1,665 results match your criteria Evidence-Based Mental Health [Journal]


What is the evidence for using bed rest as part of hospital treatment of severe anorexia nervosa?

Evid Based Ment Health 2019 Apr 19. Epub 2019 Apr 19.

Cotswold House, Oxford Health NHS Foundation Trust Adult Mental Health Services, Oxford, Oxfordshire, UK.

Bed rest is commonly used on medical and paediatric wards as part of nursing management of the physically compromised patient with severe anorexia nervosa. The aim of this study was to review the evidence base of bed rest as an intervention in the management of severe anorexia nervosa. We searched MEDLINE, PubMed, Embase, PsychInfo, CINAHL, HMIC, AMED, HBE, BNI and guidelines written in English until April 2018 using the following terms: bed rest and anorexia nervosa. Read More

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http://ebmh.bmj.com/lookup/doi/10.1136/ebmental-2018-300064
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http://dx.doi.org/10.1136/ebmental-2018-300064DOI Listing
April 2019
1 Read

Side effect profile and comparative tolerability of 21 antidepressants in the acute treatment of major depression in adults: protocol for a network meta-analysis.

Evid Based Ment Health 2019 Apr 17. Epub 2019 Apr 17.

Department of Psychiatry, University of Oxford, Oxford, UK.

Introduction: We have recently compared all second-generation as well as selected first-generation antidepressants in terms of efficacy and acceptability in the acute treatment of major depression. Here we present a protocol for a network meta-analysis aimed at extending these results, updating the evidence base and comparing all second-generation as well as selected first-generation antidepressants in terms of specific adverse events and tolerability in the acute treatment of major depression in adults.

Methods And Analysis: We will include all double-blind randomised controlled trials comparing one active drug with another or with placebo in the acute treatment major depression in adults. Read More

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http://dx.doi.org/10.1136/ebmental-2019-300087DOI Listing
April 2019
1 Read

Implementing a digital clinical decision support tool for side effects of antipsychotics: a focus group study.

Evid Based Ment Health 2019 Apr 15. Epub 2019 Apr 15.

Psychiatry, University of Oxford, Oxford, UK.

Background: In medicine, algorithms can inform treatment decisions by combining the most up-to-date evidence about side effect profiles of medications, which are comparable in efficacy. Their use provides opportunities for improved shared clinician-patient decision-making when initiating therapy. We designed a decision support tool (DST) that incorporated the latest evidence regarding antipsychotic side effects. Read More

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http://dx.doi.org/10.1136/ebmental-2019-300086DOI Listing

Using Mendelian randomisation to assess causality in observational studies.

Evid Based Ment Health 2019 Apr 12. Epub 2019 Apr 12.

Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UK.

Objective: Mendelian randomisation (MR) is a technique that aims to assess causal effects of exposures on disease outcomes. The paper aims to present the main assumptions that underlie MR, the statistical methods used to estimate causal effects and how to account for potential violations of the key assumptions.

Methods: We discuss the key assumptions that should be satisfied in an MR setting. Read More

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http://dx.doi.org/10.1136/ebmental-2019-300085DOI Listing
April 2019
1 Read

New developments in the mental health of refugee children and adolescents.

Authors:
Matthew Hodes

Evid Based Ment Health 2019 Apr 3. Epub 2019 Apr 3.

Department of Medicine, Centre for Psychiatry, Imperial College London, London, UK.

The increase in refugees globally since 2010 and the arrival of many into Europe since 2015, around 50% of whom are under 18 years, have been the stimulus to greater investigation and publications regarding their mental health. This clinical review summarises selected themes in the field as described in the published literature since 2016. The themes include refugee statistics, premigration and postmigration experiences, psychopathology focusing on parent-child relationships, unaccompanied refugee minors and associations between resettlement, acculturation and mental health. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300065DOI Listing
April 2019
2 Reads

How Chinese psychiatrists see and manage stigmatisation of psychiatric patients: a qualitative study in Hong Kong.

