Today is World Mental Health Day and the theme this year is ‘Prioritising Mental Health in the Workplace’. Clare Gerada reviews a study showing that doctor suicide rates, particularly for females, exceed those of the general population.
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This review comparing primary care doctors and dentists in the referral of oral cancer included 22 mainly retrospective studies. Doctors refered sliightly more than dentists, typically 50% compared with 40% respectively.
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Jonathon Tomlinson considers his options as a GP supporting people with depression and complex needs, after reading a new systematic review and dose-response meta-analysis, which suggests that higher doses of antidepressants bring maximum side effects with only marginal gains.
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Ian Anderson on a recent diagnostic accuracy meta-analysis, which shows that the Whooley questions for depression are effective at ruling out the condition, but that false positives are common.
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Kirsten Lawson examines a recent meta-analysis of psychological functioning in people living with chronic pain. She discovers that anxiety is more common than depression in people with chronic pain and that practitioners should prioritise psychological functioning when caring for patients suffering from chronic pain.
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Ioana Cristea appraises a meta-analysis on the effectiveness of mindfulness in primary care. She finds that the evidence is insufficient to draw any reliable conclusions about the actual effectiveness of mindfulness-based interventions in primary care settings.
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John Baker summarises a recent Cochrane systematic review of psychosocial interventions for benzodiazepine harmful use, abuse or dependence.
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Andrew Shepherd summarises a recent systematic review of the effectiveness of psychotherapy for depression in primary care, which contains a lot of data but leaves him feeling rather deflated.
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Ioana Cristea reviews a recent systematic review and meta-analysis of collaborative care for depression, looking to identify factors predicting improvements. The study finds that collaborative care successfully improves both patient outcomes and the process of care for depression.
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Nikki Newhouse summarises a recent US health technology assessment of antidepressants for depression in pregnancy and the postpartum period, which concludes that the evidence remains inconclusive about the benefits and harms of antidepressants for depression in pregnancy.
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