Search results for ‘Subject term:"mental health problems"’ Sort:
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Depression in adults: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2022
- Pagination:
- 101
- Place of publication:
- London
This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy, transcranial magnetic stimulation and implanted vagus nerve stimulation; access, coordination and delivery of care. (Edited publisher abstract)
Risk of psychopathology in adolescent offspring of mothers with psychopathology and recurrent depression
- Authors:
- SELLERS Ruth, et al
- Journal article citation:
- British Journal of Psychiatry, 202(2), 2013, pp.108-114.
- Publisher:
- Cambridge University Press
Offspring of mothers with depression are at heightened risk of psychiatric disorder. Many mothers with depression have comorbid psychopathology. How these co-occurring problems affect child outcomes has rarely been considered. This study considers whether the overall burden of co-occurring psychopathology in mothers with recurrent depression predicts new-onset psychopathology in offspring. Parents were recruited predominantly from primary care in South Wales, UK. Mothers with recurrent depression and their adolescent offspring (9–17 years at baseline) were assessed in 2007 and on two further occasions up to 2011. Mothers completed questionnaires assessing depression severity, anxiety, alcohol problems and antisocial behaviour. Psychiatric disorder in offspring was assessed using the Child and Adolescent Psychiatric Assessment. The number of co-occurring problems in mothers (0, 1 or 2+) predicted new-onset offspring disorder. Rates varied from 15.7 to 34.8% depending on the number of co-occurring clinical problems. This remained significant after controlling for maternal depression severity. The burden of co-occurring psychopathology among mothers with recurrent depression indexes increased risk of future onset of psychiatric disorder for offspring. This knowledge can be used in targeting preventive measures in children at high risk of psychiatric disorder. (Edited publisher abstract)
School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
- Authors:
- RAHMAN Muhammad A., et al
- Journal article citation:
- British Journal of Psychiatry, 212(4), 2018, pp.215-221.
- Publisher:
- Cambridge University Press
Background: Mental disorders in children and adolescents have an impact on educational attainment. Aims: To examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years. Method: General practitioner, hospital and education records of young people in Wales between 1999 and 2014 were linked and analysed using Cox regression. Results: Linked records were available for 652 903 young people and of these 33 498 (5.1%) developed depression and 15 946 (2.4%) self-harmed after the age of 12 but before the age of 20. Young people who developed depression over the study period were more likely to have achieved key stage 1 (age 7 years) but not key stage 2 (age 11) (hazard ratio (HR) = 0.79, 95% CI 0.74–0.84) milestones, indicating that they were declining in academic attainment during primary school. Conversely, those who self-harmed were achieving as well as those who did not self-harm in primary school, but showed a severe decline in their attainment during secondary school (HR = 0.72, 95% CI 0.68–0.78). Conclusions: Long-term declining educational attainment in primary and secondary school was associated with development of depression in the teenage years. Self-harm was associated with declining educational attainment during secondary school only. Incorporating information on academic decline with other known risk factors for depression/self-harm (for example stressful life events, parental mental health problems) may improve risk profiling methods. (Edited publisher abstract)
Psychiatric disorders in women prisoners who have engaged in near-lethal self-harm: case–control study
- Authors:
- MARZANO Lisa, et al
- Journal article citation:
- British Journal of Psychiatry, 197(3), September 2010, pp.219-226.
- Publisher:
- Cambridge University Press
Female prisoners are 20 times more likely to die by suicide than women of the same age in the general population. This study aimed to investigate the prevalence of psychiatric disorders in women prisoners who had nearly died as a result of a suicide attempt compared with female prisoners who had never made a near-lethal attempt in prison. The study comprised semi-structured face-to-face interviews with 60 cases and 60 controls from all closed female prison establishments in England and Wales. In addition to gathering details of sociodemographic, criminological and clinical history, the interview assessed participants’ current and lifetime disorders using the Mini-International Neuropsychiatric Interview. The results showed that at the time of their near-lethal self-harm, 53 cases (88%) were on ACCT (Assessment, Care in Custody and Teamwork), the system for the care of prisoners at risk of suicide and self-harm in England and Wales. The cases had significantly greater levels of psychiatric morbidity than controls, and more comorbidity. The strongest associations with near-lethal self-harm were with current depression, the presence of 2 or more diagnoses, a history of psychiatric in-patient treatment, and previous attempted suicide, especially in prison. The only tested diagnoses not associated with near-lethal self-harm were antisocial personality disorder, substance use and eating disorders. This research underlines the importance of psychiatric risk factors for suicide in custody and in particular comorbidity. The finding that a formal care plan was in place for most cases at the time of their near-lethal act is indicative of good risk detection, but also suggests high levels of unmet need.
