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Found 71 results
  1. News Article
    Hundreds of thousands more women than men have been prescribed powerful anti-anxiety drugs which experts warn are harder to come off than heroin, The Independent can reveal. New information obtained under freedom of information (FOI) laws shows women in England were 59% more likely to be prescribed benzodiazepines – better known by the brand names of Valium, Xanax and Temazapam – than men between January 2017 and December 2021. Benzodiazepines are commonly prescribed for anxiety and insomnia, with the drug’s withdrawal symptoms including depression, acute anxiety, insomnia, vivid nightmares, headaches, vomiting, shakes, cramps and, in the worst cases, seizures which can cause death. Many countries explicitly state benzodiazepines should not be taken for more than four weeks, while research has found benzodiazepines can cause memory loss and Alzheimer’s. In September 2020, the US Food and Drug Administration announced its “black box warning” must be placed on all benzodiazepines to inform patients withdrawal from the drugs can be life-threatening. Stephen Buckley, head of information at Mind, a leading UK mental health charity, told The Independent it was difficult to “know the exact reasons behind why women are more likely to be prescribed benzodiazepines than men” but said the FOI “findings support others which show gender discrepancies in prescribing have been occurring for a long time”. “Previous research in some parts of the world has found that male prescribers were more likely to prescribe benzodiazepines to female patients than male patients. Research into the reasons behind gender differences in prescribing psychiatric medication is important.” Read full story Source: The Independent, 3 October 2022 Related reading: Medicines, research and female hormones: a dangerous knowledge gap Gender bias: A threat to women’s health
  2. News Article
    For the first time, a US government-backed expert panel has recommended that adults under 65 should be screened for anxiety disorders. The influential US Preventive Services Task force also said that all adults should be checked for depression, consistent with past guidance. The change follows widespread warnings from experts on the mental health toll of the Covid-19 pandemic. The task force stopped short of a screening recommendation for suicide. The panel acknowledged that suicide is a leading cause of death among American adults but said there was "not enough evidence on whether screening people without signs or symptoms will ultimately help prevent suicide". The draft guidance is aimed at young and middle-aged adults, including those who are pregnant and post-partum. It envisions the mental health screening as part of routine visits with primary care physicians, said Dr Lori Pbert, a task-force member and professor in the Department of Population and Quantitative Health Sciences at UMass Chan Medical School. "When you go to your primary care provider, you get screened for many, many preventive conditions - blood pressure, heart rate, all kinds of things," she said. "Mental health conditions are just important as other physical conditions, and we really need to be treating mental health conditions with the same urgency that we do other conditions." Read full story Source: BBC News, 20 September 2022
  3. Content Article
    These online resources are designed to help healthcare professionals improve conversations with their patients about suicidal ideation, self-harm and other common mental health problems. The resources are based on a field of research known as Conversation Analysis, which micro-analyses verbal and non-verbal communication to study the consequences of different ways of communicating.  Resources include research findings and real examples from video-recorded psychosocial assessments with mental health nurses, social workers and other healthcare professionals. To access the resources, you need to be a healthcare professional and will need to create an account.
  4. Content Article
    This study in the British Journal of General Practice aimed to examine trends in prescribing for anxiety in UK primary care between 2003 and 2018. Anxiolytic drugs are a group of medications used to relieve anxiety. The authors analysed data from 2.5 million adults to determine prevalence, incidence rates and treatment duration for prescriptions of any anxiolytic, and also for each drug class. The authors found that, between 2003 and 2018: prevalence of any anxiolytic prescription increased, driven by increases in those starting treatment, rather than more long-term use. incident beta-blocker prescribing increased over the 16 years, whereas incident benzodiazepine prescriptions decreased. long-term prescribing of benzodiazepines declined, yet 44% of prescriptions in 2017 were longer than the recommended four weeks. incident prescriptions in each drug class have risen substantially in young adults in recent years. They conclude that increases in incident prescribing may reflect better detection of anxiety or increasing acceptability of medication. However, they also caution that prescribing approaches may cause unintended harm, as some prescribing is not based on robust evidence of effectiveness and may contradict guidelines. They highlight that there is limited evidence on the overall impact of taking antidepressants long term.