Evid Based Ment Health 2019 Mar 28. Epub 2019 Mar 28.

Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.

Background: Health professionals including psychiatrists were reported to have stigmatising opinions on psychiatric patients. Their views may be affected by clinical, social and cultural factors.

Objective: This study explored the views of Chinese psychiatrists on stigmatisation of psychiatric patients. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300078DOI Listing
March 2019
1 Read

Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis.

Evid Based Ment Health 2019 Feb;22(1):26-35

Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Question: This review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.

Study Selection And Analysis: Ovid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300062DOI Listing
February 2019
3 Reads

Reply to Leon .

Evid Based Ment Health 2019 Feb;22(1):e2

Departments of Paediatrics and Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1136/ebmental-2019-300081DOI Listing
February 2019
1 Read

Reasoning under uncertainty.

Evid Based Ment Health 2019 Feb 24;22(1):44-48. Epub 2019 Jan 24.

Department of Primary Education, University of Ioannina, Panepistimioupoli, Ioannina, Greece.

Introduction: It is difficult to reason correctly when the information available is uncertain. Reasoning under uncertainty is also known as probabilistic reasoning.

Methods: We discuss probabilistic reasoning in the context of a medical diagnosis or prognosis. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300074DOI Listing
February 2019

Adjunctive minocycline in schizophrenia: what one well-conducted study can tell us (and what it can't).

Evid Based Ment Health 2019 Feb 21;22(1):e3. Epub 2019 Jan 21.

Psychiatry Research, Northwell Health, Zucker Hillside Hospital, Glen Oaks, New York, USA.

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http://dx.doi.org/10.1136/ebmental-2018-300070DOI Listing
February 2019
3 Reads

CBT, medication and the combination are effective for childhood anxiety.

Evid Based Ment Health 2019 Feb 21;22(1):e4. Epub 2019 Jan 21.

Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.

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http://dx.doi.org/10.1136/ebmental-2018-300023DOI Listing
February 2019
1 Read

Shedding light on the onset of psychiatric illness: looking through a developmental lens.

Evid Based Ment Health 2019 Jan 21. Epub 2019 Jan 21.

Department of Psychiatry, Queen's University, Kingston, Canada.

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http://dx.doi.org/10.1136/ebmental-2018-300076DOI Listing
January 2019

Development and validation of a prediction model for the probability of responding to placebo in antidepressant trials: a pooled analysis of individual patient data.

Evid Based Ment Health 2019 Feb 21;22(1):10-16. Epub 2019 Jan 21.

Department of Health Promotion and Human Behavior and of Clinical Epidemiology, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.

Background: Identifying potential placebo responders among apparent drug responders is critical to dissect drug-specific and nonspecific effects in depression.

Objective: This project aimed to develop and test a prediction model for the probability of responding to placebo in antidepressant trials. Such a model will allow us to estimate the probability of placebo response among drug responders in antidepressants trials. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300073DOI Listing
February 2019
2 Reads

Attention-deficit/hyperactive disorder: missing the bull's eye.

Evid Based Ment Health 2019 Feb 21;22(1):e1. Epub 2019 Jan 21.

Physiology, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/ebmental-2018-300079DOI Listing
February 2019
7 Reads

Providing the most appropriate care to our patients.

Evid Based Ment Health 2019 Feb 21;22(1):1-2. Epub 2019 Jan 21.

Department of Psychiatry, University of Oxford, Oxford, UK.

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http://ebmh.bmj.com/lookup/doi/10.1136/ebmental-2019-300080
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http://dx.doi.org/10.1136/ebmental-2019-300080DOI Listing
February 2019
2 Reads

What is the evidence for the use of simulation training to teach communication skills in psychiatry?

Authors:
Josephine Neale

Evid Based Ment Health 2019 Feb 21;22(1):23-25. Epub 2019 Jan 21.

