Learn More
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)
Ethologist Konrad Lorenz defined the baby schema ("Kindchenschema") as a set of infantile physical features, such as round face and big eyes, that is perceived as cute and motivates caretaking behavior in the human, with the evolutionary function of enhancing offspring survival. The neural basis of this fundamental altruistic instinct is not well(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)
The "face in the crowd effect" refers to the finding that threatening or angry faces are detected more efficiently among a crowd of distractor faces than happy or nonthreatening faces. Work establishing this effect has primarily utilized schematic stimuli and efforts to extend the effect to real faces have yielded inconsistent results. The failure to(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 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 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)
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)
OBJECTIVE To assess whether a manual based coping strategy compared with treatment as usual reduces depression and anxiety symptoms in carers of family members with dementia. DESIGN Randomised, parallel group, superiority trial. SETTING Three mental health community services and one neurological outpatient dementia service in London and Essex, UK. (More)