MedWorm: Cognitive Behavior Therapy

The effects of cognitive behavior therapy delivered by students in a psychologist training program: an effectiveness study.

Behavior Therapy — Wed, 08 Feb 2012 16:42:57 +0100

Authors: Ost LG, Karlstedt A, Widén S Abstract Relatively little is known about the efficacy of clinically inexperienced student therapists carrying out cognitive behavior therapy (CBT) under supervision during a professional, psychologist training program. The current study evaluated this by collecting pre- and posttreatment data on 591 consecutive patients receiving treatment at the Psychotherapy Clinic of the Department of Psychology, Stockholm University, Sweden, over an 8-year period. The patients had mainly anxiety disorders or depression with a mean duration of 15years, and received individual CBT for a mean of 18 sessions. They improved significantly on both general measures (Beck Anxiety Inventory [BAI], Beck Depression Inventory [BDI], and Quality of Life Inventory [QOLI...

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Cognitive Behavior Therapy for Pediatric Obsessive-Compulsive Disorder [Letters]

JAMA — Tue, 07 Feb 2012 05:00:00 +0100

(Source: JAMA)

Cognitive Behavior Therapy for Pediatric Obsessive-Compulsive Disorder--Reply [Letters]

JAMA — Tue, 07 Feb 2012 05:00:00 +0100

(Source: JAMA)

Cognitive Therapy for Negative Symptoms of Schizophrenia [Editorial]

Archives of General Psychiatry — Mon, 06 Feb 2012 05:00:00 +0100

(Source: Archives of General Psychiatry)

Randomized Trial to Evaluate the Efficacy of Cognitive Therapy for Low-Functioning Patients With Schizophrenia [Original Article]

Archives of General Psychiatry — Mon, 06 Feb 2012 05:00:00 +0100

Conclusion Cognitive therapy can be successful in promoting clinically meaningful improvements in functional outcome, motivation, and positive symptoms in low-functioning patients with significant cognitive impairment. Trial Registration clinicaltrials.gov Identifier: NCT00350883 (Source: Archives of General Psychiatry)

Prevention of Posttraumatic Stress Disorder by Early Treatment: Results From the Jerusalem Trauma Outreach and Prevention Study [Original Article]

Archives of General Psychiatry — Mon, 06 Feb 2012 05:00:00 +0100

Conclusions Prolonged exposure, CT, and delayed PE effectively prevent chronic PTSD in recent survivors. The lack of improvement from treatment with escitalopram requires further evaluation. Trauma-focused clinical interventions have no added benefit to survivors with subthreshold PTSD symptoms. Trial Registration clinicaltrials.gov Identifier: NCT00146900 (Source: Archives of General Psychiatry)

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Mindfulness-Based Cognitive Therapy for Recurrent and Chronic Depression: Recent Finding on Mechanisms of Action and Effectiveness. (2012-02-13)

Institute of Psychiatry | Events — Wed, 01 Feb 2012 10:47:45 +0100

<span lang="EN-GB:: While established treatments of depression are relatively effective in reducing symptoms in the short term, it has become increasingly obvious that lasting treatment effects are difficult to achieve, and persistent courses of depression still represent a considerable challenge. Mindfulness-Based Cognitive Therapy (MBCT) was developed for the prevention of relapse in p (Source: Institute of Psychiatry | Events)

The Acceptability and Efficacy of a Group Cognitive Behavioural Therapy Programme in a Community Mental Health Setting.

Community Mental Health Journal — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Naik A, O'Brien AP, Gaskin CJ, Munro I, Bloomer MJ Abstract This paper presents data on a patient evaluation of a group cognitive behavioural therapy programme in an applied setting and its efficacy for reducing generalised anxiety and or depression, and distress. Patients (n = 14) participated in one of two 8-week group cognitive behavioural therapy programmes for generalised anxiety or depression, within a mental health service. Patients' perceptions of the programme were collected via an evaluation questionnaire, and data on clinical outcomes were sourced from patients' case notes. Most patients who were invited to participate in the programme (n = 14 of 17), and their evaluations were generally favourable. Almost all participants (93%) indicated that the programme ...

