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Lancet Psychiatry

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https://www.readbyqxmd.com/read/28625876/mental-health-in-zimbabwe-a-health-systems-analysis
#1
Khameer Kidia, Debra Machando, Walter Mangezi, Reuben Hendler, Megan Crooks, Melanie Abas, Dixon Chibanda, Graham Thornicroft, Maya Semrau, Helen Jack
There has been little external analysis of Zimbabwe's mental health system. We did a systems analysis to identify bottlenecks and opportunities for mental health service improvement in Zimbabwe and to generate cost-effective, policy-relevant solutions. We combined in-depth interviews with a range of key stakeholders in health and mental health, analysis of mental health laws and policies, and publicly available data about mental health. Five themes are key to mental health service delivery in Zimbabwe: policy and law; financing and resources; criminal justice; workforce, training, and research; and beliefs about mental illness...
June 15, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28624180/effect-of-implementation-of-a-smoke-free-policy-on-physical-violence-in-a-psychiatric-inpatient-setting-an-interrupted-time-series-analysis
#2
Debbie Robson, Gilda Spaducci, Ann McNeill, Duncan Stewart, Tom J K Craig, Mary Yates, Lisa Szatkowski
BACKGROUND: Smoke-free policies are important to protect health and reduce health inequalities. A major barrier to policy implementation in psychiatric hospitals is staff concern that physical violence will increase. We aimed to assess the effect of implementing a comprehensive smoke-free policy on rates of physical assaults in a large UK mental health organisation. METHODS: We did an interrupted time series analysis of incident reports of physical assault 30 months before and 12 months after the implementation of the policy in the inpatient wards of South London and Maudsley National Health Service Foundation Trust, London, UK...
June 14, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28624179/smoke-free-policies-in-psychiatric-hospitals-need-resources
#3
Suzanne H Gage, Olivia M Maynard
No abstract text is available yet for this article.
June 14, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28599949/quetiapine-extended-release-versus-aripiprazole-in-children-and-adolescents-with-first-episode-psychosis-the-multicentre-double-blind-randomised-tolerability-and-efficacy-of-antipsychotics-tea-trial
#4
Anne Katrine Pagsberg, Pia Jeppesen, Dea Gowers Klauber, Karsten Gjessing Jensen, Ditte Rudå, Marie Stentebjerg-Olesen, Peter Jantzen, Simone Rasmussen, Eva Ann-Sofie Saldeen, Maj-Britt Glenn Lauritsen, Niels Bilenberg, Anne Dorte Stenstrøm, Louise Nyvang, Sarah Madsen, Thomas M Werge, Theis Lange, Christian Gluud, Maria Skoog, Per Winkel, Jens Richardt M Jepsen, Birgitte Fagerlund, Christoph U Correll, Anders Fink-Jensen
BACKGROUND: Head-to-head trials to guide antipsychotic treatment choices for paediatric psychosis are urgently needed because extrapolations from adult studies might not be implementable. In this superiority trial with two-sided significance testing, we aimed to compare the efficacy and safety of quetiapine-extended release (quetiapine-ER) versus aripiprazole in children and adolescents with first-episode psychosis, to determine whether differences between the two treatments were sufficient to guide clinicians in their choice of one drug over the other...
June 6, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28596067/architecture-and-functioning-of-child-and-adolescent-mental-health-services-a-28-country-survey-in-europe
#5
Giulia Signorini, Swaran P Singh, Vlatka Boricevic-Marsanic, Gwen Dieleman, Katarina Dodig-Ćurković, Tomislav Franic, Suzanne E Gerritsen, James Griffin, Athanasios Maras, Fiona McNicholas, Lesley O'Hara, Diane Purper-Ouakil, Moli Paul, Ulrike Schulze, Cathy Street, Sabine Tremmery, Helena Tuomainen, Frank Verhulst, Jane Warwick, Giovanni de Girolamo
The WHO Child and Adolescent Mental Health Atlas, published in 2005, reported that child and adolescent mental health services (CAMHS) in Europe differed substantially in their architecture and functioning. We assessed the characteristics of national CAMHS across the European Union (EU), including legal aspects of adolescent care. Using an online mapping survey aimed at expert(s) in each country, we obtained data for all 28 countries in the EU. The characteristics and activities of CAMHS (ie, availability of services, inpatient beds, and clinicians and organisations, and delivery of specific CAMHS services and treatments) varied considerably between countries, as did funding sources and user access...
June 5, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28578902/lithium-for-long-term-treatment-of-unipolar-depression
#6
Allan H Young
No abstract text is available yet for this article.