Training in communication skills is a vital part of medical education worldwide and essential for psychiatrists, with poor communication often cited as a key contributing factor in healthcare complaints. Simulation training is a rapidly developing educational modality, and educationalists need to be aware of its possible uses and pitfalls in teaching communications skills in psychiatry. By exploring the advantages and disadvantages of the use of simulation training as a method of teaching communication skills in psychiatry, this article demonstrates a clear consensus in the literature that, while there are a number of difficulties to be overcome in simulation training, these are outweighed by the clear educational gains. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300075DOI Listing
February 2019

Understanding the quality, effectiveness and attributes of top-rated smartphone health apps.

Evid Based Ment Health 2019 Feb 11;22(1):4-9. Epub 2019 Jan 11.

Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Boston, Massachusetts, USA.

Objective: This study aimed to understand the attributes of popular apps for mental health and comorbid medical conditions, and how these qualities relate to consumer ratings, app quality and classification by the WHO health app classification framework.

Methods: We selected the 10 apps from the Apple iTunes store and the US Android Google Play store on 20 July 2018 from six disease states: depression, anxiety, schizophrenia, addiction, diabetes and hypertension. Each app was downloaded by two authors who provided information on the apps' attributes, functionality, interventions, popularity, scientific backing and WHO app classification rating. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300069DOI Listing
February 2019
3 Reads

Implementation of a smoke-free policy appears to reduce physical violence in inpatient settings.

Evid Based Ment Health 2018 Dec 22. Epub 2018 Dec 22.

Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300072DOI Listing
December 2018
1 Read

Digital technology for health promotion: opportunities to address excess mortality in persons living with severe mental disorders.

Evid Based Ment Health 2019 Feb 17;22(1):17-22. Epub 2018 Dec 17.

Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.

Persons with severe mental disorders (SMDs) experience dramatically reduced life expectancy compared with the general population. We consider the role of digital technologies for addressing this serious public health concern. In this clinical review, we apply the recently introduced by the WHO to conceptualise how digital technology can support efforts to reduce excess mortality risk at the individual, health system and social determinants of health levels. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359972PMC
February 2019
1 Read

Preventive cognitive therapy could be a viable and effective addition to antidepressant medication in preventing relapse or recurrence in major depressive disorder.

Evid Based Ment Health 2019 Feb 7;22(1):e7. Epub 2018 Dec 7.

Department of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands.

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http://dx.doi.org/10.1136/ebmental-2018-300054DOI Listing
February 2019
2 Reads

Electroconvulsive therapy does not increase the risk of dementia in patients with affective disorders.

Authors:
Pascal Sienaert

Evid Based Ment Health 2019 Feb 31;22(1):e5. Epub 2018 Oct 31.

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http://dx.doi.org/10.1136/ebmental-2018-300048DOI Listing
February 2019
1 Read

Sleep in youth with autism spectrum disorders: systematic review and meta-analysis of subjective and objective studies.

Evid Based Ment Health 2018 Nov 25;21(4):146-154. Epub 2018 Oct 25.

Center for Innovation in Mental Health, Academic Unit of Psychology, University of Southampton, Southampton, UK.

Background: Sleep problems are common and impairing in individuals with autism spectrum disorders (ASD). Evidence synthesis including both subjective (ie, measured with questionnaires) and objective (ie, quantified with neurophysiological tools) sleep alterations in youth with ASD is currently lacking.

Objective: We conducted a systematic review and meta-analysis of subjective and objective studies sleep studies in youth with ASD. Read More

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http://ebmh.bmj.com/lookup/doi/10.1136/ebmental-2018-300037
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http://dx.doi.org/10.1136/ebmental-2018-300037DOI Listing
November 2018
47 Reads

What do we really know about PRN use in agitated children with mental health conditions: a clinical review.

Evid Based Ment Health 2018 Nov 25;21(4):166-170. Epub 2018 Oct 25.

Department of Psychiatry and Pediatrics, Stony Brook University School of Medicine, Stonybrook, New York, USA.

