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Journal Br J Psychiatry

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Yoga for psychiatric disorders: from fad to evidence-based intervention?

Shivarama Varambally, Sanju George, Bangalore Nanjundaiah Gangadhar,

There is growing evidence for yoga's neurobiological effects in people with psychiatric disorders. Postulated mechanisms of action include: (a) modulation of the hypothalamic-pituitary-adrenal (HPA) axis; (b) enhancement of GABAergic neurotransmission; (c) autonomic modulation; and (d) neuroendocrinological effects. Yoga as a therapeutic intervention in psychiatric disorders appears promising and merits further ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-3]

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The importance of harmonising diagnostic criteria sets for pathological grief.

Lonneke I M Lenferink, Paul A Boelen, Geert E Smid, Muirne C S Paap,

Five diagnostic criteria sets for pathological grief are currently used in research. Studies evaluating their performance indicate that it is not justified to generalise findings regarding prevalence rates and predictive validity across studies using different diagnostic criteria of pathological grief. We provide recommendations to move the bereavement field forward. ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-4]

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Association between the timing of consultation-liaison psychiatry interventions and the length of stay in general hospital.

Hélène Vulser, Victoire Vinant, Victoria Lanvin, Gilles Chatellier, Frédéric Limosin, Cédric Lemogne,

BACKGROUND:Psychiatric comorbidities are frequent in patients admitted in general hospital and are associated with greater lengths of stay (LOS). Early consultation-liaison psychiatry (CLP) interventions may reduce the LOS but previous studies were underpowered to allow subgroup analyses and have generally not considered the severity of the condition for which patients ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-6]

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Child and adolescent mental health amidst emergencies and disasters.

Andrea Danese, Patrick Smith, Prathiba Chitsabesan, Bernadka Dubicka,

The mental health of children and young people can be disproportionally affected and easily overlooked in the context of emergencies and disasters. Child and adolescent mental health services can contribute greatly to emergency preparedness, resilience and response and, ultimately, mitigate harmful effects on the most vulnerable members of society. ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-4]

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Welfare and well-being: towards mental health-promoting welfare systems.

Steven L Senior, Woody Caan, Mark Gamsu,

By protecting vulnerable people from poverty and debt, welfare systems can be powerful tools for promoting mental health. However, the details of how welfare systems are implemented determine whether they also cause harm. Here, we review evidence and principles that might guide the development of mental health-promoting welfare systems. ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-2]

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Late-adolescent risk factors for suicide and self-harm in middle-aged men: explorative prospective population-based study.

Jenny Nyberg, Sara Gustavsson, Maria A I Åberg, H Georg Kuhn, Margda Waern,

BACKGROUND:Recent reports show alarmingly high rates of suicide in middle-aged men, yet there are few long-term prospective studies that focus on suicidal behaviour in men in this age group. AIMS:To prospectively explore associations of potential risk factors at age 18 with suicide and self-harm in middle-aged men. METHOD:A population-based Swedish ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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Problems posed by the Werther effect as a 'net effect': a comment on recent scholarly work on the effects of 13 Reasons Why.

Florian Arendt, Daniel Romer,

Recent research estimated that an additional 195 suicides among 10- to 17-year-old youths occurred following the release of the television series 13 Reasons Why. There is an underrecognised aspect in this line of research that this effect represents a net effect based on different possible underlying patterns (e.g. +195/-0 or ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-2]

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Adverse childhood experiences research: commonalities with similar, arguably identical, literatures and the need for integration.

Andy P Siddaway,

Adverse childhood experiences (ACEs) and their impact cannot be clearly distinguished from other distressing life experiences. Much can be therefore be learned by integrating ACEs research with similar, well-established literatures. Future research needs to explain individual differences in relationships between ACEs and particular variables and locate reliable and strong risk ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-2]

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Ethnic disparities in psychotic experiences explained by area-level syndemic effects.

Jeremy Coid, Rafael Gonzalez Rodriguez, Constantinos Kallis, Yamin Zhang, Kamaldeep Bhui, Bianca De Stavola, Paul Bebbington, Simone Ullrich,

BACKGROUND:Ethnic inequalities in health outcomes are often explained by socioeconomic status and concentrated poverty. However, ethnic disparities in psychotic experiences are not completely attenuated by these factors. AIMS:We investigated whether disparities are better explained by interactions between individual risk factors and place-based clustering of disadvantage, termed a syndemic. METHOD:We performed ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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Omega-3 and polyunsaturated fat for prevention of depression and anxiety symptoms: systematic review and meta-analysis of randomised trials.

