Highly Accessed Article – Evidence-Based Practice – The Tool to Use – PARiHS

Tool to evaluate the successful implementation of evidence into practice.
Evaluating the sucessful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges, AL Kitson, J Ryecroft-Malone, G Harvey, B McCormack, K Seers, A Titchen, Implementation Science, 2008, 3(1):1
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Abstract
The PARiHS framework (Promoting Action on [...]

Most Accessed Article – Suicide risk in schizophrenia

Suicide risk in schizophrenia: learning from the past to change the future, Annals of General Psychiatry 2007, 6:10 16 March 2007
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Abstract:
Suicide is a major cause of death among patients with schizophrenia. Research indicates that at least 5–13% of schizophrenic patients die by suicide, and it is likely that the [...]

Most Accessed Journal Article – Self-help for depressive disorders

Self-help interventions for depressive disorders and depressive symptoms: a systematic review, Annals of General Psychiatry 2008, 7:13
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Abstract:
Research suggests that depressive disorders exist on a continuum, with subthreshold symptoms causing considerable population burden and increasing individual risk of developing major depressive disorder. An alternative strategy to professional treatment [...]

Most accessed article – ADHD Impact on Patient and Family

Impact of attention-deficit/hyperactivity disorder on the patient and family: results from a European survey, Child and Adolescent Psychiatry and Mental Health 2008, 2:31
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Top Accessed journal article
Abstract:
Children with attention-deficit/hyperactivity disorder (ADHD) often experience problems with education, interaction with others and emotional disturbances. Families of ADHD children also [...]

Adolescent Suicide

Adolescent suicide, Current Opinion in Psychiatry. 22(1):1-6, January 2009
Abstract:
Purpose of review: The present review summarizes the updated literature on adolescent suicide.
Recent findings: Reductions in youth suicide rates are probably related to use of selective serotonin reuptake inhibitors since the mid 1990s as well as restrictions in means and enhanced pesticide control. The serotonin theory [...]

Self-Harm & Ethnic Groups in the UK – Systematic Review

Rates, risk factors & methods of self harm among minority ethnic groups in the UK: a systematic review, BMC Public Health. 2007; 7: 336
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Abstract:
Studies suggest that the rates of self harm vary by ethnic group, but the evidence for variation in risk factors has not been synthesised to [...]

Ethnic Mental Health – Child mental health differences amongst ethnic groups in Britain: a systematic review

Child mental health differences amongst ethnic groups in Britain: a systematic review, BMC Public Health. 2008; 8: 258.
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Abstract:
Inter-ethnic differences have been reported for many mental health outcomes in the UK, but no systematic review on child mental health has been published. The aim of this review is [...]

Early Intervention in Psychosis – Evidence and Future Directions

Early intervention in psychosis concepts evidence and future directions, World Psychiatry 2008;7:148-156)
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Abstract:
The rise of the early intervention paradigm in psychotic disorders represents a maturing of the therapeutic approach in psychiatry, as it embraces practical preventive strategies which are firmly established in mainstream health care. Early intervention means [...]

Borderline Personality Disorder – New pharmacological and non-pharmacological strategies

Management of borderline personality disorder: emerging, new pharmacological and non-pharmacological strategies, Acta Psychiatrica Scandinavica, Early view 2008
Abstract:  
I read with great interest the recent article by Reisch et al. (1). The authors have clearly demonstrated the significant emotional dysregulation in patients with borderline personality disorder as well as the need to treat the disorder safely and [...]

How effective are behavioural therapies for depression

Review: Individual behavioural therapy reduces symptoms of depression
Evidence-Based Mental Health 2008;11:108
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Abstract:
How effective are behavioural therapies for depression?
Outcomes:
Depressive symptoms (either self-rated—eg, Beck Depression Inventory, or clinician rated—eg, Hamilton Depression Rating Scale).
METHODS
Design: Systematic review with meta-analysis.
Data sources: MEDLINE, EMBASE, PsycINFO, Cochrane Library, DARE, CINAHL, AMED and the British [...]

Borderline Personality Disorder & Cognitive Memory Control

Cognitive memory control in borderline personality disorder patients, Psychological Medicine, Online Early view, 2008
Abstract:
It has been demonstrated that the mechanism of cognitive memory control in humans is sustained by the hippocampus and prefrontal cortices, which have been found to be structurally and functionally abnormal in borderline personality disorder (BPD). We investigated whether the memory control [...]

