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Evidence-based Mental Health

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https://www.readbyqxmd.com/read/30381295/electroconvulsive-therapy-does-not-increase-the-risk-of-dementia-in-patients-with-affective-disorders
#1
Pascal Sienaert
No abstract text is available yet for this article.
October 31, 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30361331/sleep-in-youth-with-autism-spectrum-disorders-systematic-review-and-meta-analysis-of-subjective-and-objective-studies
#2
REVIEW
Amparo Díaz-Román, Junhua Zhang, Richard Delorme, Anita Beggiato, Samuele Cortese
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. METHODS: We searched the following electronic databases with no language, date or type of document restriction up to 23 May 2018: PubMed, PsycInfo, Embase+Embase Classic, Ovid Medline and Web of Knowledge...
October 25, 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30361329/advances-in-our-understanding-of-the-genetics-of-childhood-neurodevelopmental-disorders
#3
REVIEW
Joanne Doherty, Miriam Cooper, Anita Thapar
No abstract text is available yet for this article.
October 25, 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30257966/there-are-promising-effects-from-group-intervention-for-clinically-aggressive-youth-on-probation
#4
Alex Dopp
No abstract text is available yet for this article.
September 26, 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30361330/what-do-we-really-know-about-prn-use-in-agitated-children-with-mental-health-conditions-a-clinical-review
#5
REVIEW
Megan Baker, Gabriellle A Carlson
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...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30355661/ultra-high-risk-paradigm-lessons-learnt-and-new-directions
#6
REVIEW
Patrick D McGorry, Cristina Mei
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...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30352885/twenty-years-of-progress-in-paediatric-psychopharmacology-accomplishments-and-unmet-needs
#7
REVIEW
Benedetto Vitiello, Chiara Davico
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...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30352884/early-intervention-in-youth-mental-health-progress-and-future-directions
#8
REVIEW
Patrick D McGorry, Cristina Mei
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. This paradigm shift has paved the way to a more substantial one: early intervention across the full diagnostic spectrum...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30352883/pilot-mixed-methods-evaluation-of-interpersonal-counselling-for-young-people-with-depressive-symptoms-in-non-specialist-services
#9
Paul Oliver Wilkinson, Viktoria Cestaro, Ian Pinchen
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. OBJECTIVES: To test the effectiveness and acceptability of IPC delivered by youth workers to young people with primarily depressive symptoms...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30352882/celebrating-the-achievements-of-evidence-based-child-and-adolescent-mental-health-%C3%A2-and-looking-ahead-to-its-continuous-growth
#10
EDITORIAL
Samuele Cortese, Gabriellle A Carlson, Anthony James
No abstract text is available yet for this article.
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30327338/progress-in-diagnosis-and-treatment-of-bipolar-disorder-among-children-and-adolescents-an-international-perspective
#11
REVIEW
Robert L Findling, Ekaterina Stepanova, Eric A Youngstrom, Andrea S Young
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...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30314990/conceptual-review-of-measuring-functional-impairment-findings-from-the-weiss-functional-impairment-rating-scale
#12
Margaret D Weiss, Nicole Michelle McBride, Stephanie Craig, Peter Jensen
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. Publications found in languages other than English were translated and clarification obtained from the author(s) if needed...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30301824/inflammation-and-psychopathology-in-children-following-picu-admission-an-exploratory-study
#13
Giorgia Caspani, Georgina Corbet Burcher, M Elena Garralda, Mehrengise Cooper, Christine M Pierce, Lorraine C Als, Simon Nadel
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...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30301823/twenty-years-of-research-on-attention-deficit-hyperactivity-disorder-adhd-looking-back-looking-forward
#14
REVIEW
Samuele Cortese, David Coghill
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)...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30282627/need-for-evidence-based-early-intervention-programmes-a-public-health-perspective
#15
REVIEW
Sinan Guloksuz, Jim van Os
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 prevention paradox ); (7) limited data on the cost-effectiveness of these services exist...
November 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30077988/effects-of-mindfulness-based-interventions-on-alexithymia-a-systematic-review
#16
REVIEW
Hilary Norman, Lisa Marzano, Mark Coulson, Andrea Oskis
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...
August 4, 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30045844/recent-developments-in-the-treatment-of-major-depressive-disorder-in-children-and-adolescents
#17
REVIEW
Haseena Hussain, Bernadka Dubicka, Paul Wilkinson
Major depressive disorder in adolescents is an important public health concern. It is common, a risk factor for suicide and is associated with adverse psychosocial consequences. The UK National Institute for Health and Care Excellence guidelines recommend that children and young people with moderate-to-severe depression should be seen within Child and Adolescent Mental Health Services and receive specific psychological interventions, possibly in combination with antidepressant medication. Cognitive behavioural therapy (in some studies) and interpersonal psychotherapy have been demonstrated to be more effective than active control treatments for depressed adolescents...
August 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30026280/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
#18
Mona Noroozi, Ilina Singh, Mina Fazel
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). In stark contrast, nearly all 196 nations studied maintain legislation defining a minimum age of criminal responsibility (MACR)...
August 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30026279/there-has-been-very-little-progress-in-treating-or-preventing-antipsychotic-induced-tardive-dyskinesia
#19
Peter van Harten
No abstract text is available yet for this article.
August 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/30007913/the-times-they-are-a-changin
#20
EDITORIAL
Anneka Tomlinson, Andrea Cipriani
No abstract text is available yet for this article.
August 2018: Evidence-based Mental Health
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