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MedWorm: Behavioural Therapy News



MedWorm.com provides a medical RSS filtering service. Thousands of medical RSS feeds are combined and output via different filters. This feed contains the latest news in Behavioural Therapy



Last Build Date: Sat, 10 Feb 2018 14:28:02 +0100

 



Do clinically anxious children cluster according to their expression of factors that maintain child anxiety? - Pearcey S, Alkozei A, Chakrabarti B, Dodd H, Murayama K, Stuijfzand S, Creswell C.

Mon, 29 Jan 2018 12:36:26 +0100

BACKGROUND: Cognitive Behaviour Therapy (CBT) is an effective treatment for childhood anxiety disorders, yet a significant proportion of children do not benefit from it. CBT for child anxiety disorders typically includes a range of strategies that may not ... (Source: SafetyLit)

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People with eating disorders ‘benefit from specialist CBT’

Thu, 30 Nov 2017 16:13:00 +0100

Cognitive behavioural therapy is among the potential treatments that should be considered for eating disorders, according to the National Institute for Health and Care Excellence. (Source: Nursing Times)



Cognitive behavioural therapy for children and adolescents with OCD works in the long run

Tue, 14 Nov 2017 05:00:00 +0100

(Aarhus University) The vast majority of children and adolescents who receive cognitive behavioural therapy treatment for OCD thrive and live without symptoms a year after the end of treatment. This is shown by new research from Aarhus University's Centre for Child and Adolescent Psychiatry in Risskov. (Source: EurekAlert! - Social and Behavioral Science)



Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review - G øtzsche PC, Gøtzsche PK.

Mon, 23 Oct 2017 14:21:03 +0100

OBJECTIVE To study whether cognitive behavioural therapy decreases suicide attempts in people with previous suicide attempts. Design Systematic review and meta-analysis. Setting Randomised trials that compare cognitive behavioural therapy with treatment as... (Source: SafetyLit)



Ask the doctor: Dr Martin Scurr answers readers' questions

Tue, 10 Oct 2017 00:08:22 +0100

Dr Scurr advises someone on how to help their friend who may be depressed. From antidepressants to Cognitive Behavioural Therapy, Dr Scurr gives guidance on how to support loved ones. (Source: the Mail online | Health)



Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial.

Mon, 25 Sep 2017 15:14:12 +0100

Conclusions The trial was underpowered due to difficulties recruiting participants as a result of the complex recruitment procedures that were used to ensure safety of participants. Although there were no significant differences between groups, young people were safely and generally well engaged in Reframe-IT and experienced decreases in suicidal ideation and other symptoms as well as improvements in CBT skills. The study is the first online intervention trial internationally to include young people demonstrating all levels of suicide risk.Clinical implications Integration of internet-delivered interventions for young people with suicide-related behaviour may result in reductions in these behaviours. Further research is needed, but researchers should feel more confident about being able to...

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Cost and Outcome of BehaviouRal Activation (COBRA): a randomised controlled trial of behavioural activation versus cognitive behavioural therapy for depression

Mon, 25 Sep 2017 14:14:31 +0100

Depression is a common, debilitating and costly disorder. The best-evidenced psychological therapy – cognitive–behavioural therapy (CBT) – is complex and costly. A simpler therapy, behavioural activation (BA), may be an effective alternative. To determine the clinical effectiveness and cost-effectiveness of BA compared with CBT for depressed adults at 12 and 18 months'follow-up, and to investigate the processes of treatments. (Source: Current Awareness Service for Health (CASH))



Talking therapy given by parents shows promise for childhood anxiety disorders

Mon, 25 Sep 2017 14:14:31 +0100

Brief guided cognitive behavioural therapy (CBT) delivered by parents was as good as a commonly used treatment, delivered by a therapist, in improving anxiety levels in children. Anxiety continued to improve after the end of treatment and by six months about 70% had recovered. The brief CBT was potentially the more cost-effective option. This NIHR-funded trial compared recovery from a range of common anxiety disorders in children aged five to 12 following these brief psychological treatments. CBT was delivered by parents instructed and supported in its use by a mental health worker. It was compared with a treatment commonly used in the NHS, a solution-focused brief therapy delivered directly by a trained therapist. Brief interventions such as these have the potential to improve outcomes ...



Pilot of a randomised controlled trial of the selective serotonin reuptake inhibitor sertraline versus cognitive behavioural therapy for anxiety symptoms in people with generalised anxiety disorder who have failed to respond to low-intensity psycholo

Mon, 25 Sep 2017 13:14:10 +0100

Generalised anxiety disorder (GAD) is common, causing unpleasant symptoms and impaired functioning. The National Institute for Health and Care Excellence (NICE) guidelines have established good evidence for low-intensity psychological interventions, but a significant number of patients will not respond and require more intensive step 3 interventions, recommended as either high-intensity cognitive behavioural therapy (CBT) or a pharmacological treatment such as sertraline. However, there are no head-to-head comparisons evaluating which is more clinically effective and cost-effective, and current guidelines suggest that treatment choice at step 3 is based mainly on patient preference. To assess clinical effectiveness and cost-effectiveness at 12 months of treatment with the selective serot...



Lightning Process 'could help children with chronic fatigue syndrome', study claims

Thu, 21 Sep 2017 17:00:00 +0100

Conclusion The results from this very small randomised controlled trial showed that people having LP therapy in addition to usual CFS/ME care had improved physical function, fatigue and anxiety symptoms at six months, and improved school attendance and depressive symptoms at 12 months. However, there are a number of limitations to this research that need to be considered: Participants in both groups improved, so both treatments were effective to some extent. This was a very small trial, and the results analysis involved fewer than the 100 people recruited. It would need to be repeated in a much larger group to demonstrate more robust findings. A number of outcomes were looked at, so it was very likely that some of them would return positive findings by chance – the improvements mig...



