15,690 results match your criteria British Journal Of Psychiatry[Journal]


Authors' reply.

Br J Psychiatry 2020 Jun;216(6):345-346

Aarhus University Hospital Psychiatry, Denmark.

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http://dx.doi.org/10.1192/bjp.2020.24DOI Listing

Unjustified conclusions.

Br J Psychiatry 2020 Jun;216(6):345

Department of Psychiatry and Psychotherapy, University of Cologne Medical School, Germany.

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http://dx.doi.org/10.1192/bjp.2020.23DOI Listing

What should be done to support the mental health of healthcare staff treating covid-19 patients?

Br J Psychiatry 2020 May 19:1-6. Epub 2020 May 19.

Nightingale London Hospital, LondonE16 1XL.

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http://dx.doi.org/10.1192/bjp.2020.109DOI Listing

Three challenges that the COVID-19 pandemic represents for psychiatry.

Br J Psychiatry 2020 May 15:1-2. Epub 2020 May 15.

National Institute of Mental Health, Klecany, Czech Republic.

The evolving COVID-19 pandemic and its likely consequences add to the already substantial psychosocial burden caused by global problems, existential threats and heightened uncertainty, which are increasingly confronting communities worldwide. Here we briefly outline three challenges for clinical psychiatry and research, related to coping with the social epidemiology of negative moods, stress and socially mediated traumatic experiences brought on by these adverse developments. Read More

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http://dx.doi.org/10.1192/bjp.2020.106DOI Listing

Mental health and COVID-19: is the virus racist?

Br J Psychiatry 2020 May 5:1-3. Epub 2020 May 5.

Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London; and East London NHS Foundation Trust, UK.

COVID-19 has changed our lives and it appears to be especially harmful for some groups more than others. Black and Asian ethnic minorities are at particular risk and have reported greater mortality and intensive care needs. Mental illnesses are more common among Black and ethnic minorities, as are crisis care pathways including compulsory admission. Read More

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http://dx.doi.org/10.1192/bjp.2020.93DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251250PMC

Coronavirus disease 2019: achieving good mental health during social isolation.

Br J Psychiatry 2020 May 4:1-2. Epub 2020 May 4.

Wexham Park Hospital, Frimley Health Foundation NHS Trust; and Oxford University Hospitals NHS Foundation Trust, UK.

The coronavirus disease 2019 pandemic has led to unprecedented disruption to the normal way of life for people around the globe. Social distancing, self-isolation or shielding have been strongly advised or mandated in most countries. We suggest evidence-based ways that people can maintain or even strengthen their mental health during this crisis. Read More

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http://dx.doi.org/10.1192/bjp.2020.91DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256217PMC

Safe and informed prescribing of psychotropic medication during the COVID-19 pandemic.

Br J Psychiatry 2020 May 4:1-4. Epub 2020 May 4.

Departments of Psychiatry and Anatomy and Neurosciences, Amsterdam UMC, The Netherlands.

Treatment with psychotropic medication may sometimes be jeopardised because of the COVID-19 pandemic. One underlying reason is the lack of COVID-19-specific psychopharmacology guidelines. Here, we discuss five considerations arising from our clinical experience and pharmacological background knowledge to enable safe and well-informed psychopharmacotherapy during the COVID-19 pandemic. Read More

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http://dx.doi.org/10.1192/bjp.2020.92DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248582PMC

Psychiatry and COVID-19: putting our best foot forward.

Br J Psychiatry 2020 May 4:1-3. Epub 2020 May 4.

Ambulatory Forensic Psychiatry Unit, Yehuda Abarbanel Mental Health Centre, Bat Yam, Israel.

COVID-19 presents new challenges for psychiatry as clinical management, ethical dilemmas and administrative complications need to be addressed. The psychiatrist should protect the needs and rights of the mentally ill while maximising population health and ensuring solidarity, reciprocity and community well-being for all. Read More

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http://dx.doi.org/10.1192/bjp.2020.90DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256216PMC

Challenges to welcoming people with mental illnesses into faith communities.

Br J Psychiatry 2020 Apr 30:1-2. Epub 2020 Apr 30.

Department of Psychology, Illinois Institute of Technology, Illinois, USA.

