Our final speaker in this #IEPA12 session of talk is Eric Chen (not on Twitter) from the University of Hong Kong who will be speaking to us about “Youth mental health in troubled times”
Eric Chen has been leading one of the first early psychosis intervention programmes in Asia: the EASY programme (Early Assessment Service for Young People with Early Psychosis) #IEPA12www3.ha.org.hk/easy/eng/servi…
Most mental health conditions (75%) start before the age of 25, says Chen #IEPA12
Young people in Hong Kong have similar mental illness prevalence to adults, but only 20% get any help from the health system #IEPA12
A large-scale community youth mental health program was due to launch when social unrest broke out in Hong Kong in 2019, which saw huge increases in mental distress in the population #IEPA12
The subsequent emergence of COVID-19 superimposed a further layer of stressors/difficulties. Engagement with services was hampered by a lack of trust and polarisation in society. Evaluation of mental health was complicated by the persistence of population-level stressors #IEPA12
This social unrest has both positive and negative effects on young people #IEPA12
The #COVID19 pandemic has led to a great deal of uncertainty and negative impact on youth mental health #IEPA12
Like a great deal of research, the YES study (Hong Kong Youth Epidemiological Study of Mental Health) has been affected by the pandemic #IEPA12
The YES study has identified an increase in depression and PTSD prevalence in young people in Hong Kong, due to social unrest, COVID and other life events #IEPA12
Data from an innovative large-scale survey and conventional epidemiological approaches complement one another to provide a more comprehensive picture of the extent of the mental health sequelae, as well as their underlying triggers #IEPA12
Chen’s team observed that (compared to the rest of the population) young people were particularly affected. Exposure to pandemic-related and unrest-related factors interacted in complex ways to aggravate PTSD and depressive symptoms #IEPA12
Given the increasing co-occurrences of pandemic and social protests, these observations may be relevant to understand how population-level stressors impact on youth mental health in other communities #IEPA12
Comorbidity of PTSD AND Depression is common in this Hong Kong population #IEPA12
Lovely to hear the birds singing in the background as Eric Chen presents his research on youth mental health in Hong Kong 🐦🎶 #IEPA12
The way we react to stress can sometimes lead to mental disorders #IEPA12
Social media sometimes makes this rumination much worse, says Chen. Important that we all manage this risk and minimise our reading of online news feeds during pandemics and protests! #IEPA12
Nice talk from Eric Chen at #IEPA12 Great to get a window on what's going on in Hong Kong right now and think about what they have learned that we can apply elsewhere in the world
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And now it’s time for our final #IEPA12 keynote from Rodrigo A Bressan @RodrigoAffonse1 who is going to talk about Widening the clinical and geographical frontiers of neurodevelopmental studies - the Brazilian High Risk Cohort Study
We’ve heard this statistic a few times during #IEPA12
75% of mental disorders start before age 18. Bressan adds that 50% of mental disorders start before age 14.
So “we need to understand the biology very early on, not after onset”.
When we start identifying people with symptoms we don’t have good predictors of trajectories, says Bressan #IEPA12
Our next speaker is Louise Arseneault @L_Arseneault from King’s College London who will be talking about Early intervention for developing positive social relationships: can we prevent bullying victimization and loneliness? #IEPA12
The absence of social relationships, or problematic ones may lead to mental health problems, says Arseneault. At the same time, positive social relationships can protect our health and wellbeing. They are important malleable factors that can be target by interventions. #IEPA12
Transition periods in the human life course (starting school, relationships, jobs and retirement) are potentially tricky times, says Arseneault #IEPA12
Our next #IEPA12 plenary talk comes from Juliana Onwumere @Families_MH from King’s College London who will be sharing some “Tales from the frontline: Understanding the impact of psychosis on families”
Onwumere begins by talking about the cognitive model of caregiving in psychosis, which she published with Elizabeth Kuipers and Paul Bebbington in @TheBJPsych back in 2010 doi.org/10.1192/bjp.bp…#IEPA12
We know that people with lived experience of psychosis can have significantly reduced social networks and informal carers can play an important role in these networks #IEPA12
Our first speaker in this #IEPA12 session is Cristiane Duarte (not on Twitter) from @CU_ChildPsych@ColumbiaPsych who will be talking to us about: Intergenerational Psychiatry: A New Look at a Powerful Perspective #IEPA12
Cristiane Duarte is an expert in the development of mental disorders in children, adolescents and young adults #IEPA12
Intergenerational Psychiatry
Duarte is going to talk about:
-definition, animal & human evidence
-role of adversities & perinatal period
-expanding our hypotheses (e.g. mechanisms of transmission)
-the Center for Intergenerational Psychiatry #IEPA12
“I’m always happy to talk about research on preventing the onset of depression", as there are lots of opportunities for helping people, says Cuijpers #IEPA12
Preventing depression: a global priority
This 2012 viewpoint by Cuijpers in @JAMA made the case for depression prevention and highlighted that the global biomedical community were ready for this idea (preventing depression) #IEPA12
Our next talk at #IEPA12 is by @golam_khandaker from @psychiatry_ucam who will be discussing the immune system as a potential target for treatment and prevention of serious mental illness and comorbid cardiometabolic diseases
This talk will focus on the potential role of the immune system.
Is inflammation likely to be a causal risk factor for depression, psychoses and comorbid physical illness? #IEPA12
Inflammation: what does it mean and why is it relevant? (when a friend becomes a foe)
-innate immunity (first line of defence) this is the focus on the talk today
-cytokines are similar to neurotransmitters: they enable white blood cells to talk to each other #IEPA12