Is the NICE guideline for bipolar disorder biased in favour of psychosocial interventions?

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Guy Goodwin reviews a new paper in the Lancet Psychiatry by Jauhar, McKenna and Laws, that calls into question the trustworthiness of the NICE bipolar disorder guidance.

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Cognitive tests for dementia: MMSE, Mini-Cog and ACE-R

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Akshay Nair explores the results of a systematic review of cognitive tests for dementia and mild cognitive impairment, which focuses on the MMSE, Mini-Cog, ACE-R and MoCA instruments. Along the way he explains how diagnostic tests work and how sensitivity and specificity are useful measures to get your head around.

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Group psychotherapies for schizophrenia

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Tracey Roberts appraises a systematic review of group psychotherapies for schizophrenia, which includes group CBT, music therapy, art therapy and social skills training.

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No sexual health history please, we’re British!

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Kirsten Lawson presents the results of a systematic review of observational cross-sectional studies, which looks at the worldwide prevalence of HIV, hepatitis B and hepatitis C in people with severe mental illness.

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Lithium for schizophrenia: Cochrane find lack of evidence to support its use

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Raphael Underwood presents a new Cochrane review of lithium for schizophrenia, which assesses the use of lithium as a monotherapy and also in combination with antipsychotics.

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Psychotic-like experiences associated with self-harm, according to new systematic review, but further research is needed

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Katrina Witt critiques a recent systematic review of psychotic-like experiences and the risk of self-harm and suicide in the general population.

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What factors can ameliorate cognitive ageing?

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Raluca Lucacel summarises a systematic review of individually modifiable risk factors to ameliorate cognitive ageing. The study included Mediterranean diet, Tai Chi, Soy isoflavones, B Vitamins and Vitamin D.

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Mindfulness-based interventions in primary care: absent but successful

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Ioana Cristea appraises a meta-analysis on the effectiveness of mindfulness in primary care. She finds that the evidence is insufficient to draw any reliable conclusions about the actual effectiveness of mindfulness-based interventions in primary care settings.

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Screening, Brief Intervention and Referral to Treatment (SBIRT)

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Sally Adams summarises a meta-analysis of specialty substance use disorder services following brief alcohol intervention, which finds a lack of evidence for SBIRTs despite the widespread public health support for this type of programme.

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