Small Study: Many Patients With BD Fail To Take Meds As Prescribed.

Medwire (11/19, Lyford) reports that, according to a study published Oct. 28 in the Journal of Affective Disorders, “more than half of patients with bipolar disorder [BD] fail to take their medication as prescribed.” The 191-patient study revealed that “the most common reasons for nonadherence given by patients were side effects, lack of motivation, and a negative attitude toward” specific treatments. For example, “nonadherence to antipsychotics was predicted by substance dependence, negative attitudes to antipsychotics, and borderline personality disorder, whereas nonadherence to mood stabilizers was predicted by negative attitudes toward mood stabilizers and anxiety disorder.”

Related Links:

— “Bipolar disorder treatment nonadherence ‘needs more attention’, “Joanna Lyford, Medwire News, November 19, 2013.

Diagnosable Psychiatric Disorders May Go Untreated In Adolescents.

MedPage Today (11/19, Gever) reports that, according to research published online Nov. 15 in the journal Psychiatric Services, a publication of the American Psychiatric Association, the majority of “adolescents with diagnosable psychiatric disorders never received any type of treatment.” After analyzing data from the “in-person adolescent supplement to the National Comorbidity Survey (NCS-A), conducted in 2001-2004 and involving some 6,500 teenagers 13- to 17-years-old,” researchers found that “45% of those meeting DSM-IV criteria for a recognized mental, emotional, or behavioral disorder received some type of service for it in the previous year.” The study received funding from the National Institute of Mental Health, the National Institute on Drug Abuse, the Substance Abuse and Mental Health Services Administration, among others.

Related Links:

— “Psych Disorders in Teens Often Neglected, “John Gever, MedPage Today, November 18, 2013.

Some Physicians Now Claiming To Treat CTE.

The New Republic (11/15) reports that treating chronic traumatic encephalopathy (CTE) “and undoing the damage of individual concussions is exactly what a small but increasingly sought-out group of doctors is telling vulnerable ex-players they can do.” For many in “the medical establishment, these doctors and their unproven procedures show that football’s brain-injury crisis has entered its snake-oil phase.” In an article in the Washington Post, American Psychiatric Association president Jeffrey Lieberman, MD, “went so far as to label one practitioner’s methods as ‘the modern equivalent of phrenology.’”

Related Links:

— “These Fringe Doctors Say They Can Cure NFL Concussion Victims, “Jason Schwartz, The New Republic, November 17, 2013.

Reactions To Mental Health Parity Law’s Final Rule Mostly Positive.

In continuing coverage, Medscape (11/15, Brauser) reports reaction to the final rule (pdf) released last week “on the Mental Health Parity and Addiction Equity Act has been mainly positive.” For example, Paul Summergrad, MD, president-elect of the American Psychiatric Association (APA), stated, “We think this is an important set of steps going forward and think there are many things there that will benefit patients and their doctors.” But, Henry Harbin, MD, who is “a member of the APA Workgroup on Health Reform and Parity, added that although the final rule is a positive step, more work needs to be done, especially because guidelines about Medicaid plans have not yet been determined.”

Guidelines Aim To Identify Mental Health Issues In Student Athletes.

HealthDay (11/15, Gray) reports, “The National Athletic Trainers’ Association (NATA) estimates that about one in four US youths meets the criteria for having a” psychiatric disorder. Recently, “to help professionals working with college athletes recognize and refer students with psychological issues, the NATA…published guidelines in the Journal of Athletic Training” that underscore “the need to take away the stigma of mental health issues and teach people working with student-athletes how to spot psychological concerns early.”

Related Links:

— “Even Football Heroes Can Be Laid Low by Depression, “Barbara Bronson Gray, HealthDay, November 14, 2013.

US Adults With Autism May Face Housing, Support Services Shortage.

HealthDay (11/14, Preidt) reports that, according to research presented at an autism policy summit, US “adults with autism face a shortage of housing and support services.” After polling some 10,000 people, including 400 people with autism and their caregivers, researchers found that “more than 84 percent of caregivers said they had an adult with autism living at home, and only 24 percent of those adults were currently on a waiting list to receive housing and” services for residential support. About “70 percent of caregivers said they did not have outside help to care for their loved ones with autism; and more than half of caregivers said they need assistance.”

