Do interventions proven to improve cardiovascular disease outcomes work for individuals with severe mental illness?

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Individuals with severe mental illness (SMI) have shortened life expectancies compared to the general population. This is partly down to higher rates of chronic physical illness. Cardiovascular disease (CVD) is the leading cause of death among patients using mental health services. It is assumed that interventions used to reduce CVD are similarly effective in patients with [read the full story…]

Behavioural weight-loss interventions can be effective for people with serious mental illness, says new RCT

Food on the brain

People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story…]

Are you really at risk of attack by someone with schizophrenia?

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By Rebecca Syed, King’s College London.  A violent attack by someone who is mentally ill quickly grabs the headlines. And it’s usually implied that mental illnesses are a preventable cause of violent crime. Tackle that and we can all sleep safer in our beds. But by pressuring mental health services to focus on the risk [read the full story…]

Genetic variation is a factor when treating schizophrenia with folate and vitamin B12 supplementation

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Symptoms associated with schizophrenia are often classified into two categories. The classical indicators such as hallucinations, delusions and thought disorder make up the ‘positive’ category whilst apathy and problems with concentration are ‘negative’ symptoms. These negative symptoms have previously been linked to decreased folate levels (Goff et al. 2004) and there is some evidence that [read the full story…]

Long-acting antipsychotics cost-effective for treatment of schizophrenia, but evidence inconsistent

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Here at Mental Elf HQ we’re expanding our skill set to include economics. Understanding the best way to value health and health care, and improving health outcomes with budget constraints in mind, are the key pastimes of economics elves. We hope to bring you the latest economic evidence in the field of mental health and to [read the full story…]

Meta-analysis finds insufficient evidence for treatments to improve insight for people with psychosis

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Research suggests that many people with schizophrenia or related psychoses show a striking lack of insight into their condition (Dam, 2006). Poor insight can have a negative impact on several outcomes, including general adjustment (Stefanopoulou et al., 2009), quality of life (Drake et al., 2007), social functioning (Drake et al., 2007) and rehospitalisation. With this [read the full story…]

Yoga for schizophrenia: meta-analysis shows short-term quality of life improvements

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This blog entry is the second in a series which is examining the mental health benefits of yoga.  Last month I blogged about yoga for psychiatric disorders, and today I shall be looking specifically at the benefits for schizophrenia. The benefits of exercise and physical activity for schizophrenia are increasingly being recognised.  Regular exercise can [read the full story…]

Atypical antipsychotics don’t improve quality of life in treatment-resistant depression

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SSRIs are usually considered first-line treatment against major depression and approximately 50% of patients achieve remission with the drug they try first (Steffens, Krishnan, & Helms, 1997). However, every eighth case proves to be treatment-resistant and does not respond to standard antidepressant treatment at all. As a last resort, second-generation antipsychotics (SGAs) effective in schizophreniform [read the full story…]

Treatment of excessive alcohol use in people with psychotic disorders: Non-intervention specific improvements

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The literature on the efficacy of psychological treatments for excessive drinking is vast, but investigations into effectiveness of these treatments in individuals with other clinical diagnoses are considerably more limited. A recent paper published in Acta Psychiatrica Scandinavica reviewed the effectiveness of manual guided treatments for excessive alcohol consumption in individuals with a psychotic disorder. [read the full story…]

Systematic review finds that suicide risk for prisoners with bipolar disorder may be lower than other mental disorders

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In prisons, suicide is the leading cause of mortality (estimated at 3-5 times the general population). Mental health disorders are known to increase the risk. Generally, suffering from a bipolar disorder increases the risk of attempted or completed suicide when compared to the general population. So it would be expected that prisoners with bipolar disorder [read the full story…]