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Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers – Medscape (free registration required)

Unpublished results, presented at the 13th World Congress of Biological Psychiatry, suggesting baclofen is an effective alternative for high-risk alcohol consumption.

Co-morbid OSA and insomnia increases depression prevalence and severity in men – Respirology (link to abstract – $ for full-text)

Commentaries: Combo of sleep apnea and insomnia linked to depression in men – Forbes (free) AND Sleep apnea and insomnia combination linked with depression – Wiley, via EurekAlert (free)

Why are doctors killing themselves? – by Anne Malatt, via MJA Insight (free)

Related: Why are doctors plagued by depression and suicide? A crisis comes into focus – STAT News (free)

Social media and mental health

1 – Quit Social Media Every Other Day – The Atlantic (free)

2 – Social media is as harmful as alcohol and drugs for millennials – The Conversation (free)

3 – Point of view: Is ‘Internet Addiction’ Real? – NPR Health News (free)

4 – Report: #StatusOfMind Social media and young people’s mental health and wellbeing – Royal Society of Public Health (link to introduction – free PDF)

Commentaries: Instagram ‘worst for young mental health’ – BBC News (free) AND Instagram worst social media app for young people’s mental health – CNN news (free)

Doctors are prone to burn-out and depression. We need to take care – World Economic Forum (free)

Pharmacological treatments and risk of readmission to hospital for unipolar depression in Finland: a nationwide cohort study – The Lancet Psychiatry (link to abstract – $ for full-text)

Commentary: Lithium Markedly Cuts Hospital Readmission in Depression – Medscape (free registration required)

Real-World Effectiveness of Antipsychotic Treatments in a Nationwide Cohort of 29 823 Patients With Schizophrenia – JAMA Internal Medicine(link to abstract – $ for full-text)

Commentaries: Oral clozapine, long-acting injectables tied to lower relapse risk in schizophrenia – Clinical Psychiatry News (free registration required) AND Long-Acting Antipsychotics Tied to Superior Outcomes – Medscape (free registration required)

“The risk of rehospitalization is about 20% to 30% lower during long-acting injectable treatments compared with equivalent oral formulations”

Medical News & Perspectives: More Treatments on Deck for Alcohol Use Disorder – JAMA (free)

Guidelines for the recognition and management of mixed depression – CNS Spectrums (free)

Commentary: First-Ever Guideline for Mixed Depression Released – Medscape (free registration required)

Moderate alcohol consumption as risk factor for adverse brain outcomes and cognitive decline: longitudinal cohort study – The BMJ (free)

Editorial: Alcohol consumption and brain health (free)

Commentaries: Even moderate drinking linked to a decline in brain health, finds study – Oxford’s Department of Psychiatry (free) AND Moderate drinking may alter brain, study says – CNN (free) AND Even moderate drinking may speed brain decline – STAT News (free) AND Even moderate drinking linked to changes in brain structure, study finds – Reuters (free)

Prenatal antidepressant use and risk of attention-deficit/hyperactivity disorder in offspring: population based cohort study – The BMJ (free)

Editoral: The safety of antidepressants in pregnancy (free)

Commentary: Kids’ ADHD Risk May Be Linked to Mother’s Underlying Mental Health, Not Prenatal Antidepressant Use – Physician’s First Watch(free)

Appropriate Use of Drug Testing in Clinical Addiction Medicine – Journal of Addiction Medicine (free)

Source: New consensus document for appropriate use of drug testing in clinical addiction medicine – MedicalXpress (free)

The high cost of childhood disruptive behavior disorders – STAT News (free)

Growing use of smart drugs by students could be a recipe for disaster – The Conversation (free)

“Students used to take drugs to get high. Now they take them to get higher grades” (RT @ConversationUK see Tweet)

Eating disorders: recognition and treatment – NICE Guideline (free)

Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper – Annals of Internal Medicine (free)

News release: ACP issues recommendations to prevent and treat substance use disorders (free)

