{"title":"Link between psychiatric symptoms and cognition","authors":"Alison Knopf","doi":"10.1002/cpu30939","DOIUrl":"https://doi.org/10.1002/cpu30939","url":null,"abstract":"<p>Researchers have found both positive and negative associations between mental symptom severity and general cognition. Prior studies showed mixed findings. But this study, by noting that the associations were nonlinear, reconciled those prior studies, which assumed that symptom severity tracked with cognitive ability. In fact, the association between cognition and symptoms may be the opposite in low vs. high symptom severity samples. The study shows that it's necessary to use clinical information in studies of cognitive impairment. Because mental illnesses are a leading cause of disability, and cognitive impairments often play a role across psychiatric disorders. The researchers wanted to determine if the association between general cognition and mental health symptoms diverges at different symptom severities in children. For the study, researchers used the ongoing Adolescent Brain and Cognitive Development (ABCD) study to assess 5175 child at age 9 to 11 years. They evaluated aggregate cognitive test scores (general cognition) in relation to total and subscale-specific symptoms reported from the Child Behavioral Checklist. Linear models showed differing associations between general cognition and mental health symptoms, depending on the range of symptom severities queried. Nonlinear models confirm that internalizing symptoms were significantly positively associated with cognition at low symptom burdens and significantly negatively associated with cognition at more severe symptoms. [Pines A, Tozzi L, Bertrand C, et al. Psychiatric symptoms, cognition, and symptom severity in children. <i>JAMA Psychiatry</i> 2024 Dec; 81(12):1236-1245. https://doi.org/10.1001/jamapsychiatry.2024.2399.]</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 2","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substance use by teens stays low: MTF study","authors":"Alison Knopf","doi":"10.1002/cpu30938","DOIUrl":"https://doi.org/10.1002/cpu30938","url":null,"abstract":"<p>Adolescent substance use remains low, according to the most recent Monitoring the Future (MTF) study. Results released by the National Institute on Drug Abuse (NIDA) show the fourth year of continued lowered levels for this age group.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 2","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AACAP on diversity, equity, inclusion, and belonging","authors":"Alison Knopf","doi":"10.1002/cpu30941","DOIUrl":"https://doi.org/10.1002/cpu30941","url":null,"abstract":"<p>The American Academy of Child and Adolescent Psychiatry (AACAP) is dedicated to ensuring equitable access to mental health resources and compassionate care for all children, adolescents and their families, regardless of their ability and identity, and has issued the following statement.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 2","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment retention better with methadone than buprenorphine","authors":"Alison Knopf","doi":"10.1002/cpu30937","DOIUrl":"https://doi.org/10.1002/cpu30937","url":null,"abstract":"<p>A recent study comparing the effectiveness of buprenorphine and methadone found that the risk of discontinuation was greater with buprenorphine than methadone. For the study, the researchers looked at a retrospective cohort of patients via databases in British Columbia, Canada. The study covered a total of 30,891 patients, who received treatment from 2010 to 2020.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FDA changes buprenorphine labeling to favor higher doses","authors":"","doi":"10.1002/cpu30940","DOIUrl":"https://doi.org/10.1002/cpu30940","url":null,"abstract":"<p>In December, the Food and Drug Administration (FDA) issued the Federal Register notice, Modifications to Labeling of Buprenorphine-Containing Transmucosal Products for the Treatment of Opioid Dependence, to encourage the submission of supplemental new drug applications to modify the labeling statements for buprenorphine-containing transmucosal products for the treatment of opioid dependence (BTODs). BTODs are medications that are dissolved in the mouth and contain buprenorphine, or a combination of buprenorphine and naloxone, and are indicated to treat opioid use disorder (OUD)—previously referred to as opioid dependence.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 2","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Age-specific providers needed for transition-age youth","authors":"Alison Knopf","doi":"10.1002/cpu30936","DOIUrl":"https://doi.org/10.1002/cpu30936","url":null,"abstract":"<p>“Transition-age youth” means those years when an adolescent turns into an adult. It's a gradual transition, but problems may arise, especially when there is no appropriate mental health care. It is a time when youth are particularly vulnerable to stress, and also when serious mental health problems can derail their move into adulthood. The years of being home and protected by parents, perhaps, are over. College, jobs, and concerns about the “real world” can take over. Furthermore, the inner world — depression, anxiety, suicide, substance use, bullying, romance, even possible first-episode psychosis which takes place during these years, can emerge. Medically, the pediatrician is probably leaving the child's medical team, and new providers — adult providers — will be taking over. These providers don't know the child the way the pediatrician does.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LGB+ youth more likely to have major depression and suicidal thoughts","authors":"Alison Knopf","doi":"10.1002/cpu30928","DOIUrl":"https://doi.org/10.1002/cpu30928","url":null,"abstract":"<p>A new report from the Substance Abuse and Mental Health Services Administration (SAMHSA) has found that LGB+ youth are more likely than straight youth to have major depression and serious thoughts of suicide. <b>Behavioral Health of Adolescents Across Sexual Identities: Results from the 2023 National Survey on Drug Use and Health</b> (NSDUH), a new infographic report highlighting data pertaining to Lesbian, Gay, Bisexual and any non-heterosexual identifying youth, was released in November 2024.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Confidentiality, clinicians, and parents in mental health care now","authors":"Alison Knopf","doi":"10.1002/cpu30933","DOIUrl":"https://doi.org/10.1002/cpu30933","url":null,"abstract":"<p>Right after the presidential election last fall, the outgoing pres-ident of the American Academy of Pediatrics listed the many ways in which the organization has protected children over the past year. Keeping health insurance and access to mental health care, promot-ing vaccine confidence, keeping children safe online, challenging bans on gender-affirming care and reproductive health services are just some of the important protections for children.</p>","PeriodicalId":22496,"journal":{"name":"The Brown University Child & Adolescent Psychopharmacology Update","volume":"27 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}