  5. Event
    until
    With more than 70,000 excess deaths during the 2003 heatwave in Europe, the acceleration of certain vector-borne diseases, poor air quality and increasing levels of climate anxiety, climate change is already having adverse health impacts on people’s physical and mental health. This report comprehensively addresses some of the most threatening health impacts of climate change. Each of the chapters within the report analyses the relation between climate change and the consequential health impacts and, through a series of case studies, showcases best practise on how we can tackle this. The report serves not just to highlight the extent of the link between climate change and health but also demonstrates that solutions are in our grasp to prevent and mitigate the health consequences of climate change. The webinar ‘The climate crisis and its health impacts‘ will centre around three themes: How climate change impacts human health What can be done to prevent or mitigate such impacts Why it’s important to prioritise public health in the climate debate and methods to achieve this Speakers Elaine Mulcahy, Director UK Health Alliance on Climate Change Dr Marina Romanello, Executive Director, Lancet Countdown Dr Claus Runge, Senior Vice President, Public Affairs & Sustainability at Bayer How to attend To attend this report launch webinar on Zoom please register for your joining link.
  6. Content Article
    We know the link between anxiety, stress, burnout and patient safety. This blog from Sally Howard suggests four things we can do to help us stand tall and continue to grow from strength to strength, both for ourselves and for our teams.
  7. News Article
    Millions of patients in England face dangerously long waits for mental health care unless ministers urgently draw up a recovery plan to tackle a “second pandemic” of depression, anxiety, psychosis and eating disorders, NHS leaders and doctors have warned. The Covid crisis has sparked a dramatic rise in the numbers of people experiencing mental health problems, with 1.6 million waiting for specialised treatment and another 8 million who cannot get on the waiting list but would benefit from support, the heads of the NHS Confederation and the Royal College of Psychiatrists have told the Guardian. In some parts of the country, specialist mental health services are so overwhelmed they are “bouncing back” even the most serious cases of patients at risk of suicide, self-harm and starvation to the GPs that referred them, prompting warnings from doctors that some patients will likely die as a result. “We are moving towards a new phase of needing to ‘live with’ coronavirus but for a worrying number of people, the virus is leaving a growing legacy of poor mental health that services are not equipped to deal with adequately at present,” said Matthew Taylor, the chief executive of the NHS Confederation, which represents the whole of the healthcare system in England. “With projections showing that 10 million people in England, including 1.5 million children and teenagers, will need new or additional support for their mental health over the next three to five years it is no wonder that health leaders have dubbed this the second pandemic. A national crisis of this scale deserves targeted and sustained attention from the government in the same way we have seen with the elective care backlog.” One family doctor in Hertfordshire, Dr David Turner, said he was so concerned about the situation that he had chosen to speak out publicly for the first time in his 25-year career. “I and many other GPs feel the issue has become critical and it is only a matter of time before a child dies,” he told the Guardian. Turner said access to child and adolescent mental health services (CAMHS) was “never great pre-Covid” but was now “appalling”. The double whammy of a spike in demand and underinvestment in CAMHS was putting patients at risk, he added. Read full story Source: The Guardian, 21 February 2022
  8. News Article
    The COVID-19 crisis triggered high levels of anxiety and depression among doctors in the UK, Italy and Spain, a new study has found The research of 5,000 survey responses, across the three countries, found Italian doctors were most likely to have suffered during the crisis last year. The study, published in PLOS ONE, measured the mental wellbeing of doctors in Catalonia (Spain), Italy and the UK during June, November and December 2020. It found that around one in four medical doctors in Italy had experienced symptoms of anxiety in June and December 2020, with around one in five reporting symptoms of depression over the same period. In Catalonia around 16% of doctors reported anxiety and around 17% experienced depression. In the UK around 12% of doctors reported anxiety and around 14% had symptoms of depression. The study is among the first cross-country analysis of mental wellbeing among healthcare workers during the COVID-19 pandemic and the first to focus on medical doctors. Across all countries, female doctors and doctors under 60 were more likely to have anxiety or depression. Professor Quintana-Domeque, professor of economics at the University of Exeter Business School, who carried out the study said: “The COVID-19 pandemic has been classified as a traumatic event, with healthcare workers arguably having the most direct and longest exposure to this disease." “The results of this study suggest that institutional support for healthcare workers, and in particular doctors, is important in protecting and promoting their mental health in the current and in future pandemics.” Read full story Source: The Independent, 3 November 2021
  9. Content Article
    Healthcare workers have had the longest and most direct exposure to COVID-19 and consequently may suffer from poor mental health. Quintana-Domeque et al. conducted one of the first repeated multi-country analysis of the mental wellbeing of medical doctors at two timepoints during the COVID-19 pandemic to understand the prevalence of anxiety and depression, as well as associated risk factors. Rates of anxiety and depression were highest in Italy (24.6% and 20.1%, June 2020), second highest in Catalonia (15.9% and 17.4%, June 2020), and lowest in the UK (11.7% and 13.7%, June 2020). Across all countries, higher risk of anxiety and depression symptoms were found among women, individuals below 60 years old, those feeling vulnerable/exposed at work, and those reporting normal/below-normal health.