PTSD & Secondary Psychotic Features

Validity of ‘post-traumatic stress disorder with secondary psychotic features’: a review of the evidence,  Acta Psychiatrica Scandinavica, Early view article 2008 
Abstract:
To review the evidence from empirical studies regarding the validity of ‘post-traumatic stress disorder with secondary psychotic features’ (PTSD-SP) as a separate diagnostic entity.
The authors performed a review tracing publications between 1980 and January 2008.
Results: Twenty-four [...]

Trauma-Focused Cognitive Behavioural Therapy for Children and Parents

Trauma-Focused Cognitive Behavioural Therapy for Children and Parents, Child and Adolescent Mental Health, Volume 13 Issue 4, Pages 158 - 162
Abstract:
Trauma-focused cognitive behavioural therapy (TF-CBT) for children and parents is an evidence based treatment approach for traumatised children. Evaluation of TF-CBT includes several randomised controlled trials, effectiveness studies and ongoing studies for children experiencing sexual abuse, domestic violence, traumatic [...]

Mindfulness-based Intervention during Pregnancy & Prenatal Stress

Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study , Archives of Women’s Mental Health, Volume 11, Number 1 / February, 2008
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Abstract:
Stress and negative mood during pregnancy increase risk for poor childbirth outcomes and postnatal mood problems and may [...]

Impact on Early Adolescent Psychiatric & Personality Disorder – Follow-up Study

Impact of early adolescent psychiatric and personality disorder on long-term physical health: a 20-year longitudinal follow-up study, Psychological Medicine, Online Early view, 2008
Abstract:
Evidence regarding the long-term separate and combined impact of adolescent psychiatric disorder and personality disorder (PD) on physical health is absent.
Method A total of 736 people randomly selected in childhood were contacted for [...]

Barriers to Computerized CBT – Systematic Review

Barriers to the uptake of computerized cognitive behavioural therapy: a systematic review of the quantitative and qualitative evidence, Psychological Medicine, Early view November 2008
Abstract:
Background Studies of cognitive behavioural therapy delivered by computer (cCBT) show clinical efficacy for treating anxiety and depression, but have not focused on barriers to uptake. Potential barriers include adverse consequences, accessibility [...]

Trauma, bullying & psychotic symptoms in childhood

Associations between childhood trauma, bullying and psychotic symptoms among a school-based adolescent sample, The British Journal of Psychiatry (2008) 193: 378-382.
Abstract:
Children and adolescents who report psychotic symptoms appear to be at increased risk for psychotic disorders in adulthood – a putative `symptomatic’ high-risk group. However, little research has investigated whether those in this high-risk population [...]

OT & Forensic Psychiatry and Vocational Rehabilitation: Where are We at?

Forensic Psychiatry and Vocational Rehabilitation: Where are We at?, The British Journal of Occupational Therapy, Volume 71, Number 10, October 2008 , pp.448-450(3)
Abstract:
Having a productive occupation is seen as fundamental to an individual’s health and wellbeing. Employment provides structure, self-identity, a means to provide for oneself and social inclusion. The Government has made a commitment to [...]

Psychosis & Early Intervention

Factors influencing relapse during a 2-year follow-up of first-episode psychosis in a specialized early intervention service, Psychological Medicine 2008, 38 : 1585-1593
Abstract:
Differential association of risk factors associated with relapse following treatment of first-episode psychosis (FEP) have not been studied adequately, especially for patients treated in specialized early intervention (SEI) services, where some of the usual [...]

First Episode Psychosis & Ethnicity – A case-control study

Cumulative social disadvantage, ethnicity and first-episode psychosis: a case-control study, Psychological Medicine (2008), 38 : 1701-1715

C. Morgana1 c1, J. Kirkbridea2, G. Hutchinsona3, T. Craiga1a4, K. Morgana5, P. Dazzana4, J. Boydella4, G. A. Doodya6, P. B. Jonesa2, R. M. Murraya4, J. Leffa4 and P. Fearona4

a1 NIHR Biomedical Research Centre, and Centre for Public Mental Health, Health Service and Population [...]

