"Let the beauty we love be what we do. There are hundreds of ways to kneel and kiss the ground."      Rumi

        "Opportunity is missed by most people because it is dressed in overalls and looks like work."      Edison

Ouch, a very interesting international health survey, that has just been released, reports:

"Middle-aged Britons are experiencing a mid-life health crisis, according to new research from Bupa, which shows that those aged 45-54 are more likely to be obese, more likely to smoke and more likely to suffer from depression than their peers around the world.

The international Bupa Health Pulse study, which asked more than 13,000 people in 12 different countries questions about their health and lifestyles has shown that late-middle age is the toughest time health-wise for Britons. No other country in the survey - which included Europe, the Americas, the Middle East, Asia and Australasia showed such a consistent range of unhealthy results for this age group.

The study, which questioned more than 2,000 people in the UK, found:

I'm a big fan of self-determination theory (SDT).  I've posted before on SDT.  See, for example, the September post from last year with its links to a lecture I've given and to a number of handouts.  See too Wellbeing, time management & self-determination in the website's Good Knowledge handouts section.

I have now added a series of three questionnaires - with relevant background information - to the Good Knowledge handouts.  The questionnaires are downloaded, and reformatted, from the excellent Self-Determination website at www.psych.rochester.edu/SDT .  They are:

Basic need satisfaction scale - this 21-item scale assesses how well the three basic psychological needs for autonomy, competence & relatedness are being met. 

Five of these six studies are from last month's American Journal of Psychiatry.  Kendler et al discuss the many similarities and only occasional differences between bereavement-related and other life event-related depression - an issue explored further in Maj's editorial.  Li et al show that depression in pregnancy (exacerbated further by stressful life events and obesity) increases the risk of preterm delivery.  Miklowitz reviews research on the value of adjunctive psychotherapy for bipolar disorder sufferers (already taking medication) and discusses the various ways it can be helpful.  Oquendo et al (in a freely viewable editorial) argue that suicidal behaviour should be placed on a "separate axis" in the next version of the DSM diagnostic system.  Finally Vertanen et al, in an interesting study, demonstrate that increased hospital overcrowding - measured by bed occupancy rates - is associated with increased use of antidepressants by hospital staff.

Kendler, K. S., J. Myers, et al. (2008). "Does Bereavement-Related Major Depression Differ From Major Depression Associated With Other Stressful Life Events?" Am J Psychiatry 165(11): 1449-1455.  [Abstract/Full Text]  

I described the work of UK's National Institute for Health and Clinical Excellence (NICE) in an