The best alcohol screening instrument to use in emergency departments

Restraint is used widely in inpatient mental health settings both in the UK and internationally, but is linked with multiple adverse outcomes.

Screening for alcohol misuse in the emergency department needs to be done quickly and accurately, so it makes sense to find the best instrument for this purpose. This systematic review of diagnostic cohort studies searched a range of databases and journals and also conducted citation searching because of a lack of relevant literature found by [read the full story…]

Is the PANSS (Positive and Negative Syndrome Scale) instrument for schizophrenia being used correctly?

Senior professor discusses an issue with a student

The PANSS (Positive and Negative Syndrome Scale) is one of the most important rating instruments for patients with schizophrenia. Kay’s original 1987 article on PANSS has been cited more than 4,000 times making it one of the most frequently cited schizophrenia articles on PubMed. Despite its common use there still seems to be profound uncertainty [read the full story…]

GPs find it difficult to identify mild cognitive impairment and mild dementia, and are poor at recording diagnoses

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This meta-analysis looked at the ability of general practitioners (GPs) to recognize a spectrum of cognitive impairment from mild cognitive impairment to severe dementia in routine practice using their own clinical judgment. The authors found 15 studies reporting on dementia, seven studies that examined recognition of broadly defined cognitive impairment, and eight regarding mild cognitive impairment. By [read the full story…]

How common is the misdiagnosis of epilepsy in people with learning disabilities?

Health meeting

Epilepsy is a major issue for people with learning disabilities. The National epilepsy society suggest that around 30% of people with mild to moderate learning disability also have epilepsy and the more severe the learning disability, the more likelihood there is that the person will have epilepsy. However, diagnosing epilepsy in a person with learning [read the full story…]