Lack of sleep could contribute to mental health problems, researchers reveal

Wed, 06 Sep 2017 22:30:43 +0100

Study finds therapy designed to treat insomnia also reduced paranoia and hallucinations, and improved depression and anxiety in patientsMental health problems including psychotic experiences could in part be down to a lack of sleep, researchers have revealed.A new study found that people who had undertaken a course of cognitive behavioural therapy (CBT) designed specifically to treat insomnia not only found their sleep improved, but also experienced reduced paranoia and fewer hallucinations - both psychotic experiences - as well as improvements in depression and anxiety.Continue reading... (Source: Guardian Unlimited Science)

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Family-based behavioural therapy cost effective for obesity

Fri, 01 Sep 2017 00:00:00 +0100

(Source: PharmacoEconomics and Outcomes News)



Cognitive behavioural therapy for insomnia is effective, safe and highly deployable

Wed, 30 Aug 2017 15:14:09 +0100

Commentary on: Alessi C , Martin JL , Fiorentino L , et al . Cognitive behavioral therapy for insomnia in older veterans using nonclinician sleep coaches: randomized controlled trial. J Am Geriatr Soc 2016;64:1830 8.The ability of non-clinician sleep coaches to deliver efficacious cognitive behavioural therapy for insomnia (CBT-I) was demonstrated, suggesting such coaches can increase the rate and range of deployment of CBT-I to provide effective first-line treatment of insomnia into general medical and healthcare practice.Similar studies should be conducted to replicate and extend this finding and explore its likely generalisability beyond the older veteran population. (Source: Current Awareness Service for Health (CASH))



PACE-GATE: An alternative view on a study with a poor trial protocol - Stouten B.

Fri, 25 Aug 2017 00:38:27 +0100

This article shows that the... (Source: SafetyLit)



Be your own therapist? Fine – if you’re up to the job | Mark Brown

Wed, 23 Aug 2017 10:50:00 +0100

Self-help can be brilliant for those who are at least part of the way there, but we should be wary of any suggestion that it could replace therapyFeeling that you are not coping is horrible, like trying to untangle shackles around you that instead pull tighter with every movement. We are supposed to be able to look after ourselves. Our culture lionises fighters; decision takers; people who know their own mind. We are comfortable in the hands of specialists such as hairdressers or driving instructors, yet many of us find the idea of using a therapist, a specialist in distress, to be strange and uncomfortable – an admission that we can’t sort out our own problems. People experiencing mental distress are often desperate for some kind of talking therapy, yet we still maintain a deep cultur...



CBT stops procrastination by enforcing useful behaviours  

Fri, 18 Aug 2017 14:53:41 +0100

Researchers from Stockholm University found that all of a study's participants stopped putting things off after having online or face-to-face group cognitive behavioural therapy sessions. (Source: the Mail online | Health)

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Effects of assault type on cognitive behaviour therapy for coexisting depression and alcohol misuse - Bailey KA, Baker AL, McElduff P, Jones MA, Oldmeadow C, Kavanagh DJ.

Tue, 01 Aug 2017 08:17:41 +0100

Although assault exposure is common in mental health and substance misusing populations, screening for assaults in treatment settings is frequently overlooked. This secondary analysis explored the effects of past sexual (SA) and physical (PA) assault on de... (Source: SafetyLit)



Effects of cognitive behaviour therapy on parents of children with autism

Tue, 01 Aug 2017 04:00:00 +0100

(York University) Jonathan Weiss, Associate Professor in the Department of Psychology, discovered that parents who participate in cognitive therapy with their children with autism also experience improvements in their own depression, emotion regulation. (Source: EurekAlert! - Medicine and Health)



Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation - Buhmann C, Andersen I, Mortensen EL, Ryberg J, Nordentoft M, Ekstr øm M.

Tue, 25 Jul 2017 12:17:30 +0100

INTRODUCTION: Cognitive behavioural therapy (CBT) with trauma focus is the most evidence supported psychotherapeutic treatment of PTSD, but few CBT treatments for traumatized refugees have been described in detail. PURPOSE: To describe and evaluate... (Source: SafetyLit)



Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial - Hetrick SE, Yuen HP, Bailey E, Cox GR, Templer K, Rice SM, Bendall S, Robinson J.

Sat, 22 Jul 2017 08:05:44 +0100

BACKGROUND: Suicide-related behaviours are common in young people and associated with a range of negative outcomes. There are few evidence-based interventions; however, cognitive behavioural therapy (CBT) shows promise. Internet delivery of CBT is popular,... (Source: SafetyLit)



Clinical effectiveness, cost-effectiveness and acceptability of low-intensity interventions in the management of obsessive compulsive disorder: the Obsessive Compulsive Treatment Efficacy randomised controlled Trial (OCTET).

Mon, 10 Jul 2017 10:14:10 +0100

The Obsessive –Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive–compulsive disorder (OCD) guidelines, which specified the need to evaluate cognitive–behavioural therapy (CBT) treatment intensity fo rmats. To determine the clinical effectiveness and cost-effectiveness of two low-intensity CBT interventions [supported computerised cognitive–behavioural therapy (cCBT) and guided self-help]: (1) compared with waiting list for high-intensity CBT in adults with OCD at 3 months; and (2) plus high- intensity CBT compared with waiting list plus high-intensity CBT in adults with OCD at 12 months. To determine patient and professional acceptability of low-intensity CBT interventions...

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Swansea Uni trial to reduce breast cancer hot flushes

Mon, 03 Jul 2017 10:17:41 +0100

Scientists will investigate how behavioural therapy could help control difficult side effects. (Source: BBC News | Health | UK Edition)



Psychosocial interventions for self-harm, suicidal ideation and suicide attempt in children and young people: What? How? Who? and Where?

Wed, 21 Jun 2017 14:14:09 +0100

We reviewed the evidence for the effectiveness of indicated individual psychosocial interventions for the treatment of self-harm, suicidal ideation and suicide attempts in children and young people, with a particular emphasis on the emerging use of electronic methods to deliver psychological interventions. In total, 16 randomised controlled trials (RCTs) were identified, none of which included children under the age of 12 years. Cognitive –behavioural therapy is the most commonly implemented approach in RCTs until now, although problem-solving therapy, interpersonal psychotherapy, social support and distal support methods by provision of a green card and regular receipt of postcards have also been investigated. Young people have be en recruited into RCTs within schools, outpatient clinic...



