Do we stigmatise mental illness more as we age?

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Raluca Lucacel writes her debut blog about an age-period-cohort analysis, which investigates how attitudes towards people with mental illness worsen during the course of life.

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Pointing the FINGER at a multi-component intervention to prevent cognitive decline and dementia

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Caroline Struthers critically appraises a recent RCT of diet, exercise, cognitive training and vascular risk monitoring to prevent cognitive decline and dementia in at-risk Finnish women.

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Is moderate alcohol consumption good for you?

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Beware underpowered observational studies! Marcus Munafò helps us understand why a recent BMJ study on all cause mortality and age specific alcohol consumption is not as simple as the newspapers would have us believe.

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ECT for depression in the elderly

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Andrew Shepherd reports on a post-hoc analysis of pre-existing trial data, which does little to convince him that ECT is a safe and effective treatment option for older people with severe depression.

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Mental health support for older adults needs to improve

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Dave Steele summarises an NIHR funded mixed methods study that concludes we don’t know much about how we should support older adults with mental health problems, except to say that we should be doing better.

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Lifestyle changes for cognition and dementia: better than a new drug?

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Should all molecular research institutes looking at neurodegenerative diseases be replaced by parks, playgrounds and cycle paths? Mark Horowitz highlights a recent systematic review of modifiable risk factors associated with cognition and dementia, which suggests that from a public health perspective, there may be some sense in this idea.

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Risk factors for dementia: separating the facts from the myths

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We are grateful to Josephine Neale who has read the 104 page World Alzheimer Report 2014 and summarised it for us in this very readable blog. The report is a comprehensive analysis of the risk factors for dementia, which focuses on a range of protective and modifiable factors.

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Medication in advanced dementia: how can we judge what is appropriate?

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Caroline Struthers appraises a recent US cross-sectional study of the use of medications of “questionable benefit” in nursing home residents with advanced dementia. She concludes that all medications are of questionable value if they have side effects which might have a negative impact on quality of life or are likely to cause harm.

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Lost in anxiety: treatment-resistant anxiety in older people

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Andrés Fonseca appraises a new systematic review of interventions for treatment-resistant anxiety in older people, which finds a disconcerting lack of evidence to help him support the many older patients he sees who are affected by anxiety disorders.

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