What is the evidence that 'pro re nata' (PRN) medication is effective for ending agitated outbursts in children and adolescents in psychiatric emergency rooms or inpatient units? Literature search was performed for studies of PRN medication use in children and adolescents that included an outcome measure. One randomised controlled trial, three prospective studies and six retrospective studies that included some outcome measure were identified. Outcome measures were heterogeneous, and frequently did not use standardised metrics assessing agitation level to measure effectiveness. Read More

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http://ebmh.bmj.com/lookup/doi/10.1136/ebmental-2018-300039
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http://dx.doi.org/10.1136/ebmental-2018-300039DOI Listing
November 2018
8 Reads

Advances in our understanding of the genetics of childhood neurodevelopmental disorders.

Evid Based Ment Health 2018 Nov 25;21(4):171-172. Epub 2018 Oct 25.

Division of Psychological Medicine and Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University School of Medicine, Cardiff, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300067DOI Listing
November 2018
2 Reads

Ultra-high-risk paradigm: lessons learnt and new directions.

Evid Based Ment Health 2018 Nov 24;21(4):131-133. Epub 2018 Oct 24.

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Victoria, Australia.

Within the embryonic early psychosis field in the early 1990s, the conceptualisation and definition of an at-risk or ultra-high-risk (UHR) mental state for psychosis was a breakthrough which transformed the clinical and research landscape in psychiatry. Twenty-five years later, we have a new evidence base that has illuminated the neurobiology of the onset phase of psychotic disorder, delivered Cochrane level 1 evidence showing that the onset of full-threshold sustained psychotic disorder can be at least delayed, and is paving the way to a new generation of transdiagnostic research. Here, we document the contribution of the UHR approach to understanding the underlying mechanisms of psychosis onset as well as the long-term outcomes. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300061DOI Listing
November 2018
5 Reads

Twenty years of progress in paediatric psychopharmacology: accomplishments and unmet needs.

Evid Based Ment Health 2018 Nov 23;21(4):e10. Epub 2018 Oct 23.

Division of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Science, University of Turin, Turin, Italy.

The systematic assessment of the efficacy and safety of psychiatric medications in children and adolescents started about 20 years ago. Since then, a considerable number of randomised clinical trials have been conducted, including also a series of publicly funded comparative effectiveness studies to evaluate the therapeutic benefit of medications relative to psychosocial interventions, alone or combined with medications. On the whole, these studies have been informative of the paediatric pharmacokinetics, efficacy and safety of the most commonly used psychotropics. Read More

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http://ebmh.bmj.com/lookup/doi/10.1136/ebmental-2018-300040
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http://dx.doi.org/10.1136/ebmental-2018-300040DOI Listing
November 2018
14 Reads

Early intervention in youth mental health: progress and future directions.

Evid Based Ment Health 2018 Nov 23;21(4):182-184. Epub 2018 Oct 23.

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Victoria, Australia.

Early intervention is a fundamental principle in health care and the past two decades have seen it belatedly introduced into the field of mental health. This began in psychotic disorders, arguably the least promising place to start. The steady accumulation of scientific evidence for early intervention has eventually overwhelmed the sceptics, transformed thinking in psychotic disorders and created an international wave of service reform. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300060DOI Listing
November 2018
33 Reads

Pilot mixed-methods evaluation of interpersonal counselling for young people with depressive symptoms in non-specialist services.

Evid Based Ment Health 2018 Nov 23;21(4):134-138. Epub 2018 Oct 23.

IP Consulting, Cambridge, UK.

Background: The majority of young people receive treatment for depressive symptoms in the UK from staff with minimal specialist mental health/therapeutic training. There is no evidence to guide them as to what treatments are likely to be effective. Interpersonal counselling (IPC) is a reduced form of interpersonal psychotherapy and may be an appropriate treatment to use in this population. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300028DOI Listing
November 2018
3 Reads

Celebrating the achievements of evidence-based child and adolescent mental health … and looking ahead to its continuous growth.

