Studies Yield Mixed Findings On How Marijuana Affects The Brain

NBC News (8/27, Fox) reports on two studies published in JAMA Psychiatry that examine the effect of marijuana on the brain. In the first study, “David Pagliaccio, formerly of Washington University in St. Louis and now at the National Institute of Mental Health, and colleagues” compared the brains of marijuana users to non-users.

The results seemed to suggest that marijuana users “had some shrinkage in two brain regions called the amygdala and the right ventral striatum,” but when researchers compared marijuana users to their siblings, “the differences disappeared.” Meanwhile, a second study “found that marijuana appears to change the brain structure of young men with a high genetic risk of schizophrenia.” Dr. David Goldman, of the National Institute on Alcohol Abuse and Alcoholism, said the studies don’t offer a clear picture of anything, adding, “It’s probably more a story of what we don’t know than what we do know.”

According to HealthDay (8/27, Thompson), Dr. Goldman wrote, “The burden of cannabis’ effects may fall more heavily on people who, because of genetic makeup or early life exposures, are at greatest risk for brain structural changes, psychosis or addiction.” He added “It is safer not to expose people to psychoactive drugs.”

Related Links:

— “Marijuana Doesn’t Shrink Brains, But It Can Change Them, Studies Find,” Maggie Fox, NBC News, August 27, 2015.

Homelessness In Combat Veterans Discharged For Misconduct Studied

Reuters (UK) (8/26, Doyle) reports that a research letter published online Aug. 25 in the Journal of the American Medical Association suggests that US combat veterans who have seen action in Afghanistan and Iraq and who were separated from military service because of misconduct appear to have an increased likelihood of being homeless.

Researchers arrived at this conclusion after analyzing data on some 448,290 separations from the military of active-duty service members who were deployed in Iraq or Afghanistan and went on later to avail themselves of services offered by the Veterans Health Administration. An expert who had no involvement in the study pointed out that mental health disorders may play both a role in why such veterans were discharged for misconduct and why they are homeless.

Related Links:

— “Veterans discharged for misconduct have higher risk of homelessness,” Kathryn Doyle, Reuters, August 25, 2015.

IG: VA Has Too Few Psychiatrists To Meet Demand

According to the Wall Street Journal (8/26, Kesling, Subscription Publication), a report (pdf) from the Department of Veterans Affairs’ inspector general finds that even after an extensive hiring push, the agency still has an insufficient number of full-time psychiatrists to keep up with demand and current staff is not being used efficiently.

Related Links:

— “Report: VA Falls Short on Mental-Health Care Despite Hiring Push,” Ben Kesling, Wall Street Journal, August 25, 2015.

Nearly 47 Million People Around The World Suffer From Dementia

The AP (8/25) reported that in a report issued Aug. 25, investigators with Alzheimer’s Disease International “say there are now nearly 47 million people living with dementia globally, up from 35 million in 2009.” Those experts “warned that without a medical breakthrough, numbers will likely double every 20 years.”

According to TIME (8/25, Basu), the report also revealed that “58% of all people with dementia reside in developing countries.” In addition, by mid-century, “68% of those with dementia will be located in low and middle income countries, where services are limited and populations are aging quickly.”

Related Links:

— “Report: Nearly 47 million people now have dementia,” Chron, August 27, 2015.

Omega-3 Supplements May Not Improve Cognitive Function In Older People

The Washington Post (8/26, Sun) “To Your Health” blog reports that taking omega-3 supplements does not “slow cognitive decline,” according to a study published in the Journal of the American Medical Association. The study enrolled 4,000 older participants “who were at risk for developing age-related macular degeneration” in order to investigate the possible cognitive benefits of omega-3 supplements. National Eye Institute Deputy Clinical Director Elizabeth Chew and her team found that consuming these supplements had “no statistically significant effect on cognitive function.” Chew concluded, “The supplements just don’t cut it,” adding, “If people are thinking [taking them] is going to help cognitive function, it’s not going to do so among the older age group.”