BDNF Val66Met and childhood adversity on response to physical exercise and internet-based cognitive behavioural therapy in depressed Swedish adults - Rahman MS, Millischer V, Zeebari Z, Forsell Y, Lavebratt C.

Tue, 06 Jun 2017 20:11:56 +0100

The genetic effect of Brain-derived neurotrophic factor (BDNF) on treatment response in depression is not consistent in the literature. Childhood adversity is a known risk factor for depression which has been reported to increase depression susceptibility ... (Source: SafetyLit)



Group behaviour therapy programmes for smoking cessation

Wed, 24 May 2017 14:45:53 +0100

Group therapy offers individuals the opportunity to learn behavioural techniques for smoking cessation, and to provide each other with mutual support. To determine the effect of group-delivered behavioural interventions in achieving long-term smoking cessation. (Source: Current Awareness Service for Health (CASH))



Cognitive behavioural therapy may reduce high rates of service use among frequent primary care attenders

Mon, 22 May 2017 16:39:19 +0100

High users or FAs of healthcare clinics place significant organisational and financial strain on healthcare systems. It has been estimated that the top 3% of users account for 15% of primary care visits.1 Short-term frequent attendance may be related to acute causes, but long-term frequent attendance has been found to be associated with high health … (Source: Current Awareness Service for Health (CASH))



Cognitive therapies for depression

Mon, 22 May 2017 15:04:02 +0100

While depression is often treated with anti-depressant medication, there is good evidence that cognitive therapies are also effective. These are'talking therapies'which aim to help people with depression to minimise the impact of negative thoughts and develop strategies for coping with difficult feelings or situations. There are a range of these therapies, but this Highlight looks at new evidence relating to two types: cognitive behavioural therapy (CBT) and mindfulness-based cognitive therapy (MBCT). The NHS Increasing Access to Psychological Therapies programme has improved access to these therapies, although availability is still variable and there are waiting lists in some areas. (Source: Current Awareness Service for Health (CASH))



Cognitive behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial.

Mon, 22 May 2017 14:50:14 +0100

Although there are effective psychological treatments for unipolar major depression in adolescents, whether or not one or more of the available therapies maintain reduced depressive symptoms 1 year after the end of treatment is not known. This is a non-trivial issue because maintaining lowered depressive symptoms below a clinical threshold level reduces the risk for diagnostic relapse into the adult years. To determine whether or not either of two specialist psychological treatments, cognitive–behavioural therapy (CBT) or short-term psychoanalytic psychotherapy (STPP), is more effective than a reference brief psychosocial intervention (BPI) in maintaining reduction of depression symptoms in the ye ar after treatment. (Source: Current Awareness Service for Health (CASH))



Cognitive therapies for depression

Mon, 22 May 2017 14:14:10 +0100

While depression is often treated with anti-depressant medication, there is good evidence that cognitive therapies are also effective. These are'talking therapies'which aim to help people with depression to minimise the impact of negative thoughts and develop strategies for coping with difficult feelings or situations. There are a range of these therapies, but this Highlight looks at new evidence relating to two types: cognitive behavioural therapy (CBT) and mindfulness-based cognitive therapy (MBCT). The NHS Increasing Access to Psychological Therapies programme has improved access to these therapies, although availability is still variable and there are waiting lists in some areas. (Source: Current Awareness Service for Health (CASH))

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Cognitive behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial.

Mon, 22 May 2017 14:14:10 +0100

Although there are effective psychological treatments for unipolar major depression in adolescents, whether or not one or more of the available therapies maintain reduced depressive symptoms 1 year after the end of treatment is not known. This is a non-trivial issue because maintaining lowered depressive symptoms below a clinical threshold level reduces the risk for diagnostic relapse into the adult years. To determine whether or not either of two specialist psychological treatments, cognitive–behavioural therapy (CBT) or short-term psychoanalytic psychotherapy (STPP), is more effective than a reference brief psychosocial intervention (BPI) in maintaining reduction of depression symptoms in the ye ar after treatment. (Source: Current Awareness Service for Health (CASH))



Lisa Snowdon answers our health quiz

Fri, 12 May 2017 12:18:11 +0100

Lisa, from Welwyn Garden City, Hertfordshire, reveals how she overcame depression with cognitive behavioural therapy, which focuses on changing your thoughts. (Source: the Mail online | Health)



Yoga may bring long-term benefits for people with depression

Fri, 12 May 2017 09:30:00 +0100

Conclusion The study will have to be interpreted in the context of other research into yoga and depression. But taken in isolation, it doesn't provide firm evidence that yoga is beneficial for depression. The findings are applicable to a very specific population group: people with moderately severe depression who took antidepressants (often alongside other psychological therapy) and had no other mental health illness. They also hadn't previously practised yoga, but must have had an interest in doing so as they responded to advertisements. This means the groups by no means represent all people with depression symptoms.  The study was set up to examine the effect on depression score at 10 weeks. There was no statistically significant difference between the groups. The main outcome in ...



Lisa Snowdon, 45, answers our health quiz  

Fri, 12 May 2017 07:52:40 +0100

Lisa, from Welwyn Garden City, Hertfordshire, reveals how she overcame depression with cognitive behavioural therapy, which focuses on changing your thoughts. (Source: the Mail online | Health)



Depressive mood in adults with spinal cord injury as they transition from an inpatient to a community setting: secondary analyses from a clinical trial - Craig A, Guest R, Tran Y, Middleton J.

