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MedWorm: Behavioural Therapy



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in the Behavioural Therapy category.



Last Build Date: Sat, 26 Mar 2016 07:48:08 +0100

 



An investigation of general predictors for cognitive-behavioural therapy outcome for anxiety disorders in a routine clinical setting

Thu, 24 Mar 2016 23:00:00 +0100

Introduction Cognitive–behavioural therapy (CBT) is effective for treating anxiety disorders and is offered in most mental health services around the world. However, a relatively large number of patients with anxiety disorders do not benefit from CBT, experience relapses or drop out. Reliable predictors of treatment effects are lacking. The aim of this study is to investigate the predictive value of emotion regulation and attentional control for CBT outcome in a routine setting. Methods and analysis In this prospective and practice-based study, 112 patients with anxiety disorders referred for manual-based group CBT at two psychiatric outpatient clinics will be recruited. Emotion regulation, severity of anxiety and attentional control will be assessed with self-report measures and wi...

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Brief strategic therapy for obsessive-compulsive disorder: a clinical and research protocol of a one-group observational study

Wed, 23 Mar 2016 23:00:00 +0100

Introduction Obsessive–compulsive disorder (OCD) is a disabling psychopathology. The mainstay of treatment includes cognitive–behavioural therapy (CBT) and medication management. However, individual suffering, functional impairments as well as the direct and indirect costs associated with the disease remain substantial. New treatment programmes are necessary and the brief strategic therapy (BST) has recently shown encouraging results in clinical practice but no quantitative study has as yet been conducted. Methods and analysis The clinical effectiveness of the OCD-specific BST protocol will be evaluated in a one-group observational study. Participants will be sequentially recruited from a state community psychotherapy clinic in Dublin, Ireland. Outcome measures will be the Yal...



Costs and returns on training investment for empirically supported psychological interventions.

Wed, 23 Mar 2016 23:00:00 +0100

Conclusions This hypothetical model highlights why training costs should be considered in decisions about disseminating and implementing novel empirically supported psychological interventions, particularly within private workforces. In addition, the direct return on training investment for practitioners in private practice is unclear, and may vary based on caseloads and current treatment modalities. Initiatives to track competence, support training and identify novel training solutions may be required to ensure the sustainability of high-quality mental healthcare.What is known about the topic? Financial costs are one of the leading factors determining whether empirically supported mental health treatments are adopted or sustained. Training costs may be one of the largest costs of dissemin...



Mindfulness may be effective for treating lower back pain

Wed, 23 Mar 2016 18:00:00 +0100

Conclusion This RCT aimed to review the alternative mind-body therapy of MBSR for the treatment of chronic lower back pain. The trial has many strengths, including: delivery of both interventions by trained and experienced professionals long follow-up period blinded assessment of outcomes using validated scales adequate sample size – prior calculations were performed to ensure sufficient people were recruited to make the outcome assessment reliable intention to treat analysis – where all people were assessed in their assigned groups, regardless of whether they completed the intervention or follow-up There are a few key points to bear in mind when reviewing this study and the media's interpretation of it: The study does not show that MBSR is better than CBT for ch...



Transdiagnostic computerised cognitive behavioural therapy for depression and anxiety: A systematic review and meta-analysis

Tue, 22 Mar 2016 23:00:00 +0100

An increasing number of computerised transdiagnostic cognitive behavioural therapy programs (TD-cCBT) have been developed in the past decade, but there are no meta-analyses to explore the efficacy of these programs, nor moderators of the effects. The current meta-analysis focused on studies evaluating TD-cCBT interventions to examine their effects on anxiety, depression and quality of life (QOL). Results from 17 RCTs showed computerised TD-cCBT outperformed control conditions on all outcome measures at post-treatment, with large effect sizes for depression (g's=.84), and medium effect sizes for anxiety (g=.78) and QOL (g=.48). (Source: Journal of Affective Disorders)



Exposure-based Interventions for the management of individuals with high levels of needle fear across the lifespan: a clinical practice guideline and call for further research.

Tue, 22 Mar 2016 23:00:00 +0100

Authors: McMurtry CM, Taddio A, Noel M, Antony MM, Chambers CT, Asmundson GJ, Pillai Riddell R, Shah V, MacDonald NE, Rogers J, Bucci LM, Mousmanis P, Lang E, Halperin S, Bowles S, Halpert C, Ipp M, Rieder MJ, Robson K, Uleryk E, Votta Bleeker E, Dubey V, Hanrahan A, Lockett D, Scott J Abstract Needle fear typically begins in childhood and represents an important health-related issue across the lifespan. Individuals who are highly fearful of needles frequently avoid health care. Although guidance exists for managing needle pain and fear during procedures, the most highly fearful may refuse or abstain from such procedures. The purpose of a clinical practice guideline (CPG) is to provide actionable instruction on the management of a particular health concern; this guidance emerges fr...

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Internet-based self-help treatment for panic disorder: a randomized controlled trial comparing mandatory versus optional complementary psychological support.

Tue, 22 Mar 2016 23:00:00 +0100

Authors: Oromendia P, Orrego J, Bonillo A, Molinuevo B Abstract Panic disorder (PD) is one of the most common psychiatric disorders. Web-based self-help treatments for PD have had promising results. These online treatments seem to have larger effect sizes (ESs) when professional support is added. However, the amount of support or how it should be administered is not yet clear. The aim of this trial was to study two ways of administering psychological support provided by phone as a part of Internet-based self-help treatment for PD based on cognitive behavioral therapy. Seventy-seven participants diagnosed with PD were randomly assigned to one of three experimental conditions: a waiting list control group; a treatment group with non-scheduled psychological support; or a treatment gro...



Functional connectivity predictors and mechanisms of cognitive behavioural therapies: A systematic review with recommendations

Mon, 21 Mar 2016 23:00:00 +0100

Conclusion: While the evidence base is still in its infancy for other therapy approaches, there was clearer evidence that functional connectivity both predicts and is altered by cognitive behavioural therapy. Connections from prefrontal cortex appear especially key, perhaps given their role in cognitive appraisal of lower order affective, motivational and cognitive processes. A number of recommendations are made for this rapidly developing literature. (Source: Australian and New Zealand Journal of Psychiatry)



Genome-wide association study of response to cognitive-behavioural therapy in children with anxiety disorders.

Mon, 21 Mar 2016 04:35:02 +0100

CONCLUSIONS: This is the first genome-wide therapygenetic study. It suggests no common variants of very high effect underlie response to CBT. Future investigations should maximise power to detect single-variant and polygenic effects by using larger, more homogeneous cohorts. PMID: 26989097 [PubMed - as supplied by publisher] (Source: The British Journal of Psychiatry for Mental Science)



A Systematic Review of Effective Modifications to Cognitive Behavioural Therapy for Young People with Autism Spectrum Disorders

Sun, 20 Mar 2016 23:00:00 +0100

Abstract The present review evaluated studies which effectively employed cognitive behavioural therapy (CBT) to alleviate symptoms of common mental health problems in young people with autism spectrum disorder (ASD). It assessed the modifications applied to CBT and compliance with recent guidelines from the National Institute of Health Care Excellence (NICE). Systematic searches of electronic databases, reference lists, and journals identified 12 studies meeting predetermined inclusion criteria. Results indicated that modified CBT yielded reductions in anxiety, obsessive-compulsive disorder (OCD), and depression. There was a lack of gold standard research into the effects of CBT for disorders other than anxiety. A greater number of modifications than recommended by NICE were consi...



