Alcohol use confounds the relationship between cannabis use and conversion to psychosis

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Kathryn Walsh presents a study of ‘high risk’ young people, which found that cannabis abuse or dependence significantly increased the risk of conversion to psychosis. The research also found that alcohol use weakened the relationship between cannabis use and conversion to psychosis.

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Health behaviour change counselling in a dental setting

This meta-analysis claims to be the first evaluating mindfulness-based interventions in primary care.

Oral health professionals can play an important role in helping patients adopt good health behaviours. This review summarises 7 systematic reviews, finding that the strongest evidence is for smoking cessation and dietary interventions delivered by dental professionals.

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E-cigarettes and teenagers: cause for concern?

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Marcus Munafò appraises a recent cross-sectional survey, which looks at associations between e-cigarette access and smoking and drinking behaviours in teenagers.

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Dementia risk factors in people with mild cognitive impairment

People with a learning disability and family carers are able to talk about end-of-life care and healthcare professionals need to acknowledge and respect this expertise

Akshay Nair summarises a recent systematic review and meta-analysis of modifiable predictors of dementia in mild cognitive impairment. The meta-analysis finds that diabetes and the presence of any neuropsychiatric symptoms significantly predicted the conversion of mild cognitive impairment to dementia.

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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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Long working hours are associated with increased alcohol use

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Sally Adams summarises a new BMJ systematic review and meta-analysis of working hours and alcohol use, which finds a link between longer working hours and risky alcohol consumption.

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Reducing alcohol consumption in illicit drug users: new Cochrane review on psychotherapies

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Olivia Maynard reports on a recent Cochrane review that investigates talking therapies for reducing alcohol consumption in illicit drug users. The reviewers found no differences in the effectiveness of different psychotherapies (motivational interviewing, brief interventions, CBT) and insufficient evidence to draw any meaningful conclusions.

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Social determinants of mental health: how our societies are making us mentally unwell and what we can do about it

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Mark Horowitz summarises the new WHO and UCL Institute of Health Equity (Michael Marmot) report and research paper on social determinants of mental health. He concludes that it’s time to focus on the root causes of mental distress, namely poverty, unemployment, poor education and social isolation.

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Alcohol use disorders and mortality in Nordic countries

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Andrew Jones appraises a recent study of mortality and life expectancy of people with alcohol use disorders in Denmark, Finland and Sweden, which provides some useful insight into the impact of hazardous alcohol use.

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Alcohol consumption increased oral cancer risk

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This new review investigated the effect of alcohol on 23 cancer types. They included 572 case-control and cohort studies and using meta-analysis and a dose–response meta-regression model found relative risks for heavy drinkers compared with nondrinkers and occasional drinkers were 5.13 for oral and pharyngeal cancer, 4.95 for oesophageal squamous cell carcinoma, 1.44 for colorectal, 2.65 for laryngeal and 1.61 for breast cancer.

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