Evid Based Ment Health 2018 Nov 23;21(4):125-126. Epub 2018 Oct 23.

Department of Psychiatry, University of Oxford, Oxford, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300066DOI Listing
November 2018
4 Reads

Progress in diagnosis and treatment of bipolar disorder among children and adolescents: an international perspective.

Evid Based Ment Health 2018 Nov 16;21(4):177-181. Epub 2018 Oct 16.

Child and Adolescent Psychiatry, Johns Hopkins University, Baltimore, Maryland, USA.

Bipolar disorder (BPD) is a potentially lifelong condition characterised by extreme changes in mood that may begin in childhood and cause substantial impairment. Over the past decades, BPD has been the focus of increased attention mainly due to controversies surrounding its prevalence, diagnosis and treatment in children and adolescents. This report addresses these controversies by reviewing the extant evidence base, providing clinicians with a summary of the literature on diagnosis, phenomenology and treatment of paediatric BPD. Read More

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http://dx.doi.org/10.1136/eb-2018-102912DOI Listing
November 2018
2 Reads

Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale.

Evid Based Ment Health 2018 Nov 12;21(4):155-164. Epub 2018 Oct 12.

Division of Child and Adolescent Psychiatry, University of Arkansas Medical Sciences, Little Rock, Arkansas, USA.

Objective: This is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission.

Methods: We conducted a literature search via MEDLINE, EBSCO and Google Scholar with no date restrictions and reviewed bibliographies of selected publications. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241626PMC
November 2018
1 Read

Inflammation and psychopathology in children following PICU admission: an exploratory study.

Evid Based Ment Health 2018 Nov 9;21(4):139-144. Epub 2018 Oct 9.

Department of Paediatric Intensive Care, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

Background: Survivors of critical illness in childhood commonly display subsequent psychiatric symptoms including emotional and behavioural difficulties, and manifestations of post-traumatic stress disorder (PTSD). Anomalies in inflammatory profiles are an established finding in these childhood psychiatric conditions.

Objective: This exploratory study aimed to investigate whether abnormal peripheral blood inflammatory markers measured during paediatric intensive care unit (PICU) admission were associated with psychiatric symptoms after discharge. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241628PMC
November 2018
120 Reads

Twenty years of research on attention-deficit/hyperactivity disorder (ADHD): looking back, looking forward.

Evid Based Ment Health 2018 Nov 9;21(4):173-176. Epub 2018 Oct 9.

Departments of Paediatrics and Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

In this clinical review we summarise what in our view have been some the most important advances in the past two decades, in terms of diagnostic definition, epidemiology, genetics and environmental causes, neuroimaging/cognition and treatment of attention-deficit/hyperactivity disorder (ADHD), including: (1) the most recent changes to the diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases; (2) meta-analytic evidence showing that, after accounting for diagnostic methods, the rates of ADHD are fairly consistent across Western countries; (3) the recent finding of the first genome-wide significant risk loci for ADHD; (4) the paradigm shift in the pathophysiological conceptualisation of ADHD from alterations in individual brain regions to a complex dysfunction in brain networks; (5) evidence supporting the short-term efficacy of ADHD pharmacological treatments, with a different profile of efficacy and tolerability in children/adolescents versus adults; (6) a series of meta-analyses showing that, while non-pharmacological treatment may not be effective to target ADHD core symptoms, some of them effectively address ADHD-related impairments (such as oppositional behaviours for parent training and working memory deficits for cognitive training). We also discuss key priorities for future research in each of these areas of investigation. Overall, while many research questions have been answered, many others need to be addressed. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300050DOI Listing
November 2018
5 Reads

Need for evidence-based early intervention programmes: a public health perspective.

Evid Based Ment Health 2018 Nov 3;21(4):128-130. Epub 2018 Oct 3.

Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.

