Reducing alcohol consumption in illicit drug users: new Cochrane review on psychotherapies

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Olivia Maynard reports on a recent Cochrane review that investigates talking therapies for reducing alcohol consumption in illicit drug users. The reviewers found no differences in the effectiveness of different psychotherapies (motivational interviewing, brief interventions, CBT) and insufficient evidence to draw any meaningful conclusions.

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Social determinants of mental health: how our societies are making us mentally unwell and what we can do about it

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Mark Horowitz summarises the new WHO and UCL Institute of Health Equity (Michael Marmot) report and research paper on social determinants of mental health. He concludes that it’s time to focus on the root causes of mental distress, namely poverty, unemployment, poor education and social isolation.

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Alcohol use disorders and mortality in Nordic countries

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Andrew Jones appraises a recent study of mortality and life expectancy of people with alcohol use disorders in Denmark, Finland and Sweden, which provides some useful insight into the impact of hazardous alcohol use.

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Alcohol consumption increased oral cancer risk

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This new review investigated the effect of alcohol on 23 cancer types. They included 572 case-control and cohort studies and using meta-analysis and a dose–response meta-regression model found relative risks for heavy drinkers compared with nondrinkers and occasional drinkers were 5.13 for oral and pharyngeal cancer, 4.95 for oesophageal squamous cell carcinoma, 1.44 for colorectal, 2.65 for laryngeal and 1.61 for breast cancer.

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Alcohol misuse and PTSD comorbidity: a significant problem lacking solutions

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Current NICE guidelines state that PTSD should not be dealt with unless alcohol dependence is first treated. Paul Christiansen summarises a systematic review of the comorbidity between PTSD and alcohol misuse and wonders where the guidance leaves patients and professionals.

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Bipolar disorder, suicide and criminality

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Elena Marcus summarises a double case-cohort study, which investigates the risk of suicide and criminal behaviours in people with bipolar disorder and their siblings, compared with the general population.

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Alcohol minimum unit pricing: time to take action?

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Olivia Maynard summarises a new BMJ modelling study on the potential benefits of minimum unit pricing (MUP) for alcohol versus a ban on below cost selling (BBCS). The research concludes that MUP would reduce deaths attributable to alcohol by 40 times more than BBCS.

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Motivational interviewing does not prevent alcohol misuse in young people

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This new Cochrane systematic review finds that motivational interviewing has no effect on reducing alcohol-related problems or risky behaviours such as drunk driving in young people.

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Internet-based interventions for harmful drinking show small beneficial effects

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Andrew Jones summarises a recent meta-analysis on the effectiveness of guided and unguided low-intensity Internet interventions for adult alcohol misuse.

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Meta-review presents the risks of all-cause and suicide mortality in mental disorders

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This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

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