Stimulant Meds For AD/HD Not Tied To Later Substance Abuse

The New York Times (5/30, A17, Schwarz, Subscription Publication) reports that according to a meta-analysis published online May 29 in JAMA Psychiatry, “children with attention-deficit/hyperactivity disorder [AD/HD] who take stimulant medication do not have a lower risk over all for later substance abuse, contradicting the longstanding and influential message that such medicines tend to deter those with the disorder from abusing other substances.” The analysis “determined that, on average, medications like Adderall [amphetamine, dextroamphetamine mixed salts] and Ritalin [methylphenidate] had no effect one way or the other on whether children abused alcohol, marijuana, nicotine or cocaine later in life.”

Related Links:

— “No Link Seen Between Child Stimulant Use and Later Drug Abuse, ” Alan Schwarz, New York Times, May 29, 2013.

Strong Marriage May Help Protect Kids From Father’s Depression.

HealthDay (5/29, Dallas) reports, “A father’s depression may not have a negative effect on his children if he has a strong marriage, according to a new study” published online in the journal Developmental Psychology. “In conducting the study, the researchers examined information on 606 children and their parents enrolled in a study on early child development done by the US National Institute of Child Health and Human Development.” The study found that even though “depressed dads may have difficulty addressing the emotional needs of their children…if these fathers have a supportive spouse who listens they may be able to improve their interactions with their children.”

Related Links:

— “A Strong Marriage Can Shield Kids From Dad’s Depression: Study, “Mary Elizabeth Dallas, HealthDay, May 28, 2013.

Various Forms Of Talk Therapy May Help People With Depression.

HealthDay (5/29, Norton) reports, “Various forms of ‘talk therapy’ can help people with depression, but no single type stands out as better than the rest, according to a new analysis” published online May 28 in PLoS Medicine. After analyzing “nearly 200 clinical trials testing seven different types of psychotherapy for major depression,” researchers found that “overall…all of the therapies were better than no treatment. The typical effect was ‘moderate to large,’ they say – which means that the average patient who received the therapy was doing better than half of the patients in the untreated, comparison group.”

Related Links:

— “Talk Therapy Can Ease Depression, But No Single Type Deemed ‘Best’, “Amy Norton , HealthDay, May 28, 2013.

Certain Types Of Chronic Pain May Be Associated With Increased Suicide Risk.

Medscape (5/29) reports that research published in JAMA Psychiatry indicates that “that psychogenic pain, back pain, and migraine, but not arthritis or neuropathy,” may be “associated with an increased risk for suicide.” Investigators came to this conclusion after looking at data from “treatment records of all patients (n = 4,863,036) who were seen in the Veterans Health Administration system in fiscal year 2005 and who were alive at the start of fiscal year 2006.” While “some of this risk appears to be due to co-occurring mental health problems, there may be something about the experience of pain that also contributes directly to suicide risk, lead author Mark A. Ilgen, PhD, told Medscape Medical News.”

NIH Sequester Cuts Highlighted In Article About “Mental Health First Aid.”

“In the wake of… high-profile killings,” such as the Denver theater and Sandy Hook Elementary massacres, theColumbus (OH) Dispatch (5/26, Johnson, Candisky) reported, “America’s political leaders promised a grieving nation an examination of both guns and mental health.” However, “the discussion again has focused on a firefight over guns, with little real emphasis on the shortcomings of the nation’s underfunded, overwhelmed mental-health system.” The Dispatch notes, “President Barack Obama’s proposed $150 million-plus ‘mental-health first aid’ and similar programs for schools have stalled, while federal funding for the National Institute of Mental Health is being cut by $12 million on top of a 5 percent reduction already targeted from cutbacks known as the sequester.”

In a second article, the Columbus (OH) Dispatch (5/27, Johnson, Candisky) highlighted how access to mental healthcare is “woeful” in Ohio, adding, “With an estimated 57.7 million people in the U.S. suffering from some type of mental illness – approximately 1 in 4 adults – there are no easy answers on how to deal with this complex disease.” However, “one theme is cited again and again, both by experts and families involved in the struggle: Americans simply lack access to adequate mental-health care.”

Related Links:

— “Mental-health system overwhelmed, underfunded, “Alan Johnson, The Columbus Dispatch, May 26, 2013.