This paper attempts to discuss why the early intervention agenda based on the current convention of 'ultra-high risk' (UHR) or 'clinical high risk' (CHR) for 'transition' to psychosis framework has been destined to fall short of generating a measurable and economically feasible public health impact. To summarise: (1) the primary determinant of the 'transition' rate is not the predictive value of the UHR/CHR but the degree of the risk-enrichment; (2) even with a significant pre-test risk enrichment, the prognostic accuracy of the assessment tools in help-seeking population is mediocre, failing to meet the bare minimum thresholds; (3) therapeutic interventions arguably prolong the time-to-onset of psychotic symptoms instead of preventing 'transition', given that the UHR/CHR and 'transition' lie on the same unidimensional scale of positive psychotic symptoms; (4) meta-analytical evidence confirms that specific effective treatment for preventing 'transition' (the goal-primary outcome-of the UHR/CHR framework) is not available; (5) the UHR/CHR-'transition' is a precarious target for research given the unpredictability driven by the sampling strategies and the natural ebb and flow of psychotic symptoms within and between individuals, leading to false positives; (6) only a negligible portion of those who develop psychosis benefits from UHR/CHR services (see ); (7) limited data on the cost-effectiveness of these services exist. Given the pitfalls of the narrow focus of the UHR/CHR framework, a broader prevention strategy embracing pluripotency of early psychopathology seems to serve as a better alternative. Read More

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http://ebmh.bmj.com/lookup/doi/10.1136/ebmental-2018-300030
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http://dx.doi.org/10.1136/ebmental-2018-300030DOI Listing
November 2018
14 Reads

There are promising effects from group intervention for clinically aggressive youth on probation.

Authors:
Alex Dopp

Evid Based Ment Health 2019 Feb 26;22(1):e6. Epub 2018 Sep 26.

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http://dx.doi.org/10.1136/ebmental-2018-300024DOI Listing
February 2019
1 Read

Effects of mindfulness-based interventions on alexithymia: a systematic review.

Evid Based Ment Health 2019 Feb 4;22(1):36-43. Epub 2018 Aug 4.

Faculty of Science and Technology, Middlesex University, London, UK.

Question: Alexithymia has been found to be modifiable through treatment, with associated clinical benefits. Recent studies have begun to test the potential of mindfulness-based interventions to reduce alexithymia, using skills-based, group training to improve non-judgemental, present-moment awareness. The objective of this review therefore was to conduct a systematic synthesis to assess the current state of knowledge about the effect of mindfulness-based interventions on alexithymia to inform clinical practice. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300029DOI Listing
February 2019
3 Reads

Evaluation of the minimum age for consent to mental health treatment with the minimum age of criminal responsibility in children and adolescents: a global comparison.

Evid Based Ment Health 2018 08 19;21(3):82-86. Epub 2018 Jul 19.

Department of Psychiatry, University of Oxford, Oxford, UK.

Background: In many countries, a young person who seeks medical care is not authorised to consent to their own assessment and treatment, yet the same child can be tried for a criminal offence. The absence of child and adolescent mental health legislation in most countries exacerbates the issues young people face in independently accessing mental healthcare. Countries with existing legislation rarely define a minimum age for mental health consent (MAMHC). Read More

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http://dx.doi.org/10.1136/ebmental-2018-300032DOI Listing
August 2018
2 Reads

There has been very little progress in treating or preventing antipsychotic-induced tardive dyskinesia.

Authors:
Peter van Harten

Evid Based Ment Health 2018 Aug 19;21(3):e10. Epub 2018 Jul 19.

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http://dx.doi.org/10.1136/ebmental-2018-300006DOI Listing
August 2018
2 Reads

The times they are a-changin'.

Evid Based Ment Health 2018 Aug 14;21(3):81. Epub 2018 Jul 14.

Department of Psychiatry, University of Oxford, Oxford, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300035DOI Listing
August 2018
3 Reads

Ten simple rules for conducting umbrella reviews.

Evid Based Ment Health 2018 Aug 13;21(3):95-100. Epub 2018 Jul 13.

Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Objective: Evidence syntheses such as systematic reviews and meta-analyses provide a rigorous and transparent knowledge base for translating clinical research into decisions, and thus they represent the basic unit of knowledge in medicine. Umbrella reviews are reviews of previously published systematic reviews or meta-analyses. Therefore, they represent one of the highest levels of evidence synthesis currently available, and are becoming increasingly influential in biomedical literature. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300014DOI Listing
August 2018
2 Reads

Women with a history of postpartum affective disorder at increased risk of recurrence in future pregnancies.

Evid Based Ment Health 2018 Aug 13;21(3):e14. Epub 2018 Jul 13.

King's College London, London, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300009DOI Listing
August 2018
1 Read

Women with schizophrenia are at increased risk of breast cancer.

Evid Based Ment Health 2018 Aug 13;21(3):e13. Epub 2018 Jul 13.

Division of Psychology and Mental Health, University of Manchester, Manchester, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300019DOI Listing
August 2018
1 Read

Clozapine and long-acting injectable antipsychotics reduce hospitalisation and treatment failure risk in patients with schizophrenia.

Evid Based Ment Health 2018 Aug 11;21(3):e11. Epub 2018 Jul 11.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Glen Oaks, New York, USA.

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http://dx.doi.org/10.1136/ebmental-2018-300003DOI Listing
August 2018
2 Reads

Meditation-based therapies for attention-deficit/hyperactivity disorder in children, adolescents and adults: a systematic review and meta-analysis.

Evid Based Ment Health 2018 Aug 10;21(3):87-94. Epub 2018 Jul 10.

Clinical and Experimental Sciences (CNS and Psychiatry), Faculty of Medicine, University of Southampton, Southampton, UK.

Background: The efficacy of meditation-based therapies for attention deficit/hyperactivity disorder (ADHD) across the lifespan remains uncertain.

Objective: To conduct a systematic review and meta-analysis of randomised controlled trials (RCTs) assessing the efficacy of meditation-based therapies for ADHD core symptoms and associated neuropsychological dysfunctions in children/adolescents or adults with ADHD.

Methods: We searched Pubmed, PsycInfo, Embase+Embase Classic, Ovid Medline and Web of Knowledge with no language, date or type of document restriction, up to 5 May 2018. Read More

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http://dx.doi.org/10.1136/ebmental-2018-300015DOI Listing
August 2018
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Increased attention should be paid to perinatal mental health and to the need of dedicated services.

Evid Based Ment Health 2018 Aug 7;21(3):120-122. Epub 2018 Jul 7.

Stress, Psychiatry and Immunology Laboratory, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Maurice Wohl Clinical Neuroscience Institute, London, UK.

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http://dx.doi.org/10.1136/ebmental-2018-300008DOI Listing
August 2018
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Innovations in the psychosocial treatment of youth with anxiety disorders: implications for a stepped care approach.

Evid Based Ment Health 2018 Aug 5;21(3):112-115. Epub 2018 Jul 5.

School of Applied Psychology, Griffith University, Southport, Queensland, Australia.

Anxiety disorders are highly prevalent among children and adolescents and frequently result in impairments across multiple domains of life. While psychosocial interventions, namely cognitive-behavioural therapy (CBT), have been found to be highly effective in treating these conditions, significant numbers of youth simply do not have access to these evidence-based interventions, and of those who do, a substantial proportion (up to 40%) fail to achieve remission. Thus, there is a pressing need for innovation in both the delivery of evidence-based treatments and efforts to enhance treatment outcomes for those who do not respond to standard care. Read More

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http://dx.doi.org/10.1136/eb-2018-102892DOI Listing
August 2018
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Vesicular monoamine transporter type 2 inhibition can lead to effective and tolerable management of tardive dyskinesia.

Authors:
Leslie Citrome

Evid Based Ment Health 2018 Aug 26;21(3):e12. Epub 2018 Jun 26.

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http://dx.doi.org/10.1136/eb-2017-102825DOI Listing
August 2018
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