Health Promoting Schools can improve some areas of health, but more research is needed

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My grandfather had a nearly religious conviction of the value of physical activity. No weekend was complete without a strenuous bout of outdoor exercise, regardless of the weather.  New England gets cold and damp, and his five children would prepare themselves for winter excursions with some reluctance. ‘Healthy body, healthy mind!’ my grandfather would say, exhorting them [read the full story…]

Should we be prescribing medication to help people with alcohol use disorders?

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Alcohol Use Disorders (AUDs) are common, chronic conditions which cause substantial harm to the individual and society. They are associated with substantial morbidity (Schuckit, 2009) and responsible for approximately 4% of all deaths annually. The approximate cost of AUDs to the National Health Service is upwards of £3 billion per year. Less than one-third of [read the full story…]

Approximately 1 in 6 children develop PTSD after trauma exposure

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How many children develop Post Traumatic Stress Disorder (PTSD) after a traumatic experience such as an assault, a car crash, war or disaster? William Yule, one of the godfathers of child traumatic stress research, once pointed out that rates reported in separate studies varied from 0 to 100%. So what is on average the rate [read the full story…]

Rates of psychosis in epilepsy may not be as high as previously reported, says new systematic review

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For many years, psychiatry has highlighted that people with epilepsy appear to have an elevated risk for psychosis.  However, studies exploring this relationship (of which there are many) seem to disagree on just what the prevalence of psychosis is in this group.  For example, Gudmundsson (1966) interviewed every patient with epilepsy in Iceland and concluded [read the full story…]

Psychotherapy for social functioning in depression: insufficient good quality research into an overlooked issue

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Social functioning is defined as the degree to which a person is able to fulfill different roles in social environments, such as home, work or relationships (Bosc, 2000). There is consistent evidence that depressed patients display considerable social functioning impairments, which add significantly to the burden of depression. In a recent article published in Psychological [read the full story…]

Only phonics instruction is proven effective for treating reading disability, says systematic review

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Reading instruction was once a topic guaranteed to ignite passionate debate among teachers, mostly between proponents of phonics instruction and supporters of whole-language approaches. Although this particular controversy has become less heated in recent years, with many endorsing a hybrid or mixed-methods approach, there remains a great deal of interest in the relative merits of [read the full story…]

No support for peer support?

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In this blog, I’m going to be discussing a recent systematic review and meta-analysis of “peer support for people with serious mental illness” (Lloyd-Evans et al, 2014). It’s something of a personal (as well as an academic) interest, as I am a carer and have been involved in mutual peer support groups myself. I have given [read the full story…]

Off to a good start. Are self-help interventions effective for people with comorbid physical and mental health problems?

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The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story…]

Black patients’ first contact with mental health services is more likely to be coercive

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It is well documented that there are differences in how patients are treated, depending on their ethnicity. Previous inquiries in the UK have suggested that the NHS is institutionally racist (Blofeld et al, 2003). Some groups, for example those from African Caribbean or Aboriginal descent, experience more coercive care and poor outcomes, including higher doses of [read the full story…]

Is the Dodo finally dead?

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There’s been a lot of chatter here in the woodlands about the role of cognitive behavioural therapy (CBT) in psychosis – what do service users think of it? Can it be used in place of antipsychotics for some people? Outside of the woodlands, CBT for psychosis has also been generating a lot of attention: Does [read the full story…]