June 1, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28578901/pharmacological-treatments-and-risk-of-readmission-to-hospital-for-unipolar-depression-in-finland-a-nationwide-cohort-study
#7
Jari Tiihonen, Antti Tanskanen, Fabian Hoti, Pia Vattulainen, Heidi Taipale, Juha Mehtälä, Markku Lähteenvuo
BACKGROUND: Little is known about the comparative effectiveness of long-term pharmacological treatments for severe unipolar depression. We aimed to study the effectiveness of pharmacological treatments in relapse prevention in a nationwide cohort of patients who had been admitted to hospital at least once as a result of unipolar depression. METHODS: Our nationwide cohort study investigated the risk of readmission to hospital in 1996-2012 in all patients in Finland who had been admitted to hospital at least once for unipolar depression (without a diagnosis of schizophrenia or bipolar disorder) in Finland between Jan 1, 1987, and Dec 31, 2012...
June 1, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28552501/income-inequality-and-mental-illness-related-morbidity-and-resilience-a-systematic-review-and-meta-analysis
#8
Wagner Silva Ribeiro, Annette Bauer, Mário César Rezende Andrade, Marianna York-Smith, Pedro Mario Pan, Luca Pingani, Martin Knapp, Evandro Silva Freire Coutinho, Sara Evans-Lacko
BACKGROUND: Studies of the association between income inequality and mental health have shown mixed results, probably due to methodological heterogeneity. By dealing with such heterogeneity through a systematic review and meta-analysis, we examine the association between income inequality, mental health problems, use of mental health services, and resilience (defined as the ability to cope with adversity). METHODS: We searched the Global Health, PsychARTICLES, PsycINFO, Social Policy and Practice, Embase and MEDLINE databases up to July 6, 2016, for quantitative studies of the association of income inequality with prevalence or incidence of mental disorders or mental health problems, use of mental health services, and resilience...
May 25, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28552500/open-science-in-mental-health-research
#9
Vaughan Bell
No abstract text is available yet for this article.
May 25, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28552499/inequality-and-mental-illness
#10
Richard Wilkinson, Kate Pickett
No abstract text is available yet for this article.
May 25, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28551299/understanding-and-prevention-of-suicide-in-autism
#11
LETTER
Sarah Cassidy, Jacqui Rodgers
No abstract text is available yet for this article.
May 24, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28549674/new-policy-and-evidence-on-suicide-prevention
#12
Louis Appleby, Isabelle M Hunt, Nav Kapur
No abstract text is available yet for this article.
May 23, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28527657/clinical-outcomes-and-cost-effectiveness-of-brief-guided-parent-delivered-cognitive-behavioural-therapy-and-solution-focused-brief-therapy-for-treatment-of-childhood-anxiety-disorders-a-randomised-controlled-trial
#13
Cathy Creswell, Mara Violato, Hannah Fairbanks, Elizabeth White, Monika Parkinson, Gemma Abitabile, Alessandro Leidi, Peter J Cooper
BACKGROUND: Half of all lifetime anxiety disorders emerge before age 12 years; however, access to evidence-based psychological therapies for affected children is poor. We aimed to compare the clinical outcomes and cost-effectiveness of two brief psychological treatments for children with anxiety referred to routine child mental health settings. We hypothesised that brief guided parent-delivered cognitive behavioural therapy (CBT) would be associated with better clinical outcomes than solution-focused brief therapy and would be cost-effective...
May 17, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28527656/low-intensity-interventions-for-anxiety-disorders
#14
Paul Stallard
No abstract text is available yet for this article.
May 17, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28526603/corrections
#15
(no author information available yet)
No abstract text is available yet for this article.
May 16, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28506628/corrections
#16
(no author information available yet)
No abstract text is available yet for this article.
May 12, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28499729/doubts-about-dementia-diagnoses
#17
Robert Howard
No abstract text is available yet for this article.
May 9, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28495552/subcortical-brain-volume-differences-in-participants-with-attention-deficit-hyperactivity-disorder-in-children-and-adults
#18
LETTER
Alison Poulton, Ralph Nanan
No abstract text is available yet for this article.
May 8, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28495551/subcortical-brain-volume-differences-in-participants-with-attention-deficit-hyperactivity-disorder-in-children-and-adults
#19
LETTER
Trudy Dehue, Dick Bijl, Micha de Winter, Floor Scheepers, Stijn Vanheule, Jim van Os, Paul Verhaeghe, Berend Verhoeff
No abstract text is available yet for this article.
May 8, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28495550/subcortical-brain-volume-differences-in-participants-with-attention-deficit-hyperactivity-disorder-in-children-and-adults
#20
LETTER
Laura Batstra, Sanne Te Meerman, Keith Conners, Allen Frances
No abstract text is available yet for this article.
May 8, 2017: Lancet Psychiatry
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