Prevalence of depression, anxiety and suicide among men who have sex with men in China: a systematic review and meta-analysis.
CONCLUSIONS: The mental health of Chinese MSM is poor compared with the general population. Efforts are warranted to develop interventions to prevent and alleviate mental health problems among this vulnerable population. PMID: 32536353 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - June 17, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Health systems strengthening to optimise scale-up in global mental health in low- and middle-income countries: lessons from the frontlines. A re-appraisal.
Authors: Petersen I, van Rensburg A, Gigaba SG, Luvuno ZBP, Fairall LR Abstract Against the backdrop of mounting calls for the global scaling-up of mental health services - including quality care and prevention services - there is very little guidance internationally on strategies for scaling-up such services. Drawing on lessons from scale-up attempts in six low- and middle-income countries, and using exemplars from the front-lines in South Africa, we illustrate how health reforms towards people-centred chronic disease management provide enabling policy window opportunities for embedding mental health scale-up stra...
Source: Epidemiology and Psychiatric Sciences - June 17, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Implementing shared decision-making on acute psychiatric wards: a cluster-randomized trial with inpatients suffering from schizophrenia (SDM-PLUS).
CONCLUSIONS: Despite limitations in patient recruitment, the SDM-PLUS trial has shown that the adoption of behavioural approaches (e.g. motivational interviewing) for SDM may yield a successful application to mental health. The authors recommend strategies to ensure effects are not lost at the interface between in- and outpatient treatment.Trial registration: The trial was registered at Deutsches Register Klinischer Studien (DRKS00010880). PMID: 32539907 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - June 17, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

The impact of intimate partner violence on the trajectory of perinatal depression: a cohort study in a Chinese sample.
Authors: Hou F, Zhang X, Cerulli C, He W, Mo Y, Gong W Abstract Abstract. AIMS: Intimate partner violence (IPV) is an important risk factor for perinatal depression (PND). But IPV's impact on the natural prognosis of PND symptoms is not well understood. We tested two hypotheses: (1) pregnant women with IPV experiences will exhibit more severe PND symptoms than women without IPV experience; (2) IPV experience will impede the recovery prognosis of PND. We also explored the contribution of IPV to PND comparing with other risk factors. METHOD: The sample is comprised of 813 pregnant women followed through perin...
Source: Epidemiology and Psychiatric Sciences - June 4, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Factors associated with the onset of major depressive disorder in adults with type 2 diabetes living in 12 different countries: results from the INTERPRET-DD prospective study.
CONCLUSION: This study demonstrates the importance of psychosocial factors in addition to physiological variables in the development of depressive symptoms and incident MDD in people with type 2 diabetes. Stressful life events, depressive symptoms and diabetes-related distress all play a significant role which has implications for practice. A more holistic approach to care, which recognises the interplay of these psychosocial factors, may help to mitigate their impact on diabetes self-management as well as MDD, thus early screening and treatment for symptoms is recommended. PMID: 32484148 [PubMed - in process] (Source:...
Source: Epidemiology and Psychiatric Sciences - June 4, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

