The National Perinatal Depression Initiative: An evaluation of access to general practitioners, psychologists and psychiatrists through the Medicare Benefits Schedule
Conclusion: In the 2 years following its introduction, the National Perinatal Depression Initiative was found to have increased access to Medicare funded mental health services in particular groups of women. However, an overall increase across all groups did not reach statistical significance. Further studies are needed to assess the impact of the National Perinatal Depression Initiative on women during childbearing years, including access to tertiary care, the cost-effectiveness of the initiative, and mental health outcomes. It is recommended that new mental health policy initiatives incorporate a planned strategic approa...
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Chambers, G. M., Randall, S., Hoang, V. P., Sullivan, E. A., Highet, N., Croft, M., Mihalopoulos, C., Morgan, V. A., Reilly, N., Austin, M.-P. Tags: Research Source Type: research

Why do psychiatric patients have higher cancer mortality rates when cancer incidence is the same or lower?
Conclusions: Lifestyle, such as alcohol or tobacco use, would not explain our findings that people with mental illness are no more likely than the general population to develop cancer but more likely to die of it. Other factors may be the difficulty in differentiating medically explained and unexplained symptoms, greater case fatality or inequity in access to specialist procedures. The study highlights the need for improved cancer screening, detection and intervention in this population. (Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Kisely, S., Forsyth, S., Lawrence, D. Tags: Research Source Type: research

Autism spectrum disorder: Presentation and prevalence in a nationally representative Australian sample
Conclusion: The prevalence of a parent-reported diagnosis of autism spectrum disorder before age 7 in Australia was higher in the B cohort. Data from future Longitudinal Study of Australian Children waves will clarify whether autism spectrum disorder has been diagnosed earlier in the B cohort or if there is a continued increase in prevalence. Future waves will also provide crucial information about the types and severity of problems experienced during the primary and secondary school years which will assist service planning. (Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Randall, M., Sciberras, E., Brignell, A., Ihsen, E., Efron, D., Dissanayake, C., Williams, K. Tags: Research Source Type: research

Coffee and caffeine consumption and depression: A meta-analysis of observational studies
Conclusions: Coffee and caffeine consumption were significantly associated with decreased risk of depression. (Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Wang, L., Shen, X., Wu, Y., Zhang, D. Tags: Research Source Type: research

Effect of transmeridian travel and jetlag on mood disorders: Evidence and implications
Conclusion: Given the limited evidence that transmeridian travel precipitates mood episodes, this poses difficulties in identifying suitable ways to mitigate the effects of transmeridian travel in mood disorders. However, in the absence of mood-specific guidelines, some guidance can be given based on our current understanding of the relevance of circadian disruption to both jetlag and mood disorders. Further research is required to identify more focused strategies to mitigate the impact of transmeridian travel for individuals with mood disorders. (Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Inder, M. L., Crowe, M. T., Porter, R. Tags: Review Source Type: research

Cannabis use in first episode psychosis: Meta-analysis of prevalence, and the time course of initiation and continued use
Objectives: Cannabis use is prevalent among people with first episode psychosis and the epidemiology of its use in early psychosis is unclear. We performed a meta-analysis of observational studies to determine; (1) the interval between age at initiation of cannabis use and age at onset of first episode psychosis, (2) the prevalence of cannabis use at time of first episode psychosis, and (3) the odds of continuing cannabis following treatment for first episode psychosis. Data sources: Search of electronic databases MEDLINE, EMBASE, PsycINFO, Web of Science and CINAHL for English-language papers using search terms (psychosi...
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Myles, H., Myles, N., Large, M. Tags: Key Review Source Type: research

Stimulants for depression: On the up and up?
The use of traditional psychostimulants (methylphenidate and dexamphetamine) and stimulant-like drugs (modafinil and armodafinil) for the treatment of depression is a growing concern given the lack of research evidence supporting their effectiveness. The current article describes the role of stimulants in treating depression – specifically their risks and benefits and their potential use alongside antidepressants. Clinically, the rapid amelioration of depressive symptoms with traditional psychostimulants is often dramatic but short-lived, and this suggests that they likely operate via different mechanisms to conventi...
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Malhi, G. S., Byrow, Y., Bassett, D., Boyce, P., Hopwood, M., Lyndon, W., Mulder, R., Porter, R., Singh, A., Murray, G. Tags: Viewpoint Source Type: research

Transdiagnostic psychological treatments for anxiety and depression
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Bell, C., Jordan, J., Alexander, A. Tags: Debates Source Type: research

Antidepressant therapy for depressed patients with an alcohol use disorder
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Foulds, J. A., Sellman, J. D., Mulder, R. T. Tags: Debates Source Type: research

Sports psychiatry - The lack of an Australian narrative
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Menon, R. Tags: Debates Source Type: research

Headspace: The gap between the evidence and the arguments
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Jorm, A. F. Tags: Debates Source Type: research

The need to do and imbibe as well as debate and discuss
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - February 23, 2016 Category: Psychiatry Authors: Mulder, R. Tags: ANZJP This Month Source Type: research

Gender differences in the dosing of antipsychotic medications
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - January 28, 2016 Category: Psychiatry Authors: Sevy, S., Sher, L. Tags: Letters Source Type: research

Gut dysbiosis in mania: A viable therapeutic target?
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - January 28, 2016 Category: Psychiatry Authors: Jacka, F. N., Berk, M. Tags: Letters Source Type: research

Cattle bush: A bush medicine with potential clinical importance in indigenous patients on psychotropics
(Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - January 28, 2016 Category: Psychiatry Authors: Jayarajan, R. N., Moon, G., Henry, D., Obrecht, K. Tags: Letters Source Type: research