Insufficient evidence for low-intensity interventions to prevent depression relapse or recurrence

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Anyone who has ever been depressed knows that there is always a chance that the condition may return. We know that the more episodes of depression an individual has, the more likely they are to have further episodes, so it’s vital that we do all that we can to prevent relapse after depression. This feeling was [read the full story…]

Mindfulness-based stress reduction programmes help reduce anxiety, depression and stress

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Mindfulness has become a popular self-management technique to relieve stress and cope with busy day-to-day lifestyles. This review defines mindfulness as the ability to “non-judgementally observe sensations, thoughts, emotions and the environment, while encouraging openness, curiosity and acceptance”. It looks specifically at a technique called Mindfulness-Based Stress Reduction (MBSR) programmes, which is a training programme [read the full story…]

New Dutch guideline seeks to reduce unnecessary prescribing of antidepressants to people with depressive symptoms

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I don’t normally blog about non-English language publications, but this new evidence-based guideline from the Dutch College of General Practitioners caught my eye yesterday. The guidance says that antidepressants should only be given as a first line treatment to people with severe depression and that those who only have depressive symptoms should be given a [read the full story…]

Here is the evidence for exercising if you are depressed

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Ooh, what a palaver over the depression and exercise story!  Such a lot of words have been written about the study published in the BMJ last week, including by me. The study itself was well conducted but frankly disappointing (for us readers and the researchers themselves), finding as it did that a specific treatment to [read the full story…]

‘Exercise doesn’t help with depression’ – have the headline writers got it wrong again?

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Back from my 5-mile run around the woodland yesterday morning I sat down to catch up on the latest elf stories. Many of the national newspapers reported on a new randomised controlled trial published in the BMJ, which studied ‘facilitated physical activity’ for people with depression. The headlines seemed to be in agreement: Exercise ‘no [read the full story…]

Premature babies have greater risk of serious mental illness

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Preterm babies are three times more likely to be admitted to hospital for a mental health problem as an adult than normal term babies, according to a study published in the Archives of General Psychiatry by researchers in the UK and Sweden. About 1 in every 13 children born in the UK are classified as [read the full story…]

New long term conditions compendium from the Department of Health

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Commissioners, health professionals and social care professionals will all be interested in the new Long Term Conditions Compendium of Information published by the Department of Health. This third edition updates the version produced in 2008 and provides the evidence for improving care and outcomes for people with long-term conditions. 70% of the total health and [read the full story…]

Are the specific techniques used by different psychotherapists likely to help people with depression?

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Non-directive supportive therapy (NDST) has been defined as “a psychological treatment in which therapists do not engage in any therapeutic strategies other than active listening and offering support, focusing on participants’ problems and concerns” (Arean et al., 2010). We know from research studies that there are many types of psychological therapy that work well in [read the full story…]

NICE clinical case scenarios aim to help GPs improve diagnosis and management of common mental health disorders

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NICE has developed a series of case studies for GPs to help apply the recommendations from the Common mental health disorders guideline to practice. The case studies which are informed by clinical experience, include contributions from GPs, clinical psychologists and psychiatrists to help GPs when considering the range of treatments and approaches that are recommended [read the full story…]

Why is it so difficult to measure the prevalence of depression in people aged 75 and over?

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A number of reviews have been published in recent years, which explore the prevalence of depression in old people. Prevalence rates vary enormously from one study to the next and so the reviews tend to report quite a wide range, typically up to 10%. Prevalence is defined as: “a measure of the proportion of people [read the full story…]