Psychosocial and psychological interventions can prevent postpartum depression, says new Cochrane review

Pensive woman

The period after giving birth to a child can be difficult for women and in the first twelve weeks after childbirth 13-19% of women will experience post-partum depression (O’Hara 1996, Gaynes 2005). Post-partum depression is bad news – not only does it increase the chance of the mother going onto develop a severe clinical depression [read the full story…]

Short-term recovery from mild cognitive impairment is possible, but an increased risk of further cognitive decline remains

Dementia

The symptoms of mild cognitive impairment (MCI) include problems with cognitive functioning such as day-to-day memory. In some individuals it is the first sign of dementia, whereas in others it may be due to resolvable factors such as being the side-effect of medication (Alzheimer’s Society, 2012). At present it is unclear how many people with [read the full story…]

Meta-analysis finds insufficient evidence for treatments to improve insight for people with psychosis

Man smiling in sunlight

Research suggests that many people with schizophrenia or related psychoses show a striking lack of insight into their condition (Dam, 2006). Poor insight can have a negative impact on several outcomes, including general adjustment (Stefanopoulou et al., 2009), quality of life (Drake et al., 2007), social functioning (Drake et al., 2007) and rehospitalisation. With this [read the full story…]

CBT is better than nothing for older adults with depression, but so is any form of active support

Old man stretching

Depression is such a widely known issue now that it barely needs introduction. It’s something we Elves have covered with interest, looking at the effectiveness of various treatments, like psychotherapy, medication and exercise. For older adults though, there remains a somewhat hazy picture of what treatments work best. Most of the evidence base for the [read the full story…]

Cochrane review cannot support training to recognise early signs of recurrence in schizophrenia due to low quality evidence

man staring at piles of paper

NICE Guidelines state that around three quarters of people with a diagnosis of schizophrenia experience a chronic illness: with recurrent episodes of remission and relapse.  One way that chronic physical health conditions, such as diabetes and heart disease, are managed is by using early warning signs (EWS) training and this prevention strategy is now often [read the full story…]

Depression and bipolar disorder linked to an increased risk of developing dementia, says systematic review

Dementia

Dementia and affective disorders (such as depression and bipolar disorder) are usually considered to be completely unrelated afflictions. Yet a number of recent studies have suggested that the risk of developing dementia in later life may be increased for those who have had an affective disorder. A number of systematic reviews have been undertaken to [read the full story…]

NICE publish dementia commissioning guide: practical advice for commissioners

Senior couple

NICE have published a new guide to help commissioners provide evidence-based care for people with dementia. Providing care for our ageing population seems not to have been out of the news in recent years and rightly so, especially as the headline stories are frequently not positive. A recent Care Quality Commission report found that people [read the full story…]

New RCT says antidepressants should not be used when treating depression in dementia

Senior woman taking pill

Dementia is one of the most common and serious disorders in later life. It places a considerable burden on the health care system, individuals and especially unpaid carers. Depression is common among people with dementia and causes additional distress to affected individuals and their social circle. Research into the treatment of depression in dementia is [read the full story…]

The latest evidence from NICE on the longer-term management of self-harm

Young woman thinking

The NICE guideline on the longer-term care and treatment of self-harm was published in November 2011 and contains research published up until January 2011. A group of experts including psychiatrists, psychologists and social workers has compiled an evidence update looking at the high quality research that has been published in the last two years (from [read the full story…]

Factors stopping the nation from getting back on its feet: a survey of the non-fatal burden of disease due to mental disorder

Helping sister back to her feet

In times of economic adversity, the health and well-being of a nation needs consideration in order to maximise the workforce and productivity. The number of people and the amount of time spent in an adverse health-state is a prominent driver of population ill health.  Most mental illnesses begin early and persist over a lifetime. Approximately [read the full story…]