Mother’s Efforts To Aid Son In Struggle With Schizophrenia Described.

The Washington Post (5/25, McCrummen) offers a gripping, 4,165-word report that details a mother’s attempts to help and guide her 19-year-old son through a complex form of schizophrenia. The report follows Naomi Haskell of Houston and her son Spencer through the rolling changes typical of his illness, including hallucinations, depression, and, once, a suicide attempt. The Post says, “This is what it is like to be the mother of a son with a severe mental illness – an hour-to-hour, minute-to-minute vigil. At a time of increasing public concern about the role mental illness might have played in mass shootings in places like Newtown, Conn., and Aurora, Colo., Naomi’s worry on a Tuesday in Texas is different. It’s about keeping her son well.”

Related Links:

— “A mother helps son in his struggle with schizophrenia, “Stephanie McCrummen, The Washington Post, May 25, 2013.

New Research: Military Children May Be At Increased Risk For Mental Health Problems.

CBS News (5/28, Jaslow) reports on new research out of the American Academy of Pediatrics which shows that “children of military personnel may be at an increased risk for social, emotional and behavioral problems.” Published Monday in the AAP journal Pediatrics, the report “aims to raise awareness among pediatricians for the mental health needs for military children.” In a statement, study author Dr. Beth Ellen Davis said, “In the past 10 years, more than 2 million children in the U.S. have experienced the emotional and stressful event of being separated from a loved one deployed for active duty. Most children cope and adapt quite well, but all children experience a heightened sense of fear and worry during a parent’s deployment. It’s important for pediatricians caring for these families to be aware of their family’s situation so they can guide them appropriately.”

Related Links:

— “Pediatricians warned children of military personnel face mental health risks, “Ryan Jaslow, CBS News, May 27, 2013.

Prejudice About Mental Illness May Affect Medical Treatment Plans.

MedPage Today (5/24, Gever) reports, “Prejudices about individuals with mental illness play a role in many healthcare [professionals’] treatment decisions involving physical conditions,” according to research presented at the American Psychiatric Association’s annual meeting. “When [professionals] of all types – even mental health professionals – were presented with hypothetical vignettes of patients with medical conditions such as obesity, the treatment plans differed markedly when the patient also had schizophrenia, said Dinesh Mittal, MD, of the University of Arkansas for Medical Sciences.” Healthcare professionals “tended to assume that schizophrenia patients would be less adherent to instructions, more likely to miss appointments, and less competent at making their own medical decisions – none of which are justified by evidence, Mittal said.”

Related Links:

— “Mental Illness Stigma Affects Medical Tx Plans, ” John Gever, MedPage Today, May 23, 2013.

Migraine, Chronic Back Pain May Be Associated With Higher Risk Of Suicide.

HealthDay (5/23, Thompson) reports, “People who endure chronic migraines or back pain are more likely to attempt suicide, whether or not they also suffer from depression or another psychiatric condition, according to” research published online in JAMA Psychiatry. The researchers “found that all pain conditions except arthritis and neuropathy were associated with elevated suicide risk.” However, “when they took into account the mental-health problems that chronic pain patients also had, the associations reduced for all but three types of chronic pain: back pain, migraines and psychogenic pain, which stems from psychological factors.”

Related Links:

— “Migraine, Chronic Back Pain Tied to Higher Suicide Risk, “Dennis Thompson, HealthDay, May 22, 2013.

Emotional After-Effects Of Tornado May Affect Youngsters.

USA Today (5/22, Hellmich) reports, “The emotional after-effects of living through a traumatic event like the Oklahoma tornado could last for weeks or even longer, especially for children.” Psychologists interviewed in the article recommended that parents offer empathy to the youngsters and allow them to discuss what happened. Parents are also advised to place limits on children’s exposure to television reports about the tornado. One expert noted that the majority of children who experienced the tornado will not go on to develop post-traumatic stress disorder, but nightmares, sleeping difficulty and anxiety are to be expected for the near term. As for talking to children in other parts of the country about what happened, “how much you tell kids about the disaster is based on two factors: the child’s age and the vulnerability of the child.”

Related Links:

— “Kids who survived tornado face emotional after-effects, “Nanci Hellmich, USA Today, May 21, 2013.