The use of telemedicine for substance use disorder is relatively low in a commercially insured population.
Future studies need to determine whether improvement in cognition with abstinence is associated with improvement in academic and other functional outcomes.
Heroin addicts were more compliant with taking monthly injections of naltrexone rather than consuming it in a pill version.
A new study suggests genetic differences in people with heavy alcohol use and alcohol use disorder.
In addition to many other health risks, kratom products can have high levels of heavy metals.
Warning letters about products illegally marketed as treatments for opioid addiction, pain, and anxiety have been sent to 2 companies, the FDA said Tuesday.
There are great differences in access to naloxone even among states that have passed legislation to allow pharmacists to dispense the medication without a physician's prescription.
Opioid misuse varies with sexual orientation, with increased misuse among female bisexuals.
Sandoz and Pear Therapeutics announced the availability of reSET, the first prescription digital therapeutic for patients with substance use disorder.
Two studies indicate a link between cannabis use and mental health concerns, starting in adolescence and continuing into adulthood.
The USPSTF recommends that primary care clinicians screen all adults, including pregnant women, for unhealthy alcohol use and provide brief behavioral counseling to reduce unhealthy alcohol use.
The majority of adolescents taking prescription opioids for non-medical purposes were found to get these drugs from someone else.
As part of the US FDA's efforts to reduce teens' use of flavored electronic cigarettes, a ban on sales of most flavored e-cigarettes in retail stores and gas stations across the US is to be introduced.
The number of opioid overdose deaths in the United States reached a new record last year with 72,000 deaths, which works out to about 200 a day.
Ruling against the recommendation of one of its chief experts, the US Food and Drug Administration approved an extremely potent new opioid painkiller, Dsuvia.
The Stopping the Transmission of Opioids to the Next Generation tool allows clinicians treating women of childbearing age with opioid use disorder to estimate risks associated with pregnancies in this patient population.
Many patients in a workers' compensation cohort have persistent opioid use.
The guideline formulated by the Centers for Disease Control and Prevention in an effort to curb opioid overdose-related deaths included a recommendation for steep reductions in opioid doses for patients taking high doses of the drug for chronic pain.
The training has information on how to use several products including a nasal atomizer, Narcan Nasal Spray and Evzio.
Lofexidine may expand the treatment options available for managing withdrawal when buprenorphine and methadone are unavailable or undesirable.
A bipartisan bill meant to combat the United States' opioid abuse epidemic was signed into law October 24 by President Donald Trump.
Adolescents are increasingly using e-cigarette products such as pod-based systems but have misperceptions and lack of knowledge about these products.
Recreational marijuana recently became legal in Canada, and while many welcome the move, others have serious concerns.
A novel prognostic tool can be used to accurately identify adolescents at risk for initiating cigarette smoking.
Daily drinking, even at low levels, may be detrimental to one's health.
"Pod mods," which are small, rechargeable devices that aerosolize liquid solutions containing nicotine encapsulated in cartridges, pose a danger to adolescent users.
In a rare bipartisan move, both the House and Senate have reached a compromise on legislation to address the opioid epidemic.
Pain conditions may largely be underrecognized contributors to the overdose epidemic.
Girls with an earlier age of alcohol initiation appear to be at a higher risk for PTSD, anxiety, and depression symptoms after an interpersonal life trauma.
Future public health interventions developed for cigarette use must accommodate individuals with mental health and substance use disorders.
Calling the use of electronic cigarettes a burgeoning epidemic among teens, the FDA announced a crackdown on the sale of Juuls and other flavored e-cigarette devices to minors.
This research provides preliminary support for the use of prazosin in the treatment of alcohol use disorder.
Depression may partially mediate the association between post-traumatic stress disorder and opioid misuse.
From July 2016 to June 2017, bystanders were documented in 44% of opioid overdose deaths, but naloxone was rarely administered by a layperson.
Cassipa, a film designed to be placed under the tongue, has been approved to treat opioid dependence, the US FDA said in a news release.
