Non-pharmacological interventions can help prevent and reduce weight gain in people who take antipsychotics

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The reduced life expectancy (15-20 years less) often faced by many people with schizophrenia is frequently a result of cardiovascular disease. Lifestyle choices (smoking, lack of exercise and poor diet) can increase the risk of these diseases, but people who take antipsychotic drugs often have the additional problem of weight gain that is caused by [read the full story…]

People with mental illness are prescribed fewer drugs for physical disorders than the rest of the population

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A year ago this week I blogged about a study in the British Journal of Psychiatry that showed the dramatically reduced life expectancy of people with severe mental illness, who on average live 15-20 years less than the rest of the population. Twelve months on and a new study published in the same journal paints an equally [read the full story…]

More research needed to help patients with multimorbidities

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Comorbidities are common in mental health and the relationship between physical and mental health conditions appears to be bidirectional. Having a chronic physical condition like diabetes can increase your risk of depression (by as much as 3 times). Having an enduring mental health problem such as psychosis can take 15-20 years off your life. In [read the full story…]

Modular psychotherapy may be the answer for young people with comorbid depression, anxiety and conduct problems

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Young people with mental health problems often suffer from comorbidity, i.e. a complex mix of different conditions like depression, anxiety and conduct problems. Clinical research very often investigates specific treatments (e.g. CBT) for single disorders (e.g. depression) and guidelines and manuals are then developed for clinicians to help them treat these individual conditions. The problem [read the full story…]

Depression in adults with a chronic physical health problem: new update from NHS Evidence

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NICE published a clinical guideline on the treatment and management of depression in adults with chronic physical health problems in 2009. This new evidence update refreshes that guidance by searching for new systematic reviews and randomised controlled trials on the subject and summarising them in a short (16 page) document. The authors searched a range [read the full story…]

An integrated approach to mental and physical health could save the NHS billions, says new report from the King’s Fund

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People with long-term conditions, such as diabetes or heart disease, are two to three times more likely to experience mental health problems than the general population. However, a systemic failure to identify these problems and provide effective support is resulting in poorer outcomes for patients and could be costing the NHS billions, says a report [read the full story…]

Exercise can help reduce depression in people with chronic illness, says new systematic review

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There is a growing pool of research that looks into the impact that exercise can have on depression, but this systematic review and meta-analysis claims to be the first summary of trials into the effects of exercise training on depressive symptoms among patients with a chronic illness. The research team from the University of Alabama [read the full story…]

Mental health problems and colon cancer: a double-whammy that leads to poor cancer outcomes

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We know that mental health problems often go hand in hand with other physical health complaints. Older adults with cancer and mental health issues are especially vulnerable as they tend to suffer from behavioural, socio-economic and biological changes that act as barriers to effective healthcare. This retrospective cohort study conducted by researchers from the University [read the full story…]

People with mental illness are still dying young and this is a violation of human rights, says new editorial

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People with serious mental illness are still living 15-20 years less than the rest of the population, according to a study from the Nordic countries. The study, published in the December issue of the British Journal of Psychiatry, shows that the life expectancy gap has remained largely unchanged over the last 20 years, despite changes [read the full story…]

Depression and Diabetes: a two-way street?

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Depression is often found in people with chronic long-term conditions such as diabetes.  Sometimes this can be a consequence of how the disease affects their lifestyle, difficulties of managing complications and coping with the unrelenting nature of chronic disease. However, there is recent evidence to show that depression is a risk factor for diabetes, partly [read the full story…]