Katherine H O Deane, Oluseyi F Jimoh, Priti Biswas, Alex O'Brien, Sarah Hanson, Asmaa S Abdelhamid, Chris Fox, Lee Hooper,

BACKGROUND:There is strong public belief that polyunsaturated fats protect against and ameliorate depression and anxiety. AIMS:To assess effects of increasing omega-3, omega-6 or total polyunsaturated fat on prevention and treatment of depression and anxiety symptoms. METHOD:We searched widely (Central, Medline and EMBASE to April 2017, trial registers to September 2016, ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-8]

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Insight and psychosis: the next 30 years.

Anthony S David,

Academic interest in the concept of insight in psychosis has increased markedly over the past 30 years, prompting this selective appraisal of the current state of the art. Considerable progress has been made in terms of measurement and confirming a number of clinical associations. More recently, the relationship between insight ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-3]

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Effects of parental mental illness on children's physical health: systematic review and meta-analysis.

Matthias Pierce, Holly F Hope, Adekeye Kolade, Judith Gellatly, Cemre Su Osam, Reena Perchard, Kyriaki Kosidou, Christina Dalman, Vera Morgan, Patricia Di Prinzio, Kathryn M Abel,

BACKGROUND:Children of parents with mental disorder face multiple challenges. AIMS:To summarise evidence about parental mental disorder and child physical health. METHOD:We searched seven databases for cohort or case-control studies quantifying associations between parental mental disorders (substance use, psychotic, mood, anxiety, obsessive-compulsive, post-traumatic stress and eating) and offspring physical health. Studies ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-10]

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Mental disorders, suicide attempt and suicide: differences in the association in refugees compared with Swedish-born individuals.

Emma Björkenstam, Magnus Helgesson, Ridwanul Amin, Ellenor Mittendorfer-Rutz,

BACKGROUND:Mental disorders are associated with an elevated risk for suicide attempt and suicide. Whether the strength of the associations also holds for refugees is unclear. AIMS:To examine the relationship between specific mental disorders and suicide attempt and suicide in refugees and Swedish-born individuals. METHOD:This longitudinal cohort study included 5 083 ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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Suicide risk among refugees compared with non-refugee migrants and the Swedish-born majority population.

Anna-Clara Hollander, Alexandra Pitman, Hugo Sjöqvist, Glyn Lewis, Cecilia Magnusson, James B Kirkbride, Christina Dalman,

BACKGROUND:It has been hypothesised that refugees have an increased risk of suicide. AIMS:To investigate whether risk of suicide is higher among refugees compared with non-refugee migrants from the same areas of origin and with the Swedish-born population, and to examine whether suicide rates among migrants converge to the Swedish-born population ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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Changing prevalence and treatment of depression among older people over two decades.

Antony Arthur, George M Savva, Linda E Barnes, Ayda Borjian-Boroojeny, Tom Dening, Carol Jagger, Fiona E Matthews, Louise Robinson, Carol Brayne, ,

BACKGROUND:Depression is a leading cause of disability, with older people particularly susceptible to poor outcomes. AIMS:To investigate whether the prevalence of depression and antidepressant use have changed across two decades in older people. METHOD:The Cognitive Function and Ageing Studies (CFAS I and CFAS II) are two English population-based cohort studies ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-6]

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Extent of disease at first cancer presentation and previous anxiety and depressive symptoms: the HUNT study.

Robert Stewart, Sophie Dorothea Fosså, Matthew Hotopf, Arnstein Mykletun,

BACKGROUND:Depressive symptoms are associated with higher cancer mortality, whereas anxiety symptoms are associated with lower than expected risk. AIMS:This study aimed to investigate the prospective association between depressive/anxiety symptoms and the extent of disease (EOD) of first cancer at diagnosis. METHOD:Prospective population-based study conducted from the second wave of the ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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Psychiatry and the global drugs debate: what every psychiatrist needs to know.