Rehabilitation following lumbar fusion surgery: a randomised, controlled, feasibility study with interim results

Sat, 19 Mar 2016 01:34:48 +0100

BACKGROUND CONTEXT: Following lumbar fusion surgery, up to 40% of patients have ongoing back-related disability. “Complex rehabilitation” comprising exercise and cognitive behavioural therapy (CBT) may help improve outcome. We are conducting a randomised, controlled, feasibility study evaluating the provision of “complex rehabilitation” following lumbar fusion surgery. (Source: The Spine Journal)

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[Mindfulness-based cognitive therapy for patients with somatoform disorders].

Fri, 18 Mar 2016 06:03:02 +0100

CONCLUSION: With the improvement that occurred in patients' mental functioning, we conclude that mbct is a meaningful therapy for patients with somatoform disorders. The fact that patients increased their use of mental health care after mbct could indicate that patients with somatoform disorders become more willing to receive mental health care. PMID: 26979851 [PubMed - in process] (Source: Tijdschrift voor Psychiatrie)



Randomised Control Trial of a Low‐Intensity Cognitive‐Behaviour Therapy Intervention to Improve Mental Health in University Students

Fri, 18 Mar 2016 00:00:00 +0100

ConclusionsResults provide some support for a potential role for LI‐CBT within universities, but suggest that marketing and engagement strategies may need refinement to maximise its uptake and impact. (Source: Australian Psychologist)



Brief and effective psycholgical treatment for worry within people diagnosed with persecutory delusions

Thu, 17 Mar 2016 14:09:37 +0100

Although cognitive–behaviour therapy (CBT) for schizophrenia has an established evidence base, most individuals diagnosed with this disorder fail to be offered this treatment. There is a need for brief cognitive–behavioural interventions, which target specific relevant psychological processes in order to enhance availability. Theoretical work highlights the role of worry in the maintenance of persecutory delusions1 and may therefore be a suitable target for intervention. (Source: Current Awareness Service for Health (CASH))



Cognitive - behavioural therapy for insomnia: effective, long-lasting and safe

Thu, 17 Mar 2016 14:03:10 +0100

Numerous well-conducted randomised controlled studies of cognitive–behavioural therapy for insomnia (CBT-I) have demonstrated that it is efficacious in both the immediate post-treatment and long terms in a wide variety of patient populations.1–3 This includes individuals with uncomplicated chronic insomnia1 and those whose chronic insomnia is comorbid with medical or psychiatric disorders.2 ,3 Truaer and colleagues have conducted a systematic review and meta-analysis to collect all the relevant evidence about CBT-I and quantify its overall effects. (Source: Current Awareness Service for Health (CASH))



Antidepressant use with d-Cycloserine may block fear extinction

Thu, 17 Mar 2016 11:41:24 +0100

This study, which examined the efficacy of DCS augmentation of a validated internet-based cognitive–behavioural therapy (ICBT) for OCD, is the first large-scale trial on DCS augmentation of CBT for OCD, and contributes to a growing body of literature on the moderators of DCS efficacy, suggesting that DCS is not universally effective. (Source: Current Awareness Service for Health (CASH))

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Online cognitive behavioural therapy is no more effective than usual GP care for people with depression

Thu, 17 Mar 2016 11:35:17 +0100

Computerised cognitive behavioural therapy (CBT) in addition to usual GP care was no more effective than usual GP care alone at four months or at 24 months. It was also not a popular treatment for patients with mild to moderate depression who typically only used the programme once or twice. Indeed, more than four out of five patients did not complete the course. Depression affects large numbers of people in the UK. Other research shows that CBT is effective in treating depression, but it is expensive to provide and people sometimes have to wait for treatment due to limited numbers of therapists. CBT delivered online or via a computer was thought to offer a potential low-cost alternative. This new NIHR evidence suggests support for patients using these programmes will be needed to improve a...



High or low intensity text-messaging combined with group treatment equally promote weight loss maintenance in obese adults

Wed, 16 Mar 2016 00:00:00 +0100

Conclusions A low intensity text-message support programme is just as effective as higher intensity technological support for maintaining weight loss in obese adults. This represents a low-cost means of aiding weight loss maintenance without reliance on extended face-to-face treatment. (Source: Obesity Research and Clinical Practice)



CBT delivered via internet may improve outcomes in body dysmorphic disorder.

Wed, 16 Mar 2016 00:00:00 +0100

Authors: Abstract Internet-based cognitive behaviour therapy (CBT) can significantly improve outcomes for people with body dysmorphia, suggests a new study. PMID: 26982837 [PubMed - in process] (Source: Nursing Standard)



Psychological and biological aspects of anxiety disorders.

Sun, 13 Mar 2016 16:40:02 +0100

Authors: van Dyck R Abstract The research on anxiety disorders of the department of psychiatry of the Vrije Universiteit is briefly reviewed. Studies have included comparisons between pharmacotherapy and cognitive behaviour therapy and combination treatments of panic disorder and of obsessive-compulsive disorder. Also, the hyperventilation model of panic disorder could be rejected as a result of an ambulatory monitoring study. Provocation studies with adrenalin in panic disorder have shown less support for a psychological model of panic than expected. Recommendations for future research include studies on anxiety in the very young and in the elderly, studies on comorbidity in anxiety, especially with alcoholism and depression and the development of treatment manuals for general pra...



WITHDRAWN: Psychological treatments for epilepsy - Ramaratnam S, Baker GA, Goldstein LH.

Sun, 13 Mar 2016 03:34:31 +0100

BACKGROUND: Psychological interventions such as relaxation therapy, cognitive behaviour therapy, bio-feedback and educational interventions have been used alone or in combination in the treatment of epilepsy, to reduce the seizure frequency and improve the... (Source: SafetyLit)

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Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults.

Sat, 12 Mar 2016 00:00:00 +0100

CONCLUSIONS: Therapist-supported ICBT appears to be an efficacious treatment for anxiety in adults. The evidence comparing therapist-supported ICBT to waiting list, attention, information, or online discussion group only control was low to moderate quality, the evidence comparing therapist-supported ICBT to unguided ICBT was very low quality, and comparisons of therapist-supported ICBT to face-to-face CBT were low quality. Further research is needed to better define and measure any potential harms resulting from treatment. These findings suggest that therapist-supported ICBT is more efficacious than a waiting list, attention, information, or online discussion group only control, and that there may not be a significant difference in outcome between unguided CBT and therapist-supported ICBT;...



Psychological treatments for depression in pre-adolescent children (12 years and younger): systematic review and meta-analysis of randomised controlled trials

Fri, 11 Mar 2016 00:00:00 +0100

The objective of this study was to evaluate the efficacy of psychological treatments for depression in pre-adolescent children, a disorder affecting 1–2 % of children in this age range. A systematic review of studies of psychological interventions to treat depressive disorder in pre-adolescent children (aged up to 12-years-old) was carried out. The primary outcome was level of depressive symptoms. Studies were found using Medline, PsycINFO, EMBASE and Web of Knowledge databases and selected on several criteria. Only randomised controlled trials were included. Where individual studies covered a broader age range (usually including adolescents up to age 18 years), authors of those studies were contacted and requested to provide individual patient level data for those aged 12 years and y...



Can “talking therapy” prevent chronic pain taking hold?

Thu, 10 Mar 2016 00:07:31 +0100

We’re all too aware of the devastating impact chronic pain has on people’s lives. Chronic pain is the most common symptom of fibromyalgia, a condition which affects around 1 in every 25 people. Yet we still understand relatively little about its causes and how to help people suffering with it. We believe that needs to change, so we’re investing heavily in innovative research to build our understanding of what’s behind chronic pain and develop new, improved treatments with the potential to transform quality of life for millions of people. Just one of the many research studies we're funding in this area is exploring if cognitive behavioural therapy (CBT), also known as “talking therapy”, could be the answer to preventing chronic widespread pain. Scientists...



