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

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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.

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Off to a good start. Are self-help interventions effective for people with comorbid physical and mental health problems?

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The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story...]

Black patients’ first contact with mental health services is more likely to be coercive

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It is well documented that there are differences in how patients are treated, depending on their ethnicity. Previous inquiries in the UK have suggested that the NHS is institutionally racist (Blofeld et al, 2003). Some groups, for example those from African Caribbean or Aboriginal descent, experience more coercive care and poor outcomes, including higher doses of [read the full story...]

Suicide in primary care: findings of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness

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The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness was established in its current form at Manchester University in 1996. From 1991, prior to the move to Manchester, research in this area had been managed within the Royal College of Psychiatrists.  The NCISH has established an outstanding national and international reputation [read the full story...]

RCT compares two different versions of enhanced cognitive behavioural therapy for anorexia nervosa in an inpatient setting

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A general misconception about anorexia is that it’s just about eating and ‘being thin’, but it’s more complex than that. The illness affects multiple aspects of a person’s life, and often goes hand in hand with other psychological issues such as low mood, or excessive worry. In addition, the jury is still out on the exact [read the full story...]

WEAVE RCT: GP training, but not screening, may benefit women who have experienced intimate partner violence

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Behaviour within an intimate relationship which causes psychological, physical or sexual harm to either party is known as intimate partner violence (IPV). This violence is perpetrated by both men and women, but significant injuries are more commonly sustained by women. Consequently, IPV is a major public health concern as it contributes majorly to mortality in [read the full story...]

Do people stop smoking if their doctor advises them to? Cochrane review says sometimes and it IS worth the effort

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As previously discussed on the Mental Elf, the rates of tobacco smoking in most developed countries are falling, helped in part by high levels of taxation and bans on smoking in public places. However, over 20% of adults in the UK continue to smoke, and this means that smoking is the greatest single cause of [read the full story...]

Preventing or reducing domestic violence against pregnant women: more studies desperately needed!

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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...]

Systematic review: which anti-psychotic medication is the best?

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Schizophrenia is considered a chronic long-term debilitating condition, affecting about 1% of the population. There has been considerable debate about which of the anti-psychotic medications are the best treatments. The debate has usually been structured around typical (older) and atypical (newer) anti-psychotic medications. The revised NICE guidelines (2009) moved towards a more neutral stance between [read the full story...]

Lack of evidence to support QOF incentives for assessing depression severity using tools in primary care

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Introduction The quality and outcomes framework was set up in 2004 to incentivise aspects of clinical practice within general practice in the UK. Two standards which are incentivised in depression are DEP4 (the percentage of patients who have had assessment of severity at diagnosis using a tool validated for use in primary care (PHQ-9, BDI-II, [read the full story...]

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