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Journal Cover British Journal of Psychiatry
  Journal Prestige (SJR): 2.674
  Citation Impact (citeScore): 178
  Number of Followers: 180  
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0007-1250 - ISSN (Online) 1472-1465
   Published by Cambridge University Press Homepage  [367 journals]
  • BJP volume 212 issue 6 Cover and Front matter
    • PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.99
      Issue No: Vol. 212, No. 6 (2018)
       
  • BJP volume 212 issue 6 Cover and Back matter
    • PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.100
      Issue No: Vol. 212, No. 6 (2018)
       
  • Failure to tackle suicide inequalities across Europe
    • Authors: Jayati Das-Munshi; Graham Thornicroft
      Pages: 331 - 332
      Abstract: SummaryIn this issue, Lorant et al. confirm a social gradient in risk of suicide, across 15 European countries, over a period of marked social change. Understanding contextual and life-course factors, and acknowledging under-funding for mental health and failures to implement national mental health policies, may provide the reasons for these disparities.Declaration of interestNone.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.80
      Issue No: Vol. 212, No. 6 (2018)
       
  • Enduring effects of psychological treatments for anxiety disorders:
           meta-analysis of follow-up studies
    • Authors: Borwin Bandelow; Anne Sagebiel, Michael Belz, Yvonne Görlich, Sophie Michaelis, Dirk Wedekind
      Pages: 333 - 338
      Abstract: BackgroundIt is a widespread opinion that after treatment with psychotherapy, patients with anxiety disorders maintain their gains beyond the active treatment period, whereas patients treated with medication soon experience a relapse after treatment termination.AimsWe aimed to provide evidence on whether enduring effects of psychotherapy differ from control groups.MethodWe searched 93 randomised controlled studies with 152 study arms of psychological treatment (cognitive–behavioural therapy or other psychotherapies) for panic disorder, generalised anxiety disorder and social anxiety disorder that included follow-up assessments. In a meta-analysis, pre-post effect sizes for end-point and all follow-up periods were calculated and compared with control groups (medication: n = 16 study arms; pill and psychological placebo groups: n = 17 study arms).ResultsGains with psychotherapy were maintained for up to 24 months. For cognitive–behavioural therapy, we observed a significant improvement over time. However, patients in the medication group remained stable during the treatment-free period, with no significant difference when compared with psychotherapy. Patients in the placebo group did not deteriorate during follow-up, but showed significantly worse outcomes than patients in cognitive–behavioural therapy.ConclusionsNot only psychotherapy, but also medications and, to a lesser extent, placebo conditions have enduring effects. Long-lasting treatment effects observed in the follow-up period may be superimposed by effects of spontaneous remission or regression to the mean.Declaration of interestIn the past 12 months and in the near future, Dr Bandelow has been/will be on the speakers/advisory board for Hexal, Mundipharma, Lilly, Lundbeck, Pfizer and Servier. Dr Wedekind was on the speakers' board of AstraZeneca, Essex Pharma, Lundbeck and Servier. All other authors have nothing to declare.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.49
      Issue No: Vol. 212, No. 6 (2018)
       
  • Occupational moral injury and mental health: systematic review and
           meta-analysis
    • Authors: Victoria Williamson; Sharon A.M. Stevelink, Neil Greenberg
      Pages: 339 - 346
      Abstract: BackgroundMany people confront potentially morally injurious experiences (PMIEs) in the course of their work which can violate deeply held moral values or beliefs, putting them at risk for psychological difficulties (e.g. post-traumatic stress disorder (PTSD), depression, etc.).AimsWe aimed to assess the effect of moral injury on mental health outcomes.MethodWe conducted a systematic review and meta-analysis to assess the association between work-related PMIEs and mental health disorders. Studies were independently assessed for methodological quality and potential moderator variables, including participant age, gender and PMIE factors, were also examined.ResultsThirteen studies were included, representing 6373 participants. PMIEs accounted for 9.4% of the variance in PTSD, 5.2% of the variance in depression and 2.0% of the variance in suicidality. PMIEs were associated with more symptoms of anxiety and behavioural problems (e.g. hostility), although this relationship was not consistently significant. Moderator analyses indicated that methodological factors (e.g. PMIE measurement tool), demographic characteristics and PMIE variables (e.g. military v. non-military context) did not affect the association between a PMIE and mental health outcomes.ConclusionsMost studies examined occupational PMIEs in military samples and additional studies investigating the effect of PMIEs on civilians are needed. Given the limited number of high-quality studies available, only tentative conclusions about the association between exposure to PMIEs and mental health disorders can be made.Declaration of interestNone.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.55
      Issue No: Vol. 212, No. 6 (2018)
       