Tue, 09 May 2017 16:12:42 +0100

STUDY DESIGN: Prospective cohort controlled trial design. OBJECTIVES: (i) To investigate mood benefits of adding group cognitive behaviour therapy (group-CBT) to standard spinal cord injury (SCI) inpatient rehabilitation (SR) that included access t... (Source: SafetyLit)

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Counselling services help expectant mothers quit smoking

Thu, 20 Apr 2017 14:38:18 +0100

Counselling services, including cognitive behavioural therapy and motivational interviewing, help women to stop smoking during pregnancy by increasing quit rates. Feedback and financial incentives may also be effective, though evidence is weaker for both. Education alone and peer support were not found to be effective (Source: Current Awareness Service for Health (CASH))



Group-based mindfulness therapy 'as effective' as individual CBT

Thu, 13 Apr 2017 15:06:05 +0100

Group mindfulness therapy is as effective as cognitive behavioural therapy (CBT) for treating depression, anxiety and stress and can be offered more widely to benefit more patients at lower costs, research suggests. (Source: GP Online News)



Can playing Tetris help prevent PTSD?

Wed, 29 Mar 2017 17:30:00 +0100

Conclusion Involvement in a traumatic event such as a traffic accident can have long-lasting effects on mental health. Some people have months or years of distressing, intrusive flash-backs, feelings of guilt or helplessness, anxiety and depression. At present, there are no treatments that can be given straight away to prevent such long-term effects. The lack of long-term effects in the study results mean we need to be cautious about claims that playing Tetris could "prevent" PTSD. Limitations of the study – such as an untested control intervention, and the relatively small number of participants – mean this is an experimental study to establish a theory, not proof that the treatment works. Intrusive memories are not the only symptom of PTSD but are thought to be an important...



Autism therapy helped Daniel learn to speak, do math, and decide he'll get married

Tue, 28 Mar 2017 09:00:00 +0100

Daniel Thompson has learned to speak, do math and make friends thanks to the intensive behavioural therapy he's received. But the provincial funding for it remains up in the air. (Source: CBC | Health)



Cognitive behavioural therapy for non-motor symptoms of Parkinson's disease: a clinical review

Mon, 27 Mar 2017 16:32:11 +0100

Neuropsychiatric symptoms are common in Parkinson's disease (PD) and have a disproportionate impact on quality of life and carer burden. Pharmacological treatment is the main approach in dealing with these symptoms, but it is limited by variable efficacy and risk of drug interactions. Non-pharmacological approaches using the cognitive –behavioural therapy (CBT) model are viable alternatives and in this review paper we summarise the evidence of CBT for three of the most common psychiatric manifestations of PD: depression and anxiety, impulse-control disorders and insomnia. Most studies modified the usual CBT format to include mo dules accounting for problems specific to PD: activity scheduling around motoric function, motor symptoms as triggers of anxiety, fear of falling and preparation ...

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The second Randomised Evaluation of the Effectiveness, cost-effectiveness and Acceptability of Computerised Therapy (REEACT-2) trial: does the provision of telephone support enhance the effectiveness of computer-delivered cognitive behaviour therapy?

Mon, 27 Mar 2017 16:29:24 +0100

Computerised cognitive behaviour therapy (cCBT) is an efficient form of therapy potentially improving access to psychological care. Indirect evidence suggests that the uptake and effectiveness of cCBT can be increased if facilitated by telephone, but this is not routinely offered in the NHS. To compare the clinical effectiveness and cost-effectiveness of telephone-facilitated free-to-use cCBT [e.g. MoodGYM (National Institute for Mental Health Research, Australian National University, Canberra, ACT, Australia)] with minimally supported cCBT. (Source: Current Awareness Service for Health (CASH))



No evidence that CBT is less effective than antidepressants in moderate to severe depression.

Thu, 16 Mar 2017 12:16:56 +0100

Some guidelines for the treatment of severe depression recommend that antidepressant medication be used instead of cognitive –behavioural therapy (CBT). This is inconsistent with evidence collating individual patient data (IPD) from multiple randomised controlled trials (RCTs).1 IPD meta analyses are one way of increasing statistical power and analysing depressive symptoms of varying severity. A previous IPD meta analys is included only four studies, so may still have lacked statistical power. (Source: Current Awareness Service for Health (CASH))



Second-generation antidepressants and cognitive behavioural therapy are both viable choices for initial treatment of major depression

Thu, 16 Mar 2017 12:03:13 +0100

There is a pressing need to generate clear hierarchies of the benefits and harms of available treatments to implement optimal clinical practice. Second-generation antidepressants (SGAs) and cognitive –behavioural therapy (CBT) have proven efficacy in the treatment of major depression.1 However, comparative benefits and harms of SGAs and CBT for the initial treatment for major depression remain unclear. Amick and colleagues carried out a systematic review and evaluated 11 randomised control led trials to compare the benefits and harms of SGAs and CBT for the initial treatment of major depressive disorder in 1511 adults. The study included papers published prior to January 2015 and identified using PubMed, EMBASE, Cochrane library, Allied and Complementary Medicine Database, PsycINFO a...



Preventing intimate partner violence via the internet: a randomized controlled trial of emotion-regulation and conflict-management training for individuals with aggression problems - Hesser H, Axelsson S, B äcke V, Engstrand J, Gustafsson T, Holmgren E, Jeppsson U, Pollack M, Nordén K, Rosenqvist D, Andersson G.

Tue, 14 Mar 2017 10:11:43 +0100

OBJECTIVE: The aim of this randomized controlled trial was to investigate the effect of an Internet-delivered cognitive behaviour therapy (iCBT), which incorporated emotion-regulation and conflict-resolution techniques, on intimate partner violence (IPV). ... (Source: SafetyLit)



Yoga 'may improve lower back pain'

Thu, 12 Jan 2017 16:45:00 +0100

Conclusion There was some evidence people doing yoga – compared with those doing no exercise – saw some improvement in back-related function at three and six months. It was not clear if those undertaking yoga, compared with other exercise or adding yoga to exercise, was any better than exercise alone. The study does, however, have some downfalls: Only 12 trials were included, the majority of which were in the US. This may mean results are less generalisable to other countries. Not all trials looked at all reported outcomes. For example, only four trials were included when comparing yoga with non-yoga exercise, increasing the risk of bias. All outcomes were self-reported, therefore all of the studies included were at risk of bias as participants may have wanted to demonstrate a d...