Collaboration in Mindfulness‐Based Cognitive Therapy

Journal of Clinical Psychology — Fri, 27 Jan 2012 07:33:30 +0100

In this article, we describe the nature of therapeutic collaboration between psychotherapist and group participants in mindfulness‐based cognitive therapy (MBCT), which occurs in a group format and incorporates cognitive therapy and mindfulness practices with the aim of preventing depression relapse. Collaboration is a central part of two components of MBCT: inquiry and leading mindfulness practices. During the process of inquiry, the therapist‐initiated questions about the participant's moment‐to‐moment experience of the practice occurs in a context of curious, open, and warm attitudes. In addition, collaboration is maintained through co‐participation in mindfulness practices. We provide a case illustration of collaboration in these contexts and conclude with recommendations for...

A Special Feature on Collaboration in Psychotherapy

Journal of Clinical Psychology — Fri, 27 Jan 2012 07:33:23 +0100

This article introduces an issue of the Journal of Clinical Psychology: In Session designed to describe and illustrate the role of the psychotherapist in facilitating collaboration. Expert practitioners present case examples of collaboration in psychodynamic psychotherapy, cognitive‐behavioral therapy, experiential therapy, family therapy, mindfulness‐based cognitive therapy, multicultural therapy, and in the context of pharmacotherapy. In the final article, a practitioner‐friendly review of empirical research on collaboration is offered. (Source: Journal of Clinical Psychology)

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Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?

The British Journal of Clinical Psychology — Thu, 26 Jan 2012 23:42:53 +0100

Conclusions. Although the two CBT programs elicited similar therapy responses, patients receiving CBT alone showed higher adherence to therapy and lower drop-out rates. PMID: 22268541 [PubMed - in process] (Source: The British Journal of Clinical Psychology)

Mental Healthcare In China

Psychology Today Anxiety Center — Thu, 26 Jan 2012 21:24:38 +0100

In May 2011 I had an opportunity to co-lead a training on Anxiety Disorders in Shanghai, China. While there I interviewed two of the leading mental health specialists in China: Dr. Xu Yong, Director of Education and Training at the Shanghai Mental Health Center; and Dr. Jianping Wang, Professor at the school of psychology at Beijing Normal University.read more (Source: Psychology Today Anxiety Center)

Interventions for preventing weight gain after smoking cessation.

Cochrane Database of Systematic Reviews — Thu, 26 Jan 2012 08:18:08 +0100

CONCLUSIONS: Although some pharmacotherapies tested to limit PCWG show evidence of short-term success, other problems with them and the lack of data on long-term efficacy limits their use. Weight management education only, is not effective and may reduce abstinence. Personalised weight management support may be effective and not reduce abstinence, but there are too few data to be sure. One study showed a VLCD increased abstinence but did not prevent WG in the longer term. CBT to accept WG did not limit PCWG and may not promote abstinence in the long term. Exercise interventions significantly reduced weight in the long term, but not the short term. More studies are needed to clarify whether this is an effect of treatment or a chance finding. Bupropion, fluoxetine, NRT and varenicline reduce...

Does Inability To Express Emotions Affect Treatment In Substance Abuse?

Health News from Medical News Today — Tue, 24 Jan 2012 18:00:00 +0100

Alexithymia describes a person's state of deficiency in understanding, processing, or describing emotions, and even though the rate for alexithymia in those with substance use disorders is reported to be almost 67%, there are few studies that have evaluated therapy in alexithymic SUD patients. One therapy that proved fairly successful in high-scoring alexithymic SUD patients was group cognitive behavior therapy (CBT), and whilst alexithymia was linked to a lower dropout rate amongst participants, the Addiction Severity Index (ASI) alcohol composite score proved to be higher at follow-up... (Source: Health News from Medical News Today)

Lifelong brain-stimulating habits linked to lower Alzheimer's protein levels

ScienceDaily Headlines — Mon, 23 Jan 2012 21:33:33 +0100

People who have made mental engagement a lifelong habit have lower levels of a key protein linked to Alzheimer's disease, according to a new study by neuroscientists. The findings could provide support for cognitive therapies to help prevent the onset of a debilitating disease. (Source: ScienceDaily Headlines)

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Nursing leadership in a chronic pain management group approach