  • Impact of paternal deployment to the conflicts in Iraq and Afghanistan and
           paternal post-traumatic stress disorder on the children of military
           fathers
    • Authors: Nicola T. Fear; Ruth V. Reed, Sarah Rowe, Howard Burdett, David Pernet, Alyson Mahar, Amy C. Iversen, Paul Ramchandani, Alan Stein, Simon Wessely
      Pages: 347 - 355
      Abstract: BackgroundLittle is known about the social and emotional well-being of children whose fathers have been deployed to the conflicts in Iraq/Afghanistan or who have post-traumatic stress disorder (PTSD).AimsTo examine the emotional and behavioural well-being of children whose fathers are or have been in the UK armed forces, in particular the effects of paternal deployment to the conflicts in Iraq or Afghanistan and paternal PTSD.MethodFathers who had taken part in a large tri-service cohort and had children aged 3–16 years were asked about the emotional and behavioural well-being of their child(ren) and assessed for symptoms of PTSD via online questionnaires and telephone interview.ResultsIn total, 621 (67%) fathers participated, providing data on 1044 children. Paternal deployment to Iraq or Afghanistan was not associated with childhood emotional and behavioural difficulties. Paternal probable PTSD were associated with child hyperactivity. This finding was limited to boys and those under 11 years of age.ConclusionsThis study showed that adverse childhood emotional and behavioural well-being was not associated with paternal deployment but was associated with paternal probable PTSD.Declaration of interestN.T.F. is a trustee of the Warrior Programme, a charity supporting ex-service personnel and their families. She is also a member of the Independent Group Advising on the Release of Data (IGARD). S.W. is a trustee of Combat Stress, a charity supporting ex-service personnel and their families, and President of the Royal Society of Medicine. S.W. is partially funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response at King's College London in partnership with Public Health England (PHE), in collaboration with the University of East Anglia and Newcastle University.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2017.16
      Issue No: Vol. 212, No. 6 (2018)
       
  • Socioeconomic inequalities in suicide in Europe: the widening gap
    • Authors: Vincent Lorant; Rianne de Gelder, Dharmi Kapadia, Carme Borrell, Ramune Kalediene, Katalin Kovács, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Enrique Regidor, Maica Rodríguez-Sanz, Bogdan Wojtyniak, Bjørn Heine Strand, Matthias Bopp, Johan P. Mackenbach
      Pages: 356 - 361
      Abstract: BackgroundSuicide has been decreasing over the past decade. However, we do not know whether socioeconomic inequality in suicide has been decreasing as well.AimsWe assessed recent trends in socioeconomic inequalities in suicide in 15 European populations.MethodThe DEMETRIQ study collected and harmonised register-based data on suicide mortality follow-up of population censuses, from 1991 and 2001, in European populations aged 35–79. Absolute and relative inequalities of suicide according to education were computed on more than 300 million person-years.ResultsIn the 1990s, people in the lowest educational group had 1.82 times more suicides than those in the highest group. In the 2000s, this ratio increased to 2.12. Among men, absolute and relative inequalities were substantial in both periods and generally did not decrease over time, whereas among women inequalities were absent in the first period and emerged in the second.ConclusionsThe World Health Organization (WHO) plan for ‘Fair opportunity of mental wellbeing’ is not likely to be met.Declaration of interestNone.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2017.32
      Issue No: Vol. 212, No. 6 (2018)
       
