Meta-analysis finds medium-sized deficit for IQ-change in schizophrenia patients

lightbulb brain

When Kraepelin first described the symptoms of the disorder we now call schizophrenia, he drew particular attention towards the deterioration of cognitive function he observed in his patients and named their condition “dementia praecox”. To this day, cognitive deficits are still regarded as one of the key features of schizophrenia (and related diagnoses), and it [read the full story...]

Perceived freedom of choice and the experiences of carers of older adults with mental health problems

Freedom of choice

Family and friends often play a very important role in supporting older people with long-term, severe mental health problems. It is estimated that 25% of the 6 million carers in the UK are supporting someone with a mental health problem (Carers Trust, 2007). Stress has been cited as having a major impact on the wellbeing [read the full story...]

Limited evidence suggests that co-morbid chronic physical illness may not increase risk for recurrence in depression

Umbrellas

There is a widespread clinical presumption that people who have both major depressive disorder (MDD) and a co-morbid chronic physical illness represent a ‘double trouble’ group. This leads to the expectation that the depression prognosis for these people would be poor with increasing likelihood of recurrence. Evidence supports the view that depression is prevalent among [read the full story...]

Intensive cognitive training may help to prevent cognitive decline

Brain exercising with weights

Cognitive decline describes increasing problems with memory, comprehension, language and mental agility. Mild cognitive impairment means that a person has cognitive decline beyond that which might be expected for their age, but generally do not experience problems with everyday living (Alzheimer’s Society, 2012). Dementia has similar symptoms, but these are more severe and people with [read the full story...]

SSRIs and TCAs are equally effective at treating chronic depression, but SSRIs have fewer side effects

Tightrope walker

Major depression all too often develops a chronic course, with every episode making future relapse more likely (Gilmer et al., 2005). Dysthymic disorders represent a less severe, but more persistent form of depression lasting for at least two years. In the affective disorder spectrum, chronic forms are unsurprisingly associated with greater functional impairment and overall [read the full story...]

How to reduce psychiatric readmission in young adults: opportunities and possibilities from the latest interventions

No U turn sign

The successful transition from inpatient to outpatient psychiatric care is an important step along the road to recovery. It can be a difficult and turbulent time for patients, so much so that there is a risk that patients will suffer a relapse of their illness and need to be readmitted into hospital (Herman, Mattke, Somekh [read the full story...]

Can psychosocial treatments be used effectively to treat disruptive behaviour problems in young children?

Child having a tantrum

Disruptive behaviour problems (DPB) such as conduct problems or being oppositional and defiant affect a large proportion of young children. For example, one in eleven pre-schoolers may show these behaviours to a degree that would warrant a formal diagnosis of disruptive behaviour disorder. Because these early ‘externalising’ behavioural problems are stable across time, and eventually [read the full story...]

Reading well books on prescription: public mental health in action

Boy hugging a book

Public mental health and wellbeing has gathered greater currency following the publication of No Health without Mental Health in 2011.  Public health is about improving the health of the population through preventing disease, prolonging life and promoting health. Local Authorities are now the public sector organisation with lead responsibility for public health and public mental health. [read the full story...]

Joint Crisis Plans to prevent compulsory admissions: a good idea stymied by poor execution?

Doctor and patient talking

Good mental health care should involve the patient in determining their treatment, and should involve the least restrictive form of care possible. Although the Care Programme Approach (CPA) has resulted in patients in England routinely participating in planning their care, compulsory admissions to psychiatric hospitals have continued to rise over the past decade. Involuntary treatment [read the full story...]

New Cochrane review finds that NRT, bupropion and varenicline are effective treatments for smoking cessation

Fist crushing cigarette packet

Smoking is the main preventable cause of premature illness and death worldwide. Approximately 20% of deaths in men and 5% in woman over 30 can be attributed to smoking. The World Health Organization (WHO) estimates that 6 million people die from smoking related disease each year, with tobacco being the number one risk factor for [read the full story...]