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Mashup Score: 2Stress and mental health symptoms in early pregnancy are associated with the oral microbiome - 2 day(s) ago
Background Research has revealed associations between microbes of the gastrointestinal tract and stress, anxiety and depression in pregnant or postpartum women. While these studies suggest a gut-brain-behaviour axis, no studies have examined microbes of the oral cavity in relation to maternal mental health. Objective To explore a potential oral-brain-behaviour axis related to maternal mental health. Methods Microbes were measured in saliva obtained from 224 second-trimester (mean±SD = 17±2 weeks) women oversampled for stress. Oralome data were associated with women’s recent or cumulative pregnancy stress, trait and state anxiety, depression symptoms and post-traumatic stress disorder (PTSD) symptoms. Covariates explored included age, income, alcohol and tobacco use, dental issues and physical health problems. Results Pregnant women in the high trait anxiety or depression symptom groups had higher oral alpha diversity, indicating higher richness of species within samples. Groups with hi
Source: mentalhealth.bmj.comCategories: General Medicine News, General HCPsTweet
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Mashup Score: 2Association between cannabis use and brain structure and function: an observational and Mendelian randomisation study - 22 day(s) ago
Background Cannabis use during adolescence and young adulthood has been associated with brain harm, yet despite a rapid increase in cannabis use among older adults in the past decade, the impact on brain health in this population remains understudied. Objective To explore observational and genetic associations between cannabis use and brain structure and function. Methods We examined 3641 lifetime cannabis users (mean (SD) age 61.0 (7.1) years) and 12 255 controls (mean (SD) age 64.5 (7.5) years) from UK Biobank. Brain structure and functional connectivity were measured using multiple imaging-derived phenotypes. Associations with cannabis use were assessed using multiple linear regression controlling for potential confounds. Bidirectional two-sample Mendelian randomisation analyses were used to investigate potential causal relationships. Findings Cannabis use was associated with multiple measures of brain structure and function. Participants with a history of cannabis use had poorer wh
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Mashup Score: 5Association between psychological resilience and all-cause mortality in the Health and Retirement Study - 3 month(s) ago
Background Psychological resilience refers to an individual’s ability to cope with and adapt to challenging life circumstances and events. Objective This study aims to explore the association between psychological resilience and all-cause mortality in a national cohort of US older adults by a cross-sectional study. Methods The Health and Retirement Study (2006–2008) included 10 569 participants aged ≥50. Mortality outcomes were determined using records up to May 2021. Multivariable Cox proportional hazards models were used to analyse the associations between psychological resilience and all-cause mortality. Restricted cubic splines were applied to examine the association between psychological resilience and mortality risk. Findings During the follow-up period, 3489 all-cause deaths were recorded. The analysis revealed an almost linear association between psychological resilience and mortality risk. Higher levels of psychological resilience were associated with a reduced risk of all-cau
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Mashup Score: 0Assessing violence risk in first-episode psychosis: external validation, updating and net benefit of a prediction tool (OxMIV) - 3 month(s) ago
Background Violence perpetration is a key outcome to prevent for an important subgroup of individuals presenting to mental health services, including early intervention in psychosis (EIP) services. Needs and risks are typically assessed without structured methods, which could facilitate consistency and accuracy. Prediction tools, such as OxMIV (Oxford Mental Illness and Violence tool), could provide a structured risk stratification approach, but require external validation in clinical settings. Objectives We aimed to validate and update OxMIV in first-episode psychosis and consider its benefit as a complement to clinical assessment. Methods A retrospective cohort of individuals assessed in two UK EIP services was included. Electronic health records were used to extract predictors and risk judgements made by assessing clinicians. Outcome data involved police and healthcare records for violence perpetration in the 12 months post-assessment. Findings Of 1145 individuals presenting to EIP
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Mashup Score: 5Explaining paranoia: cognitive and social processes in the occurrence of extreme mistrust - 6 month(s) ago
Background Paranoia—incorrectly thinking that others are deliberating trying to harm you—causes distress, undermines social interactions and leads to withdrawal. It presents across multiple psychiatric diagnoses. Objective The primary aim was to determine the extent that cognitive and social processes may explain paranoia. The secondary aim was to identify explanatory factors that distinguished paranoia and social anxiety. Methods 10 382 UK adults, quota sampled to match the population for age, gender, ethnicity, income and region, participated in a non-probability survey. All participants completed a paranoia measure and assessments of cognitive and social processes. Structural equation modelling was conducted. Findings 2586 (24.9%) participants described being mistrustful of other people. 1756 (16.9%) participants wanted help to trust more. 66.7% of variance in paranoia was explained by a model comprising (in descending order of importance): within-situation defence behaviours, negat