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NIHR Signal: Behavioural and drug treatment together help those with lung disease stop smoking

Tue, 13 Dec 2016 12:36:02 +0100

Commentary is provided of a review which found that smokers with COPD given drug treatment alongside behavioural therapy were more than twice as likely to stop smoking by six months as those given behavioural treatment alone. (Source: Current Awareness Service for Health (CASH))






Can insomnia be cured by online therapy?

Mon, 05 Dec 2016 08:10:18 +0100

Up to half of us have problems sleeping – and some experts say online treatment may soon become the norm. But which tool should you use?Can ’t get to sleep? Try online therapy. While a glowing screen is a counter-intuitive cure for insomnia, there is evidence that online cognitive behavourial therapy (CBT) can restore normal sleep patterns. In astudy published in this month ’s Jama Psychiatry, an online CBT programme cured 57% of those who used it, compared with 27% who had standard education about insomnia.Insomnia affectsup to half of all people– with up to 20% having a serious problem with getting off to sleep (or falling asleep again if they wake up). Chronic insomnia can last for years – making people feel sleepy during the day and anxious at night. Standardadvice includes p...



Royal College of Obstetricians says women should get therapy to help beat PMS

Wed, 30 Nov 2016 15:06:07 +0100

Doctors say cognitive behavioural therapy is more effective at controlling the symptoms of PMS than antidepressants. Up to 40 per cent of women are affected by PMS. (Source: the Mail online | Health)



A randomized trial of brief dialectical behaviour therapy skills training in suicidal patients suffering from borderline disorder - McMain SF, Guimond T, Barnhart R, Habinski L, Streiner DL.

Wed, 30 Nov 2016 10:08:03 +0100

OBJECTIVE: Evidence-based therapies for borderline personality disorder (BPD) are lengthy and scarce. Data on brief interventions are limited, and their role in the treatment of BPD is unclear. Our aim was therefore to evaluate the clinical effectiveness o... (Source: SafetyLit)

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CBT 'should be routinely offered' to women with premenstrual syndrome

Wed, 30 Nov 2016 00:01:02 +0100

Gynaecologists advise that cognitive behavioural therapy could help women manage the symptoms of PMSWomen experiencing premenstrual syndrome should routinely be offered cognitive behavioural therapy to help them manage the symptoms, gynaecologists have said.Around 40% of women experience symptoms of PMS with around5%-8% having severe symptoms. Physical symptoms can include swollen breasts and bloating, and the psychological symptoms are wide-ranging, including depression, irritability, suicidal thoughts and loss of confidence. The condition can be debilitating, disrupting school, social and work life.Continue reading... (Source: Guardian Unlimited Science)



Can a high-tech treatment help combat some of our oldest fears?

Tue, 22 Nov 2016 16:30:00 +0100

Conclusion This experimental study assessed whether it is possible to counter-condition people against their fear memories by using reward without actually having to re-expose the person to the fearful stimulus. The researchers conclude that they have shown this can be done, all with participants remaining unaware of the content and purpose of the procedure. They further suggest the procedure may be an initial step towards novel treatments for fear-related disorders such as phobia and PTSD, via unconscious processing. While these findings show promise, there are some key limitations, the main one being the small number of healthy participants who had fear to colours induced by giving them tolerable electric shocks. This was also an artificial scenario. The "fear" or threat was ve...



It is unclear if combined motivational interviewing and cognitive behavioural therapy improve medication adherence

Mon, 21 Nov 2016 16:09:55 +0100

Medication adherence is a complex problem affecting the care of patients with various medical and psychiatric conditions. The study by Spoelstra et al attempts to review the evidence of combined motivational interviewing (MI) and cognitive behavioural therapy (CBT) interventions to promote medication adherence. Combined MI and CBT may improve medication adherence … (Source: Current Awareness Service for Health (CASH))



Hidden in plain sight: The unmet mental health needs of older people

Mon, 21 Nov 2016 15:20:43 +0100

The Improving Access to Psychological Therapies (IAPT) programme, launched in 2008, aimed to increase the number of people accessing talking therapies such as Cognitive Behavioural Therapy (CBT) for common conditions like anxiety and depression. In 2011 the Department of Health set a target of 12% of referrals through the IAPT programme being people aged 65 and over. Five years later it is still not close to being met with national reporting showing it is currently at 6.1%. (Source: Current Awareness Service for Health (CASH))



Simpler, cheaper therapy (behavioural activation) can be as good as CBT for treating depression

Mon, 21 Nov 2016 15:02:42 +0100

A simpler therapy called behavioural activation can be as effective at treating adults with depression as cognitive behavioural therapy (CBT). Also, it is delivered more cheaply, by trained junior mental health workers. CBT is commonly provided to adults with depression and it is recommended by NICE as first- line treatment. However, it is complex to deliver and therapists are highly skilled and expensive. Behavioural activation is a simpler type of talking therapy that encourages people to develop more positive behaviour such as planning activities and doing constructive things that they would usually avoid doing. We did not know if this therapy was as effective as CBT in treating depression. The NIHR funded this trial to answer this question. This is the largest trial on behavioural acti...

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New guide 'helps 60% of youngsters overcome their fear'

Wed, 02 Nov 2016 19:27:33 +0100

Led by academics at Sheffield University, the guide uses cognitive behavioural therapy techniques to reduce children's anxiety about going to the dentist. (Source: the Mail online | Health)



Treating seasonal affective disorder with cognitive behavioural therapy is comparable to light therapy

Mon, 03 Oct 2016 11:53:18 +0100

The overall lifetime prevalence of seasonal affective disorder (SAD) ranges as high as 9.7%.1 Light therapy, where bright artificial light is used to replace diminished sunlight, can be an effective non-drug treatment for SAD.2 However, alternative non-drug treatment approaches are also needed. Cognitive behavioural therapy (CBT) is an established and effective treatment for depressive disorders.3 Limited research examining CBT adapted specifically for SAD (CBT-SAD) is available. This paper reports initial findings from a large 5-year randomised clinical trial funded by the National Institute of Mental Health and conducted in Burlington, Vermont. In 2006, over a 6-week period during the winter solstice, 177 adults with a current episode of depression tha...



