The National Institute for Health and Care Excellence (NICE) have recently searched for any new evidence that may be relevant to a public health guideline published in 2007; ‘Interventions to reduce substance misuse among vulnerable young people’. In this blog I summarise the new evidence that has emerged and highlight whether or not it is likely [read the full story…]
The impact of ethnicity on treatment and engagement with mental health services is well documented. John Baker’s recent Mental Elf post highlights the damning evidence behind murmurs of institutional racism within the NHS that just won’t go away: certain ethnic groups consistently experience lower quality care and poor outcomes across a wide range of health [read the full story…]
Psychotic disorders, such as schizophrenia, are often conceptualised as arising from a complex interplay of genetic and environmental influences (Tandon 2008). The impact of social influences on the risk of psychotic experience is undeniable. Recent reviews of this topic have called for a focus on maternal wellbeing as a means of primary prevention for mental [read the full story…]
Can we encourage patients to continue taking complementary and alternative (CAM) treatments for antenatal depression or should we be firmly discouraging them from doing so? We already know from surveys that 11% of primary care patients with anxiety and depression are taking complementary or alternative therapies, which is around the same proportion of people who [read the full story…]
Postpartum haemorrhages are serious birth complications that represent one of the leading causes of maternal mortality and morbidity. While incidences of postpartum haemorrhages have risen steadily in the past decades (in the US alone, numbers increased from 2.3% to 2.9% from 1994 to 2006), there is little evidence as to why. Antidepressants – especially selective [read the full story…]
We often hear about postnatal depression, a well-recognised depressive episode in mothers occurring after the birth of their baby. However, 54.2% of women suffering from postnatal depression actually developed their depressive symptoms before or during pregnancy (Burt and Quezada, 2009). Around 10% of pregnant mothers have depression and this number increases each trimester. Women are less likely [read the full story…]
30% of domestic violence (DV) begins during pregnancy and is most prevalent within the working and lower middle socio-economic classes. It is a major public health concern and abuse during pregnancy is of particular concern due to the health risks to both mother and child. It can cause physical and psychological harm to women, and [read the full story…]
The prevalence of autistic spectrum disorders has risen dramatically in the last thirty years, with recent estimates suggesting that 1 in 88 children in the United States have an autistic spectrum disorder. This increasing prevalence could simply be due to changes in the diagnosis of such disorders and so be of little interest. However, there [read the full story…]
The risks of congenital malformations and impact of cognitive development after foetal exposure to anti-epileptic drugs has been known for some time. Sodium valproate is a frequently used drug for epilepsy and other disorders (including bipolar disorder and migraine). The researchers aimed to examine the link between foetal exposure and subsequent development of autism. Methods [read the full story…]
The potential dangers of illegal drug use are never far from the media spotlight, and drug use during pregnancy may be associated with particular health problems both for the Mother and baby. Drug use during pregnancy has been linked with a number of negative outcomes, for example, cocaine use has been linked with an increased [read the full story…]
