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  1. Article ; Online: What Women Want: Mental Health in the Context of Violence Against Women in Sri Lanka-A Qualitative Study of Priorities and Capacities for Care.

    Palfreyman, Alexis / Vijayaraj, Kavitha / Riyaz, Safiya / Rizwan, Zahrah / Sivayokan, Sambasivamoorthy / Thenakoon, T H Samanmalee / Dayabandara, Madhubashinee / Hanwella, Raveen / Devakumar, Delan

    Violence against women

    2024  , Page(s) 10778012241230326

    Abstract: Insufficient evidence guides mental health service development for survivors of violence against women in Sri Lanka. Provider and survivor perspectives on (1) what constitutes mental health, (2) quality of care, and (3) priority areas and stakeholders ... ...

    Abstract Insufficient evidence guides mental health service development for survivors of violence against women in Sri Lanka. Provider and survivor perspectives on (1) what constitutes mental health, (2) quality of care, and (3) priority areas and stakeholders for intervention were identified through framework analysis of 53 in-depth interviews. Desired care is chiefly psychosocial-not psychological-prioritizing socioeconomic, parenting, and safe environment needs in non-clinical community settings. Our evidence points strongly to the need to strengthen non-mental health community-based providers as "first contacts" and reassessment of health system-centric interventions which neglect preferred community responses and more holistic approaches accounting for women's full circumstances.
    Language English
    Publishing date 2024-02-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2031375-5
    ISSN 1552-8448 ; 1077-8012
    ISSN (online) 1552-8448
    ISSN 1077-8012
    DOI 10.1177/10778012241230326
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Metformin in prevention and treatment of antipsychotic induced weight gain: a systematic review and meta-analysis.

    de Silva, Varuni Asanka / Suraweera, Chathurie / Ratnatunga, Suhashini S / Dayabandara, Madhubashinee / Wanniarachchi, Nimali / Hanwella, Raveen

    BMC psychiatry

    2016  Volume 16, Issue 1, Page(s) 341

    Abstract: Background: Most antipsychotics are associated with weight gain and other metabolic complications. Several randomized trials have shown metformin to be effective, but this still hasn't been included in clinical guidelines on managing antipsychotic ... ...

    Abstract Background: Most antipsychotics are associated with weight gain and other metabolic complications. Several randomized trials have shown metformin to be effective, but this still hasn't been included in clinical guidelines on managing antipsychotic induced weight gain.
    Methods: All double blind placebo controlled trials assessing the efficacy of metformin in the treatment of antipsychotic induced weight gain were included. Cochrane Central Register of Controlled Trials (CENTRAL) and MEDLINE were searched for the period January 2000-December 2015. Meta-analysis was carried out using the random effects model.
    Results: Meta analysis of 12 published studies with a total of 743 patients found that in patients treated with antipsychotics, metformin treatment resulted in significantly better anthropometric and metabolic parameters than placebo. The mean change in weight was -3.27 kg (95 % CI -4.66 to -1.89) (Z = 4.64, p < 0.001). Metformin compared to placebo resulted in significant reduction in BMI [-1.13 kg/m
    Conclusion: This meta-analysis confirms that metformin is effective in treating antipsychotic induced weight gain in patients with schizophrenia or schizoaffective disorder.
    MeSH term(s) Antipsychotic Agents/adverse effects ; Antipsychotic Agents/therapeutic use ; Double-Blind Method ; Humans ; Metformin/therapeutic use ; Psychotic Disorders/drug therapy ; Schizophrenia/drug therapy ; Weight Gain/drug effects
    Chemical Substances Antipsychotic Agents ; Metformin (9100L32L2N)
    Language English
    Publishing date 2016-10-03
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ISSN 1471-244X
    ISSN (online) 1471-244X
    DOI 10.1186/s12888-016-1049-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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