Cognitive deficits, depression and education level all predict worklessness in bipolar disorder, says systematic review

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People with bipolar disorder have high levels of post 16 years education, but it’s estimated that only half of those living in Europe with the condition are in paid employment. This is a real concern because the illness typically affects young and middle-aged people who would normally be active in the workforce. Of course, living [read the full story…]

Targeted interventions for Yellow Flags in persistent low back pain: a systematic review

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Seeing as it is World Mental Health Day today, with its theme “Depression: a Global Crisis”, I thought that it would be appropriate to blog on psychosocial rather than physical interventions; particularly as persistent non-specific low back pain (NSLBP) can result in heightened anxiety, stress and depression. Furthermore, there is an increasing body of evidence that psychosocial risk [read the full story…]

New BMJ RCT finds that preventing depression in adolescents, with classroom-based CBT, may do more harm than good

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The prevalence of depression goes up sharply in mid-adolescence and it’s estimated that by age 19 up to 20% of people will have suffered from at least one episode of clinical depression. So it makes sense that prevention programmes should be targeted at young people in schools, and indeed, published research has shown that classroom-based [read the full story…]

Should we be offering mindfulness-based cognitive therapy to all patients with residual depressive symptoms?

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Mindfulness-based cognitive therapy (MBCT) is a group training approach that aims to prevent relapse and recurrence of depression. It combines mindfulness techniques with cognitive therapy and research shows that it is effective at reducing depressive symptoms as well as preventing relapse. The NICE depression guideline recommends that MBCT is offered to people who have experienced [read the full story…]

Scotland sees increase in prescribing rates for mental health drugs

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The Scottish Government have published their annual summary of prescribing statistics for mental health drugs. The report shows increases in the prescribing rates for all groups of drugs over the last 12 months. The prescribing costs of some groups of drugs have also risen (ADHD, dementia, depression) although other groups have seen a decline (insomnia [read the full story…]

Escitalopram provides cost-effective remission from depression, according to new meta-analysis

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I really enjoyed the discussion in the Guardian over the weekend about poor quality trials and pharmaceutical industry techniques that overhype their drugs in an attempt to shift units. Ben Goldacre’s new Bad Pharma book is well worth a read. New reviews about antidepressants come thick and fast and it’s often hard to know what [read the full story…]

Community-based outreach may reduce mental health problems in women who experience intimate partner abuse

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Women who experience intimate partner abuse (IPA) often suffer from mental health problems as a result. Post-traumatic stress disorder (PTSD), depression and fear of further attacks are all common and understandable responses. Despite this, there are not many longitudinal studies that follow a group of women over a period of time and assess what interventions [read the full story…]

MoodGym no better than informational websites, according to new workplace RCT

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In these times of austerity, there is a lot of interest in computerised cognitive behavioural therapy (cCBT) as a treatment for people with depression and anxiety. It is hoped that this cheap and easy to deliver intervention can help to reduce the long waiting lists for face-to-face talking treatments. I’ve regularly blogged about cCBT over [read the full story…]

More research needed to help patients with multimorbidities

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Comorbidities are common in mental health and the relationship between physical and mental health conditions appears to be bidirectional. Having a chronic physical condition like diabetes can increase your risk of depression (by as much as 3 times). Having an enduring mental health problem such as psychosis can take 15-20 years off your life. In [read the full story…]

Structured exercise reduces depression in older people, according to new systematic review

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Regular readers of the Mental Elf will recall the blogs (Here is the evidence for exercising if you are depressed and New Cochrane review shows that exercise helps with depression) I wrote back in June and July about the evidence for exercising if you have depression. A new systematic review was published in the British [read the full story…]