Purdue Pharma, the maker of Oxycontin who some have blamed for the epidemic of opioid painkiller addictions, has patented a medicine aimed at curbing those disorders.
Accurate, transparent documentation is key in ensuring safe and appropriate opioid prescribing.
Nationwide initiatives to decrease cigarette smoking prevalence have not accommodated individuals with mental health or substance use disorders.
Risk Factors for Prescription Opioid Misuse Include Suicide Ideation, Past Substance Abuse Disorders
These data underscore the impact of comorbid health conditions on opioid misuse disorders and support the use of screening for co-occurring health conditions for patients who misuse prescription opioids.
Among study participants who developed a lifetime use of nicotine, 50% had initiated use by age 15.3 years.
Emergency department providers need evidence-based strategies to identify and manage patients with opioid use disorder.
The new plan will break out the current guidance into 4 separate guidances.
Overall, 14.6% of US adults report marijuana use in the past year.
Globally, alcohol use is a leading risk factor for disease burden.
Implementation of a mandatory PDMP does not necessarily reduce the overall rate of opioid prescribing or the mean number of pills prescribed for patients undergoing general surgical procedures.
Last year, the DEA proposed a 20% reduction in the manufacturing of controlled substances for 2018 compared to 2017.
More information is needed on marijuana use in pregnancy.
The American Medical Association encourages patient education to raise awareness of the risks associated with opioid use after a prolonged period of sobriety.
Concomitant exposure to pregabalin and opioids is associated with increased odds of opioid-related death.
Study investigators suggest that interns in psychiatry are the most vulnerable population among medical interns and should be targeted for prevention interventions.
Non-smoking adolescents with tobacco smoke exposure have increased risk for TSE-related symptoms.
Opioid dependence is more likely to occur in patients with degenerative spondylolisthesis before surgery than afterward.
Physicians play an important role in educating individuals about the risks of impaired driving caused by marijuana or opioids.
Southern states have the 10 highest opioid prescribing rates in the country, while California, New York, and Virginia are among the bottom 10.
Teenagers' use of any tobacco products, including electronic cigarettes, is associated with subsequent marijuana use.
Personality traits such as anxiety sensitivity, hopelessness, sensation seeking, and impulsivity may be predictors of use and misuse of prescription drugs in young adults.
After a rise in the frequency of opioids prescribed in emergency departments from 2005 to 2011, a decline was observed from 2012 to 2015, particularly in the 18- to 64-year age group.
The healthcare community, having eradicated a number of deadly diseases, should approach these alcohol-driven fatalities as a disease and launch a comprehensive, coordinated, and sustained effort to eliminate roadway deaths.
Unsolicited notices to prescribers as part of prescription drug monitoring programs may not effectively reduce opioid use, as patients may seek other prescribers.
The prevalence of opioid use disorder rose in women delivering at hospitals across 28 US states and the District of Columbia between 1999 and 2014, with quadrupling at the national level during this period.
All healthcare providers have a role in combating the opioid use disorder epidemic and its infectious disease consequences.
Senator Elizabeth Warren introduced a bipartisan bill in June 2018 (S.3032) that would exempt most marijuana-related activities from the Controlled Substances Act when they are allowed under state or tribal law.
The AMA has adopted several policies to improve the regulation of tobacco products, including electronic cigarettes.
There was a large increase in sales of electronic cigarettes and related products in the United States in recent years as their prices fell.
Electronic cigarette use is most common among current smokers.
How Medication-Assisted Treatment Affects Outcomes of Alcohol-Dependent Adults With Serious Mental Illness
Medicine-assisted treatment demonstrated strong benefits following the treatment period, including significantly lower odds for mental health hospitalization and fewer emergency department/crisis visits.
Children often fill outpatient opioid prescriptions, with the most common indication for dental procedures.
Users of synthetic marijuana products and health care providers should be aware of the risk of bleeding associated with contamination of synthetic cannabinoid products with brodifacoum.
Most US adults believe that marijuana has at least 1 benefit.