Faith communities are important to the psychiatric care of people with mental illness. I distinguish the effects of two principles of becoming welcoming communities: compassion, in which the community accommodates members with mental illnesses so they are fully included, and dignity, which rests on the essential worth of everyone. Read More

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http://dx.doi.org/10.1192/bjp.2020.83DOI Listing

ICD-11 complex post-traumatic stress disorder: simplifying diagnosis in trauma populations.

Br J Psychiatry 2020 Mar;216(3):129-131

National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, USA; and Department of Psychiatry and Behavioural Sciences, Stanford University, USA.

ICD-11 complex post-traumatic stress disorder (PTSD) is a new disorder that describes the more complex reactions that are typical of individuals exposed to chronic trauma. The addition of this disorder as distinct from PTSD is expected to provide greater precision in the diagnosis of trauma populations and more personalised and effective treatment. Read More

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http://dx.doi.org/10.1192/bjp.2020.43DOI Listing

Conclusions in Gryglewski et al may not be warranted.

Authors:
Marco Chiesa

Br J Psychiatry 2020 Mar;216(3):166-167

Consultant Psychiatrist and Visiting Professor, University College London, UK. Email:

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http://dx.doi.org/10.1192/bjp.2019.232DOI Listing

Moral injury in a context of trauma.

Authors:
Edgar Jones

Br J Psychiatry 2020 Mar;216(3):127-128

Professor of the History of Medicine and Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.

Moral injury, characterised by guilt, shame and self-condemnation, is conceptualised either as an adjunct to post-traumatic stress disorder or as a new syndrome. Studies of symptoms and potentially morally injurious events have produced a possible definition and informed the design of rating scales. The current challenge remains the design of effective interventions. Read More

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http://dx.doi.org/10.1192/bjp.2020.46DOI Listing

A validation study of the International Trauma Questionnaire to assess post-traumatic stress disorder in treatment-seeking veterans.

Br J Psychiatry 2020 Mar;216(3):132-137

School of Health & Social Care, Edinburgh Napier University; and NHS Lothian Rivers Centre for Traumatic Stress, UK.

Background: Veterans with post-traumatic stress disorder (PTSD) typically report a poorer treatment response than those who have not served in the Armed Forces. A possible explanation is that veterans often present with complex symptoms of PTSD. ICD-11 PTSD and complex PTSD (CPTSD) have not previously been explored in a military sample. Read More

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http://dx.doi.org/10.1192/bjp.2020.9DOI Listing

Authors' reply.

Br J Psychiatry 2020 Mar;216(3):165-166

Professor, Departments of Medicine, Medical Ethics and Health Policy, and Neurology, University of Pennsylvania; and Co-Director of the Penn Memory Center, Perelman School of Medicine, University of Pennsylvania, USA.

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http://dx.doi.org/10.1192/bjp.2019.230DOI Listing

Kaleidoscope.

Br J Psychiatry 2020 Mar;216(3):172-173

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http://dx.doi.org/10.1192/bjp.2020.5DOI Listing
March 2020
7.991 Impact Factor

Avoiding hard capacity assessments will not help.

Br J Psychiatry 2020 Mar;216(3):165

Psychiatrist, Reader and Lead, Mental Health, Ethics and Law Research Group, King's College London, UK.

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http://dx.doi.org/10.1192/bjp.2019.229DOI Listing

Shame, dissociative seizures and their correlation among traumatised female Yazidi with experience of sexual violence.

Br J Psychiatry 2020 Mar;216(3):138-143

Researcher and Lecturer, Clinic for Psychiatry and Psychotherapy, Division of Psychosomatic Medicine and Psychotherapy, Universitaetskliniken des Saarlandes; and Head, Division of Psychosomatic Medicine and Psychotherapy, Universitaetskliniken des Saarlandes, Germany.

Background: Survivors of Islamic State of Iraq and Syria (ISIS) captivity are at high risk of developing mental disorders such as post-traumatic stress disorder (PTSD).

Aims: This study looks at the correlation between sexual abuse, shame, somatoform or bodily distress disorders, and dissociative seizures (psychogenic non-epileptic seizures).

Method: The psychological effects of traumatic events and dissociative seizure were assessed in Yazidi women who were held captive by ISIS in Northern Iraq between 2014 and 2018. Read More

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http://dx.doi.org/10.1192/bjp.2020.2DOI Listing
March 2020
7.991 Impact Factor

Evidence-based prescribing for post-traumatic stress disorder.

