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The articles we select for Evidence-Based Mental Health must pass two stages: first they must pass our basic validity criteria and then the editors assess each article for clinical relevance. A number of articles meet the inclusion criteria but are not abstracted due to lack of space. We will highlight the most interesting of these here and list the rest.
In his classic text of 1899, Psychiatrie, Emil Kraepelin characterised “dementia praecox” as a disorder of progressive and uniform deterioration. In subsequent writings he conceded that remission of symptoms may occur, but the perception that what we now call schizophrenia has an inevitably poor prognosis persists. That patients can do well is demonstrated by this cluster analysis of 6000 first admissions for schizophrenia followed for 10 years (Schizophr Res 2007;91:254–8). Readmission patterns were used as an indicator of outcome, with three quarters of the cohort showing improvement over time. Kraepelin was also responsible for drawing the fundamental distinction between schizophrenia and manic-depressive illness, a dichotomy that many consider to be false. For some, schizophrenia has for far too long dominated the mental health agenda, with bipolar affective disorder left playing catch-up.1 This national household survey from the USA may well make welcome reading for those who believe a hidden epidemic is being neglected, or perhaps not (Arch Gen Psychiatry 2007;64:543–52). Subthreshold bipolar disorder (with fewer or milder mood symptoms than those required by DSM-IV) doubles the 12-month prevalence of bipolar spectrum disorders from …