Editorial Perspective: How to optimise frequency band neurofeedback for ADHD

Thu, 10 Mar 2016 00:00:00 +0100

This article considers this intervention approach and the opportunities for optimising treatment for executive control dysfunctions in ADHD using theta/beta neurofeedback. (Source: Journal of Child Psychology and Psychiatry)



A pilot randomized controlled trial of telephone-based cognitive behavioural therapy for preoperative bariatric surgery patients.

Thu, 10 Mar 2016 00:00:00 +0100

CONCLUSIONS: Tele-CBT holds promise as a brief intervention for improving eating psychopathology and depression in bariatric surgery candidates. PMID: 26990279 [PubMed - as supplied by publisher] (Source: Behaviour Research and Therapy)

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Cognitive behavioural therapy for depression: systematic review of imaging studies

Sat, 05 Mar 2016 03:34:08 +0100

Review Articles George Franklin, Alan J Carson, Killian A. Welch, Acta Neuropsychiatrica, Volume 28 Issue 02, pp 61-74Abstract (Source: Acta Neuropsychiatrica)



Comorbid tics have no effect on response to cognitive-behavioural therapy in youth with obsessive-compulsive disorder

Fri, 04 Mar 2016 11:14:47 +0100

Tic-related obsessive-compulsive disorder (OCD) is a DSM-5 diagnostic subtype that is estimated to occur in 10–40% of cases with childhood onset.1 Studies comparing tic-related and non-tic-related OCD have found consistent differences in sex, onset age, comorbidity and course, but inconsistent differences in OCD symptoms and prevalence of OCD and tics in first-degree relatives.1 ,2 Medication trials have indicated that tic-related OCD is less responsive to sertraline, fluvoxamine and paroxetine; however, tic history appears to have no effect on the response of OCD in youth to either individual or group cognitive-behavioral therapy (CBT).1 ,3 Study aims were to use a broad definition of tic-related OCD to examine whether children with tic...



Dialectical behaviour therapy with skills training seems to be more effective in reducing non-suicidal self-injury

Fri, 04 Mar 2016 10:21:19 +0100

Patients with borderline personality disorder (BPD) have a 10% lifetime risk of death by suicide.1 Therefore, prevention of self-harm is an important target for treatment in this population. A recent Cochrane review2 concludes that dialectical behaviour therapy (DBT) is the most studied psychotherapeutic treatment for patients with BPD. The authors found that there were indications of beneficial effects for many psychotherapies, including DBT, for the BPD core symptoms and reduction of self-harm. One of the meta-analyses conducted regarding DBT compared with treatment as usual (TAU) showed a moderate statistically significant effect, indicating a beneficial effect in favour of DBT.2 Owing to the multicomponent nature of DBT treatment, Line...



Evaluation and validation of social and psychological markers in randomised trials of complex interventions in mental health: a methogological research programme

Thu, 03 Mar 2016 16:41:01 +0100

The development of the capability and capacity to evaluate the outcomes of trials of complex interventions is a key priority of the National Institute for Health Research (NIHR) and the Medical Research Council (MRC). The evaluation of complex treatment programmes for mental illness (e.g. cognitive–behavioural therapy for depression or psychosis) not only is a vital component of this research in its own right but also provides a well-established model for the evaluation of complex interventions in other clinical areas. In the context of efficacy and mechanism evaluation (EME) there is a particular need for robust methods for making valid causal inference in explanatory analyses of the mechanisms of treatment-induced change in clinical outcomes in randomised clinical trials. (Source: Curr...



A randomised controlled trial of computerised cognitive behaviour therapy for the treatment of depression in primary care: the Randomised Evaluation of the Effectiveness and Acceptability for Computerised Therapy (REEACT) trial

Thu, 03 Mar 2016 12:26:48 +0100

Computerised cognitive behaviour therapy (cCBT) has been developed as an efficient form of therapy delivery with the potential to enhance access to psychological care. Independent research is needed which examines both the clinical effectiveness and cost-effectiveness of cCBT over the short and longer term. (Source: Current Awareness Service for Health (CASH))

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Non-pharmacological interventions for reducing aggression and violence in serious mental illness: A systematic review and narrative synthesis.

Thu, 03 Mar 2016 03:23:02 +0100

CONCLUSIONS: The evidence for non-pharmacological interventions for reducing violence in this population is not conclusive. Long-term outcomes are lacking and good quality RCTs are required to develop a stronger evidence base. PMID: 26928342 [PubMed - as supplied by publisher] (Source: Journal of the Association of European Psychiatrists)



“Clinical Approach to Fibromyalgia: Synthesis of Evidence-based Recommendations, a Systematic Review”

Thu, 03 Mar 2016 00:00:00 +0100

Conclusions Final recommendations in this review identify optimal treatments, facilitating the translation of evidence into practice and enabling more efficient and effective quality care. (Source: Reumatologia Clinica)



Feasibility randomised controlled trial of Recovery-focused Cognitive Behavioural Therapy for Older Adults with bipolar disorder (RfCBT-OA): study protocol

Thu, 03 Mar 2016 00:00:00 +0100

Introduction Bipolar disorder is a severe and chronic mental health problem that persists into older adulthood. The number of people living with this condition is set to rise as the UK experiences a rapid ageing of its population. To date, there has been very little research or service development with respect to psychological therapies for this group of people. Methods and analysis A parallel two-arm randomised controlled trial comparing a 14-session, 6-month Recovery-focused Cognitive-Behavioural Therapy for Older Adults with bipolar disorder (RfCBT-OA) plus treatment as usual (TAU) versus TAU alone. Participants will be recruited in the North-West of England via primary and secondary mental health services and through self-referral. The primary objective of the study is to evaluate the...



Family-based interpersonal psychotherapy is a promising treatment for preadolescent depression

Wed, 02 Mar 2016 14:10:53 +0100

Although depression is less common during preadolescence, prepubertal depression places individuals at increased risk for future episodes and for impairments in social functioning.1 There is some evidence of the efficacy of cognitive-behavioural therapy (CBT) for the treatment of depression in this age group. However, studies that have compared CBT to an active control condition have only found modest benefits.2 An interpersonally-oriented treatment, such as family-based interpersonal psychotherapy (FB-IPT), may be particularly relevant for preadolescent depression since depressed youth continue to experience interpersonal difficulties even after their depression improves.3 Targeting these interpersonal impairments may hel...



Group cogntive-behavioural therapy may reduce symptoms and impairment in adolescents with attention-deficit/hyperactivity disorder

Wed, 02 Mar 2016 11:55:40 +0100

Persistence of attention-deficit hyperactivity disorder (ADHD) into adolescence is associated with a broad range of negative outcomes1 and high rates of treatment discontinuation.2 While clinical guidelines recommend non-pharmacological therapies as the first-line treatment for adolescents with ADHD3 the evidence to support this recommendation is sparse and generally not convincing. More specifically there is inadequate evidence to properly support the efficacy of either group or individual cognitive-behavioural therapy (CBT) for this patient group.4 (Source: Current Awareness Service for Health (CASH))

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An anxiety prevention programme is not effective over the long term in UK primary schools

Wed, 02 Mar 2016 11:45:22 +0100

This NIHR funded trial of an anxiety prevention programme in UK primary schools found it was effective after one year if led by health practitioners, but not after two years. The programme was not effective at all if led by a teacher. After two years, anxiety had reduced a similar amount for both the intervention group and controls, who received the usual curriculum, including personal, social and health education (PSHE) lessons. The nine-week programme, delivered in the classroom, is based on cognitive behavioural therapy (CBT) and leads nine- and ten-year-olds through activities and tasks that, through changing the way they think, help them to counter their anxieties. The cost of the FRIENDS programme was estimated to be from £52 to £56 per child and was unlikely to be cost-effective i...