Br J Psychiatry 2020 Mar;216(3):125-126

Consultant Psychiatrist, Cardiff and Vale University Health Board, Cardiff, UK.

There is strong research evidence to support the pharmacological treatment of post-traumatic stress disorder (PTSD) as a second line to trauma-focused psychological interventions. Fluoxetine, paroxetine, sertraline and venlafaxine are the best-evidenced drugs, with lower-level evidence for other medications. It is important that prescribing for PTSD is evidence-based. Read More

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http://dx.doi.org/10.1192/bjp.2020.40DOI Listing

Psychosocial care of immigrants in the Czech Republic as a country in transition.

Br J Psychiatry 2020 Mar;216(3):163-164

Consultant Psychiatrist, Department of Psychiatry, Military University Hospital Prague, Czech Republic. Email:

The Czech Republic is a country in transition, and its historical sociopolitical isolationism lingers to this day, with restrictive attitudes towards immigrants. International collaborations among transcultural psychiatrists and non-governmental organisations (NGOs) could help increase awareness of the service needs of immigrants and improve access to mental healthcare. A lack of state and academic interest persists despite the increasing importance of the issue. Read More

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http://dx.doi.org/10.1192/bjp.2019.276DOI Listing

A contextual approach to routinely elicit a trauma-oriented history.

Br J Psychiatry 2020 Mar;216(3):166

Psychiatrist, Shaare Zedek Medical Centre, Israel.

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http://dx.doi.org/10.1192/bjp.2019.231DOI Listing

Prevalence: are two-fifths of young people really 'abnormal'?

Br J Psychiatry 2020 Jan;216(1):58

Associate, National Centre for Social Research, UK.

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http://dx.doi.org/10.1192/bjp.2019.225DOI Listing
January 2020

Authors' reply.

Br J Psychiatry 2020 Jan;216(1):58-59

Professor, UCL, UK.

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http://dx.doi.org/10.1192/bjp.2019.226DOI Listing
January 2020

Kaleidoscope.

Br J Psychiatry 2020 Jan;216(1):62-63

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http://dx.doi.org/10.1192/bjp.2019.258DOI Listing
January 2020
7.991 Impact Factor

Electroconvulsive therapy effectiveness and harm.

Authors:
Marco Chiesa

Br J Psychiatry 2020 Feb;216(2):120

Consultant Psychiatrist and Visiting Professor, University College London, UK. Email:

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http://dx.doi.org/10.1192/bjp.2019.227DOI Listing
February 2020

Author's reply.

Authors:
Derek Tracy

Br J Psychiatry 2020 Feb;216(2):120

Consultant Psychiatrist & Clinical Director, Oxleas NHS Foundation Trust, UK. Email:

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http://dx.doi.org/10.1192/bjp.2019.228DOI Listing
February 2020

Kaleidoscope.

Br J Psychiatry 2020 Feb;216(2):123-124

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http://dx.doi.org/10.1192/bjp.2019.274DOI Listing
February 2020
7.991 Impact Factor

Authors' reply.

Br J Psychiatry 2020 May;216(5):284

Consultant Psychiatrist & Clinical Director, Oxleas NHS Foundation Trust, London, Senior Lecturer, King's College London.

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http://dx.doi.org/10.1192/bjp.2020.22DOI Listing

Using #newpower in social media for better health.

Br J Psychiatry 2020 May;216(5):284

Consultant Psychiatrist, Camden & Islington NHS Foundation Trust and Generation Q Fellow (Health Foundation, UK). Email:

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http://dx.doi.org/10.1192/bjp.2020.21DOI Listing

Gang membership and sexual violence: associations with childhood maltreatment and psychiatric morbidity.

Br J Psychiatry 2020 Apr 27:1-8. Epub 2020 Apr 27.

Wolfson Institute of Preventive Medicine, Queen Mary University of London, UK.

Background: Gang members engage in many high-risk sexual activities that may be associated with psychiatric morbidity. Victim-focused research finds high prevalence of sexual violence towards women affiliated with gangs.

Aims: To investigate associations between childhood maltreatment and psychiatric morbidity on coercive and high-risk sexual behaviour among gang members. Read More

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http://dx.doi.org/10.1192/bjp.2020.69DOI Listing

On the uses and abuses of narcissism as a public health issue.

