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Category Archives: Research

Emotional side-effects of antidepressants reported by more than 50% of largest sample surveyed to date

MEDIA RELEASE – UNIVERSITY OF LIVERPOOL – 18.02.2014

A survey of 1829 New Zealanders prescribed antidepressants, the largest sample ever surveyed, has found high rates of emotional and interpersonal adverse effects. The abstract of the paper, just published online in Psychiatry Research, follows:

Background: In the context of rapidly increasing antidepressant use internationally, and recent reviews raising concerns about efficacy and adverse effects, this study aimed to survey the lived experience of the largest sample of AD recipients to date.

Methods: An online questionnaire about experiences with, and beliefs about, antidepressants was completed by 1829 adults who had been prescribed antidepressants in the last five years.

Results: Eight of the 20 adverse effects studied were reported by over half the participants; most frequently Sexual Difficulties (62%) and Feeling Emotionally Numb (60%). Percentages for other effects included: Feeling Not Like Myself – 52%, Reduction In Positive Feelings – 42%, Caring Less About Others – 39%, Suicidality – 39% and Withdrawal Effects – 55%. Total Adverse Effect scores were related to younger age, lower education and income, and type of antidepressant, but not to level of depression prior to taking antidepressants.

Conclusions: The adverse effects of antidepressants may be more frequent than previously reported, and include emotional and interpersonal effects. Lead researcher, Professor John Read (Institute of Psychology, Health and Society; University of Liverpool) comments: “The medicalization of sadness and distress has reached bizarre levels. One in ten people in some countries are now prescribed antidepressants each year.”

“While the biological side effects of antidepressants, such as weight gain and nausea, are well documented, the psychological and interpersonal effects have been largely ignored or denied. They appear to be alarmingly common.”

“Effects such as feeling emotionally numb and caring less about other people are of major concern. Our study also found that people are not being told about these effects when prescribed the drugs.”

“Our finding that over a third of respondents reported suicidality ‘as a result of taking the antidepressants’ suggests that earlier studies may have underestimated the problem.”

Over half (55%) of young people (18-25years) reported suicidality.

“Our sample was not biased towards people with an axe to grind about anti-depressants; 82% reported that the drugs had helped alleviate their depression.”

readj@liv.ac.uk

Read, J., Cartwright, C., Gibson, K. (2014). Adverse emotional and interpersonal effects reported by 1,829 New Zealanders while taking antidepressants.  Psychiatry Research

http://dx.doi.org/10.1016/j.psychres.2014.01.042

Liverpool University Media Release

MEDIA RELEASE
BY LIVERPOOL UNIVERSITY
FEBRUARY 2014

Research led by a University of Liverpool psychologist has found strong support for the theory that early childhood trauma, such as abuse and neglect, could lead to the development of psychosis in later life.

An international team of researchers reviewed more than 120 reports on the biological mechanisms underlying the relationship between childhood trauma and psychosis.

They concluded that people experiencing psychosis should be offered evidence-based psychological therapies that address the social causes of their difficulties.

Anomalies in the brains of people diagnosed with mental health problems such as ‘schizophrenia’ have traditionally been used to support the notion that such problems are biologically based brain disorders that have little to do with life events.

Recent research, however, shows support for the ‘traumagenic neurodevelopmental’ model of psychosis, which suggests that those differences can be caused by adverse life events, especially those occurring in early childhood.

Professor John Read, from the University of Liverpool’s Institute of Psychology, Health and Society, said:

“Trauma based brain changes should not be thought of as being indicative of having a brain disorder or disease. The changes are reversible. Recent studies have found, for example, that the brain’s oversensitivity to stressors can be reduced by properly designed psychotherapy.

“The primary prevention implications are profound. Protection and nurturance of the developing brain in young children would seem to be of paramount importance.

“We hope that this vast body of literature will encourage more mental health staff to take more of an interest in the lives of the people they are trying to help, rather than viewing hearing voices and having unusual beliefs as mere symptoms of an ‘illness’ that need to be suppressed with medication.”

The review was published in Neuropsychiatry.

READ THE FULL ARTICLE HERE: http://www.futuremedicine.com/doi/full/10.2217/npy.13.89

Highlights from the Engage Facebook Page

Here are a few of the posts shared on the Engage Aotearoa Facebook Page in the last few weeks.