Participants were drawn from the Health and Retirement Study, which provided multiple observations, genetic information, and previous alcohol use.
There have been substantial increases in complete abstinence from substance use reported by high school students over the past 40 years.
These findings are consistent with emerging neurocognitive models linking interoception to emotion regulation and related health outcomes, providing valuable input in improving substance use disorder treatment.
It is possible that sex factors may be critical in differentiating the response to stress with respect to specific gene pathways.
Misleading portrayals of tobacco's health consequences in popular YouTube videos can increase positivity toward featured products including hookahs and e-cigarettes.
The US Surgeon General released an advisory urging increased availability of the opioid overdose-reversing drug naloxone earlier this year.
Concurrent benzodiazepine use is associated with increased risk for opioid-related overdose, with the risk highest on the first days of concurrent use.
Causes of death in the year after a nonfatal opioid overdose were often related to substance use disorders, as well as to a range of mental health and medical conditions.
A minority of opioid overdose survivors receive medications for opioid use disorder; buprenorphine and methadone maintenance treatment linked are linked to reduced mortality.
In patients receiving opioid substitution treatment for opioid use disorder (mainly involving heroin), those exhibiting a rapid decline in heroin use were found to be more likely to have successful treatment outcomes.
These data may be useful to clinicians in gaining insight on the potential risks of cannabis use among their patients with anxiety or mood disorders.
Across adult age categories, there was an increase in the prevalence of daily cannabis use after 2007.
The association of cannabis use with symptoms of psychosis underscores the need for targeted cannabis use prevention.
Some individuals self-report that electronic cigarettes help them quit smoking conventional cigarettes.
Through their predictive analytics, Cigna can identify customers most likely to suffer from an overdose and can prompt interventions.
Youth should be protected from electronic cigarettes and other nicotine delivery devices.
Few of the individuals who experience an opioid-related overdose had received treatment for opioid use disorder.
There is a marked excess of deaths among US adults who experience a nonfatal opioid overdose.
A novel, innovative initiative is being developed to help end addiction over the long term.
Stigmatizing attitudes toward those who use opioids are associated with lower support for two evidence-based opioid harm reduction strategies.
Oxycodone and morphine are more likely to contain messaging on package inserts describing safe storage and disposal methods compared with other commonly used and misused opioid analgesics.
Binge drinking in adolescence may prevent girls from reaching their peak bone mass.
Flavoring additives used in electronic cigarettes may have adverse effects on blood vessels.
Cannabis use is associated with psychosis symptoms during adolescence.
Higher daily average inpatient pain scores and higher postoperative opioid consumption are associated with a subsequent persistent opioid use.
Screening adults, including pregnant women, and providing brief counseling in primary care settings can reduce unhealthy alcohol use.
Nicotine preloading does not significantly increase subsequent smoking abstinence in adult daily smokers with tobacco dependence.
The US Drug Enforcement Administration's 2014 ruling to reschedule hydrocodone combination products coincided with an increase in illicit trading of opioids through online illicit markets.
Electrical pulses are sent through small needles that are inserted in the ear to combat the early stages of detoxification, leading to stabilization.
AAFP and other signatories also call on FDA to apply the proposal to other combustible tobacco products.
Financial incentives added to free cessation aids can improve the rate of sustained abstinence among smokers.
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Psychiatry Advisor Articles
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- Part 1: Adolescent Tech Use and Mental Health: Expert Roundtable
- Inflammation: Is It the Link Between Rheumatoid Arthritis and Depression?
- Characteristics of Unipolar Mania, Distinct from Bipolar Disorder, Described
- Social Anxiety in Schizophrenia: An Overlooked Problem
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- Subthreshold Pediatric Bipolar Disorder Is a Significant Psychiatric Burden
- Functional Milestones Identified for Persons With Down Syndrome
- Racial Differences Identified in Some Biomarkers of Alzheimer Disease
- Aspirin, N-Acetylcysteine Effective Adjunctive Treatments in Bipolar Depression
- Discharge One Hour After Naloxone for OD May Be Option