NICE published a clinical guideline on the treatment and management of depression in adults with chronic physical health problems in 2009. This new evidence update refreshes that guidance by searching for new systematic reviews and randomised controlled trials on the subject and summarising them in a short (16 page) document. The authors searched a range [read the full story…]
An integrated approach to mental and physical health could save the NHS billions, says new report from the King’s Fund
People with long-term conditions, such as diabetes or heart disease, are two to three times more likely to experience mental health problems than the general population. However, a systemic failure to identify these problems and provide effective support is resulting in poorer outcomes for patients and could be costing the NHS billions, says a report [read the full story…]
Exercise can help reduce depression in people with chronic illness, says new systematic review
There is a growing pool of research that looks into the impact that exercise can have on depression, but this systematic review and meta-analysis claims to be the first summary of trials into the effects of exercise training on depressive symptoms among patients with a chronic illness. The research team from the University of Alabama [read the full story…]
Mental health problems and colon cancer: a double-whammy that leads to poor cancer outcomes
We know that mental health problems often go hand in hand with other physical health complaints. Older adults with cancer and mental health issues are especially vulnerable as they tend to suffer from behavioural, socio-economic and biological changes that act as barriers to effective healthcare. This retrospective cohort study conducted by researchers from the University [read the full story…]
People with mental illness are still dying young and this is a violation of human rights, says new editorial
People with serious mental illness are still living 15-20 years less than the rest of the population, according to a study from the Nordic countries. The study, published in the December issue of the British Journal of Psychiatry, shows that the life expectancy gap has remained largely unchanged over the last 20 years, despite changes [read the full story…]
Depression and Diabetes: a two-way street?
Depression is often found in people with chronic long-term conditions such as diabetes. Sometimes this can be a consequence of how the disease affects their lifestyle, difficulties of managing complications and coping with the unrelenting nature of chronic disease. However, there is recent evidence to show that depression is a risk factor for diabetes, partly [read the full story…]
The reasons for alcohol misuse in bipolar disorder: a systematic review
Alcohol misuse is common in people with mental health problems and the rates of drinking are particularly high in bipolar disorder. Studies show that the lifetime prevalence of substance use disorders is at least 40% in bipolar I patients (ref Cerullo et al). Researchers from Newcastle University in the UK have conducted a systematic review [read the full story…]
Tooth loss three times higher in people with serious mental illness
People with severe mental illnesses like schizophrenia or bipolar disorder are over three times more likely to lose their teeth because of poor oral health than the general population. The research, published in the September issue of the British Journal of Psychiatry, shows that psychiatric patients have not shared in recent improvements in dental health. [read the full story…]
Home based collaborative care reduces depression in elderly people with epilepsy
The PEARLS Program is a team-based approach, involving counsellors, psychiatrists and medical providers, designed to reduce depressive symptoms and improve quality of life in adults with epilepsy. It was developed by a team at the University of Washington and has been studied through two randomised controlled trials, the second of which measures the long-term benefits of [read the full story…]
Short-term psychodynamic psychotherapy may be worth considering for patients with comorbid depression and personality disorders
Treating depression is rarely straightforward, but treating someone who is depressed and also has comorbid personality disorders can be even more complicated. Studies have shown that short-term psychodynamic psychotherapy (STPP) is a treatment worth considering for depression and personality disorders when they occur individually, but this intervention has not yet been studied systematically for people [read the full story…]