Imagery Rescripting for PTSD and Personality Disorders: Theory and Application

Wed, 02 Mar 2016 00:00:00 +0100

Abstract Imagery Rescripting is a psychotherapy technique that has been integrated into Cognitive Behaviour Therapy (CBT) interventions in the treatment of various psychiatric populations including post-traumatic stress disorder (PTSD), personality disorders, specific phobias, depression, obsessive–compulsive disorder, social phobia, and suicide risk. Whilst empirical evidence for imagery rescripting is accumulating, the technical application and theoretical rationale for its use can differ markedly depending on treatment protocol, treatment population, and research group. One such instance is in the case of PTSD and personality disorders where there is significant disparity in the rationale and application of imagery rescripting for the two populations. This paper describes...



The effect of flexible cognitive-behavioural therapy and medical treatment, including antidepressants on post-traumatic stress disorder and depression in traumatised refugees: pragmatic randomised controlled clinical trial [PAPERS]

Tue, 01 Mar 2016 00:00:00 +0100

Conclusions In a pragmatic clinical setting, there was no effect of flexible CBT and antidepressants on PTSD, and there was a small-to-moderate effect of antidepressants and psychoeducation on depression in traumatised refugees. (Source: The British Journal of Psychiatry)



Embedding telephone therapy in statutory mental health services: a qualitative, theory-driven analysis

Tue, 01 Mar 2016 00:00:00 +0100

Telephone-administered cognitive behavioural therapy (T-CBT) has attracted international recognition as a potential means of providing effective psychological treatment whilst simultaneously lowering costs, ma... (Source: BMC Psychiatry)



Therapeutic alliance in psychological therapy for people with recent onset psychosis who use cannabis

Tue, 01 Mar 2016 00:00:00 +0100

This paper examines the role of therapeutic alliance in predicting outcomes in a Randomised Controlled Trial of Motivational Interviewing and Cognitive Behavioural Therapy (MICBT) for problematic cannabis use in recent onset psychosis. (Source: Comprehensive Psychiatry)

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Audio Feedback with Reduced Self-focus as an Intervention for Social Anxiety: An Experimental Study.

Tue, 01 Mar 2016 00:00:00 +0100

CONCLUSION: One component of cognitive preparation-(RS)-appears to be sufficient to cause significant effects on voice evaluation in socially anxious individuals. If the results are replicated in clinical samples, AF with RS may be a promising intervention in the treatment of social anxiety. PMID: 26935474 [PubMed - in process] (Source: Cognitive Behaviour Therapy)



Individual Face‐to‐Face Cognitive Behavioural Therapy in Multiple Sclerosis: A Qualitative Study

Tue, 01 Mar 2016 00:00:00 +0100

ConclusionIt is important to inform the participants of what CBT entails so that they are mentally prepared for the demanding process and can make the necessary adjustments in their daily life. Knowledge of MS among the therapists as well as collaboration with the multidisciplinary MS care may facilitate participation in CBT. (Source: Journal of Clinical Psychology)



The clinical and cost effectiveness of cognitive behavioural therapy plus treatment as usual for the treatment of depression in advanced cancer (CanTalk): study protocol for a randomised controlled trial

Mon, 29 Feb 2016 00:00:00 +0100

The prevalence of depressive disorder in adults with advanced cancer is around 20 %. Although cognitive behavioural therapy (CBT) is recommended for depression and may be beneficial in depressed people with ca... (Source: Trials)



The frequency of actions and thoughts scale: development and psychometric validation of a measure of adaptive behaviours and cognitions.

Mon, 29 Feb 2016 00:00:00 +0100

Authors: Terides MD, Dear BF, Karin E, Jones MP, Gandy M, Fogliati VJ, Kayrouz R, Staples LG, Titov N Abstract This paper describes the development and preliminary psychometric evaluation of an instrument that measures the frequency of adaptive behaviours and cognitions related to therapeutic change during cognitive behavioural therapy (CBT), for symptoms of anxiety and depression. Two studies were conducted. In study one, 661 participants completed an online survey with 28 items targeting adaptive behaviours and cognitions. Exploratory factor analysis performed on part of the sample (n = 451) revealed that a four-factor solution 'characterised' the data. This led to the development of a 12-item instrument, the Frequency of Actions and Thoughts Scale (FATS). Confirmatory factor a...



Non-pharmacological interventions for reducing aggression and violence in serious mental illness: A systematic review and narrative synthesis

Sun, 28 Feb 2016 00:00:00 +0100

Conclusions The evidence for non-pharmacological interventions for reducing violence in this population is not conclusive. Long-term outcomes are lacking and good quality RCTs are required to develop a stronger evidence base. (Source: European Psychiatry)

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Patients’ experiences of a behavioural intervention for migraine headache: a qualitative study

Sat, 27 Feb 2016 00:00:00 +0100

Conclusions Patients’ selectively identified and employed the techniques learned as ‘tools’ to assist in preventing and managing their migraines, with reported benefits supporting the development of minimal contact behavioural therapy to increase accessibility for adults with migraine headache and the conduct of a definitive trial. (Source: The Journal of Headache and Pain)



A randomized controlled trial of an audio-based treatment program for child anxiety disorders.

Sat, 27 Feb 2016 00:00:00 +0100

Authors: Infantino A, Donovan CL, March S Abstract The aim of this study was to investigate the efficacy of an audio-based cognitive-behavioural therapy (CBT) program for child anxiety disorders. Twenty-four children aged 5-11 years were randomly allocated into either the audio-based CBT program condition (Audio, n = 12) or a waitlist control (WL; n = 12) group. Outcome measures included a clinical diagnostic interview, clinician-rated global assessment of functioning, and parent and child self-report ratings of anxiety and internalisation. Assessments were conducted prior to treatment, 12 weeks following treatment, and at 3-month follow-up. Results indicated that at post-assessment, 58.3% of children receiving treatment compared to 16.7% of waitlist children were free of their...



A behavioural approach to helping an older adult with a learning disability and mild cognitive impairment overcome depression

Sat, 20 Feb 2016 16:34:13 +0100

Conclusions: The case study demonstrates the clinical utility of behavioural activation as a treatment for depression in an older adult with a learning disability and mild cognitive impairment. This matches the findings of other studies of behavioural activation as an intervention to treat depression in older adults. However, the client did not have a formal diagnosis of learning disability and may therefore be atypical. More comprehensive studies, including randomised controlled trials, are needed to confirm these findings and more thoroughly test the effectiveness of behavioural interventions with this client group. (Source: British Journal of Learning Disabilities)



[How to treat and manage unsatisfactory response?].

Fri, 19 Feb 2016 17:02:03 +0100

This article presents a review of the scientific arguments supporting the various therapeutic strategies when confronted to a first treatment failure after an adequate drug trial. Several pharmacological approaches are possible. A first and classical approach is adjusting the drug dosage (optimization). This strategy is coherent with the pharmacological profile of some antidepressant drugs (tricyclic antidepressants, tetracyclic antidepressants, venlafaxine). There is no scientific basis to a dose-effect relationship with the selective serotonin reuptake inhibitors (SSRIs), as minimal doses of these drugs correspond to a high ratio of serotonin transporter occupation; however increasing doses of SSRIs constitutes a usual practice, endorsed by several experts. A second classic strategy is c...



[Auditory verbal hallucinations in patients with borderline personality disorder].