Br J Psychiatry 2020 Apr 23:1-4. Epub 2020 Apr 23.

School of Business and Management, Queen Mary University of London, UK.

Psychiatry understands narcissism as a pathological condition associated with poor social outcomes and difficulty relating to others. Millennials have been depicted by psychological research as 'narcissistic', and the term has lost accurate meaning. We underline the intellectual laxity of conflating social changes with narcissism and suggest ways forward. Read More

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http://dx.doi.org/10.1192/bjp.2020.70DOI Listing

Research into mental health supported accommodation - desperately needed but challenging to deliver.

Br J Psychiatry 2020 Apr 23:1-3. Epub 2020 Apr 23.

Unit for Social and Community Psychiatry, World Health Organization Collaborating Centre for Mental Health Services Development, Queen Mary University, UK.

Around 100 000 people live in mental health supported accommodation in England, at considerable cost to the public purse, but there is little evidence to guide investment in the most effective models. We consider the various barriers to research in this field and offer suggestions on how to address them. Read More

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http://dx.doi.org/10.1192/bjp.2020.74DOI Listing

Extending the vulnerability-stress model of mental disorders: three-dimensional × environment × coping interaction study in anxiety.

Br J Psychiatry 2020 Apr 23:1-6. Epub 2020 Apr 23.

Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, and Center for Basics in Neuromodulation, Faculty of Medicine, University of Freiburg, Germany.

Background: The general understanding of the 'vulnerability-stress model' of mental disorders neglects the modifying impact of resilience-increasing factors such as coping ability.

Aims: Probing a conceptual framework integrating both adverse events and coping factors in an extended 'vulnerability-stress-coping model' of mental disorders, the effects of functional neuropeptide S receptor gene (NPSR1) variation (G), early adversity (E) and coping factors (C) on anxiety were addressed in a three-dimensional G × E × C model.

Method: In two independent samples of healthy probands (discovery: n = 1403; replication: n = 630), the interaction of NPSR1 rs324981, childhood trauma (Childhood Trauma Questionnaire, CTQ) and general self-efficacy as a measure of coping ability (General Self-Efficacy Scale, GSE) on trait anxiety (State-Trait Anxiety Inventory) was investigated via hierarchical multiple regression analyses. Read More

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http://dx.doi.org/10.1192/bjp.2020.73DOI Listing

Coronavirus disease: challenges for psychiatry.

Authors:
Brendan D Kelly

Br J Psychiatry 2020 Apr 15:1-2. Epub 2020 Apr 15.

Department of Psychiatry, Trinity College Dublin, Ireland.

Coronavirus disease (COVID-19) presents two urgent health problems: the illness caused by the virus itself and the anxiety, panic and psychological problems associated with the pandemic. Both problems present substantial challenges for our patients, their families, our multidisciplinary teams and our psychiatrist colleagues. We need good psychiatry, now more than ever. Read More

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http://dx.doi.org/10.1192/bjp.2020.86DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205546PMC

Authors' reply.

Br J Psychiatry 2020 04;216(4):235

Professor, Department of Psychiatry, Amsterdam UMC, the Netherlands. Email:

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http://dx.doi.org/10.1192/bjp.2020.20DOI Listing

The association between the neighbourhood characteristics and depression: was the regression model satisfactory?

Br J Psychiatry 2020 04;216(4):235

Senior Resident, Department of Psychiatry, Post Graduate Institute of Medicine Education and Research, India. Email:

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http://dx.doi.org/10.1192/bjp.2020.19DOI Listing
April 2020
7.991 Impact Factor

Treatment concerns for psychiatric symptoms in patients with COVID-19 with or without psychiatric disorders.

Br J Psychiatry 2020 Apr 9. Epub 2020 Apr 9.

Division of Clinical Neuroscience, Chiba University Center for Forensic Mental Health, Japan.

Many psychiatric patients have been infected with COVID-19, and patients with COVID-19 may develop psychiatric symptoms after treatment with antiviral drugs. Given the tolerability and minimal P450 interactions, antidepressants (i.e. Read More

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http://dx.doi.org/10.1192/bjp.2020.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190394PMC
April 2020
7.991 Impact Factor

History of psychiatry in the curriculum? History is part of life and life is part of history: why psychiatrists need to understand it better.

