Psychological treatment may be useful in reducing depression and anxiety in people with dementia, says new Cochrane review

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Depression and anxiety are both common conditions in patients with dementia and mild cognitive impairment (MCI), with some studies finding around 30% of patients show at least some depressive symptoms (Enache et al, 2011). Similarly, a study on vascular dementia found around 70% of participants had two or more symptoms of anxiety (Ballard et al, 2000). [read the full story…]

Recent review suggests Agomelatine is as effective as other antidepressants, but controversy persists

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In spite of widely available different antidepressants, major depression does not respond adequately in up to one third of patients. Overall, the need for both reliable and well-tolerated treatment has remained unmet for a sizeable proportion of people with depression. In the past couple of years, there has been controversy about the suitability of Agomelatine (Valdoxan) [read the full story…]

Is the menopause depressing? Not necessarily

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Some of the lady Elves in the forest have been sharing their concerns about the menopause, and whilst keeping an eye out for hot flushes, night sweats and mood swings; what other changes will the menopause will bring?! Well, Freeman and colleagues have some good news and bad news for us. In November 2013, JAMA [read the full story…]

Little differences among antidepressants regarding sexual dysfunction, but bupropion performs best

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Antidepressant treatment is associated with a variety of side effects, including emotional changes, weight gain or fatigue. As pharmaceutical treatment has evolved, clinicians have become increasingly aware of another major adverse effect of modern antidepressants: sexual dysfunction. Current figures estimate that up to every second patient will, at some stage, experience reduced sexual function, which [read the full story…]

Maternal depression may be associated with offspring obesity, according to systematic review

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Maternal depression is a serious mental health condition and does not only affect the mental health of the mother, but also the physical health of her children. One meta-analysis found that up to 19% of women in developed countries experienced an episode of depression in the 3-month prenatal period (Gavin et al., 2005). More specifically, [read the full story…]

Teenagers who have been concussed are three times more likely to have depression, although no one knows why

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Depression in teenagers is a significant problem, with serious and potentially fatal consequences. Estimates of how many teenagers have depression at any one time vary between countries, but overall about 4-5% of mid to late teens worldwide are thought to experience clinical depression every year (Thapar et al, 2012). Much of the current knowledge of [read the full story…]

Quitting smoking is associated with decreased anxiety, depression and stress, says new systematic review

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It is well known that tobacco is the leading cause of preventable death in the world (WHO, 2011). However, the associations between smoking and mental health are less well established. Smokers often want to quit, but the belief that cigarettes can be used to regulate mood can often deter them, and this is especially true [read the full story…]

The dark side of universal prevention: Limited effectiveness and harmful effects of classroom-based CBT in preventing adolescent depression

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Depression is a common problem in adolescence, with statistics showing that around 20% of young people will go through at least one clinically depressive episode by the age of 18 years. Given the significant impairment and deleterious consequences of depression, sustained efforts have been dedicated to preventive and early intervention. In a recent large trial [read the full story…]

Is treatment for depression cost-effective in people with diabetes?

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There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story…]

Adults with mental illness have lower rate of decline in smoking

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It’s well known that individuals with mental illness smoke nearly twice as much as those without a psychiatric disorder (Gfroerer et al, 2013; Lasser et al, 2000), and are more addicted to nicotine, smoke more cigarettes per day, and find it more difficult to quit (Lasser et al, 2000). However, studies have shown that  individuals [read the full story…]