast malignancies.” Investigators found that “13 percent of patients previously treated with antidepressants died within five years of their cancer diagnosis, compared with 11 percent of women who hadn’t ever taken medication for depression.” The findings were published online in the Journal of Clinical Oncology.

Related Links:

— “Past depression tied to worse breast cancer survival odds,”Lisa Rapaport, Reuters, November 15, 2016.

AD/HD Diagnosis Rate, Stimulant Medication Use Have Leveled Off Since Implementation Of New Treatment Guidelines, Researchers Say

HealthDay (11/15, Reinberg) reported that “the rate of diagnoses for attention-deficit/hyperactivity disorder” (AD/HD) “among US preschoolers has leveled off,” and the “prescribing rate of stimulant medications for these young patients has also stayed steady, a promising trend that researchers credit to treatment guidelines that were introduced” five years ago by the American Academy of Pediatrics. Those guidelines “called for a standardized approach to diagnosis, and recommended behavior therapy,” not medications, “as the first-line therapy for preschoolers.”

Medscape (11/15, Phillips) reports some “21, 558 visits from 143,881 children at 63 primary care practices” were included in the study, the findings of which were published online Nov. 15 in Pediatrics. The author of an accompanying editorialobserved, “This approach ‘is an innovative process that can provide more rigorous information about moving evidence into practice.’

Related Links:

— “Guidelines May Have Helped Curb ADHD Diagnoses in Preschoolers,” Steven Reinberg, HealthDay, November 15, 2016.

More Parents Opting For Time-Out Instead Of Spanking To Discipline Children

Reuters (11/14, Rapaport) reports a study published in Pediatrics found that since 1988, “the proportion of middle-income mothers who think physical punishment is appropriate has dropped from 46 percent to 21 percent.” During the same time period, the “share of mothers endorsing time-out surged from 41 percent to 81 percent.” lead study author Rebecca Ryan, a psychology researcher at Georgetown University, explained, “Support for corporal punishment has been falling at least since the 1990s, in part due to social science research that suggests spanking is linked to negative outcomes for children like delinquency, antisocial behavior, psychological problems, and alcohol and drug abuse.” She added that there is “little evidence” to support that “spanking or other forms of physical discipline are effective in the long term at reducing unwanted child behaviors or encouraging children to internalize – to really believe in – parents’ rules.”

Related Links:

— “Fewer U.S. parents say they spank their kids,”Lisa Rapaport, Reuters, November 14, 2016.

Community Paramedics Trained To Provide Patients With Mental Healthcare

Kaiser Health News (11/14, Luthra) reports on community paramedics who are trained to help “psychiatric patients in need of care avoid winding up in the emergency room, where they can get ‘boarded’ for days, until they are released or a bed frees up at an inpatient facility.” After being dispatched to a scene with a patient with a potential mental health crisis, paramedics talk to the patient about “what, precisely, the issue is, asking also about issues like a patient’s mental health history, drug use and insurance status.” The information is used to determine “the next steps for the patient — maybe it is a hospital or a psych facility, or maybe it is outpatient care.” The pilot program of specialized paramedics was launched in Modesto a year ago, and “similar projects are also underway in North Carolina, Minnesota, Texas, Colorado and Georgia.”

Related Links:

— “Community Paramedics Work To Link Patients With Mental Health Care,”Shefali Luthra, Kaiser Health News, November 14, 2016.

Depression Increasing Among US Teenagers, Especially Girls

Reuters (11/14, Rapaport) reports a recent study published online Nov. 14 in the journal Pediatrics suggests the number of US teenagers and young adults with untreated depression is increasing. The study found the prevalence of depression in youth ages 12 to 17 increased from 8.7 percent in 2005 to 11.3 percent in 2014. The prevalence of depression among adults aged 18 to 25 increased from 8.8 percent to 9.6 percent during the time span. Yet the study also found “there hasn’t been much change in the proportion of teens and young adults seeking mental health treatment.”

CNN (11/14, Howard) reports Dr. Mark Olfson, a professor of psychiatry at Columbia University Medical Center and a co-author of the study, said, “The new study highlights that most adolescents with depression do not receive treatment for their symptoms and underscores the need for increased attention to this condition.” Using data from the National Surveys on Drug Use and Health, researchers “discovered that the prevalence of major depressive episodes over a 12-month period increased among girls from about 13% in 2005 to about 17% in 2014.” Comparatively, depression in boys increased from about 4 percent in 2005 to 6 percent in 2014. Cyberbullying and interpersonal stress are cited as reasons why girls are at a greater risk for depression.

HealthDay (11/14, Mozes) reports that in an editorial accompanying the study, Dr. Anne Glowinski, director of child and adolescent psychiatry education and training at Washington University School of Medicine in St. Louis, wrote, “There are many stressors which impact our youth….These stressors are not limited to social media and/or cyberbullying.” These may include economic factors, anxiety about the future, neighborhood violence, and, “yes, one of those things could be social media or even something not on the radar, like an increase in sleep deprivation related to excessive Internet use,” according to Glowinski.

Related Links:

— “Depression becoming more common among U.S. teens,”Lisa Rapaport, Reuters, November 14, 2016.