The overall and sex- and age-group specific incidence rates of cancer in people with schizophrenia: a population-based cohort study.
CONCLUSIONS: People with schizophrenia do not have a higher overall incidence of cancer than people in the general population. However, there are significant differences in the risk of specific cancer types overall and by sex calling for efforts to develop disease-specific prevention programmes. In people with schizophrenia, higher risk generally occurs in those
Source: Epidemiology and Psychiatric Sciences - May 30, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Risk of eating disorders in international adoptees: a cohort study using Swedish national population registers.
CONCLUSIONS: Elevated risk of eating disorders as well as of MDD, OCD, and anxiety disorders was found in international adoptees. A parallel pattern between AN and OCD was observed, which both display less elevated rates than the other diagnoses. A considerable number of biological, environmental, and societal factors have been suggested to explain the observed differences in mental health between adoptees and non-adoptees, but they remain primarily theoretical. PMID: 32452335 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 28, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Feasibility of Group Problem Management Plus (PM+) to improve mental health and functioning of adults in earthquake-affected communities in Nepal.
CONCLUSION: The intervention and trial procedures were acceptable to participants, family members, and programme staff. The communities and participants found the intervention to be beneficial. Because feasibility and acceptability were established in this trial, a fully powered randomised controlled trial will be conducted for larger scale implementation to determine the effectiveness of the intervention in Nepal. PMID: 32452336 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 28, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Caregiver involvement in psychiatric inpatient treatment - a representative survey among triads of patients, caregivers and hospital psychiatrists.
CONCLUSIONS: Whether or not caregivers were contacted and involved during an inpatient stay strongly depended on the individual hospital. The frequency of involvement of caregivers can certainly be increased by changing processes and structures in hospitals. All three parties (patients, caregivers and psychiatrists) most often stated that the caregiver was not involved in the treatment because they thought it was unnecessary. Evidence demonstrates the positive effect of caregivers' involvement on the therapeutic process but also on the well-being of the caregiver, therefore it is necessary to increase awareness of this evi...
Source: Epidemiology and Psychiatric Sciences - May 24, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Comparative clinical trials in psychotherapy: Have large effects been replicated?
CONCLUSION: Meta-analytic reviews are influenced by trials with large effects, and it is not uncommon for these reviews to contain several such trials. Since we find no evidence that trials with such large effects are directly replicable, treatment superiority conclusions from these reviews are highly questionable. To enhance the quality of clinical science, the development of authoritative replication criteria for clinical trials is needed. Moreover, quality benchmarks should be considered before trials are included in a meta-analysis, or replications are attempted. PMID: 32410720 [PubMed - in process] (Source: Epidem...
Source: Epidemiology and Psychiatric Sciences - May 17, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Measuring what matters - information systems for management of chronic disease in primary healthcare settings in low and middle-income countries: challenges and opportunities.
Authors: Mayston R, Ebhohimen K, Jacob K Abstract Effective health information systems are essential to the delivery of high-quality community-based care for chronic disease which will be needed to address the changing healthcare needs of populations in low and middle-income country settings. Health management information systems (health service data collected at facility level) and electronic health records (data organised by individual patients) may support the measurement-based, collaborative approach that is central to the chronic care model, which has been adopted as the basis for task-shared models of care fo...
Source: Epidemiology and Psychiatric Sciences - May 12, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Effect of antidepressants for cessation therapy in betel-quid use disorder: a randomised, double-blind, placebo-controlled trial.
CONCLUSIONS: Prescribing a fixed dose of moclobemide and escitalopram to BUD patients over 8 weeks demonstrated treatment benefits to BQ-CC. Given a relatively small sample, this study provides preliminary evidence and requires replication in larger trials. PMID: 32370818 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 8, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Poor implementation of the EU clinical trial regulation is a major threat for pragmatic trials in European countries.
Authors: Ostuzzi G, Gastaldon C, Petrini C, Godman B, Barbui C Abstract The principle of pragmatism in clinical trials has been broadly recognised as a way to close the gap between research and practice. In this contribution, we argue that the conduct of pragmatic clinical trials in Europe may be hampered by poor implementation of current European Union's Clinical Trial Regulation No. 536/2014. PMID: 32370820 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 8, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Comment to Drs Gastaldon, Papola, Ostuzzi and Barbui.
Authors: Mathews M, Daly EJ, Popova V, Heerlein K, Canuso C, Drevets WC PMID: 32345386 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 1, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Adolescent depression and subsequent earnings across early to middle adulthood: a 25-year longitudinal cohort study.
CONCLUSIONS: Our findings suggest that future earnings of adolescents with depressive disorders are contingent on the duration and natural long-term course of early-onset depression, emphasising the need for timely and effective interventions to avoid loss of human capital. PMID: 32345393 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 1, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Esketamine clinical trials: reply to Maju et al.
Authors: Gastaldon C, Papola D, Ostuzzi G, Barbui C Abstract Maju et al. provided clarifications on important and controversial issues related to esketamine clinical trial data, in response to a vivid debate triggered by the marketing authorisation recently granted by this new medicine. In this commentary, we reply to their comments attempting to critically discuss the evidence base needed to obtain regulatory approval. PMID: 32345395 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - May 1, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