Cognitive-behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial - the Strategies for Increasing Independence, Confidence and Energy (STRIDE) study

Mon, 03 Oct 2016 11:27:07 +0100

Falls cause fear, anxiety and loss of confidence, resulting in activity avoidance, social isolation and increasing frailty. The umbrella term for these problems is'fear of falling', seen in up to 85% of older adults who fall. Evidence of effectiveness of physical and psychological interventions is limited, with no previous studies examining the role of an individually delivered cognitive –behavioural therapy (CBT) approach. (Source: Current Awareness Service for Health (CASH))



A randomized controlled trial exploring the effects of brief anger management on community-based offenders in Malta - Henwood KS, Browne KD, Chou S.

Sat, 01 Oct 2016 23:28:16 +0100

The aim of this article is to examine the effects of a short-term one-to-one anger management program delivered to community-based offenders in Malta. The program delivered was the Individual Managing Anger Program (I-MAP), a Cognitive behavioural therapy ... (Source: SafetyLit)



Cognitive behavioural therapy (CBT), third-wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents

Fri, 30 Sep 2016 15:19:41 +0100

Depression is common in young people. It has a marked negative impact and is associated with self-harm and suicide. Preventing its onset would be an important advance in public health. This is an update of a Cochrane review that was last updated in 2011. To determine whether evidence-based psychological interventions (including cognitive behavioural therapy (CBT), interpersonal therapy (IPT) and third wave CBT)) are effective in preventing the onset of depressive disorder in children and adolescents. (Source: Current Awareness Service for Health (CASH))

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CBT 'can help chronic pain patients get better sleep'

Thu, 22 Sep 2016 23:00:00 +0100

People suffering chronicpain due to conditions such asarthritis could benefit from cognitive behavioural therapy (CBT) to help them get better sleep. This is according to a new study from the University of Warwick, which has demonstrated the impact that certain modes of thinking can have on sleeping habits among chronic pain patients, as well as highlighting ways this problem could be addressed. The impact of negative thinking on sleep Published in the Journal of ClinicalSleep Medicine, the research centred on the development of a new scale to measure beliefs about sleep and pain in long-term pain patients, while also examining their overall quality of sleep. It was tested on four groups of patients suffering from long-term pain and bad sleeping patterns, revealing that individuals who had...



Experiences and engagement with the design features and strategies of an internet-delivered treatment programme for generalised anxiety disorder: a service-based evaluation - Walsh A, Richards D.

Sat, 10 Sep 2016 11:13:24 +0100

BACKGROUND: Outcome research has highlighted the efficacy of internet-based cognitive behavioural therapy (iCBT). Some process research has examined users experiences of iCBT. Understanding the user experience provides valuable feedback to developers of in... (Source: SafetyLit)



Randomised, waiting list controlled trial of cognitive-behavioural therapy for persistent postconcussional symptoms after predominantly mild-moderate traumatic brain injury - Potter SD, Brown RG, Fleminger S.

Sat, 13 Aug 2016 12:14:18 +0100

BACKGROUND: Persistent postconcussional symptoms (PCS) can be a source of distress and disability following traumatic brain injury (TBI). Such symptoms have been viewed as difficult to treat but may be amenable to psychological approaches such as cognitive... (Source: SafetyLit)



Cognitive behavioural therapy (CBT), third-wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents - Hetrick SE, Cox GR, Witt KG, Bir JJ, Merry SN.

Fri, 12 Aug 2016 07:43:21 +0100

BACKGROUND: Depression is common in young people. It has a marked negative impact and is associated with self-harm and suicide. Preventing its onset would be an important advance in public health. This is an update of a Cochrane review that was last update... (Source: SafetyLit)



Does an online CBT program for anxiety impact upon sleep problems in anxious youth? - Donovan CL, Spence SH, March S.

Fri, 12 Aug 2016 07:43:21 +0100

This study aimed to assess whether the transdiagnostic therapy elements of an online cognitive behaviour therapy anxiety program also impact on sleep-related problems (SRPs) in anxious youth. Participants were drawn from two previously published studies ev... (Source: SafetyLit)

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Cognitive-behavioural therapy-based intervention to reduce fear of falling in older people: therapy development and randomised controlled trial - the Strategies for Increasing Independence, Confidence and Energy (STRIDE) study - Parry SW, Bamford C, Deary V, Finch TL, Gray J, Macdonald C, McMeekin P, Sabin NJ, Steen IN, Whitney SL, McColl EM.

Thu, 04 Aug 2016 17:43:24 +0100

BACKGROUND: Falls cause fear, anxiety and loss of confidence, resulting in activity avoidance, social isolation and increasing frailty. The umbrella term for these problems is 'fear of falling', seen in up to 85% of older adults who fall. Evidence of effec... (Source: SafetyLit)



Researchers may have found an 'antidepressant roadblock'

Mon, 01 Aug 2016 16:30:00 +0100

Conclusion This experimental study in rat brain cells investigated the delay in the action of antidepressants. This research hopes to aid the development of faster-acting treatments in the future. It is thought antidepressants work by increasing levels of neurotransmitters, such as serotonin, in the brain – chemicals that can improve mood and emotion. The researchers' experiments in rats found antidepressants seem to lead to a gradual redistribution of Gα proteins to the lipid membrane of the brain cells, which in turn affects signalling processes. However, this is a slow process that seems to depend on the dose of antidepressant and the duration of exposure. The delay in antidepressant action is not fully understood. This research helps take us one step closer to understanding this, ...



Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for depression (COBRA): a randomised, controlled, non-inferiority trial - Richards DA, Ekers D, McMillan D, Taylor RS, Byford S, Warren FC, Barrett B, Farrand PA, Gilbody S, Kuyken W, O'Mahen H, Watkins ER, Wright KA, Hollon SD, Reed N, Rhodes S, Fletcher E, Finning K.

Fri, 29 Jul 2016 08:07:31 +0100

BACKGROUND: Depression is a common, debilitating, and costly disorder. Many patients request psychological therapy, but the best-evidenced therapy-cognitive behavioural therapy (CBT)-is complex and costly. A simpler therapy-behavioural activation (BA)-migh... (Source: SafetyLit)



Improving accessibility of cognitive behavioural therapy for children and adolescents: review of evidence and future directions - Bekker MJ, Griffiths KM, Barrett PM.

