Can assessing and acting on quality of life scores improve patient satisfaction? New study concludes yes, but the results actually say no

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For mental health patients, quality of life (QoL) can include many things like self-esteem, autonomy, satisfaction with the care they’re receiving and the staff who are caring from them, reduced symptoms, minimal side-effects from treatment and good overall functioning. Measuring QoL can pick up on difficulties a patient is having that wouldn’t have otherwise come [read the full story…]

UK survey finds that social firms may help with vocational recovery for people with mental illness

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In the UK it is a shocking statistic that around 80-90% of people with severe mental illness are not in work.  Unemployment impacts negatively not only on the individual, but is also costly to the government. Employment is now embedded in key mental health policy as a central part of recovery. However, despite this, and [read the full story…]

Does racial discrimination affect the mental health of children and young people?

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Recent adult mental health policy initiatives, such as the Delivering Race Equality programme (PDF) show the increasing recognition of racial discrimination in NHS mental health services. In 2012 the NHS Confederation issued guidance on achieving race equality in mental health, which was summarised on the Mental Elf a while ago. These UK policy developments on [read the full story…]

Do people stop smoking if their doctor advises them to? Cochrane review says sometimes and it IS worth the effort

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As previously discussed on the Mental Elf, the rates of tobacco smoking in most developed countries are falling, helped in part by high levels of taxation and bans on smoking in public places. However, over 20% of adults in the UK continue to smoke, and this means that smoking is the greatest single cause of [read the full story…]

Systematic review reveals conflicting evidence for relationship between diet and depression

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The question of what role nutrition plays in mental health has been the sauce (ahem) of research interest in recent times. As covered previously by oursElves in relation to dementia, the majority of this research has looked at individual nutrients like Omega-3 fish oil and other minerals, with the broader area of diet receiving less [read the full story…]

It’s not the combat, maybe it’s the drinking in vulnerable young men

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A cohort study published in JAMA tried to answer the question what are the risk factors for suicide in the US military. This is a hot topic as the rate of suicide has increased in US military personnel from about 11/100,000 people in 2005 to about 18/100,000 so that now deaths from suicide outnumber deaths [read the full story…]

Moderators of outcome in late-life depression: should we be prescribing antidepressants to older people?

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Meta-analyses are an incredibly useful tool for synthesising evidence. However, such analyses typically use aggregate data, meaning the average scores or outcomes for treatment groups, which can cause problems if we’re trying to dig a little deeper into the question of ‘what works’ to answer ‘what works, and for whom?’ The ‘for whom?’ question is [read the full story…]

Atypical antipsychotics can lead to weight gain in children and adolescents, but more evidence needed about metabolic side effects

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Atypical (second-generation) antipsychotics are used to treat a variety of psychiatric conditions. Although they have fewer side effects than first-generation antipsychotics, weight gain and other metabolic problems (such as high blood pressure and diabetes) remain common side effects of taking atypical antipsychotic medication (Mind, 2012). The Mental Elf has previously blogged about a Canadian report [read the full story…]

Measuring treatment effects in dementia studies: towards a consistent approach

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It is now well accepted across the health and social care communities that the incidence of dementia is rising as people continue to live longer. The projected prevalence of dementia over the next ten to twenty years is causing widespread concern at all levels of policy making and care provision. There is a very real [read the full story…]

Tricyclic antidepressants are associated with higher risk of bone fracture

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While most people would likely associate tricyclic antidepressants (TCAs) with more common adverse effects such as dry mouth, sedation and constipation, there is some evidence to suggest increased occurrence of bone fractures (Vestergaard, Rejnmark, & Mosekilde, 2006). However, the topic remains controversial and conflicting results about the association of TCAs and fracture risk abound (e.g. [read the full story…]