The evidence base for psychotropic drugs approved by the European Medicines Agency: a meta-assessment of all European Public Assessment Reports.
CONCLUSIONS: The evidence for psychiatric drug approved by the EMA was in general poor. Small to modest effects v. placebo were considered sufficient in indications where an earlier drug exists. Data retrieval was incomplete after 1 year despite EMA's commitment to transparency. Improvements are needed. PMID: 32336312 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - April 28, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Type-2 diabetes and risk of dementia: observational and Mendelian randomisation studies in 1 million individuals.
CONCLUSIONS: In a nationwide study of all Danes above the age of 65 years, we show that type-2 diabetes is associated with major subtypes of dementia - with particularly strong associations for vascular dementia and unspecified dementia - the two types of dementia with the most obvious vascular pathologies. Although the present two-sample Mendelian randomisation approach using genetic consortia data suggests that type-2 diabetes is not a direct cause of Alzheimer's disease, we were unable to test the causal nature of type-2 diabetes for vascular dementia and unspecified dementia, because no publicly available genetic conso...
Source: Epidemiology and Psychiatric Sciences - April 25, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Loneliness, hopelessness and suicide in later life: a case-control psychological autopsy study in rural China.
CONCLUSIONS: Regular evaluation of loneliness, hopelessness and depression can help detect older adults who are at risk of committing suicide. Interventions should target social support systems, particularly among people living alone, to alleviate feelings of loneliness and hopelessness. Treating depression is also key to preventing suicide among elderly people in rural China. PMID: 32326999 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - April 25, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

'Use of antipsychotics in children and adolescents: a picture from the ARITMO population-based European cohort study'.
CONCLUSIONS: A steady increase in AP use in children and adolescents was observed essentially in the NL and Denmark. The use in Germany and Italy was lowest among countries. The use of APs under 9 years of age underlines their off-label use and should be carefully monitored as the risk/benefit ratio of these medications remains unclear in young children. AP use was altogether lower in Europe as compared to that reported in North America. PMID: 32308179 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - April 22, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Relationship of the high proportion of suicidal acts involving ingestion of pesticides to the low male-to-female ratio of suicide rates in China.
CONCLUSIONS: The incidence of medically serious suicidal behaviour among females in rural China was similar to that reported in HICs, but the case-fatality was much higher, primarily because most suicidal acts involved the ingestion of pesticides, which had a higher case-fatality than methods commonly used by women in HICs. These findings do not support sociological explanations for the relatively high female suicide rate in China but, rather, suggest that gender-specific method choice and the case-fatality of different methods are more important determinants of the demographic profile of suicide rates. Further research th...
Source: Epidemiology and Psychiatric Sciences - April 18, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