Fri, 19 Feb 2016 13:23:02 +0100

CONCLUSION: AVH and other hallucinations are common in BPD. We advise clinicians to inquire directly whether patients experience them and to provide treatment whenever possible. However, one of the problems is, that evidence-based treatment methods such as antipsychotics, cognitive-behavioural therapy and transcranial magnetic stimulation have not yet been studied systematically for this specific patient group. PMID: 26881345 [PubMed - in process] (Source: Tijdschrift voor Psychiatrie)

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The treatment of suicidality in adolescents by psychosocial interventions for depression: A systematic literature review.

Fri, 19 Feb 2016 00:00:00 +0100

CONCLUSIONS: It is unclear whether psychological treatments are more effective than no treatment since no study has used a no-treatment control group. There is evidence to suggest that Cognitive Behavioural Therapy interventions produce pre-post reductions in suicidality with moderate effect sizes and are at least as efficacious as pharmacotherapy in reducing suicidality; however, it is unclear whether these effects are sustained. There are several trials showing promising evidence for family-based and interpersonal therapies, with large pre-post effect sizes, and further evaluation with improved methodology is required. Depression prevention interventions show promising short-term effects. PMID: 26896044 [PubMed - as supplied by publisher] (Source: The Australian and New Zealand Journ...



Brain scans used to see if Facebook is addictive

Thu, 18 Feb 2016 15:15:00 +0100

ConclusionThis study draws comparisons between "addiction" to social media and substance addiction, while making it clear there are important differences between the two. The differing consequences of spending too much time on Facebook (which might include too little time working or studying) are less extreme and immediate than the consequences of addiction to hard drugs. The study has some obvious limitations. The results are based on just 20 young people from a US university, which means they may not be applicable to people of different ages, levels of education, or backgrounds. Importantly, none of the students taking part had high scores of addiction, so we don't know whether the brain scan results apply to people with very heavy social media use or dependency.Also, the stud...



The metabotropic glutamate 5 receptor is necessary for extinction of cocaine‐associated cues

Thu, 18 Feb 2016 00:00:00 +0100

Conclusion and ImplicationsThese results suggest that mGlu5 receptor activity is both necessary and sufficient for efficient extinction of a cocaine‐associated CS. Therefore, mGlu5 PAMs could enhance the efficacy of CET. (Source: British Journal of Pharmacology)



Abstract P3-08-04: Improving sleep to reduce breast cancer risk in shift workers

Thu, 18 Feb 2016 00:00:00 +0100

BACKGROUND: Shiftwork that involves circadian disruption has been designated as a 2A (probable) breast cancer carcinogen by the International Agency for Research on Cancer. Night shift workers experience many lifestyle disturbances including disrupted sleep. While the specific biological mechanisms that confer increased breast cancer risk are not yet clear, sleep disruption is hypothesized to have both direct (lowering melatonin levels) and indirect (obesity status) impacts on risk status. However, few interventions of any type have been reported for shift workers to potentially reduce their risk for breast cancer. An effective intervention to improve sleep quality would be one way to potentially reduce breast cancer risks in these women.METHODS: 47 female shift workers aged 40-65 who had ...



Mapping interventions that promote mental health in the General Population: A scoping review of reviews

Wed, 17 Feb 2016 00:00:00 +0100

Publication date: Available online 17 February 2016 Source:Preventive Medicine Author(s): Jennifer Enns, Maxine Holmqvist, Pamela Wener, Gayle Halas, Janet Rothney, Annette Schultz, Leah Goertzen, Alan Katz Health policies and programs promoting mental health or preventing mental illness in the general public are under-recognized facets of primary prevention. Increasing awareness and adoption of such strategies could reduce the burden of mental illness in individuals, families, communities, and society as whole. We conducted a scoping review of reviews of interventions to promote mental health or prevent mental illness. We searched PubMed, PsycINFO, Scopus, Cochrane CENTRAL, CINAHL and ERIC from 2004 to 2014. Reviews were included if the authors indicated a systematic approach in...

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The Brunnsviken Brief Quality of Life Scale (BBQ): Development and Psychometric Evaluation.

Wed, 17 Feb 2016 00:00:00 +0100

Authors: Lindner P, Frykheden O, Forsström D, Andersson E, Ljótsson B, Hedman E, Andersson G, Carlbring P Abstract Measurements of subjective quality of life (QoL) are an important complement to symptom ratings in clinical research and practice. Despite there being several established QoL self-rating scales, we identified a need for a freely accessible, easy-to-use inventory, validated for use with both clinical and non-clinical samples, based on the overall life satisfaction conceptualization of QoL. The Brunnsviken Brief Quality of life scale (BBQ) was designed to meet these requirements. Items were selected by performing a factor analysis on a large data-set of QoL ratings collected previously. Six life areas (Leisure time, View on life, Creativity, Learning, Friends and Frien...



Delivery of cognitive behavioural therapy to workers: a systematic review

Wed, 17 Feb 2016 00:00:00 +0100

Conclusions Internet CBT should be made available in workplaces for workers with anxiety disorders as part of a stepped care plan. (Source: Occupational Medicine)



Effectiveness of a cognitive behavioural therapy-based anxiety prevention programme for children: a preliminary quasi-experimental study in Japan

Mon, 15 Feb 2016 00:00:00 +0100

As children’s mental health problems become more complex, more effective prevention is needed. Though various anxiety and depression prevention programmes based on cognitive behavioural therapy (CBT) were deve... (Source: Child and Adolescent Psychiatry and Mental Health)



Evaluating differences in Pavlovian fear acquisition and extinction as predictors of outcome from cognitive behavioural therapy for anxious children

Fri, 12 Feb 2016 00:00:00 +0100

ConclusionsIndividual differences in evaluative and physiological indices of fear extinction might moderate response to CBT. (Source: Journal of Child Psychology and Psychiatry)



Cognitive Behaviour Therapy for Post‐Traumatic Stress Disorder in a person with an Autism Spectrum Condition and Intellectual Disability: A Case Study

Fri, 12 Feb 2016 00:00:00 +0100

DiscussionThis case suggests that cognitive approaches to treating PTSD can be successful in people with intellectual disability and autism. (Source: Journal of Applied Research in Intellectual Disabilities)

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Outcome of treatment seeking rural gamblers attending a nurse-led cognitive-behaviour therapy service: A pilot study

Fri, 12 Feb 2016 00:00:00 +0100

Conclusion This study suggests that rural problem gamblers experience different levels of co-morbid anxiety and depression from their urban counterparts, but once in treatment appear to respond quicker. ACBT approach was found to be effective in treating rural gamblers and outcomes were maintained. Ensuring better availability and access to such treatment in rural areas is important. Nurses are in a position as the majority health professional in rural areas to provide such help. (Source: International Journal of Nursing Sciences)



Early intervention for depression and anxiety in 16-18-year-olds: Protocol for a feasibility cluster randomised controlled trial of open-access psychological workshops in schools (DISCOVER)

Fri, 12 Feb 2016 00:00:00 +0100

Adolescence is a vulnerable period for the development of mental health problems. The DISCOVER intervention aims to provide accessible, acceptable and cost-effective psychological support for stressed adolescents in inner-city secondary schools. The intervention uses age-appropriate cognitive-behavioural therapy (CBT) methods and materials, delivered in an interactive 1-day workshop with additional telephone support. An open-access entry route allows students to self-refer. This protocol describes a feasibility cluster randomised controlled trial (RCT) comparing DISCOVER with a waitlist control condition. (Source: Contemporary Clinical Trials)



Experiences and perspectives of patients with post-polio syndrome and therapists with exercise and cognitive behavioural therapy

Wed, 10 Feb 2016 00:00:00 +0100

Many persons affected with poliomyelitis develop post-polio syndrome (PPS) later in their life. Recently, the effectiveness of Exercise Therapy (ET) and Cognitive Behavioural Therapy (CBT) for PPS has been eva... (Source: BMC Neurology)



Mindfulness-based cognitive therapy v. group psychoeducation for people with generalised anxiety disorder: randomised controlled trial.

