Long duration of untreated psychosis is associated with a range of poor outcomes


Joe Judge appraises a recent systematic review and meta-analysis looking at the duration of untreated psychosis as a predictor of long-term outcomes in schizophrenia.

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Helping young people with psychosis return to work: early intervention services need to do more


Stephen Wood summarises a recent cluster RCT of vocational rehabilitation in early psychosis, which finds that early intervention services need to do more to help young people with psychosis return to work.

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Bipolar disorder and leadership: evidence from a total population study


Elena Marcus writes her debut blog on a total population study that finds some interesting associations between bipolar disorder and leadership potential, executive roles and political professions.

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Preventing workplace depression: are there universal interventions that work?


Mental health in the workplace is an area that we’ve blogged about a few times before. This blog features a recent review by Tan et al on workplace interventions for depression. Mental disorders are the leading cause of sickness absence (Harvey, 2009 and Henderson, 2011), and depression in particular is predicted to be the leading [read the full story...]

Crisis, what crisis? EU-wide data shows negative impacts of the recession on people with mental health problems


The effects of the global stock market crash of 2008 have not just been economic. The health and social consequences of the financial crisis are becoming clearer over time and were anticipated by public health academics early on. Based on a 30 year review of EU data on how economic changes affect mortality, in 2009 [read the full story...]

UK survey finds that social firms may help with vocational recovery for people with mental illness


In the UK it is a shocking statistic that around 80-90% of people with severe mental illness are not in work.  Unemployment impacts negatively not only on the individual, but is also costly to the government. Employment is now embedded in key mental health policy as a central part of recovery. However, despite this, and [read the full story...]

Daily psychological demands are associated with progression of carotid artery atherosclerosis

National Heart Month

As the British Heart Foundation National Heart Month draws to a close Lifestyle Elf and I were discussing their blog on heart attacks not being reduced in people taking vitamins and antioxidants which led to us to thinking about the relationship between stress and cardiovascular disease (CVD). Our colleagues in the Pittsburgh Health Heart Project [read the full story...]

Review identifies a lack of research about the long-term employment outcomes for people with bipolar disorder


Back in October I blogged about the factors (cognitive deficits, depression and education level) that predict worklessness in people with bipolar disorder. A new systematic review by Steven Marwaha and colleagues has recently been published in the Acta Psychiatric Scandinavica journal, which adds to our understanding of this field. The review looks at the long-term [read the full story...]

New report about supporting people with schizophrenia back into the labour market

Successful interview

Back in November 2012, the Schizophrenia Commission reported that people with schizophrenia are being badly let down by the health and social care system and by the employment market. The final report of the commission (I blogged about it here) concluded that people with schizophrenia face a lifespan 15-20 years shorter than the general population and [read the full story...]

Problem solving therapy may help people with adjustment disorders partially return to work, according to Cochrane


Work-related stress is everywhere these days. Obviously us elves are pretty much immune, but looking at the Bristol Stress and Health at Work Study (Smith 2000) I can see that more than 50% of human respondents reported being extremely, very or moderately stressed at work. You lovely people do suffer from lots of emotional and [read the full story...]