A growing need for youth mental health services in Canada: examining trends in youth mental health from 2011 to 2018.
CONCLUSIONS: Our findings highlight a growing need for youth mental health services, as indicated by a rise in the prevalence of diagnosed mood and anxiety disorders and past-year mental health consultations. The reason for these observed increases is less apparent - it may represent a true rise in the prevalence of mental illness, or be an artefact of change in diagnostic practices, mental health literacy or diminishing stigma. Nonetheless, the findings indicate a need for the health care system to respond to the rising demand for mental health services among youth. PMID: 32299531 [PubMed - in process] (Source: Epidem...
Source: Epidemiology and Psychiatric Sciences - April 18, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Development and psychometric properties of a new brief scale for subjective personal agency (SPA-5) in people with schizophrenia.
This study aimed to develop a new brief measure for subjective personal agency that can be completed by people with serious mental illness. METHODS: Two focus group interviews were first conducted with 11 people with schizophrenia to understand the fundamental components of subjective personal agency for people with serious mental illness living in the community. One group comprised six people with schizophrenia living in the community, while the other consisted of five people with schizophrenia working as peer-support workers. We then developed scale items through collaboration with people with schizophrenia and quali...
Source: Epidemiology and Psychiatric Sciences - April 12, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Associations between food insecurity and psychotropic medication use among women living with HIV in the United States.
Authors: Whittle HJ, Wolfe WR, Sheira LA, Frongillo EA, Palar K, Merenstein D, Wilson TE, Adedimeji A, Cohen MH, Wentz EL, Tien PC, Weiser SD Abstract AIMS: Psychotropic prescription rates continue to increase in the United States (USA). Few studies have investigated whether social-structural factors may play a role in psychotropic medication use independent of mental illness. Food insecurity is prevalent among people living with HIV in the USA and has been associated with poor mental health. We investigated whether food insecurity was associated with psychotropic medication use independent of the symptoms of depre...
Source: Epidemiology and Psychiatric Sciences - April 8, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

COVID-19 disease Emergency Operational Instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry.
Authors: Starace F, Ferrara M PMID: 32228737 [PubMed - as supplied by publisher] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - April 2, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Creative purpose.
Authors: Steene M PMID: 32160931 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - March 13, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Incidence and general hospital costs of self-harm across England: estimates based on the multicentre study of self-harm.
CONCLUSIONS: The results of this study highlight the extent, hospital costs and distribution of self-harm presentations to hospitals in England and identify potential sub-populations that might benefit from targeted actions to help prevent self-harm and assist those who have self-harmed. They can support national as well as local health stakeholders in allocating funds and prioritising interventions in areas with the greatest need for preventing and managing self-harm. PMID: 32160934 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - March 13, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge.
CONCLUSIONS: CCU care was followed by reliable improvements in relevant outcomes for many consumers. Consumers with poorer mental health and social functioning, and a longer episode of CCU care were more likely to make RCS improvements in mental health and social functioning. PMID: 32157987 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - March 12, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Promoting meaningful recovery with digital mental health care.
Authors: Carpenter-Song E Abstract There is growing interest in digital mental health as well as accumulating evidence of the potential for technology-based tools to augment traditional mental health services and to potentially overcome barriers to access and use of mental health services. Our research group has examined how people with mental illnesses think about and make use of technology in their everyday lives as a means to provide insight into the emerging paradigm of digital mental health. This research has been guided by anthropological approaches that emphasise lived experience and underscore the complexit...
Source: Epidemiology and Psychiatric Sciences - February 28, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