Owen Bowden-Jones, Julia Sinclair, Anne Lingford-Hughes,

There are few topics that divide public opinion as sharply as the use of psychoactive substances and it is easy to see why. Substance use is complex and can be examined from numerous perspectives, including legal, health, economic, cultural and ethical. These varying approaches can lead to a range of ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-2]

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Effectiveness of cognitive-behavioural therapy for depression in advanced cancer: CanTalk randomised controlled trial.

Marc Serfaty, Michael King, Irwin Nazareth, Stirling Moorey, Trefor Aspden, Kathryn Mannix, Sarah Davis, John Wood, Louise Jones,

BACKGROUND:Depression is one of the most common mental disorders in people with advanced cancer. Although cognitive-behavioural therapy (CBT) has been shown to be effective for depression in people with cancer, it is unclear whether this is the case for people with advanced cancer and depression. AIMS:We sought to determine whether ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-9]

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Preconception care in mental health services: planning for a better future.

Raquel Catalao, Sue Mann, Claire Wilson, Louise M Howard,

It is increasingly recognised that the preconception period is a window of opportunity to intervene to improve outcomes for women and the next generation. The importance of preconception mental health and comorbidity problems has not traditionally been taken into account by policy makers or mental health service providers. We argue ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-2]

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Smoking and the risk for bipolar disorder: evidence from a bidirectional Mendelian randomisation study.

Jentien M Vermeulen, Robyn E Wootton, Jorien L Treur, Hannah M Sallis, Hannah J Jones, Stanley Zammit, Wim van den Brink, Guy M Goodwin, Lieuwe de Haan, Marcus R Munafò,

BACKGROUND:There is increasing evidence that smoking is a risk factor for severe mental illness, including bipolar disorder. Conversely, patients with bipolar disorder might smoke more (often) as a result of the psychiatric disorder. AIMS:We conducted a bidirectional Mendelian randomisation (MR) study to investigate the direction and evidence for a causal ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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Intellectual disability and autism: socioeconomic impacts of informal caring, projected to 2030.

Deborah Schofield, Melanie J B Zeppel, Robert Tanton, J Lennert Veerman, Simon J Kelly, Megan E Passey, Rupendra N Shrestha,

BACKGROUND:Intellectual disability and autism spectrum disorder (ASD) influence the interactions of a person with their environment and generate economic and socioeconomic costs for the person, their family and society. AIMS:To estimate costs of lost workforce participation due to informal caring for people with intellectual disability or autism spectrum disorders by ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-7]

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The individual course of neuropsychiatric symptoms in people with Alzheimer's and Lewy body dementia: 12-year longitudinal cohort study.

Audun Osland Vik-Mo, Lasse Melvaer Giil, Miguel Germán Borda, Clive Ballard, Dag Aarsland,

INTRODUCTION:Understanding the natural course of neuropsychiatric symptoms (NPS) in dementia is important for planning patient care and trial design, but few studies have described the long-term course of NPS in individuals. METHOD:Primary inclusion of 223 patients with suspected mild dementia from general practice were followed by annual assessment, including the ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-6]

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A possible role for sarcosine in the management of schizophrenia.

David Curtis,

Sarcosine, which is freely sold as a dietary supplement, has pharmacological activity to boost functioning of the glutamatergic N-methyl-d-aspartate receptor (NMDAR) and hence it is a biologically rational treatment for schizophrenia. The small number of studies carried out to date provide some evidence for its efficacy and psychiatrists could consider ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-2]

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The role of prenatal stress as a pathway to personality disorder: longitudinal birth cohort study.

Ross Brannigan, Antti Tanskanen, Matti O Huttunen, Mary Cannon, Finbarr P Leacy, Mary C Clarke,

BACKGROUND:Many studies have reported associations between prenatal stress and the development of psychotic, anxiety and depressive disorders; however, to date no studies have investigated potential associations with personality disorders. AIMS:This study investigated potential associations between exposure to prenatal stress and personality disorder in offspring. METHOD:In a subsample (N = 3626) ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-5]

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Revisiting the one in four: the prevalence of psychiatric disorder in the population of England 2000-2014.

Paul E Bebbington, Sally McManus,

Mental health problems are often said to affect one in four people in Britain, although with no consistent explanation of what the figure includes. We used three English national population surveys of psychiatric morbidity from 2000, 2007 and 2014 to provide prevalence rates for recent psychiatric problems. We combined disorders ... Read more >>

Br J Psychiatry (The British journal of psychiatry : the journal of mental science)
[2019, :1-3]

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