  10. Content Article
     We have an overwhelming demand for our healthcare services. This blog from Sally Howard suggests some things we can do to keep afloat. 
  11. News Article
    A frontline respiratory consultant has said, “Healthcare professionals are deeply anxious about the impact of relaxing restrictions further given the current surge in Covid cases. To do away with risk-mitigating measures like social distancing and wearing of masks is incomprehensible to many of us. I feel anxious and frustrated". Hospitals in Yorkshire and North of England may also be experiencing a fourth wave. Dr Nick Scriven has told The Guardian, “Us up north are experiencing a fourth wave in community cases, with an uptick in hospital cases. Although numbers are not massive it’s both frightening and upsetting for staff as ICU cases are rising with unvaccinated people, either as they are young or by choice or both. There is to me a growing feeling that vaccination makes this almost preventable.” Read full story. Source. The Guardian, 9 July 2021
  12. Content Article
    It will take years to unpack how badly the pandemic damaged our collective mental health. But what we know now is no one is immune. Healthcare providers, grocery store workers, executives, stay-at-home parents, food service workers: We’re all suffering in some way. In 2019, 10.8% of adults in the United States reported symptoms of anxiety or depression. By December 2020, that number had skyrocketed to 42.4%. Regina Hoffman, Director of Patient Safety Authority, talks about the importance of self-care and gives her top three tips.
  13. News Article
    Good quality evidence is urgently needed to inform doctors on how to discontinue antidepressants safely and effectively, a Cochrane review has highlighted. An international team of researchers assessed randomised controlled trials comparing approaches to discontinuation and continuation of antidepressants in patients who had used them for depression or anxiety for at least six months. But the team reached no firm conclusions about the effects and safety of the approaches reviewed because of the low certainty of evidence from the existing studies. Read full story (paywalled) Source: BMJ, 22 April 2021
  14. Content Article
    The purpose of this study from Roberts et al. was to explore anxiety, worry, and posttraumatic stress symptoms (PTSS) in parents of children with food allergies, and to evaluate whether these three psychological outcomes could be predicted by allergy severity, intolerance of uncertainty, and food allergy self-efficacy. The study highlights the need for greater awareness of mental health in parents of children with food allergy. 
  15. Content Article
    Tokophobia is an extreme fear of pregnancy and childbirth; it causes severe psychological distress and can have far reaching consequences. Despite this, tokophobia is under-researched and many healthcare professionals have never heard of it, explains Sarah-Jane Archibald in this BMJ Opinion article.
  16. News Article
    Pregnant women and new mothers are three times as likely to suffer from poor mental health in the wake of the coronavirus pandemic, according to a new study. The report, carried out by a coalition of leading maternal mental health organisations, suggested before that the public health crisis up to 20% of women developed a mental illness during pregnancy or within the first year after having a baby. But in lockdown, 6 in 10 mothers had substantial concerns around their mental health, according to researchers who polled more than 5,000 pregnant women and parents. The study warned women were more likely to suffer from anxiety, depression, loneliness and suicidal thoughts during the COVID-19 crisis. The Maternal Mental Health Alliance is one of the organisations behind the research. Luciana Berger, a former Labour MP who is now chair of the group, said: “Today’s report should serve as an ear-splitting warning siren about the dangers to women’s maternal mental health and potential risks to the wellbeing of their babies." Read full story Source: The Independent, 16 March 2021
  17. Content Article
    Information to help people make the right decisions about their general health and treatment against perceived risk of COVID-19 infection has been a key concern of Patient Information Forum (PIF) members throughout the pandemic. The Covid Choices survey was developed with a collaborative group of expert patients and other partners. More than 800 people responded to the survey and made more than 1000 detailed free text comments expressing their concerns. The vast majority of people had a health condition or cared for someone who did. Around 60% said their long-term condition put them at risk of infection and just under half were shielding. Responses represented people with a wide range of health conditions.
  18. Content Article
    Stress, depression and anxiety account for a significant portion of work related ill-health cases. With many of those still employed now working remotely as a result of the COVID-19 crisis, this trend seems set to continue, with an always-on-culture that has now entered our homes.In this paper, published with Autonomy and 4 Day Week, Nic Murray looks at the clear overlap between over work and mental ill-health, how this disproportionately affects women and the potential options for reducing our working time and preventing work practices that harm mental health, including a 4 day week. 