The uncanny drawings of a 10-year-old Portuguese boy.
Authors: Fróis JP PMID: 32100668 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - February 28, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Regional planning for meaningful person-centred care in mental health: context is the signal not the noise.
Authors: Rock D, Cross SP Abstract Person-centred care is at the core of a value-based health system. Its transformative potential is to enable and support key policy, planning and service developments across the system even when these go against the self-interest of individual major players. It offers a potent test for decision makers at all levels. It demands responses that are multi-level, empirically grounded, expert-informed and data-driven that must converge on the singularity of individuals in the places that they live. This requires different approaches that recognise, respect and reconcile two necessary bu...
Source: Epidemiology and Psychiatric Sciences - February 25, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Health systems strengthening to optimise scale-up in global mental health in low- and middle-income countries: lessons from the frontlines.
Authors: Petersen I, van Rensburg A, Gigaba S, Luvuno ZPB, Fairall L Abstract Against the backdrop of mounting calls for the global scaling-up of mental health services - including quality care and prevention services - there is very little guidance internationally on strategies for scaling-up such services. Drawing on lessons from scale-up attempts in six low- and middle-income countries (LMICs), and using exemplars from the front-lines in South Africa; we illustrate how health reforms towards people-centred chronic disease management provide enabling policy window opportunities for embedding mental health scale-u...
Source: Epidemiology and Psychiatric Sciences - February 8, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Mental health technology tools: two alternative approaches.
Authors: Drake RE PMID: 32009605 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - February 7, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Multiple uses of app instead of using multiple apps - a case for rethinking the digital health technology toolbox.
Authors: Torous J, Vaidyam A Abstract There are tens of thousands of mental health-related apps available today - representing extreme duplication in this digital age. Instead of a plethora of apps, there is a need for a few that meet the needs of many. Focusing on transparency and free sharing of software, we argue that a collaborative approach towards apps can advance care through creating customisable and future proofed digital tools that allow all stakeholders to engage in their design and use. PMID: 32000876 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - February 1, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Prescription opioid misuse motive latent classes: outcomes from a nationally representative US sample.
CONCLUSIONS: Screening for pain, pain conditions, problematic substance use and psychopathology are recommended in those with any POM. While those in the dependent/hooked, multi-motive and emotional coping classes are most likely to have prescription opioid use disorder (OUD), screening for OUD symptoms in all individuals with POM is also warranted. PMID: 31992376 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 31, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Association of depression and diabetes complications and mortality: a population-based cohort study.
CONCLUSIONS: Depression was associated with macrovascular complications and all-cause mortality in our patient cohort. However, the magnitude of association was less than that in previous studies. Further research should focus on the benefits and risks of treatment for depression on diabetes outcome. PMID: 31992379 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 31, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

The work of Arthur Bispo Do Ros ário.
The work of Arthur Bispo Do Rosário. Epidemiol Psychiatr Sci. 2020 Jan 29;29:e98 Authors: De Reymaeker C PMID: 31992381 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 31, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

John Devlin: Nova Cantabrigiensis.
Authors: Rainaldi L PMID: 31984934 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 29, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Comorbidity and health services' usage in children with autism spectrum disorder: a nested case-control study.
Authors: Dizitzer Y, Meiri G, Flusser H, Michaelovski A, Dinstein I, Menashe I Abstract AIMS: Children with autism spectrum disorder (ASD) tend to suffer from various medical comorbidities. We studied the comorbidity burden and health services' utilisation of children with ASD to highlight potential aetiologies and to better understand the medical needs of these children. METHODS: In this nested case-control study, ASD cases and controls - matched by age, sex and ethnicity in a 1:5 ratio - were sampled from all children born between 2009 and 2016 at a tertiary medical centre. Data were obtained from the hospita...
Source: Epidemiology and Psychiatric Sciences - January 29, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