Commentary: Treat Addiction Like a Chronic Disease, ACP Recommends – AJMC (free)

Socioeconomic status as an effect modifier of alcohol consumption and harm: analysis of linked cohort data – The Lancet Public Health (free)

Invited commentary: Socioeconomic status and susceptibility to alcohol-related harm (free)

Commentary: Poorest at greater risk from heavy drinking, says study – BBC (free)

Mortality risk during and after opioid substitution treatment: systematic review and meta-analysis of cohort studies – The BMJ (free)

Editorial: Opioid substitution treatment is linked to reduced risk of death in opioid use disorder – The BMJ (free)

Commentary: Opioid Substitution Therapy Associated with Reduced Mortality – Physician’s First Watch (free)

Opioid substitution treatment seems to be associated with decreased mortality.

Spend a Dollar on Drug Treatment, and Save More on Crime Reduction – The New York Times (10 articles per month are free)

Survey and commentaries: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free)

Increased in clerical burden seems to be one of the leading causes, heavily influenced by expanded and more comprehensive use of electronic health records. More on the burden of administrative tasks in healthcare in our April 21 issue, see #5.

Updated Guideline: Alcohol-use disorders: diagnosis and management of physical complications – National Institute for Health and Care Excellence (NICE – UK) (free)

A New, More Rigorous Study Confirms: The More You Use Facebook, the Worse You Feel – Harvard Business Review (free) (RT @EricTopol see Tweet)

Original article abstract ($ for full-text): Association of Facebook Use With Compromised Well-Being: A Longitudinal Study – American Journal of Epidemiology

The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 – JAMA Psychiatry (free)

Invited commentary: Good News for Screening for Adult Attention-Deficit/Hyperactivity Disorder – JAMA Psychiatry (free)

See also: Do You Zone Out? Procrastinate? Might Be Adult ADHD – NPR Health News (free)

Others disagree… call it “disease mongering”, “overdiagnosis”. For example, Prof Allen Francis, author of Saving Normal: An Insider’s Revolt against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life, wrote some remarks about the study, see Tweet 1, Tweet 2 and Tweet 3

See also: The Selling of Attention Deficit Disorder – The New York Times (10 articles per month are free)

Association Between Antipsychotic Agents and Risk of Acute Respiratory Failure in Patients With Chronic Obstructive Pulmonary Disease – JAMA Psychiatry (Link to abstract – $ required for full-text) (RT @atscommunity)

See also: Antipsychotics Tied to Respiratory Failure in At-Risk Patients – Medscape (free registration required) AND Antipsychotics May Boost Respiratory Failure Risk in COPD – MedPage Today (free registration required)

Cancer patients have 55% greater risk of suicide, study finds – The Guardian (free) (RT @ghn_news)

Review: Attention-Deficit/Hyperactivity Disorder – Deutsches Ärzteblatt international (free)

Press release: “Depression: let’s talk” says WHO, as depression tops list of causes of ill health – World Health Organization (free)

See also: Depression: let’s talk – WHO campaign (free) AND Depression updated factsheet (free) AND Depression and Other Common Mental Disorders: Global Health Estimates (free)

Depression is now the leading cause of ill health and disability worldwide, according to The World Health Organization.

Mental health of adults in contact with the criminal justice system – NICE Guideline (free)

News release: Checks needed every year for people with a mental health problem in the criminal justice system, says NICE (free)

Effective Prevention and Treatment of Substance Use Disorders – An American College of Physicians Position Paper (free)

See also: Treat Substance Abuse as Chronic Condition, ACP Says – Medscape (free registration required) AND Physicians call for drug abuse to be treated as ‘chronic disease’ – ABCNews (free)

Association between clinically recorded alcohol consumption and initial presentation of 12 cardiovascular diseases: population based cohort study using linked health records – The BMJ (free)

Editorial: Alcohol and cardiovascular disease (free)

See also: Alcohol and the Heart: Moderation Still Best – Generally higher risks seen with no or heavy drinking – MedPage Today (free registration required)

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