A collaborative care approach delivering treatment to patients with depression comorbid with diabetes or cardiovascular disease achieves significant but small improvements over usual care in depression and patient satisfaction
This study was a randomised trial in which patients were allocated to an intervention in clusters (by general practice). Patients had to have a Patient Health Questionaire-9 (PHQ-9) depression... (Source: Evidence-Based Mental Health)
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Sharpe, M. Tags: Clinical trials (epidemiology), General practice / family medicine, Epidemiology Psychological interventions Source Type: research
The need for nuanced stigma-reduction programmes to improve help seeking for mental health problems
ABSTRACT FROM: Clement S, Schauman O, Graham T, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 2015;45:11–27. What is already known on this topic Stigma towards individuals with mental illness has been shown to have an association with reduced help seeking attitudes, intentions and behaviours. However, findings on the effects of stigma are variable and depend on factors such as the type of stigma examined, the mental health problem of interest, the help-seeking outcome assessed, the population targeted and the researc...
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Batterham, P. J. Tags: Epidemiologic studies, Epidemiology Outcomes Source Type: research
The 3D-CAM provides a brief, easy to use, sensitive and specific delirium assessment tool for older hospitalised patients, both with and without dementia
ABSTRACT FROM: Marcantonio ER, Ngo LH, O'Connor M et al. 3D-CAM: derivation and validation of a 3-minute diagnostic interview for CAM-defined delirium: a cross-sectional diagnostic test study. Ann Intern Med 2014;161:554–61. What is already known on this topic Delirium is a frequent occurrence in hospitalised patients and leads to increased morbidity, mortality and cost.1 Multiple delirium assessment tools have been developed for clinical use. The confusion assessment method (CAM) was developed in 1990, but it is time consuming for clinical staff to administer on a routine basis. The derivation and validation of the ...
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Pisani, M. A. Tags: Epidemiologic studies, Neurology, Delirium, Epidemiology Outcomes Source Type: research
A pragmatic evaluation of a nationwide mental health outreach service in Japan raises more questions than answers
ABSTRACT FROM: Kayama M, Kido Y, Setoya N, et al. Community outreach for patients who have difficulties in maintaining contact with mental health services: longitudinal retrospective study of the Japanese Outreach Model Project. BMC Psychiatry 2014;14:311. What is already known on this topic Intensive forms of community treatment for people with severe mental illness include Assertive Community Treatment (ACT) and Assertive Outreach (AO). They are characterised by caseloads of <20 patients per clinician. These interventions can reduce admissions to hospital, increase retention in care and improve social functioning, but...
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Kisely, S., Robinson, G. Tags: Outcomes Source Type: research
ECT is superior to pharmacotherapy for the short-term treatment of medication-resistant inpatients with bipolar depression
ABSTRACT FROM: Schoeyen HK, Kessler U, Andreassen OA, et al. Treatment-resistant bipolar depression: a randomized controlled trial of electroconvulsive therapy versus algorithm-based pharmacological treatment. Am J Psychiatry 2015;172:41–51. What is already known on this topic Within 1–4 years, about one-fourth of stable patients with bipolar disorder suffer from depression despite prophylactic lithium therapy.1 Electroconvulsive therapy (ECT) is equally effective for unipolar and bipolar depression,2 however, the rate of use of ECT varies considerably between countries,3 and, in clinical guidelines, ECT i...
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Nordenskjöld, A. Tags: Clinical trials (epidemiology), Epidemiologic studies, Open access, Neurology, Substance dependence, Drugs: psychiatry, Bipolar disorder, Suicide (psychiatry), Epidemiology, Guidelines Causes and risk factors Source Type: research
