Discontinuing Antipsychotics is associated with lowered risk of re-hospitalization and all-cause mortality

This is a population based study from the US of Medicare patients. A total of 13 712 propensity score–matched pairs (adjusted to 162 covariates) were included, for an overall sample of 27 424 adults. During the median follow-up of 180 days, discontinuation vs continuation of antipsychotic medications (APM) was associated with significantly lower risks of rehospitalization, inpatient…

Mental disorders significantly increase the risk of physical illness

This is a study looking at the effect that psychiatric co-morbidity has on the subsequent development of physical illness, published in JAMA Psychiatry in 2016. [1] Eighteen face-to-face, cross-sectional household surveys of adults were conducted in 17 countries (47 609 individuals; 2 032 942 person-years) from January 1, 2001, to December 31, 2011. Most associations…

CBT based counselling significantly reduces their uptake of primary and secondary care services in patients with chronic medical conditions

A study that was published in 2005. [1] Frequent attenders and patients with diabetes, hypertension and asthma were invited to take part in the study and received eight 90-minute small-group counselling sessions, conducted by trained counsellors. The counselling followed a cognitive behavioural therapy (CBT) approach, with the aim of developing personal responsibility. Psychological outcomes were…

Cognitive behavioural therapy delivered by respiratory nurses is clinically effective and cost-effective for patients with chronic obstructive pulmonary disease and symptoms of anxiety

This is a randomised controlled trial that was published in 2018. [1] A total of 236 patients with a diagnosis of mild to very severe COPD took part in the trial. Each patient was screened for anxiety using the HADS-Anxiety Subscale. This is a questionnaire that asks patients about their feelings of anxiety and depression…

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