Depression Treatment: Review: Limited Evidence Suggests Mental Health Literacy Interventions May Improve Help-Seeking Attitudes for Depression, Anxiety and General Psychological Distress.
Review: limited evidence suggests mental health literacy interventions may improve help-seeking attitudes for depression, anxiety and general psychological distress.
Filed under: Depression Treatment
Evid Based Ment Health. 2012 Nov 12;
Sørensen T
Can We Effectively Use the Two-Item PHQ-2 to Screen for Postpartum Depression?
Filed under: Depression Treatment
Fam Med. 2012 Nov; 44(10): 698-703
Chae SY, Chae MH, Tyndall A, Ramirez MR, Winter RO
Postpartum depression screening is widely advocated to identify and treat affected individuals given the significant impact of this disorder on patients and their families. An effective, efficient method is needed to improve compliance with screening, which has led to an increased interest in the use of the two-item Patient Health Questionnaire 2 (PHQ-2). The aim of this study was to determine the sensitivity and specificity of the PHQ-2 in screening for postpartum depression.A prospective convenience study was conducted among 200 postpartum women attending their postpartum or 4- and 6-month well-child visits at a multiethnic family medicine residency center. The sensitivity and specificity of the PHQ-2 was determined by using the well validated Edinburgh Postnatal Depression Scale (EPDS) as the gold standard. Positive responses to either scale led to further evaluation and referral.The sensitivity of the PHQ-2 was 100%, and the specificity was 79.3% using the EPDS as the reference standard. In addition, the PHQ-2 identified an additional four/nine women who were subsequently diagnosed with postpartum depression based on follow up of their positive screens.This study supports previous findings indicating that the PHQ-2 can be an effective tool in screening for postpartum depression.
HubMed – depression
Homicidal behaviour among people with avoidant, dependent and obsessive-compulsive (cluster C) personality disorder.
Filed under: Depression Treatment
Crim Behav Ment Health. 2012 Nov 13;
Laajasalo T, Ylipekka M, Häkkänen-Nyholm H
BACKGROUND: Despite a growing forensic psychiatry literature, no previous study has examined in detail homicidal behaviour among offenders with cluster C personality disorders – the avoidant, dependent or obsessional personality disorders. AIMS: This study aims to compare homicide offenders with cluster C personality disorders with those with other personality disorders on criminal history, offender-victim relationship and post-offence reaction variables. METHODS: The sample was drawn from all Finnish homicide cases of 1996-2004 for whom a forensic psychiatric evaluation had been conducted. Data were extracted from forensic psychiatric and crime reports. RESULTS: In a nationwide sample of 593 homicide offenders, 21 had at least one cluster C personality disorder. These offenders had significantly shorter criminal histories than the others. Offender-victim relationship did not differ between the groups, but confession to the crime and feelings of remorse were more common among people with cluster C disorders. In addition, compared with other personality disorder clusters, co-morbid depression was more common. CONCLUSIONS: Cluster C personality disorders are rare, but not nonexistent, among homicide offenders. Observed differences in their backgrounds and post-offence behaviours indicate that they may have special needs. Copyright © 2012 John Wiley & Sons, Ltd.
HubMed – depression
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