Tue, 09 Feb 2016 06:09:02 +0100

ConclusionsThese results suggest that both of the interventions appear to be superior to usual care for the reduction of anxiety symptoms. PMID: 26846612 [PubMed - as supplied by publisher] (Source: The British Journal of Psychiatry for Mental Science)



Chronic fatigue syndrome: comparing outcomes in White British and Black and minority ethnic patients after cognitive-behavioural therapy.

Tue, 09 Feb 2016 06:09:02 +0100

ConclusionsTo our knowledge, this study is the first to indicate that CBT is effective for treating CFS in a group of patients from diverse BME backgrounds. PMID: 26846611 [PubMed - as supplied by publisher] (Source: The British Journal of Psychiatry for Mental Science)

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Associations Between Interpretation Bias and Depression in Adolescents

Tue, 09 Feb 2016 00:00:00 +0100

This study adapted a measure of interpretation bias, the Ambiguous Scenarios Test for Depression, for adolescents and evaluated its reliability and validity. A community sample of 206 young people aged 12–18 years completed a validated measure of depression symptoms (Mood and Feelings Questionnaires) and the adapted Ambiguous Scenarios Test. The Ambiguous Scenarios Test for Depression in Adolescents had good internal consistency and split half reliability. Depression symptoms were associated with participants’ ratings of the valence of ambiguous situations and with interpretation biases. Importantly, symptoms of depression and anxiety were independently associated with interpretation bias. This research suggests that interpretation biases can be measured in this age group, that negati...



Enhancing positivity in cognitive behavioural therapy.

Mon, 08 Feb 2016 00:00:00 +0100

This article briefly reviews the research and presents a therapy strategy that expands cognitive behavioural therapy to include transdiagnostic and mindfulness components, and that emphasizes the acquisition of adaptive cognitive strategies and the enhancement of positivity. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: Canadian Psychology)



Exercise therapy for chronic fatigue syndrome.

Sun, 07 Feb 2016 00:00:00 +0100

CONCLUSIONS: Patients with CFS may generally benefit and feel less fatigued following exercise therapy, and no evidence suggests that exercise therapy may worsen outcomes. A positive effect with respect to sleep, physical function and self-perceived general health has been observed, but no conclusions for the outcomes of pain, quality of life, anxiety, depression, drop-out rate and health service resources were possible. The effectiveness of exercise therapy seems greater than that of pacing but similar to that of CBT. Randomised trials with low risk of bias are needed to investigate the type, duration and intensity of the most beneficial exercise intervention. PMID: 26852189 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)



Suitability of a Group Behavioural Therapy Module for Workplace Smoking Cessation Programs in Malaysia: a Pilot Study.

Fri, 05 Feb 2016 05:23:02 +0100

Authors: Maarof MF, Ali AM, Amit N, Bakry MM, Taha NA Abstract In Malaysia, data on components suitability the established smoking cessation module is limited. This exploratory study aimed to evaluate the suitability of the components developed in the module for group behavioural therapy in workplace smoking cessation programs. Twenty staff were identified but only eight individuals were selected according to the study criteria during the recruitment period in May 2014. Focus group discussion was conducted to identify themes relevant to the behavioural issues among smokers. Thematic analysis yielded seven major themes which were reasons for regular smoking, reasons for quitting, comprehending smoking characteristics, quit attempt experiences, support and encouragement, learning new...



Examining the dynamic relationships between exposure tasks and cognitive restructuring in CBT for SAD: Outcomes and Moderating Influences

Fri, 05 Feb 2016 00:00:00 +0100

This study examined the longitudinal association of skill use (i.e. exposure (EX), thought record use (TR)), symptom reduction and the potential moderating influence of perfectionism during a 12-session, manual-based CBT for SAD intervention for 100 patients (51% female) meeting DSM-IV criteria for SAD. Results obtained from Latent Difference Score (LDS) models indicated that the frequency of both EX and TR skill use led to subsequent symptom alleviation; however, this varied based on the type of skill used. Further, although both EX and TR interventions were associated with subsequent symptom reduction, the association of EX and subsequent symptom alleviation was greater than the association of TR and subsequent symptom alleviation. Finally, higher pre-treatment perfectionism was associat...

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Headache (chronic tension-type)

Fri, 05 Feb 2016 00:00:00 +0100

New evidence; conclusion confirmed for: Amitriptyline One systematic review added. Categorisation unchanged (beneficial). Anticonvulsant drugs One systematic review and one RCT added. Categorisation unchanged (unknown effectiveness). Benzodiazepines One systematic review added. Categorisation unchanged (likely to be ineffective or harmful). Botulinum toxin One systematic review added. Categorisation unchanged (likely to be ineffective or harmful). Noradrenergic and specific serotonergic antidepressants One systematic review added. Categorisation unchanged (likely to be beneficial). Serotonin re-uptake inhibitors One systematic review added. Categorisation unchanged (unknown effectiveness). Tricy...



The Effects of Transdiagnostic Group CBT for Anxiety on Insomnia Symptoms.

Wed, 03 Feb 2016 00:00:00 +0100

Authors: McGowan SK, Espejo EP, Balliett N, Werdowatz EA Abstract Insomnia is a common feature among individuals with anxiety disorders. Studies of cognitive behavioral therapy (CBT) for anxiety report moderate effects on concomitant insomnia symptoms, but further research is still needed especially toward understanding how CBT for anxiety renders beneficial effects on insomnia. The current study examined changes in insomnia symptoms reported by 51 Veterans who participated in a group-based transdiagnostic CBT for anxiety intervention. In addition, insomnia symptoms were examined in relation to symptoms of general distress (GD), anhedonic depression (AD), and anxious arousal (AA) pre- to post-treatment. Results revealed a small, though statistically significant (p < .05) benef...



Addressing Self-Control Cognitions in the Treatment of Trichotillomania: A Randomized Controlled Trial Comparing Cognitive Therapy to Behaviour Therapy

Tue, 02 Feb 2016 00:00:00 +0100

Abstract People with trichotillomania often have persistent negative beliefs about giving into one’s habit. Central in the present study was the hypothesis that the follow-up effects of cognitive therapy (CT), in which these negative beliefs are directly addressed, are better compared to the follow-up effects of behaviour therapy (BT). Fifty-six trichotillomania patients were randomly assigned to either six sessions CT or BT. Forty-eight completed their treatment. Follow-up measurements took place after a 3 months treatment-free period, and at 12 and 24 months. CT and BT both resulted in clear reductions of trichotillomania symptoms (severity, urge, inability to resist, and negative beliefs) immediately after treatment. There were no differences between the groups. Following t...