  • Baclofen in the treatment of alcohol dependence with or without liver
           disease: multisite, randomised, double-blind, placebo-controlled trial
    • Authors: Kirsten C. Morley; Andrew Baillie, Isabel Fraser, Ainsley Furneaux-Bate, Glenys Dore, Michael Roberts, Ahmed Abdalla, Nghi Phung, Paul S. Haber
      Pages: 362 - 369
      Abstract: BackgroundThere are no available medications for the management of alcohol dependence for patients with alcoholic liver disease (ALD).AimsTo conduct a multisite, double blind, placebo-controlled, randomised clinical trial of baclofen in the treatment of alcohol dependence, with or without liver disease (trial registration: ClinicalTrials.gov, NCT01711125).MethodPatients (n = 104) were randomised to placebo, baclofen 30 mg/day or 75 mg/day for 12 weeks. Primary outcomes included survival time to lapse (any drinking), relapse (≥5 drinks per day in men and ≥4 in women), and the composite outcome of drinks per drinking day, number of heavy drinking days, and percentage days abstinent.ResultsThere was a significant effect of baclofen (composite groups) on time to lapse (χ2 = 6.44, P
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.13
      Issue No: Vol. 212, No. 6 (2018)
       
  • Artistic creativity and risk for schizophrenia, bipolar disorder and
           unipolar depression: a Swedish population-based case–control study and
           sib-pair analysis
    • Authors: J. H. MacCabe; A. Sariaslan, C. Almqvist, P. Lichtenstein, H. Larsson, S. Kyaga
      Pages: 370 - 376
      Abstract: BackgroundMany studies have addressed the question of whether mental disorder is associated with creativity, but high-quality epidemiological evidence has been lacking.AimsTo test for an association between studying a creative subject at high school or university and later mental disorder.MethodIn a case–control study using linked population-based registries in Sweden (N = 4 454 763), we tested for associations between tertiary education in an artistic field and hospital admission with schizophrenia (N = 20 333), bipolar disorder (N = 28 293) or unipolar depression (N = 148 365).ResultsCompared with the general population, individuals with an artistic education had increased odds of developing schizophrenia (odds ratio = 1.90, 95% CI = [1.69; 2.12]) bipolar disorder (odds ratio = 1.62 [1.50; 1.75]) and unipolar depression (odds ratio = 1.39 [1.34; 1.44]. The results remained after adjustment for IQ and other potential confounders.ConclusionsStudents of artistic subjects at university are at increased risk of developing schizophrenia, bipolar disorder and unipolar depression in adulthood.Declaration of interestNone.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.23
      Issue No: Vol. 212, No. 6 (2018)
       
  • James Harrington – psychiatry in history
    • Authors: Greg Wilkinson
      Pages: 376 - 376
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.53
      Issue No: Vol. 212, No. 6 (2018)
       
