Untreated Psychosis May Increase Risk Of Violent Re-Offenses.

Medwire (11/21, McDermid) reports that, according to a study published online Nov. 13 in the American Journal of Psychiatry, a publication of the American Psychiatric Association, “the risk for violence after the release of prisoners with sexual or violent offenses is increased if they have untreated psychosis.” The study of “742 former prisoners with no psychosis, 94 with schizophrenia, 102 with drug-induced psychosis, and 29 with delusional disorder” revealed that “prisoners with untreated schizophrenia were a significant 3.43 times more likely than those without psychosis to commit a violent re-offense.”

Related Links:

— “Treatment key to averting psychosis violence after prison release, “Eleanor McDermid, Medwire News, November 21, 2013.

Cognitive Function, Illness Course May Predict Employment Success In Patients With BD.

Medwire (11/20, Piper) reports that, according to a review published online Nov. 13 in the journal Bipolar Disorders, “patients with bipolar disorder [BD] are more likely to be successfully employed if they have good cognitive function and a more benign course of illness.” The review examined 22 studies involving 6,301 patients.

Related Links:

— “Cognition and illness course predict bipolar employment, “Lucy Piper, Medwire News, November 20, 2013.

Harvard Scientists Studying How Meditation May Help Alleviate Stress.

Bloomberg News (11/22, Kitamura) reports John Denninger, a psychiatrist at Harvard Medical School, “is leading a five-year study on how the ancient practices affect genes and brain activity in the chronically stressed.” The article notes the significance of the study, saying that while “hundreds of studies have been” done about the mental health benefits of yoga and meditation, “they have tended to rely on blunt tools like participant questionnaires, as well as heart rate and blood pressure monitoring.” The piece says that “only recently have neuro-imaging and genomics technology used in Denninger’s latest studies” given scientists the ability to “measure physiological changes in greater detail.” The government-funded study may push more doctors to look for alternative solutions to stress-induced conditions, including hypertension and depression.

Related Links:

— “Harvard Yoga Scientists Find Proof of Meditation Benefit, “Makiko Kitamura, Bloomberg News, November 21, 2013.

One Woman’s Struggle With Factitious Disorder Chronicled.

On its website, Fox News (11/21, Grush) chronicled one woman’s “long struggle with factitious disorder – more commonly referred to as Munchausen syndrome.” Starting at age 13 and continuing for over 20 years, the woman went on “to feign more than 12 physical and mental illnesses – including extreme disorders like schizophrenia, multiple sclerosis and even epilepsy.” Eventually, the woman was diagnosed with bipolar disorder. The piece noted that the woman, who is now getting her life back together, “presented her tale to members of the American Psychiatric Association during their annual conference.”

Related Links:

— “Addicted to illness: How one woman recovered from a 20 year struggle with Munchausen syndrome, “Loren Grush, Fox News, November 21, 2013.

Many US Teens With Mental Health Disorders May Not Receive Treatment.

HealthDay (11/22, Preidt) reports that, according to a study published online Nov. 15 in the journal Psychiatric Services, “less than half of American teens with mental health disorders receive treatment, and those who do get help rarely see a mental health specialist.” In addition, the “analysis of data from more than 10,000 teens aged 13 to 17 across the” US revealed that “teens with attention-deficit/hyperactivity disorder, conduct disorder or oppositional defiant disorder received mental health care more than 70 percent of the time, while those with phobias or anxiety disorders were least likely to be treated.”

Related Links:

— “Teens’ Mental Disorders Often Untreated in U.S., Study Finds, “Robert Preidt, HealthDay, November 21, 2013.

Obesity In Women May Be Linked To PTSD According To Study.

The Los Angeles Times (11/20, Kaplan) reports that according to a recent study from Harvard, Columbia, and Boston University, published in JAMA Psychiatry, there is a link between women who experience PTSD symptoms and weight gain. The study took the “Nurses Health Study II” and looked at women in the study who had reported at the time of enrollment that they had not experienced any PTSD symptoms. These women were then followed. Some of these subsequently experienced traumatic events. According to results, of these women, the ones who developed “one, two or three PTSD symptoms (as assessed by the survey) were 18% more likely to become overweight or obese, while those with four or more PTSD symptoms were 36% more likely to become overweight or obese.”

Related Links:

— “Obesity may be a side effect of PTSD in women, study finds, “Karen Kaplan, Los Angeles Times, November 20, 2013.

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.”