Br J Psychiatry 2020 Apr 3:1-2. Epub 2020 Apr 3.

Psychiatry in Dialogue with Neuroscience Medicine and Society, Psychiatry Section, Royal Society of Medicine; and History of Psychiatry Special Interest Group, Royal College of Psychiatrists, UK.

The General Medical Council has introduced a generic professional capabilities framework. It includes the need to develop the professional values, actions and aspirations fundamental to becoming a 'dedicated doctor'. The history of psychiatry has potential to facilitate this learning, both by an understanding of content and the ability to think historically. Read More

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http://dx.doi.org/10.1192/bjp.2020.64DOI Listing

Role of self-focussed reappraisal of negative emotion in emergence of emotional symptoms in adolescent girls.

Br J Psychiatry 2020 Mar 30:1-7. Epub 2020 Mar 30.

Professor, The Mind Research Network; and Department of Electrical and Computer Engineering, University of New Mexico, New Mexico, USA.

Background: Adolescent subthreshold emotional symptoms arise from impaired self-referential information-processing and approach-avoidance behaviour network integration, which compromises goal evaluation and pursuit strategies.

Aims: We investigated whether impairment of negative emotion (goal) reappraisal strategies (self-focussing and self-distancing) generates emotional symptoms (emotional disorders precursors).

Method: Using functional magnetic resonance imaging and a triple-network model (default mode, executive control and salience), functional connectivity differences within and between networks, and their modulation by task and relationships with emotional symptoms were determined in healthy adolescent girls (N = 202) grouped by presence or absence of emotional symptoms. Read More

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http://dx.doi.org/10.1192/bjp.2019.255DOI Listing

Markers of cognitive reserve and dementia incidence in the English Longitudinal Study of Ageing.

Br J Psychiatry 2020 Mar 30:1-9. Epub 2020 Mar 30.

Department of Behavioural Science and Health, University College London, UK.

Background: In the current climate of an ageing population, it is imperative to identify preventive measures for dementia.

Aims: We implemented a multifaceted index of cognitive reserve markers and investigated dementia incidence over 15 years of follow-up in a representative sample of the English population.

Method: Data were 12 280 participants aged ≥50 years from the English Longitudinal Study of Ageing, free from dementia at their baseline assessments during wave 1 (2002-2003), 3 (2006-2007) or 4 (2008-2009), and followed up until wave 8 (2016-2017). Read More

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http://dx.doi.org/10.1192/bjp.2020.54DOI Listing

The edges of human performance in psychiatry.

Authors:
Rajvinder Samra

Br J Psychiatry 2020 Jun;216(6):294-295

School of Health, Wellbeing and Social Care, The Open University, UK.

Developing a realistic multifactorial model of human performance in psychiatry will better inform interventions targeting clinician overwork and burnout, which contribute to risk and error in medicine. This heralds a new approach, allowing better detection by individuals, colleagues and automated systems, to responding to degraded performance in psychiatry. Read More

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http://dx.doi.org/10.1192/bjp.2020.59DOI Listing

Questioning the status of aberrant speech patterns as psychiatric symptoms.

Br J Psychiatry 2020 Mar 26:1-2. Epub 2020 Mar 26.

Centre for Mental Health, Swinburne University of Technology, Australia.

Speech disturbances manifest in various psychiatric conditions and demonstrate temporal variability in relation to acute and stable symptom periods. They can be externally assessed, which facilitates their potential use as an objective marker of illness stage. Continued research will have positive implications for diagnostics and long-term management in clinical settings. Read More

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http://dx.doi.org/10.1192/bjp.2020.60DOI Listing

Childhood intellectual disability and parents' mental health: integrating social, psychological and genetic influences.

Br J Psychiatry 2020 Mar 11:1-8. Epub 2020 Mar 11.

Professor and Deputy Director, Centre for Family Research, Department of Psychology, University of Cambridge, UK.

Background: Intellectual disability has a complex effect on the well-being of affected individuals and their families. Previous research has identified multiple risk and protective factors for parental mental health, including socioeconomic circumstances and child behaviour.

Aims: This study explored whether genetic cause of childhood intellectual disability contributes to parental well-being. Read More

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http://dx.doi.org/10.1192/bjp.2020.38DOI Listing