child and adolescent

Birth – 18 years.

Our child and adolescent Blogs

Mental health therapy for refugee and asylum seeking children: a small evidence base for a big problem

Refugees face a substantially higher risk of psychotic disorders compared to non-refugee migrants [see previous blog].

Laurence Palfreyman considers the very small and mixed evidence base of mental health interventions for refugee and asylum seeking children presented in a well conducted systematic review from last year.

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Local anaesthetic to reduce pain of dental care under general anaesthesia – evidence unclear

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This Cochrane review included 14 trials of variable quality that could not be combined due to variation in local anaesthetic delivery and outcome measures. So the results from individual studies for pain, bleeding and other adverse effects are uncertain.

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How can we improve mental health services for young people? Ask them

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Sarah Knowles appraises and summarises a thematic analysis of young people’s views of UK mental health services, which calls for greater involvement of young people themselves in redesigning services to be more engaging and accessible.

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King’s Fund report highlights gaps in evidence on reconfiguration

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This new report from the King’s Fund summarises available evidence from major reconfiguration programmes. A timely publication given the emphasis on the need for transformation in current policy.

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Folic acid for depression: RCT finds no effect on reducing incidence of depression or bipolar

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Elly O’Brien summarises a recent RCT of folic acid for depression, which explores whether mood disorders can be prevented in young people at familial risk. The trial finds no evidence that folic acid supplementation reduces the incidence of mood disorders compared to those taking placebo.

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Eating disorders: how can we care for carers?

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Helen Bould summarises a meta-analysis of interventions for caregivers of someone with an eating disorder, which highlights a lack of high quality primary research.

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Slow-release fluoride devices: review finds insufficient evidence to show they reduce dental decay

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This new update of a Cochrane review only identified 1 study that randomised 174 children but analysed only 63. While there was a reduction in caries in those children with the slow-release fluoride glass bead the study is at high risk of bias and provides insufficient evidence to determine the caries-inhibiting effect of slow-release fluoride glass beads.

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Dental erosion: information about incidence of erosive wear worldwide remains unclear

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Dental erosion is considered to be an increasing problem. However, clear information about the number of people affected is lacking. This review of 22 observational studies suggests that the worldwide prevalence is 30.4% (95%CI 23.8–37.0). However there is considerable heterogeneity between the studies in part related to the number of indices currently being used to measure tooth wear. So the estimate needs to be viewed with caution.

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Primary tooth trauma may be associated with developmental disorders in the permanent successors suggests review

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Trauma to primary teeth is relatively common. As the developing permanent teeth are closely related and trauma to primary teeth could adversely affect the permanent successor. This review looked for studies to assess this relationship. Only 17 low quality studies were identified and while they suggest a relationship the low quality means that the findings should be interpreted with caution.

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Improving mental health literacy in the classroom: new HeadStrong RCT

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Lisa Burscheidt reports on an RCT of the Headspace mental health literacy intervention and the impact it has on the mental health literacy, stigma, help-seeking and mental health of a group of young people in Australia.

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