Amygdala response to self-critical stimuli and symptom improvement in psychotherapy for depression [PAPERS]

Mon, 01 Feb 2016 00:00:00 +0100

Conclusions Amygdala hyperactivity may lessen symptom improvement in psychotherapy for depression through attenuating emotional skill acquisition. (Source: The British Journal of Psychiatry)



Non-replication of the association between 5HTTLPR and response to psychological therapy for child anxiety disorders [PAPERS]

Mon, 01 Feb 2016 00:00:00 +0100

Conclusions The association between 5HTTLPR genotype and CBT outcome did not replicate. Short-allele homozygotes showed more positive treatment outcomes, but with small, non-significant effects. Future studies would benefit from utilising whole genome approaches and large, homogenous samples. (Source: The British Journal of Psychiatry)

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Comparative effectiveness of conservative interventions for non-specific chronic spinal pain: Physical, behavioural/psychologically informed or combined? A systematic review and meta-analysis

Mon, 01 Feb 2016 00:00:00 +0100

Non-specific chronic spinal pain (NSCSP) is highly disabling. Current conservative rehabilitation commonly includes physical and behavioural interventions, or a combination of these approaches. Physical interventions aim to enhance physical capacity by using methods such as exercise, manual therapy and ergonomics. Behavioural and/or psychologically informed interventions aim to enhance behaviours, cognitions or mood by using methods such as relaxation and cognitive behavioural therapy (CBT). Combined interventions aim to target both physical and behavioural and/or psychological factors contributing to patients’ pain by using methods such as multidisciplinary pain management programmes. (Source: The Journal of Pain)



‘She believed in me’. What patients with depression value in their relationship with practitioners. A secondary analysis of multiple qualitative data sets

Mon, 01 Feb 2016 00:00:00 +0100

ConclusionThe practitioner attributes that patients with depression most value have a positive impact on their engagement with treatment. Patients emphasise the importance of a practitioner's demeanour and encouragement, rather than the amount of time or specific treatment a practitioner is able to provide. (Source: Health Expectations)



Psychological Treatment of Co‐occurring Anxiety Disorders in Clinical Practice: A Vignette Study

Mon, 01 Feb 2016 00:00:00 +0100

ConclusionsPsychologists typically do not follow a specific treatment guide in the treatment of anxiety disorders and judge a transdiagnostic approach incorporating CBT techniques as the best way to treat comorbidity. More effort may be needed to disseminate evidence‐based interventions for anxiety disorders and for authors of empirically supported treatments to provide clear guidelines regarding treating co‐occurring anxiety disorders. (Source: Australian Psychologist)



Grist to the Mill: A Qualitative Investigation of Mindfulness‐Integrated Cognitive Behaviour Therapy for Experienced Health Professionals

Mon, 01 Feb 2016 00:00:00 +0100

ConclusionsResults suggest that specifics of the training delivery, occupation of professionals, and level of client functioning could all play a part in determining perceived outcomes of mindfulness training for participants. The findings will be of interest to anyone who designs, implements, or participates in mindfulness‐based training programmes. (Source: Australian Psychologist)



Fostering Self-Compassion and Loving-Kindness in Patients With Borderline Personality Disorder: A Randomized Pilot Study.

Sat, 30 Jan 2016 03:29:10 +0100

Authors: Feliu-Soler A, Pascual JC, Elices M, Martín-Blanco A, Carmona C, Cebolla A, Simón V, Soler J Abstract The aim of this randomized pilot study is to investigate the effects of a short training programme in loving-kindness and compassion meditation (LKM/CM) in patients with borderline personality disorder. Patients were allocated to LKM/CM or mindfulness continuation training (control group). Patients in the LKM/CM group showed greater changes in Acceptance compared with the control group. Remarkable changes in borderline symptomatology, self-criticism and self-kindness were also observed in the LKM/CM group. Mechanistic explanations and therapeutic implications of the findings are discussed. HIGHLIGHTS: Three weeks of loving-kindness and compassion meditations increase...

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Effectiveness of an online insomnia program (SHUTi) for prevention of depressive episodes (the GoodNight Study): a randomised controlled trial

Fri, 29 Jan 2016 00:00:00 +0100

Publication date: Available online 28 January 2016 Source:The Lancet Psychiatry Author(s): Helen Christensen, Philip J Batterham, John A Gosling, Lee M Ritterband, Kathleen M Griffiths, Frances P Thorndike, Nick Glozier, Bridianne O'Dea, Ian B Hickie, Andrew J Mackinnon Background In view of the high co-occurrence of depression and insomnia, a novel way to reduce the risk of escalating depression might be to offer an insomnia intervention. We aimed to assess whether an online self-help insomnia program could reduce depression symptoms. Methods We did this randomised controlled trial at the Australian National University in Canberra, Australia. Internet users (aged 18–64 years) with insomnia and depression symptoms, but who did not meet criteria for major depressive disorder,...



Rumination and behavioural factors in Parkinson’s disease depression

Fri, 29 Jan 2016 00:00:00 +0100

Parkinson’s disease is associated with high rates of depression. There is growing interest in non-pharmacological management including psychological approaches such as Cognitive Behaviour Therapy. To date, little research has investigated whether processes that underpin cognitive models of depression, on which such treatment is based, apply in patients with Parkinson’s disease. The study aimed to investigate the contribution of core psychological factors to the presence and degree of depressive symptoms. (Source: Journal of Psychosomatic Research)



Rumination and behavioural factors in Parkinson's disease depression

Fri, 29 Jan 2016 00:00:00 +0100

Parkinson's disease is associated with high rates of depression. There is growing interest in non-pharmacological management including psychological approaches such as Cognitive Behaviour Therapy. To date, little research has investigated whether processes that underpin cognitive models of depression, on which such treatment is based, apply in patients with Parkinson's disease. The study aimed to investigate the contribution of core psychological factors to the presence and degree of depressive symptoms. (Source: Journal of Psychosomatic Research)



A Psychodynamic Perspective on a Systematic Review of Online Psychotherapy for Adults

Thu, 28 Jan 2016 00:00:00 +0100

A variety of new psychotherapy modalities has arisen in which the contact between patient and therapist takes place via the internet. The main objective of this systematic review is to investigate the types of online psychotherapy (OP) conducted nowadays, and to describe their main characteristics to psychodynamic psychotherapists who may wish to better understand the current scientific literature on the subject. The review used two databases, EMBASE and PsycINFO. Fifty‐nine studies were retrieved and the main online psychotherapy modalities identified were self‐therapy programmes using contact via email or chat; videoconference; and therapy exclusively via chat or email. The result of these studies suggests that OP is more effective than a waiting list control group. When compared wit...



Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review.

Thu, 28 Jan 2016 00:00:00 +0100

Authors: Veehof MM, Trompetter HR, Bohlmeijer ET, Schreurs KM Abstract The number of acceptance- and mindfulness-based interventions for chronic pain, such as acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT), increased in recent years. Therefore an update is warranted of our former systematic review and meta-analysis of studies that reported effects on the mental and physical health of chronic pain patients. Pubmed, EMBASE, PsycInfo and Cochrane were searched for eligible studies. Current meta-analysis only included randomized controlled trials (RCTs). Studies were rated for quality. Mean quality did not improve in recent years. Pooled standardized mean differences using the random-effect model were c...

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Home-administered pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): study protocol for a randomised controlled trial

Wed, 27 Jan 2016 00:00:00 +0100

DiscussionFindings from this study will be used to design a definitive study that will examine the clinical and cost-effectiveness of the CBT intervention in improving patient outcomes following knee surgery.Trial RegistrationCurrent Controlled Trials ISRCTN80222865; Date: 19 June 2014. (Source: Trials)



Economic evaluations of psychosocial interventions in cancer: a systematic review

Tue, 26 Jan 2016 00:00:00 +0100

ConclusionsSeveral psychosocial interventions, particularly those based on cognitive‐behavioural therapy, have been demonstrated to represent good value for money in cancer care. Future research should include a clear definition of the economic question, inclusion of all relevant costs, and consideration of utility‐based quality of life measures for QALY estimation. Copyright © 2016 John Wiley & Sons, Ltd. (Source: Psycho-Oncology)



[Therapeutic effects of oxytocin in autism: Current status of the research].