Physical Activity in Acute Mental Health in Manchester & Occupational Therapy

Promoting Physical Activity in Acute Mental Health, The British Journal of Occupational Therapy, Volume 71, Number 11, November 2008
Abstract:
Government initiatives, such as mental health promotion and social inclusion, have influenced the provision of physical activity to clients on an inpatient acute mental health unit in north Manchester. The use of physical activity as an intervention fits [...]

Ginkgo biloba for mild to moderate dementia in a community setting

Ginkgo biloba for mild to moderate dementia in a community setting: a pragmatic, randomised, parallel-group, double-blind, placebo-controlled trial,  International Journal of Geriatric Psychiatry, Dec 2008, Volume 23 Issue 12 Pages 1222 - 1230
Abstract:
Doubt over the cost-effectiveness of the cholinesterase inhibitors in dementia has renewed interest in alternative treatments such as Ginkgo biloba. We aimed to determine the effectiveness and [...]

OT & Community Mental Health

Occupational Therapy and Care Coordination: the Challenges Faced by Occupational Therapists in Community Mental Health Settings , The British Journal of Occupational Therapy, Volume 71, Number 11, November 2008
Abstract:
There is continuing debate concerning the role of occupational therapists within community mental health practice. This opinion piece advocates the need for occupational therapists to undertake more profession-specific [...]

Early Psychosis Program – Outcome

Outcome after discharge from an early psychosis program, Schizophrenia Research
Volume 106, Issues 2-3, December 2008, Pages 363-366
Abstract:
Studies defining the course and outcome of individuals experiencing their first episode (FE) of psychosis generally report an improvement in symptoms and functioning. Today, many FE patients are treated in specialized early psychosis programs. Little is known what [...]

St John’s wort for major depression

St John’s wort for major depression, Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD000448.
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Abstract:
Depression is characterised by depressed mood and/or loss of interest or pleasure in nearly all activities and a variety of other symptoms for periods longer than two weeks. Extracts of St. John’s [...]

Use of alternative therapies in patients with dementia and mild cognitive impairment: a prospective, controlled study

Use of alternative therapies in patients with dementia and mild cognitive impairment: a prospective, controlled study,  International Journal of Geriatric Psychiatry, Volume 23 Issue 11 Pages 1163 - 1165, 30 May 2008
Abstract:
To study the frequency and type of alternative therapies used in patients with dementia and Mild Cognitive Impairment.
In a prospective study, 77 outpatients and 62 healthy volunteers were interviewed using [...]

Psychiatrists’ and nurses’ views of mental health nurse supplementary prescribing: a survey

Psychiatrists’ and nurses’ views of mental health nurse supplementary prescribing: a survey, Psychiatric Bulletin Oct 2008; 32: 364 – 365.
Abstract:
A questionnaire survey of psychiatrists and mental health nurses was conducted to look at their awareness of nurse supplementary prescribing and its impact on patient care.
RESULTS
Response rate was 49.5% for psychiatrists and 23% for [...]

Psychosocial treatments for people with co-occurring severe mental illness and substance misuse: systematic review

Psychosocial treatments for people with co-occurring severe mental illness and substance misuse: systematic review. Journal of Advanced Nursing, 6 Nov 2008
Abstract:
This study is a report of a systematic review to assess current evidence for the efficacy of psychosocial interventions for reducing substance use, as well as improving mental state and encouraging treatment retention, among people with dual [...]

Borderline personality disorder: STEPPS improves symptoms

Borderline personality disorder: STEPPS improves symptoms, Evidence-Based Mental Health 2008;11:120
Kate M Davidson, PhD, FBPsS
 

Abstract:
How effective is the STEPPS programme for people with a borderline personality disorder? Patients:
165 people with DSM-IV borderline personality disorder (18 years; 83% female). Main exclusions: psychotic or primary neurological disorder; cognitive impairment; substance abuse or dependence; recent suicidal thoughts or [...]

Pain assessment in older people with dementia: literature review

Pain assessment in older people with dementia: literature review, Journal of Advanced Nursing, 11 Nov 2008
Abstract:
This paper is a report of a literature review conducted to identify barriers to successful pain assessment in older adults with dementia and possible strategies to overcome such barriers.
Background. Pain is frequently undetected, misinterpreted, or inaccurately assessed in older adults with cognitive [...]