Related Links:

— “Omega 3 is still good for the brain. But ‘fish oil supplements just don’t cut it.’,” Lena H. Sun, Washington Post, August 25, 2015.

Medical Groups Unite To Address Opioid Abuse Epidemic

The Fix (8/25, Lavitt) reports that the American Medical Association (AMA) and the American Psychiatric Association (APA) have joined forces “to address the growing epidemic of opioid abuse across the” US. Psychiatrist and AMA board chair-elect Patrice A. Harris, MD, said, “We have joined together as part of this special task force because we collectively believe that it is our responsibility to work together to provide a clear road map that will help bring an end to this public health epidemic.” In a press release, APA CEO and medical director Saul Levin, MD, stated, “The APA is honored to join our colleagues in the house of medicine in addressing this problem. We owe it to our patients to ensure they receive the proper and appropriate care.”

Related Links:

— “The AMA Join Forces With the APA to Address Opioid Epidemic,” John Lavitt, The Fix, August 24, 2015.

Data Breaches Raise Risk Of Medical Identity Theft

So far this year, the Los Angeles Times (8/22, Zamosky) reported, “there have been more than 32 health data breaches as a result of hacking, according to the U.S. Health and Human Services Office for Civil Rights.” These breaches often disclose personal information including Social Security numbers, dates of birth, and patients’ health records. According to the Times, “experts say” the biggest concern for affected consumers is medical identity theft. A recent study by the Ponemon Institute found that medical identity theft “affected 2.3 million adults in 2014, an increase of roughly 22% since 2013.”

Related Links:

— “Who else has accessed your medical data?,” Lisa Zamosky, Los Angeles Times, August 21, 2015.

Trigeminal Neuralgia Paitents At Risk Of Developing Psychiatric Disorders

Medwire News (8/22, McDermid) reported, “Patients with trigeminal neuralgia (TN) have an increased risk of later developing certain psychiatric disorders,” according to a study published online in the Journal of Headache and Pain. The findings of the study, which involved “3273 TN patients” and 13,092 people without the condition, revealed that TN “patients to be at risk of developing depression, anxiety and sleep disorders, but not bipolar disorder or schizophrenia.”

Related Links:

— “Psychiatric disorders may follow trigeminal neuralgia,” Eleanor McDermid, Medwire News, August 21, 2015.

Third-Party Claims Administrators May Be Sued Over Mental Health Parity Law

Reuters (8/21, Pierson) reports that the 2nd US Circuit Court of Appeals has ruled unanimously that the New York State Psychiatric Association has standing to sue UnitedHealth Group for treating mental health claims differently than other health claims and claims administrators may be liable for coverage decisions under the Employee Retirement Income Security Act (ERISA).

Modern Healthcare (8/21, Schencker, Subscription Publication) reported that in an Aug. 20 ruling, “a panel of judges for the 2nd US Court of Appeals decided…that UnitedHealth Group, as a third-party administrator for an employee health plan, is not exempt from ERISA, which regulates traditional pensions and other employer-provided benefits.” The panel also ruled that “under ERISA, the administrator must follow the mental health parity law.” The ruling may “lead to more patients and [healthcare professionals] challenging plan administrators who try to limit access to mental health services, some say.”

Related Links:

— “Psychiatric group’s ERISA case against UnitedHealth revived,” Brendan Pierson, Reuters, August 21, 2015.

Taking Care Of A Spouse Who Has Had A Stroke May Hurt Caregiver’s Physical And Mental Health

HealthDay (8/21, Reinberg) reports that taking care of “a spouse who has had a stroke can hurt your mental and physical health,” according to a study published online Aug. 20 in the journal Science. After assessing some “250 caregiving partners of stroke survivors,” researchers also found that caregivers’ “vitality and social life…suffered, not only in the first years after stroke, but over many years.”

Related Links:

— “When Your Spouse Has a Stroke, Your Health May Suffer, Too,” Steven Reinberg, HealthDay, August 20, 2015.