  19. Content Article
    The King's Fund has collected some examples of resources to support the mental health and wellbeing of both individuals and teams working across health and care.
  20. Content Article
    Lockdown has been a seismic shock for every family and community. Sadly, the voices of the hardest hit have been heard the least. This report sets about to change this by exploring pandemic and lockdown reflections from a diverse group of expectant and new parents during the critical first months and years of their babies’ development. Charities Best Beginnings, Home-Start UK and Parent-Infant Foundation were alarmed that the voices of parents with new babies have been absent from key pandemic responses. As a result, they worked with Critical Research to survey 5,000 new and expectant parents on their lockdown experiences and found a mixed picture, shining a light on huge disparities between different families and communities.
  21. Content Article
    The COVID-19 pandemic is a traumatic event for many, particularly those in the caring professions. Experts are predicting a significant “second curve” of mental health problems among both healthcare workers and the public related to prolonged social isolation, loss of economic opportunity, grief from losing loved ones, among other causes. While there has been no shortage of resources and recommendations designed to help healthcare workers manage stress during the pandemic, there’s a tendency to place the burden on the individual. At a minimum, it is important that remedies acknowledge the shared responsibility of the healthcare system for creating the conditions for fear, anxiety, and burnout in the first place. In an effort to streamline, provide sensemaking, and support care teams during this critical time, the Institute for Healthcare Improvement (IHI) synthesised themes from several key publications, expert interviews, and five years of experience gained by partnering with health systems around the world to address staff well-being and joy in work. Three key areas to focus on have emerged, along with specific actions healthcare leaders can take to support their workforce and address the more immediate and longer-term effects of the pandemic.
  22. News Article
    Tens of thousands of people avoided going to hospital for life-threatening illnesses such as heart attacks during Britain's coronavirus crisis, data has revealed. Shocking figures reveal that admissions for seven deadly non-coronavirus conditions between March and June fell by more than 173,000 on the previous year. Previous data for England shows there were nearly 6,000 fewer admissions for heart attacks in March and April compared with last year, and almost 137,000 fewer cancer admissions from March to June. Analysis by the Daily Mail found that the trends were alarmingly similar across the board for patients who suffered strokes, diabetes, dementia, mental health conditions and eating disorders. Health experts said the statistics were 'troubling' and warned that many patients may have died or suffered longterm harm as a result. Gbemi Babalola, senior analyst at the King's Fund think-tank said: "People with some of the most serious health concerns are going without the healthcare they desperately need. Compared with the height of the pandemic, the NHS is seeing an increase in the number of patients as services restart, and significant effort is going into new ways to treat and support patients." "But the fact remains that fewer people are being treated by NHS services." Read full story Source: Daily Mail, 13 September 2020
  23. Content Article
    Have you ever been faced with an upcoming shift at work and felt an impending sense of doom? It comes as no surprise that doctors — real, human people — have a certain degree of anticipation, even anxiety, when it comes to taking shifts. Katie Townes, a physician and founder of Physician Lounge Online, shares her path to on-call acceptance.
  24. Content Article
    Most people experience anxiety at some point in their life, but this may be more acute for a person with a learning disability or autism who then develops dementia. If a person has a history of being anxious or of living with a condition, particularly conditions like OCD (Obsessive Compulsive Disorder), phobias or panic disorders that makes them anxious, developing dementia may then make that worse. The person's communication skills may have diminished due to their dementia, leaving them frustrated at being unable to express themselves and anxious about the consequences of this.
  25. News Article
    People who were seriously ill in hospital with coronavirus need to be urgently screened for post-traumatic stress disorder (PTSD), leading doctors say. The Covid Trauma Response Working Group, led by University College London and involving experts from south-east England, said those who had been in intensive care were most at risk. The experts said regular check ups should last at least a year. More than 100,000 people have been treated in hospital for the virus. The experts say tens of thousands of these would have been seriously ill enough to be at risk of PTSD. The working group highlighted research which showed 30% of patients who had suffered severe illnesses in infectious disease outbreaks in the past had gone on to develop PTSD, while depression and anxiety problems were also common. Tracy is just one of many people who has been left with psychological scars from her coronavirus experience. She was admitted to Whittington Hospital in north London in March and spent more than three weeks there - one of which was in intensive care. "It was like being in hell. I saw people dying, people with the life being sucked from them. The staff all have masks on and all you saw was eyes - it was so lonely and frightening." Since being discharged in April the 59-year-old has been struggling to sleep because of the thought she will die and she has constantly suffered flashbacks. She is now receiving counselling. Read full story Source: BBC News, 29 June 2020
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