New Mental-Health Research Articles from BMC Psychiatry Online

Making decisions about treatment for young people diagnosed with depressive disorders: a qualitative study of clinicians’ experiences
Simmons MB, Hetrick SE, Jorm AF
BMC Psychiatry 2013, 13 :335 (12 December 2013)
Abstract


A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
Carta M, Angermeyer MC, Sancassiani F, Tuligi F, Pirastu R, Pisano A, Pintus E, Mellino G, Pintus M, Pisanu E, Moro M, Massidda D, Trincas G, Bhugra D
BMC Psychiatry 2013, 13 :333 (6 December 2013)
Abstract


Cannabis use and involuntary admission may mediate long-term adherence in first-episode psychosis patients: a prospective longitudinal study
Barbeito S, Vega P, Ruiz de Azúa S, Saenz M, Martinez-Cengotitabengoa M, González-Ortega I, Bermudez C, Hernanz M, de Corres BF, González-Pinto A
BMC Psychiatry 2013, 13 :326 (1 December 2013)
Abstract

Changes in the lifetime prevalence of suicidal feelings and thoughts among Norwegian doctors from 2000 to 2010: a longitudinal study based on national samples
Rosta J, Aasland OG
BMC Psychiatry 2013, 13 :322 (28 November 2013)
Abstract


Developmental trajectories of schizotypal personality disorder-like behavioural manifestations: a two-year longitudinal prospective study of college students
Geng F, Xu T, Wang Y, Shi H, Yan C, Neumann DL, Shum DH, Lui SS, Cheung EF, Chan RC
BMC Psychiatry 2013, 13 :323 (29 November 2013)
Abstract

 

American Psychological Association Releases Report on Preventing Gun Violence

In February 2013 the American Psychological Association commissioned this report by a panel of experts to convey research-based conclusions and recommendations (and to identify gaps in such knowledge) on how to reduce the incidence of gun violence in the USA, whether by homicide, suicide, or mass shootings.

The eventuating report from the APA (released 16 Dec. 2013), “Gun Violence: Prediction, Prevention, and Policy,” consolidates psychological research findings on precursors to shootings and highlights prevention strategies. The report identifies the need for both primary and secondary prevention programs.

Direct link to overview and full report here: http://www.apa.org/pubs/info/reports/gun-violence-prevention.aspx

World Health Organisation Releases Guidelines on Mental Healthcare After Trauma

The World Health Organisation (WHO) has published some guidelines for health professionals on how to provide care to adults and children following a traumatic event.

The document cautions health providers about prescribing benzodiazepines in the month following trauma or loss, sharing research evidence that using benzo’s for acute stress symptoms and trauma-related sleeping problems can prolong recovery from the events and create dependency and tolerance that add to the individual’s difficulties.

Read a summary of the guidelines here.

Get the full report here.

Lecture on Childhood Adversity and Psychosis Available Online

Prof. John Read’s presentation at the  2013 Meanings of Madness Conference in Cork, on the 13th and 14th of November is now available to watch in full on Youtube.

Watch online: John Read presents Childhood Adversity and Psychosis: From Heresy to Certainty

 

 

The Toronto Recovery Network posted an article summarising the talk, which you can read here.

 

Free Access to Articles in Journal of Child Sexual Abuse for a Limited Time | Download Them While You Can

Journal of Child Sexual Abuse

FREE ACCESS ARTICLES

The following articles are available for FREE to read and download for a limited time. Click on the article titles below to access this content.

From Volume 22, Issue 7, 2013
Voices of Healing and Recovery from Childhood Sexual Abuse, Brittany J. Arias and Chad V. Johnson

From Volume 22, Issue 6, 2013
Sister – Sister Incest: Data from an Anonymous Computerized Survey, Sandra S. Stroebel, 
Stephen L. O’Keefe, Karen Griffee, Shih-Ya Kuo, Keith W. Beard, and Martin J. Kommor

Health Care and Female Survivors of Childhood Sexual Abuse: Health Professionals’ PerspectivesKim McGregor, Jeny Gautam, Marewa Glover, and Shirley Jülich

Mental Health and Addictions Services Serious Adverse Event Report

The Health Quality and Safety Commission have released the first report setting out the serious adverse events (SAEs) that New Zealand’s 20 district health boards (DHBs) have reported in the previous year.

  • Between 1 July 2012 and 30 June 2013, 177 SAEs affecting patients of mental health and addictions services were reported by DHBs.
  • SAEs by Type:
    • 134: death by suspected suicide
    • 17: serious self-harm
    • 17: serious adverse behaviour
    • 5: going missing from inpatient facility (no harm)
    • 4: other event resulting in patient harm.

The Commission has agreed in principle to a two-year working partnership with the Ministry of Health to develop a trial of a suicide mortality review function to improve knowledge of contributing factors and patterns of suicidal behaviour, and to better identify key intervention points for suicide prevention.

The SAEs were reported in accordance with the process set out in the national reportable events policy, whereby health and disability providers identify, review and report events which have caused, or could have caused, serious harm to the patient.

Click here to read a copy of the full report. 

Call for Evidence to Improve Physical Health of People Living with Mental-Health Problems

Take action for health equity: Working together to improve the physical health of people with a severe mental illness and/or addiction

Te Pou is working with Platform and its members on a collaborative project which aims to take action to improve the relatively poor physical health of people who have been diagnosed with a severe mental-health problem, including major depressive disorder, bi-polar disorder, schizophrenia and/or addiction. Te Pou and Platform want to hear from organisations or individuals that have conducted evaluations or gathered evidence in the course of their work that will help to build a picture of what works to improve the physical health of people with mental-health problems.

To find out more about this project click here.