Sun, 24 Jan 2016 13:24:02 +0100

Authors: Gauthier C, Doyen C, Amado I, Lôo H, Gaillard R Abstract The neuropeptide oxytocin (OT) is an evolutionary highly conserved molecule that plays a part in the regulation of complex social cognition and behaviours. From a pathophysiological point of view, several studies have evidenced dysfunctions of the oxytocinergic system in autism spectrum disorders (ASD): a lowering of plasma OT and genetic or epigenetic anomalies of the OT receptor. Therefore, some authors have hypothesized that an abnormality in the OT neurotransmission may account for several features of autism and that a treatment restoring a normal OT pathway functioning could improve social abilities. OT administration has thus been used in clinical trials, especially in groups of subjects suffering from autism....



Effectiveness of cognitive behavioural therapy (CBT) programmes for anxiety or depression in adults with intellectual disabilities: A review of the literature

Sat, 23 Jan 2016 00:00:00 +0100

Publication date: April–May 2016 Source:Research in Developmental Disabilities, Volumes 51–52 Author(s): Gemma Unwin, Ioanna Tsimopoulou, Biza Stenfert Kroese, Sabiha Azmi Relatively little is known about the application of cognitive behavioural therapy (CBT) to people with intellectual disabilities (ID). This review sought to synthesise available evidence on the effectiveness of CBT for anxiety or depression to assess the current level of evidence and make recommendations for future research. A comprehensive systematic literature search was conducted to identify qualitative and quantitative studies. Robust criteria were applied to select papers that were relevant to the review. Included papers were subject to quality appraisal. Eleven out of the 223 studies considered met our in...



Cognitive behavioural therapy for ADHD in adults: systematic review and meta-analyses

Fri, 22 Jan 2016 00:00:00 +0100

Abstract Systematically review and analyse the efficacy of CBT versus treatment as usual in adults with ADHD. The literature was systematically searched ending the 28 March 2014. Standardised mean differences (SMD) and 95 % confidence intervals were calculated. CBT was efficacious in reducing symptoms of ADHD (SDM −1.0, 95 % CI −1.5 to −0.5) when evaluated by the patients, but not when evaluated by a clinician. Symptoms of depression and anxiety were significantly reduced when self-reported (SMD −1.0, 95 % CI −1.6 to −0.5 and −1.0, 95 % CI −1.3 to −0.3, respectively) and evaluated by a clinician (SMD −0.9, 95 % CI −1.7 to −0.2 and −0.9, 95 % CI −1.6 to −0.1). The clinical global impression scores improved more in the group randomised to CBT (−...

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Facing the fear – clinical and neural effects of cognitive behavioural and pharmacotherapy in panic disorder with agoraphobia

Fri, 22 Jan 2016 00:00:00 +0100

Cognitive behavioural therapy (CBT) and pharmacological treatment with selective serotonin or serotonin-noradrenalin reuptake inhibitors (SSRI/SSNRI) are regarded as efficacious treatments for panic disorder with agoraphobia (PD/AG). However, little is known about treatment-specific effects on symptoms and neurofunctional correlates. (Source: European Neuropsychopharmacology)



Pre-detoxification Cognitive Behaviour Therapy Group intervention for dependent alcohol users

Thu, 21 Jan 2016 15:52:24 +0100

Conclusion A Randomised Controlled Trial remains essential to provide concrete evidence for the effectiveness of APG. More research is also required to investigate the cognitive implications of medically assisted detoxification, and their potential contribution to relapse. However, this evaluation suggests that APG is promising intervention which should be further developed. Further Information Dr Christos Kouimtsidis MBBS, FRCPsych, MSc, PhD; Consultant Psychiatrist in Addictions; iHEAR Partnership; 1 Prince Regent Road; London; TW3 1NE. Tel: 07956107860. (Source: Alcohol Research UK)



Changes in disgust and heart rate during exposure for Obsessive Compulsive Disorder: A case series

Thu, 21 Jan 2016 00:00:00 +0100

Conclusions Our findings show that a large proportion of our case series with OCD experience prominent disgust with signs of increased vagal tonus during their exposure. Such experiences differ from the concept of adrenergic activation used for psychoeducation in CBT and appraisals of harm and this may result in poorer therapeutic outcome. (Source: Journal of Behavior Therapy and Experimental Psychiatry)



Cognitive-behavioural therapy for insomnia: effective, long-lasting and safe

Thu, 21 Jan 2016 00:00:00 +0100

ABSTRACT FROM: Trauer JM, Qian MY, Doyle JS, et al. Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Ann Intern Med 2015;163:191–204. What is already known on this topic Numerous well-conducted randomised controlled studies of cognitive–behavioural therapy for insomnia (CBT-I) have demonstrated that it is efficacious in both the immediate post-treatment and long terms in a wide variety of patient populations.1–3 This includes individuals with uncomplicated chronic insomnia1 and those whose chronic insomnia is comorbid with medical or psychiatric disorders.2 3 Truaer and colleagues have conducted a systematic review and meta-analysis to collect all the relevant evidence about CBT-I and quantify its overall effects. Methods of the st...



Antidepressant use with D-Cycloserine may block fear extinction

Thu, 21 Jan 2016 00:00:00 +0100

This study, which examined the efficacy of DCS augmentation of a validated internet-based cognitive–behavioural therapy (ICBT) for OCD, is the first large-scale trial on DCS augmentation of CBT for OCD, and contributes to a growing... (Source: Evidence-Based Mental Health)

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Brief and effective psychological treatment of worry within people diagnosed with persecutory delusions

Thu, 21 Jan 2016 00:00:00 +0100

ABSTRACT FROM: Freeman D, Dunn G, Startup H, et al. Effects of cognitive behaviour therapy for worry on persecutory delusions in patients with psychosis (WIT): a parallel, single-blind, randomised controlled trial with a mediation analysis. Lancet Psychiatry 2015;2:305–13. What is already known on this topic Although cognitive–behaviour therapy (CBT) for schizophrenia has an established evidence base, most individuals diagnosed with this disorder fail to be offered this treatment. There is a need for brief cognitive–behavioural interventions, which target specific relevant psychological processes in order to enhance availability. Theoretical work highlights the role of worry in the maintenance of persecutory delusions1 and may therefore be a suitable target for interventi...



Hoarding Disorder and a Systematic Review of Treatment with Cognitive Behavioral Therapy.

Thu, 21 Jan 2016 00:00:00 +0100

This article reviews the prevalence of hoarding disorder, cognitive behavioral therapy treatment approaches, and measurement of symptoms. A systematic review compares the efficacy of various CBT methods, with particular attention to comparing therapy that is traditionally used to treat OCD with those designed specifically to treat hoarding disorder. Only clinical studies using CBT interventions designed to treat hoarding associated with OCD or hoarding disorder were included. Studies included participants of all ages, and articles were published in peer-reviewed journals. Case studies were excluded. After a comprehensive search and removing duplicates from databases and references, 65 articles were reviewed, of which 12 met criteria for review. Preliminary results demonstrate improvement i...



Tricyclic and related drugs for nocturnal enuresis in children.

Wed, 20 Jan 2016 00:00:00 +0100

CONCLUSIONS: There was evidence that tricyclics are effective at reducing the number of wet nights during treatment, but do not have a sustained effect after treatment stops, with most children relapsing. In contrast, there was evidence that alarm therapy has better short- and long-term outcomes. There was some evidence that tricyclics combined with anticholinergics may be more effective that tricyclic monotherapy. PMID: 26789925 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)



The metabotropic glutamate 5 receptor is necessary for extinction of cocaine associated cues

Tue, 19 Jan 2016 00:00:00 +0100

Conclusion and implicationsThis suggests that mGlu5 receptor activity is both necessary and sufficient for efficient extinction of a cocaine‐associated CS. mGlu5 PAMs could therefore enhance the efficacy of CET. (Source: British Journal of Pharmacology)