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OBJECTIVE To evaluate the efficacy of a home-based exercise programme added to usual medical care for the treatment of depression. DESIGN Prospective, two group parallel, randomised controlled study. SETTING Community-based. PATIENTS 200 adults aged 50 years or older deemed to be currently suffering from a clinical depressive illness and under the(More)
BACKGROUND Benzodiazepine dependency can occur as a result of treatment for anxiety disorders or sleep disturbance. While benzodiazepine withdrawal can be challenging, cessation of use can be even more difficult if there are other comorbidities such as oestrogen deficiency with vasomotor symptoms and anxiety disorders. OBJECTIVE This article provides(More)
BACKGROUND This study aimed to determine: (1) the prevalence of depression, anxiety, and depression associated with anxiety (DA); (2) the risk factor profile of depression, anxiety, and DA; (3) the course of depression, anxiety, and DA over 24 months. METHODS Two-year longitudinal study of 20,036 adults aged 60+ years. We used the Patient Health(More)
BACKGROUND Depression is more frequent in socioeconomically disadvantaged than affluent neighbourhoods, but this association may be due to confounding. This study aimed to determine the independent association between socioeconomic disadvantage and depression. METHODS We recruited 21,417 older adults via their general practitioners (GPs) and used the(More)
BACKGROUND Depression and falls are common and co-exist for older people. Safe management of each of these conditions is important to quality of life. METHODS A cross-sectional survey was used to examine medication use associated with injurious and non-injurious falls in 21,900 community-dwelling adults, aged 60 years or over from 383 Australian general(More)
BACKGROUND Benzodiazepines are the most commonly prescribed psychoactive drug in western societies. While associated with risk and harm, they have a legitimate place in therapeutics. Prescribing practice does not reflect guidelines and guidelines rarely provide the practical strategies required to manage the complex clinical management of conditions such as(More)
BACKGROUND Acute pain is a common presentation associated with opioid seeking behaviour. OBJECTIVE This case study provides a practical approach for general practitioners seeing patients with acute pain whom they suspect of seeking opioids because of dependence. DISCUSSION Acute pain commonly presents as an emergency appointment 'squeezed in' between(More)
BACKGROUND Thoughts about death and self-harm in old age have been commonly associated with the presence of depression, but other risk factors may also be important. AIMS To determine the independent association between suicidal ideation in later life and demographic, lifestyle, socioeconomic, psychiatric and medical factors. METHOD A cross-sectional(More)
BACKGROUND Problem drug use occurs within the medical fraternity as it does in other parts of the population. However, doctors have traditionally been discouraged from admitting vulnerability and frequently fail to recognise or respond to early signs of problem alcohol and drug use. OBJECTIVE This article aims to identify sequential strategies to assist(More)