Mental Disorders


2020 Report for Dementia Prevention, Intervention, and Care:

Excessive alcohol consumption, traumatic brain injury, and air pollution have been added to the 2017 Lancet Commission’s list of nine potentially modifiable risk factors for dementia, including less education, hypertension, hearing impairment, smoking, obesity, depression, physical inactivity, diabetes, and low social contact. Together the 12 modifiable risk factors may account […]


CBT on Par with Medication for Insomnia

A sequential multiple-assignment randomized trial concluded that behavioral therapy (BT) and zolpidem medication produced equivalent response and remission rates for insomnia. Adding a second treatment produced an added value for those whose insomnia failed to remit with initial therapies. The study included 211 adults (132 women; mean age, 45.6 years) […]


Stress-Related Disorders Linked to Subsequent Neurodegenerative Diseases

A Swedish nationwide cohort study suggests that stress-related disorders may be associated with the subsequent risk of neurodegenerative diseases, possibly through a cerebrovascular pathway. A population-matched cohort included 61 748 individuals who received their first diagnosis of stress-related disorders (posttraumatic stress disorder, acute stress reaction, adjustment disorder, and other stress reactions) […]


Metoprolol and Aspirin Effective in Grief

A randomized controlled trial in Australia suggested that a low dose metoprolol and aspirin for 6 weeks reduces physiological and psychological surrogate measures of cardiovascular risk in early bereavement. After assessment within 2 weeks of bereavement, spouses (n = 73) or parents (n = 12) of deceased (aged 66.1 ± 9.4 years, 55 females) were randomized […]


Antidepressant Maintenance Reduced Depressive Recurrence

An US 2nd phase randomized clinical trial revealed that maintenance of antidepressant medication treatment was associated with a reduced risk of depressive recurrence, but previous treatment with cognitive behavioral therapy (CBT) was not. The study included a total of 292 adult outpatients (171 women; mean age, 45.1 years) with chronic […]


Lower Blood Pressure Might Reduce Dementia Risk

A meta-analysis of individual participant data from eligible observational studies suggested that use of any antihypertensive medications (AHM) with efficacy to lower blood pressure (BP) might reduce the risk for dementia among people with high BP. However, no evidence was found that a specific AHM drug class was more effective […]


Early Life Vascular Risk Linked to Brain Pathology Later

A prospective longitudinal cohort study in Britain revealed that early adulthood vascular risk is strongly associated with smaller whole-brain volume (WBV) and greater white matter–hyperintensity volume (WMHV) at age 69 to 71 years. The study assessed 502 participants in a birth cohort in 1946. Framingham Heart study–cardiovascular risk scores (FHS-CVS) […]


Optimism Linked to Lower CVD and Mortality Risk

A meta-analysis and systematic review suggested that optimism is associated with a lower risk of events of cardiovascular diseases (CVD) and all-cause mortality. The analysis included 15 studies of 229 391 participants, in which 10 studies reported data on CVD events (including CVD mortality, nonfatal myocardial infarction, stroke, and/or new-onset angina) […]