  • Probability of major depression diagnostic classification using
           semi-structured versus fully structured diagnostic interviews
    • Authors: Brooke Levis; Andrea Benedetti, Kira E. Riehm, Nazanin Saadat, Alexander W. Levis, Marleine Azar, Danielle B. Rice, Matthew J. Chiovitti, Tatiana A. Sanchez, Pim Cuijpers, Simon Gilbody, John P. A. Ioannidis, Lorie A. Kloda, Dean McMillan, Scott B. Patten, Ian Shrier, Russell J. Steele, Roy C. Ziegelstein, Dickens H. Akena, Bruce Arroll, Liat Ayalon, Hamid R. Baradaran, Murray Baron, Anna Beraldi, Charles H. Bombardier, Peter Butterworth, Gregory Carter, Marcos H. Chagas, Juliana C. N. Chan, Rushina Cholera, Neerja Chowdhary, Kerrie Clover, Yeates Conwell, Janneke M. de Man-van Ginkel, Jaime Delgadillo, Jesse R. Fann, Felix H. Fischer, Benjamin Fischler, Daniel Fung, Bizu Gelaye, Felicity Goodyear-Smith, Catherine G. Greeno, Brian J. Hall, John Hambridge, Patricia A. Harrison, Ulrich Hegerl, Leanne Hides, Stevan E. Hobfoll, Marie Hudson, Thomas Hyphantis, Masatoshi Inagaki, Khalida Ismail, Nathalie Jetté, Mohammad E. Khamseh, Kim M. Kiely, Femke Lamers, Shen-Ing Liu, Manote Lotrakul, Sonia R. Loureiro, Bernd Löwe, Laura Marsh, Anthony McGuire, Sherina Mohd Sidik, Tiago N. Munhoz, Kumiko Muramatsu, Flávia L. Osório, Vikram Patel, Brian W. Pence, Philippe Persoons, Angelo Picardi, Alasdair G. Rooney, Iná S. Santos, Juwita Shaaban, Abbey Sidebottom, Adam Simning, Lesley Stafford, Sharon Sung, Pei Lin Lynnette Tan, Alyna Turner, Christina M. van der Feltz-Cornelis, Henk C. van Weert, Paul A. Vöhringer, Jennifer White, Mary A. Whooley, Kirsty Winkley, Mitsuhiko Yamada, Yuying Zhang, Brett D. Thombs
      Pages: 377 - 385
      Abstract: BackgroundDifferent diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification.AimsTo evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.MethodData collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analysed and binomial generalised linear mixed models were fit.ResultsA total of 17 158 participants (2287 with major depression) from 57 primary studies were analysed. Among fully structured interviews, odds of major depression were higher for the MINI compared with the Composite International Diagnostic Interview (CIDI) (odds ratio (OR) = 2.10; 95% CI = 1.15–3.87). Compared with semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression (OR = 3.13; 95% CI = 0.98–10.00), similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) (OR = 0.96; 95% CI = 0.56–1.66) and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) (OR = 0.50; 95% CI = 0.26–0.97).ConclusionsThe MINI may identify more people as depressed than the CIDI, and semi-structured and fully structured interviews may not be interchangeable methods, but these results should be replicated.Declaration of interestDrs Jetté and Patten declare that they received a grant, outside the submitted work, from the Hotchkiss Brain Institute, which was jointly funded by the Institute and Pfizer. Pfizer was the original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.54
      Issue No: Vol. 212, No. 6 (2018)
       
  • Phenomenology+in+Action+in+Psychotherapy+–+On+Pure+Psychology+and+its+Applications+in+Psychotherapy+and+Mental+Health+Care+By+Ian+Rory+Owen.+Springer.+2015.+£117+(hb).+342+pp.+ISBN+9783319136042&rft.title=British+Journal+of+Psychiatry&rft.issn=0007-1250&rft.date=2018&rft.volume=212&rft.spage=386&rft.epage=387&rft.aulast=Dimopoulos&rft.aufirst=Anastasios&rft.au=Anastasios+Dimopoulos&rft_id=info:doi/10.1192/bjp.2018.25">Phenomenology in Action in Psychotherapy – On Pure Psychology and its
           Applications in Psychotherapy and Mental Health Care By Ian Rory Owen.
           Springer. 2015. £117 (hb). 342 pp. ISBN 9783319136042
    • Authors: Anastasios Dimopoulos
      Pages: 386 - 387
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.25
      Issue No: Vol. 212, No. 6 (2018)
       
  • Kaleidoscope
    • Authors: Derek K. Tracy; Dan W. Joyce, Sukhwinder S. Shergill
      Pages: 389 - 390
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.95
      Issue No: Vol. 212, No. 6 (2018)
       
  • On moral psychiatry
    • Authors: Kamaldeep Bhui
      Pages: 391 - 392
      PubDate: 2018-06-01T00:00:00.000Z
      DOI: 10.1192/bjp.2018.93
      Issue No: Vol. 212, No. 6 (2018)
       
 
 
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