Lifestyle training for schizophrenia: STEPWISE fails to make a difference

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Ben Janaway writes his debut elf blog on the STEPWISE RCT which is out today in the British Journal of Psychiatry: Structured lifestyle education for people with schizophrenia, schizoaffective disorder and first-episode psychosis.

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In search of the sweet spot: the links between dysglycaemia and first episode psychosis

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Ben Perry publishes his debut blog on a recent systematic review of impaired glucose homeostasis in first-episode schizophrenia.

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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…]

Systematic review shows higher quality RCTs needed on psychological effects of exercise for type 2 diabetes

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In the UK alone it’s estimated over two million adults have type 2 diabetes. That clearly warrants some serious research into its prevention and treatment, including the valuable role of exercise.  We also know the effects of diabetes are not confined to physical problems, linked as it is to reduced quality of life as well [read the full story…]

Healthy Active Lives (HeAL): tackling premature death in young people with psychosis

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The Healthy Active Lives (HeAL) international consensus statement aims to reverse the trend of people with severe mental illness dying early by tackling risks for future physical illnesses pro-actively and much earlier. The statement is being launched today by the Royal College of Psychiatrists, at a special event focusing on achieving parity between mental and [read the full story…]

Limited evidence suggests that co-morbid chronic physical illness may not increase risk for recurrence in depression

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There is a widespread clinical presumption that people who have both major depressive disorder (MDD) and a co-morbid chronic physical illness represent a ‘double trouble’ group. This leads to the expectation that the depression prognosis for these people would be poor with increasing likelihood of recurrence. Evidence supports the view that depression is prevalent among [read the full story…]

Valuing mental health as much as physical health: new report from the Royal College of Psychiatrists

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The Royal College of Psychiatrists has today published what they are calling a landmark report on achieving parity between mental and physical health. The report, Whole-Person Care: From Rhetoric to Reality, defines parity as valuing mental health equally with physical health. It highlights the significant inequalities that exist between physical and mental health care, including [read the full story…]

Self-harm is associated with poor physical health, according to new Lancet cohort study

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Published yesterday in the Lancet, the Multicentre Study of Self-harm in England is a large (30,950 patients) cohort study of people presenting to hospital emergency departments in Oxford, Manchester and Derby, with self-poisoning or self-injury during 2000-2007. We know that people who self-harm have an increased risk of dying early, but this study tries to [read the full story…]

Free resources from Rethink to help mental health professionals address the physical health needs of their patients

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The charity Rethink Mental Illness has launched a comprehensive range of new tools to help mental health professionals address the physical health needs of the people they work with. The tools have been developed as part of the 20 Years Too Soon campaign, which aims to raise awareness of the fact that people affected by [read the full story…]

Psychiatrists need to carry out more physical health checks for metabolic complications, says systematic review

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A new systematic review conducted by a research team from Leicester suggests that psychiatrists are failing to carry out physical health checks for metabolic complications common in patients with mental illness, in particular those who are prescribed antipsychotics. Many hospitals now have guidelines in place to ensure that patients on antipsychotics are monitored to check [read the full story…]