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BACKGROUND There is a paucity of data describing how general practitioners (GPs) label or record depression. AIMS To determine incidence and sociodemographic variation in GP-recorded depression diagnoses and depressive symptoms. METHOD Annual incidence rates calculated using data from 298 UK general practices between 1996 and 2006, adjusted for year of(More)
BACKGROUND The 'Hawthorne Effect' may be an important factor affecting the generalisability of clinical research to routine practice, but has been little studied. Hawthorne Effects have been reported in previous clinical trials in dementia but to our knowledge, no attempt has been made to quantify them. Our aim was to compare minimal follow-up to intensive(More)
BACKGROUND Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms.(More)
OBJECTIVE To evaluate the impact of telling patients their estimated spirometric lung age as an incentive to quit smoking. DESIGN Randomised controlled trial. SETTING Five general practices in Hertfordshire, England. PARTICIPANTS 561 current smokers aged over 35. INTERVENTION All participants were offered spirometric assessment of lung function.(More)
BACKGROUND There is a dearth of research into the mental health of gay men, lesbians and bisexual men and women in the UK. AIMS To assess rates and possible predictors of mental illness in these groups. METHOD A comprehensive assessment was made of the psychological and social well-being of a sample of gay men, lesbians and bisexual men and women,(More)
OBJECTIVES Doubt over the cost-effectiveness of the cholinesterase inhibitors in dementia has renewed interest in alternative treatments such as Ginkgo biloba. We aimed to determine the effectiveness and the safety profile of Ginkgo biloba for treating early stage dementia in a community setting. METHODS We conducted a community-based, pragmatic,(More)
BACKGROUND The National Dementia Strategy seeks to enhance general practitioners' diagnostic and management skills in dementia. Early diagnosis in dementia within primary care is important as this allows those with dementia and their family care networks to engage with support services and plan for the future. There is, however, evidence that dementia(More)
OBJECTIVE To evaluate clinical effectiveness of a self management programme for arthritis in patients in primary care with osteoarthritis. DESIGN Randomised controlled trial. SETTING 74 general practices in the United Kingdom. PARTICIPANTS 812 patients aged 50 and over with osteoarthritis of hips or knees (or both) and pain or disability (or both). (More)
BACKGROUND People with chronic depression are frequently lost from effective care, with resulting psychological, physical and social morbidity and considerable social and financial societal costs. This randomised controlled trial will evaluate whether regular structured practice nurse reviews lead to better mental health and social outcomes for these(More)
BACKGROUND Regular physical activity (PA) reduces the risk of falls and hip fractures, and mortality from all causes. However, PA levels are low in the older population and previous intervention studies have demonstrated only modest, short-term improvements. OBJECTIVE To evaluate the impact of two exercise promotion programmes on PA in people aged ≥ 65(More)