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Mashup Score: 12Relationship between severe mental illness and physical multimorbidity: a meta-analysis and call for action - 6 month(s) ago
Background People with severe mental illness (SMI) have a higher prevalence of several chronic physical health conditions, and the prevalence of physical multimorbidity is expected to rise. The aim of this study was to assess the strength of the association between SMI and physical multimorbidity. Study selection and analysis We systematically searched PubMed/Medline, Scopus, Embase, Web of Science, PsycINFO and the behavioural sciences collection databases, from inception to 31 January 2023, for studies that investigated the association between SMI and physical multimorbidity. Humans of any age either clinically diagnosed and/or currently receiving treatment for SMI, specified as schizophrenia (and related psychotic disorders), bipolar disorder and psychotic depression, were eligible. Data from studies selected for inclusion were converted into ORs, with a subsequent meta-analysis conducted. Findings We included 19 studies with a total of 194 123 patients with SMI with different diagn
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Mashup Score: 0Topic Collection | BMJ Mental Health - 6 month(s) ago
In recent years, there has been a resurgence of interest exploring the intersection sleep/circadian science and mental health. BMJ Mental Health is calling for submissions on circadian mental health research and innovation with particular focus on major depression, psychosis, bipolar disorder, dementia, neurodevelopmental disorders (ASD and ADHD) and substance misuse disorders. Submissions Open | Submission Deadline : 9th June 2024 We are pleased to offer a 25% discount on the Article Processing Charge
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Mashup Score: 0
Background Blurred work–non-work boundaries can have negative effects on mental health, including sleep. Objectives In a randomised control trial, we aimed to assess the effectiveness of an online recovery training programme designed to improve symptoms of insomnia in a working population exposed to blurred boundaries. Methods 128 participants with severe insomnia symptoms (Insomnia Severity Index ≥15) and working under blurred work and non-work conditions (segmentation supplies <2.25) were randomly assigned to either the recovery intervention or a waitlist control group (WLC). The primary outcome was insomnia severity, assessed at baseline, after 2 months (T2) and 6 months (T3). Findings A greater reduction in insomnia was observed in the intervention compared with the WLC group at both T2 ( d =1.51; 95% CI=1.12 o 1.91) and T3 ( d =1.63; 95% CI=1.23 to 2.03]. This was shown by Bayesian analysis of covariance (ANCOVA), whereby the ANCOVA model yielded the highest Bayes factor ( BF 10=3
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Mashup Score: 0Topic Collection | BMJ Mental Health - 8 month(s) ago
In recent years, there has been a resurgence of interest exploring the intersection sleep/circadian science and mental health. BMJ Mental Health is calling for submissions on circadian mental health research and innovation with particular focus on major depression, psychosis, bipolar disorder, dementia, neurodevelopmental disorders (ASD and ADHD) and substance misuse disorders. Submissions Open | Submission Deadline : 9th June 2024 We are pleased to offer a 25% discount on the Article Processing Charge
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Mashup Score: 1Suicide risk assessment tools and prediction models: new evidence, methodological innovations, outdated criticisms - 8 month(s) ago
The number of prediction models for suicide-related outcomes has grown substantially in recent years. These models aim to assist in stratifying risk, improve clinical decision-making, and facilitate a personalised medicine approach to the prevention of suicidal behaviour. However, there are contrasting views as to whether prediction models have potential to inform and improve assessment of suicide risk. In this perspective, we discuss common misconceptions that characterise criticisms of suicide risk prediction research. First, we discuss the limitations of a classification approach to risk assessment (eg, categorising individuals as low-risk vs high-risk), and highlight the benefits of probability estimation. Second, we argue that the preoccupation with classification measures (such as positive predictive value) when assessing a model’s predictive performance is inappropriate, and discuss the importance of clinical context in determining the most appropriate risk threshold for a given
Source: mentalhealth.bmj.comCategories: General Medicine News, Hem/OncsTweet
The number and type of microbes present in the saliva of pregnant women differ according to whether they are experiencing life stress and symptoms of anxiety, depression and post-traumatic stress disorder (PTSD) @BMJMentalHealth. Link: https://t.co/EL1SU4ck7a https://t.co/25UpUpKAHB