Related Links:

— “U.S. Adults With Autism May Face Housing Crisis, “Robert Preidt, HealthDay, November 13, 2013.

Women’s Depression Risk May Fall After Natural Menopause.

Reuters (11/14, Seaman) reports that according to a study published online Nov. 13 in JAMA Psychiatry, the risk for depression in women may fall after they undergo natural menopause. Researchers arrived at this conclusion after following 203 women ranging in age from 35 to 48 from 1996 through 2010. At study start, the women had not experienced menopause, and about 40 percent of them displayed some depressive symptoms. Two years after menopause, the risk for depression lowered considerably. The study authors noted that women’s scores for depression appeared to be tied to hormone levels.

Related Links:

— “Depression risk may fall after women’s periods end, “Andrew Seaman, Reuters, November 13, 2013.

Analysis: US Healthcare System Spending Doubles, But Aging Population Not To Blame.

An analysis piece published in the Journal of the American Medical Association contradicts the perception that an aging population is responsible for raising US healthcare costs. Rather, the analysis points to the burden of chronic diseases, not just in seniors but also in people under the age of 65. The analysis also reveals that despite the huge amounts of money it spends on healthcare, the US system lags behind healthcare systems in other countries in producing better outcomes.

Bloomberg News (11/13, Pettypiece) reports that, according to an analysis piecepublished in the Nov. 13 issue of the Journal of the American Medical Association, “the $2.7 trillion US health-care system lags behind other nations in improving its citizens’ health even as spending has doubled, increasing faster than any other industry over the past decade.”

Related Links:

— “Health Gains in U.S. Slow Even as Costs Rise, Study Finds, “Shannon Pettypiece, Bloomberg News, November 12, 2013.

US Military Suicides Decreased By 22% This Year.

The AP (11/12, Baldor) reports that, according to officials from the Department of Defense, US military suicides across all branches of the service “have dropped by more than 22 percent this year.” The drop has occurred “amid an array of new programs targeting what the Defense Department calls an epidemic that took more service members’ lives last year than the war in Afghanistan did during that same period.” Nevertheless, officials with the military expressed reluctance “to pin the decline on the broad swath of detection and prevention efforts, acknowledging that they still don’t fully understand why troops take their own lives,” particularly since some suicides occur in service members who have never been deployed to battle.

Modern Healthcare (11/12, Robeznieks, Subscription Publication) reports that the American Psychiatric Association (APA) “says moves by UnitedHealthcare and other insurance companies to drop physicians from Medicare Advantage networks may impede the Obama administration’s goals for healthcare reform.” In aletter (pdf) to the Centers for Medicare & Medicaid Services, the APA, along with 80 other physician groups, wrote, “The timing of the network modifications, the lack of accurate and reliable information, and lack of network transparency has significant negative ramifications for the administration’s goal of reducing fragmentation of patient care.” The letter cites evidence that the “proposed modification will disrupt long-established patient-physician relationships, interfere with existing physician referral networks, and undermine emergency department coverage in many hospitals.”

Related Links:

— “Apnewsbreak: Military Suicides Drop; Unclear Why, “Lolita C. Baldor, Associated Press, November 11, 2013.

Review Finds Tripling Of Gun Violence In PG-13 Movies Since 1985.

NBC News (11/11, Dahl) reports on a study published in the journal Pediatrics finding that PG-13 movies of recent release “contain more violence than the R-rated films of the 1980s,” with gun violence having “tripled since 1985.” The study was based on a review of “945 popular films released from 1950 to 2012.”

The Washington Post (11/11, Dennis) reports that gun violence in PG-13 movies “more than tripled since the rating was introduced in the mid-1980s.” The reviewers “excluded violence not intended to harm anyone, such as accidents and run-of-the-mill sports aggression.” They concluded that “violence in films had more than doubled since 1950.”

The New York Times (11/11, Cieply, Subscription Publication) reports that gun violence appears “more than twice an hour in the best sellers” in both PG-13- and R-rated movies. The review’s “authors called for changes to the ratings system, which, according to some of its critics, is tougher on sex than on violence.”

Related Links:

— “PG-13 movies are now more violent than R-rated ’80s flicks -study, “Melissa Dahl, NBC News, November 11, 2013.