A drink before suicide: analysis of the Queensland Suicide Register in Australia.
CONCLUSIONS: Our findings suggest that people who die by suicide while under the influence of alcohol are more likely to be under acute stress (e.g. separation) and not have earlier psychiatric conditions, except substance use. This highlights the importance of more strict alcohol policies, but also the need to improve substance use treatment. PMID: 31973775 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 26, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Trends in the incidence and DALYs of schizophrenia at the global, regional and national levels: results from the Global Burden of Disease Study 2017.
CONCLUSION: The global burden of schizophrenia remains large and continues to increase, thereby increasing the burden on health-care systems. The reported findings should be useful for resource allocation and health services planning for the increasing numbers of patients with schizophrenia in ageing societies. PMID: 31928566 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 15, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Distance to health services and treatment-seeking for depressive symptoms in rural India: a repeated cross-sectional study.
CONCLUSIONS: Geographic accessibility - as measured by travel distance - is not the primary barrier to seeking treatment for depression in rural India. Reducing travel distance to public mental health services will not of itself reduce the depression treatment gap for depression, at least in this setting, and decisions about the best platform to deliver mental health services should not be made on this basis. PMID: 31928567 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 15, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Transitional care for young adults with ADHD: transforming potential upheaval into smooth progression.
Authors: Ford T Abstract Increasing numbers of young adults need continued support for their attention deficit hyperactivity disorder (ADHD) beyond the age-boundary for children's services. The sparse literature on transition in general suggests patchy provision and huge gaps in transitional care, but also that young people with ADHD and other neurodevelopmental disorders fair particularly badly. Transition in health care coincides with many other important life-transitions while the difficulties associated with ADHD may make these challenges particularly hard to cope with. Parents or other advocates therefore ofte...
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Advancing the science of distress screening and management in cancer care.
Authors: Donovan KA, Grassi L, Deshields TL, Corbett C, Riba MB Abstract Given the high prevalence (30-35%) of psychosocial and psychiatric morbidity amongst cancer patients in any phase of the disease trajectory, screening for emotional problems and disorders has become mandatory in oncology. As a process, screening begins at the entry to the cancer care system and continues at clinically meaningful times, periodically during active cancer care, or when clinically indicated. The goal is to facilitate proper referral to psychosocial oncology specialists for more specific assessment and care, as well as treatment an...
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Incidence and temporal trends of co-occurring personality disorder diagnoses in immune-mediated inflammatory diseases.
CONCLUSIONS: IMID are associated with an increased incidence of PDs both before and after an IMID diagnosis. These results support the relevance of shared risk factors in the co-occurrence of PDs and IMID conditions. PMID: 31915099 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Mental health care in oncology. Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions.
Authors: Caruso R, Breitbart W Abstract With cancer incidence increasing over time worldwide, attention to the burden of psychiatric and psychosocial consequences of the disease is now mandatory for both cancer and mental health care professionals. Psychiatric disorders have been shown to affect at least 30-35% of cancer patients during all phases of the disease trajectory, and differ in nature according to stage and type of cancer. Other clinically relevant distressing psychosocial and existential conditions (e.g. demoralisation, health anxiety, loss of meaning and existential distress) not included as 'disorders'...
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Psychiatric and psychosocial implications in cancer care: the agenda of psycho-oncology.
Authors: Grassi L Abstract Because of the increasing global cancer burden and the WHO epidemiological estimation in terms of number of new cases, deaths and long-survivors worldwide, an interdisciplinary approach, including psychiatric and psychoncology care is mandatory in oncology. About 50% of cancer patients have in fact been shown to have psychiatric disorders, including clinically significant emotional distress and/or unrecognised or untreated psychosocial conditions as a consequence of cancer at some point during the cancer trajectory. These problems are associated with the patient's reduction of quality of ...
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

How should we support young people with ASD and mental health problems as they navigate the transition to adult life including access to adult healthcare services.
Authors: King C, Merrick H, Le Couteur A Abstract For young people with autism spectrum disorder (ASD), the transition from childhood to adulthood especially for those with additional mental health problems can be challenging. Increasing numbers of young people attending child and adolescent mental health services (CAMHS) have a recognised diagnosis of ASD. What are the outcomes of these young people when they are discharged from CAMHS and how best can services support their needs? In this editorial we consider the emerging literature on transition for young people with long-term conditions and in particular those ...
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Transitioning youth to adult age also through health services.
Authors: Bonati M PMID: 31915105 [PubMed - in process] (Source: Epidemiology and Psychiatric Sciences)
Source: Epidemiology and Psychiatric Sciences - January 11, 2020 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research

Microaggressions towards people affected by mental health problems: a scoping review.
CONCLUSIONS: The study of mental health microaggressions is an emerging, heterogeneous field, embedded in the wider stigma and discrimination literature. It has been influenced by earlier work on racial microaggressions. Both can be ambiguous and contradictory, which creates difficulty defining the boundaries of the concept, but also underpins the key theoretical basis for the negative impact of microaggressions. Mental illness is a more concealable potential type of identity, so it follows that the reported perpetrators of microaggressions are largely friends, family and professionals. This has implications for intervenin...
Source: Epidemiology and Psychiatric Sciences - December 17, 2019 Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research