Tue, 26 Jul 2016 08:43:27 +0100

Background Despite great progress in Cognitive Behavioural Therapies (CBTs) for children and adolescents over the last two decades, as many as four out of five young people who could benefit from therapy are not accessing it. The demand on available ser... (Source: SafetyLit)



The Lancet: Simpler, cheaper psychological treatment as effective as cognitive behavioural therapy for treating depression

Fri, 22 Jul 2016 04:00:00 +0100

( < i > The Lancet < /i > ) A simple and inexpensive psychotherapy or talking therapy known as behavioral activation (BA) is as effective at treating depression in adults as the gold-standard cognitive behavioral therapy (CBT), and can be delivered by non-specialist staff with minimal training at far less cost, according to new research published in The Lancet. (Source: EurekAlert! - Medicine and Health)

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The use of psychological interventions for adult male sex offenders with a learning disability: a systematic review - Cohen G, Harvey J.

Tue, 19 Jul 2016 04:27:23 +0100

There is a drive to attend to the specific treatment needs of sexual offenders with a learning disability (LD) and increasing recognition of treatment limitations in this group. Cognitive behavioural therapy (CBT)-based sex offender treatment programmes (S... (Source: SafetyLit)



Both paroxetine and impramine appear to be ineffective in adolescents with major depression, furthermore doubts have risen about their safety

Tue, 12 Jul 2016 13:14:39 +0100

Adolescents suffering from major depression often receive treatment with antidepressants. However the evidence for the efficacy of both newer antidepressants and tricyclic antidepressants in major depression in adolescence is very limited. Systematic reviews1 found a statistically significant difference in efficacy in favour of antidepressants versus placebo, which was not clinically relevant. However, they concluded that the large majority of studies on this topic shows serious methodological flaws, selecting patients with advertisements, excluding patients with suicide risk, high dropout rates and reporting bias. Regarding the use of selective serotonin reuptake inhibitors (SSRIs) there are indications of a slightly incr...



Cognitive-Behavioral Therapy for Schizophrenia

Fri, 08 Jul 2016 17:45:42 +0100

Search Google for cognitive-behavioral therapy (CBT) and you’ll find this: “A type of psychotherapy in which negative patterns of thought about the self and the world are challenged in order to alter unwanted behavior patterns or treat mood disorders such as depression.” On the surface, it seems unlikely that this type of therapy would be associated with people suffering from schizophrenia, a serious mental disorder affecting approximately one percent of the world’s population. But it may be an effective supplementary therapy to pharmacological treatment for those with the disorder. Post-hospital care often begins while patients are still in the hospital, and applies the principles of treatment engagement, goal-setting, positive actions and removing roadblocks to recovery (...



Cancer-related fatigue in palliative care: a global perspective

Tue, 05 Jul 2016 12:36:36 +0100

Apart from exercise, cognitive behavioural therapy and psychosocial interventions, there is an absence of high quality evidence that favours any particular pharmacological and non-pharmacological treatments for cancer-related fatigue. In this article the authors argue that a personalised integrative oncology approach can lead to effective management. (Source: Current Awareness Service for Health (CASH))



Psychosocial interventions for people with dementia: An overview and commentary on recent developments

Tue, 05 Jul 2016 10:07:10 +0100

An influential review in 2010 concluded that non-pharmacological multi-component interventions have positive effects on cognitive functioning, activities of daily living, behaviour and mood of people with dementia. Our aim here is to provide an up-to-date overview of research into psychosocial interventions and their impact on psychosocial outcomes. We focused on randomised controlled trials, controlled studies and reviews published between October 2008 and August 2015, since the earlier review. The search of PsychInfo, Medline and the Cochrane database of systematic reviews yielded 61 relevant articles, organised into four themes echoing key phases of the care pathway: Living at home with dementia (five reviews, eight studies), carer interventions (three reviews, four studies), interventi...

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The impact and utility of computerised therapy for educationally alienated teenagers: the views of adolescents who participated in an alternative education-based trial - Fleming T, Lucassen M, Stasiak K, Shepherd M, Merry S.

Mon, 27 Jun 2016 20:23:24 +0100

Background Computerised cognitive behavioural therapy (cCBT) has the potential to increase access to therapy for underserved groups. We aimed to explore the views of adolescents attending alternative education (AE) programmes who participated in a trial... (Source: SafetyLit)



Almost half of all UK adults may be living with chronic pain

Tue, 21 Jun 2016 15:30:00 +0100

Conclusion This systematic review aimed to combine available data on the prevalence of chronic pain in the UK adult population. The 19 identified studies suggested that 43% of people in the UK experience chronic pain. However, there are both strengths and limitations to this review that may affect the reliability of this finding. The review has strengths in the careful search methods which aimed to identify only studies relevant to the general population. The researchers also did their best to provide the most reliable estimate by performing a quality assessment of studies and excluding those at particularly high risk of bias. The main limitation is that a systematic review can only be as good as the included studies, and in this case there were few high-quality studies and a lot of vari...



Depression blood test could lead to personalised treatments

Tue, 07 Jun 2016 16:43:23 +0100

Conclusion This study shows how a new blood test in development can help identify people with depression who are most and least likely to benefit from antidepressants. While promising, the test is far from perfect. For example, it missed 39-43% of non-responders, meaning these people would continue to receive standard antidepressant treatment that is unlikely to work for them. A large proportion of patients (22-38%) also fell into the "intermediate" group who were neither responders nor non-responders, so the test wasn't too useful here. This means there is a significant proportion of people with depression who would not necessarily benefit from this test. However, we shouldn't be overly negative. A significant proportion of people were identified correctly as responders an...