Depression in adults with a chronic physical health problem: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2009
- Pagination:
- 397p., bibliog.
- Place of publication:
- London
This draft national clinical practice guideline was commissioned by the National Institute for Health and Clinical Excellence (NICE) and developed within the National Collaborating Centre for Mental Health (NCCMH). The guideline is intended for adults with depression and chronic health problems and covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have contact with, and make decisions concerning the care of, adults with depression and chronic health problems. It makes recommendations for the treatment and management of people with depression and chronic health problems, starting with an introduction to the topic of depression and chronic physical health problems and an explanation of the methods used to develop the guideline, and then providing the evidence that underpins the recommendations about the treatment and management of people with depression and chronic health problems, including personal accounts from service users and carers offering an insight into their experience, and looking at the identification of depression in people with chronic physical health problems, service-led interventions, psychosocial interventions, and pharmacological interventions.
Uncovering private family law: anxiety and depression among children and young people
- Authors:
- GRIFFITHS Lucy J., et al
- Publisher:
- Nuffield Family Justice Observatory
- Publication year:
- 2022
- Pagination:
- 29
- Place of publication:
- London
This is the first population-based study to examine the mental health needs of children involved in private law proceedings in Wales. It provides an overview of the rates of depression and anxiety in this group over time and makes comparison to a similar group of children who were not involved in proceedings. It summarises findings from a journal article, published in BJPsych Open (Griffiths et al. 2022). The study helps to build a better understanding of the mental health vulnerabilities of children involved in private law cases. A cohort of all children (n=17,0410 involved in private law proceedings in Wales between 1 January 2011 and 31 December 2018 was created. Findings were compared to a comparison group (n=680,617) selected from children in the general population in Wales who were not involved in proceedings. Key findings include: the children involved in private law proceedings were more likely to experience depression and anxiety than their peers in the comparison group - rates of depression were 60% higher and rates of anxiety were 30% higher in the private law cohort; in both groups, incidence of depression and anxiety increased in the seven years between 2011 and 2018 - but the rate of increase was higher in the private law cohort; girls were more likely to experience depression and anxiety than boys - this is in keeping with trends within the comparison group (reflecting the general population); older children were more likely to experience depression and anxiety than younger children (under 10) - this also reflects trends in the comparison group; children involved in private law proceedings were also more likely to go on to develop depression or anxiety than children in the comparison group, suggesting that they continue to be at heightened risk of mental health problems after proceedings. (Edited publisher abstract)
Mental wellbeing of older people in care homes: film
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Pagination:
- 22 minutes 53 seconds
- Place of publication:
- Manchester
A film commissioned by the NICE Collaborating Centre for Social Care to help organisations and people to use the NICE quality standard on mental wellbeing of older people (QS50). The film focuses primarily on an a roundtable event which took place in March 2014 at the Royal Hospital Chelsea, and included key organisations from the health and social care sector. Also in attendance at the event were some of the older people resident at the Royal Chelsea Hospital infirmary who discussed what the quality statements meant to them and recounted their own experiences of living in a care home. The event discusses each of the six quality statements; what they mean and how they can be put into practice. The standards cover: participation in meaningful activity, personal identity, recognition of mental health conditions, sensory impairment and physical problems; and access to healthcare services. The film also contains interview footage from Andrea Sutcliffe, Chief Inspector for Social Care at the Care Quality Commission and Finbarr Martin, a Non-Executive Director at NICE. (Edited publisher abstract)
Mental health: a technical document produced by the Health Gain Panel of Review
- Authors:
- FARMER Anne, chair
- Publisher:
- Great Britain. Welsh Office. NHS Directorate. Welsh Health Planning Forum
- Publication year:
- 1995
- Pagination:
- 520p.,bibliog.
- Place of publication:
- Cardiff
Set of papers compiled by the Health Gain Panel of Review with the aim of improving the provision of services to people with mental health problems in Wales. Includes sections on: the epidemiology of mental illness; promoting mental health; mixed anxiety depressive syndrome; depression; bipolar affective disorders; schizophrenia; dementia; personality disorders; suicide and parasuicide; eating disorders; child and adolescent mental health; older people with mental health problems; homelessness and mental health; and therapies.