Quitting smoking is the easy part, staying quit is hard

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During 2010/11 there were 1.53 million hospital admissions for illnesses directly attributable to smoking in the UK. These admissions, along with other smoking-related expenses, cost the NHS approximately £5 billion pounds per year. Fortunately, the NHS is spending £88.2 million per year on cessation treatments, many of which have been repeatedly demonstrated to be highly [read the full story…]

Multisystemic therapy may help prevent adolescent sexual offenders from reoffending

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The sexual abuse of children is a worldwide problem that has lasting and sometimes lifelong impacts on the child, their family and the community. There is a substantial amount of research that now demonstrates the long term impacts of child sexual abuse which includes: The increased incidence of all types of mental health difficulties; Increased [read the full story…]

Cohort study links early exposure to intimate partner violence with poor mental health outcomes, but longer follow-up is needed

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Negative childhood experiences have always been a big topic in psychology and psychiatry, as they tend to be associated with poor mental health outcomes in later life. Intimate partner violence (IPV) harms not only the adults directly involved in it, but also the children – witnessing IPV as a child is a known risk factor [read the full story…]

Is ‘natural’ better? Evidence for the efficacy of complementary therapies for antenatal depression

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Can we encourage patients to continue taking complementary and alternative (CAM) treatments for antenatal depression or should we be firmly discouraging them from doing so? We already know from surveys that 11% of primary care patients with anxiety and depression are taking complementary or alternative therapies, which is around the same proportion of people who [read the full story…]

Can MRI scanning help diagnose autism in infants?

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After recent posts delving off into dark woodlands of some methodologically challenging brain imaging studies, we are coming back to a more simple idea: repeatedly scanning the same people from before they develop a disorder through to receiving a diagnosis.  What is different about this study is that it was done with infants aged 6-36 [read the full story…]

Cochrane review finds no clear evidence for psychosocial interventions to help people with both severe mental illness and substance misuse

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Substance use is common in people with mental health problems, and this can have important negative consequences for health and social function. The high comorbidity of mental health problems and substance use is a major contributor to the shorter life expectancy of this population – a person with a severe mental disorder can expect to [read the full story…]

Financial incentives don’t increase depression screening for patients with chronic illness

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The lines between physical health and mental health are blurred in lots of ways, and one example is the fact that people with chronic physical conditions are also more likely to suffer from depression. As well as adding to their burden of illness, there’s also some evidence that those patients with comorbid depression have worse [read the full story…]

WEAVE RCT: GP training, but not screening, may benefit women who have experienced intimate partner violence

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Behaviour within an intimate relationship which causes psychological, physical or sexual harm to either party is known as intimate partner violence (IPV). This violence is perpetrated by both men and women, but significant injuries are more commonly sustained by women. Consequently, IPV is a major public health concern as it contributes majorly to mortality in [read the full story…]

Pain causing challenging behaviour in people with dementia is overlooked and under-treated

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A new review by Pieper et al 2013 aims to provide a comprehensive overview of the research on treatments for both pain and challenging behaviour in people with dementia. It hinges around the fact that pain is commonly undertreated because it is not easy to recognise unless there is a diagnosed physical cause, and also because [read the full story…]

Identifying risk factors in first episode psychosis: results from two new meta-analyses

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A first episode of psychosis is a higher risk time for acts of self-harm and of violence, and a chance to engage people, modify risk factors and change outcomes. Two related meta-analyses by Large, Neilssen and Challis are presented in a letter in the Australian and New Zealand Journal of Psychiatry.  They summarise two studies [read the full story…]