Adapted DBT programme for individuals with intellectual disabilities and problems managing emotions: staff awareness training

Mon, 06 Jun 2016 09:18:05 +0100

The purpose of this paper is to present the development and evaluation of an original training package for staff members on an awareness of an adapted Dialectical Behaviour Therapy programme, the “I Can Feel Good” programme (Ingamells and Morrissey, 2014) designed for individuals with intellectual disabilities (ID) and problems managing emotions. The quality and effectiveness of the training was assessed and is reported in this paper. (Source: Current Awareness Service for Health (CASH))



Proof opiates are useful for chronic back pain 'lacking'

Tue, 24 May 2016 13:30:00 +0100

Conclusion This systematic review found no evidence that opioids provide a meaningful effect on chronic non-specific lower back pain. Opioids are often used as a last resort for people who have not responded to other painkillers. But these results found opioids gave only half the size of the effect that would be needed to make a real difference – about a 10-point score difference, rather than 20. On the whole, the body of evidence was high quality. A large number of trials where identified, and most were multi-centre trials with good sample sizes carried out in the US, Canada, Australia and Europe. This means the findings should be representative of people with this condition in the UK. Most of the evidence compared the effect of opioids with placebo only, rather than any other activ...

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The role of emotion regulation in childhood obesity

Fri, 20 May 2016 10:58:06 +0100

In conclusion, encouraging effective ER could be a useful new approach for combating and treating childhood obesity. Nonetheless, ER intervention studies are needed to confirm the validity of this model in children. Implications for treatment:• Consider traditional weight loss methods and nutritional recommendations along with ER intervention. • Target barriers in the treatment progress such as shame and preoccupation with food by fostering greater self-esteem, resilience and body acceptance. • Families need to be aware of the emotional distress that overweight children suffer from. Consequently, the family should learn effective ER and conflict-solving. Implications for prevention:Target mental health, effective ER techniques and healthy lifestyle habits such as eating behaviour...



A pilot study of self-guided internet-delivered cognitive behavioural therapy for anxiety and depression among Arabs - Kayrouz R, Dear BF, Karin E, Gandy M, Fogliati VJ, Terides MD, Titov N.

Thu, 19 May 2016 11:19:50 +0100

This pilot study examined the efficacy and acceptability of a self-guided and culturally modified internet-delivered Cognitive Behaviour Therapy (iCBT) treatment for Arab people, aged 18 and over, with symptoms of depression and anxiety. Thirty-six partici... (Source: SafetyLit)



The role of emotion regulation in childhood obesity

Thu, 12 May 2016 11:35:55 +0100

In conclusion, encouraging effective ER could be a useful new approach for combating and treating childhood obesity. Nonetheless, ER intervention studies are needed to confirm the validity of this model in children. Implications for treatment:• Consider traditional weight loss methods and nutritional recommendations along with ER intervention. • Target barriers in the treatment progress such as shame and preoccupation with food by fostering greater self-esteem, resilience and body acceptance. • Families need to be aware of the emotional distress that overweight children suffer from. Consequently, the family should learn effective ER and conflict-solving. Implications for prevention:Target mental health, effective ER techniques and healthy lifestyle habits such as eating behaviour...



Suffering from insomnia? Don’t pop pills –TRAIN your body to sleep again 

Tue, 03 May 2016 12:59:22 +0100

Cognitive Behavioural Therapy (CBT) - which retrains the brain - can be effective and doesn't carry the side effects of medication, according to the American College of Physicians. (Source: the Mail online | Health)



Can psychological therapies help people who self-harm?

Mon, 02 May 2016 15:44:32 +0100

Latest Cochrane research has found that psychological therapies, more commonly known as ‘talking treatments’, may help people who self-harm.Self-harm is intentional self-poisoning or self-injury. Many people who are admitted to hospital because of this are at an increased risk of self-harming again and of suicide.  It is a major problem in many countries, leads to high levels of distress for patients and their families and friends, and places significant demands on health services.Psychosocial interventions could involve specific psychological therapies as well as maintaining support and contact with patients. Psychological therapies are usually a type of ‘talking treatment’. Cognitive Behavioural Therapy (CBT), a specific type of psychological therapy, focuses on how a patient’...

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Antidepressants and talking therapies offer similar benefits for new-onset major depression

Thu, 07 Apr 2016 11:47:39 +0100

This review found no difference in effectiveness or drop-out rates between antidepressants and cognitive behavioural therapy for adults recently diagnosed with major depressive disorder. Both treatments should be offered, as recommended by NICE, either alone or possibly in combination, and the final decision will rely heavily on the patient's preference. The challenge for talking therapies in the NHS has long been a lack of capacity. However, the Improving Access to Psychological Therapies programme has in the last few years provided thousands of trained therapists who can be accessed through GPs and in some cases directly. (Source: Current Awareness Service for Health (CASH))



Drug and behavioural therapy are both effective for tics in people with Tourette syndrome

Thu, 07 Apr 2016 11:37:26 +0100

There are effective drug and behavioural treatments for tics in children and young people with Tourette syndrome. Although most of the studies included in this review were small with risk of , the effects found were moderate to large and likely to be clinically meaningful. This NIHR funded and qualitative study found that habit reversal therapy, where people with Tourette's are taught to replace their tic with a less noticeable alternative, was effective. The drugs with the best balance of benefits and harms – risperidone, clonidine and aripiprazole – are those most commonly used in the UK. (Source: Current Awareness Service for Health (CASH))



Therapist-supported internet cognitive behavioural therapy for anxiety disorders in adults

Thu, 07 Apr 2016 11:21:22 +0100

Cognitive behavioural therapy (CBT) is an evidence-based treatment for anxiety disorders. Many people have difficulty accessing treatment, due to a variety of obstacles. Researchers have therefore explored the possibility of using the Internet to deliver CBT; it is important to ensure the decision to promote such treatment is grounded in high quality evidence. To assess the effects of therapist-supported Internet CBT (ICBT) on remission of anxiety disorder diagnosis and reduction of anxiety symptoms in adults as compared to waiting list control, unguided CBT, or face-to-face CBT. Effects of treatment on quality of life and patient satisfaction with the intervention were also assessed. (Source: Current Awareness Service for Health (CASH))



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...



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))

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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))



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...



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)



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...

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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))



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...

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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))