Mental disorders after critical illness: depression, PTSD and functional disability in survivors of intensive care

shutterstock_155305655-150x150

The BRAIN-ICU prospective cohort study published in the Lancet Respiratory Medicine looks at mental health outcomes and functional disabilities in a general ICU population. It explores the hypothesis that depressive symptoms after discharge are more often somatic (i.e. bodily complaints) than cognitive-affective (i.e. thought-related and mood-related complaints).

[read the full story...]

Combining psychotherapy and antidepressants is best for common mental illnesses

shutterstock_174674552

Patrick Kennedy-Williams summarises a recent meta-analysis, which finds that combined treatment with psychotherapy and antidepressants is more effective than treatment with antidepressants alone.

[read the full story...]

Interpersonal counselling for depression: RCT shows some promise

shutterstock_160648694

Mark Smith summarises an RCT which compares SSRI antidepressants with interpersonal counselling for depression. The trial explores moderators of remission with interpersonal counselling or drug treatment in primary care patients with mild-moderate depression.

[read the full story...]

Meta-review presents the risks of all-cause and suicide mortality in mental disorders

shutterstock_177940451

This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

[read the full story...]

Psychotherapy for depression in older adults: promising results, but insufficient good quality research

shutterstock_60149383

This recent meta-analysis confirms that psychotherapy has a moderate to high effect on depression in older adults. However, a note of caution is sounded because of publication bias and the low quality of several of the included studies.

[read the full story...]

Antidepressants, safety warnings and suicide risk in young people

shutterstock_76440550

Andrew Shepherd reviews the recent controversial BMJ study that suggests the FDA black box warning about antidepressant use in young people, may have inadvertently caused an increase in suicidal behaviour. He finds it’s not quite that clear cut.

[read the full story...]

Mindfulness-based cognitive therapy may reduce the demand for primary care visits

shutterstock_on the phone

Can’t get an appointment with your GP? Don’t stress, mindfulness-based cognitive therapy may help by reducing the demand for primary care visits by distressed patients, according to a new study in the Journal of Psychosomatic Research.

[read the full story...]

New meta-analysis supports the use of mindfulness for depression, but not anxiety

shutterstock_144763666

This study confirms that mindfulness based interventions (MBIs) are valid for the treatment of current depressive episodes, and it identifies the need for more studies to investigate the possibility that MBIs might also be of value in treating anxiety disorders.

[read the full story...]

Health effects of depression: keeping economists’ models on track

shutterstock_169007078

Health Economist Christopher Sampson reports on a recent systematic review and meta-analysis, which shows health-related quality of life utility values vary between studies and economic models should consider this.

[read the full story...]