Journal of Nursing Management — Mon, 23 Jan 2012 05:00:00 +0100

Conclusions The results show how important it is to have firm overall leadership and trained group leaders with a common purpose, interdependent roles and complementary skills, who are thus well prepared to prevent or deal with challenging group processes.Implications for nursing management The leaders of both levels, which are highly interrelated, should have a current theoretical understanding of pain theory, group leadership skills and a cognitive behavioural approach. (Source: Journal of Nursing Management)

Self‐care strategies to facilitate sleep in patients with heart disease—A qualitative study

International Journal of Nursing Practice — Sat, 21 Jan 2012 02:15:25 +0100

This study aimed at exploring and describing the self‐care management strategies used by patients with coronary artery disease to facilitate sleep. Qualitative interviews in a dialogue manner, in a phenomenographic reference frame analyzed according to manifest and latent principles of qualitative content analysis, were performed. A purposeful sampling technique was used including 11 patients with coronary heart disease in a Heart Medical Unit in a general hospital setting. Two main themes were identified: ‘sleep‐rhythm’ and ‘sleep‐hygiene’ including four descriptive categories. The categories reveal five basic responses including emotions, cognition, physical symptoms (reactions), behaviours and/or the sleep environment, which were related to perceived or actual presence of ...

Seminar: Chronic insomnia

NeLM - News — Fri, 20 Jan 2012 05:00:00 +0100

Source: Lancet Area: News This seminar in the Lancet on chronic insomnia covers the following topics: . Clinical presentation . Epidemiology . Pathophysiological mechanisms . Assessment and diagnosis . Cognitive behavioural therapy . Pharmacotherapy (Source: NeLM - News)

Do humans respond to fear like animals?

NHS News Feed — Thu, 19 Jan 2012 17:30:00 +0100

Conclusion This small study is of interest to specialists in the field of psychology, but doesn’t contribute much to possible treatments of conditions such as phobias and panic attacks. While the results are certainly intriguing from an academic perspective, the context of electric shocks in a laboratory is arguably quite different to what occurs when a person has problematic fears and phobias, which can often be treated. Phobias, for example, can be treated using talking therapies such as psychotherapy, cognitive behavioural therapy and counselling. There are also medications that can be prescribed in cases where talking therapy has not proved successful. Links To The Headlines Eeek! Human response to fear is more like animals - and can overrule what we think. Daily Mail, January 19 20...

The DARE study of relapse prevention in depression: design for a phase 1/2 translational randomised controlled trial involving mindfulness-based cognitive therapy and supported self monitoring

BMC Psychiatry - Latest articles — Thu, 19 Jan 2012 05:00:00 +0100

This study is designed as a prospective, multi-site, single-blind, randomised controlled trial using a group comparison design between involving the intervention, MBCT, and a self-monitoring comparison condition, Depression Relapse Active Monitoring (DRAM). Follow-up is over 2 years. The design of the study indicates recruitment from primary and secondary care of 204 participants who have a history of 3 or more episodes of Major Depression but who are currently well. Measures assessing depressive relapse/recurrence, time to first clinical intervention, treatment expectancy and a range of secondary outcomes and process variables are included. A health economics evaluation will be undertaken to assess the incremental cost of MBCT.DiscussionThe results of this trial, including an examination ...

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Nonpharmacological Approaches to Pain, Anxiety, and Dyspnea: Expanding Your Bedside Toolbox (328)

Journal of Pain and Symptom Management — Thu, 19 Jan 2012 03:24:50 +0100

Summarize the strength of evidence for effectiveness of hypnosis, cognitive-behavior therapy, and meditation in managing three palliative care symptoms. (Source: Journal of Pain and Symptom Management)

Trauma focused CBT for PTSD in young children is feasible, and may reduce PTSD symptoms

Evidence-Based Mental Health — Tue, 17 Jan 2012 05:00:00 +0100

QuestionQuestion Is trauma-focused cognitive behavioural therapy (TF-CBT) feasible and effective in young children with post-traumatic stress disorder (PTSD) and other comorbid conditions? Patients 64 children aged between 36 and 83 months (mean age 5.3 years, 66.2% male, 59.5% African–American, 35.1% white) who experienced a recent life-threatening trauma and had ≥4 PTSD symptoms of which one had to be either a re-experiencing symptom or an avoidance symptom. The symptoms could come from either the DSM-IV or an alternative diagnostic algorithm proposed for DSM-V. Main exclusions: head trauma (Glasgow Coma Scale score of 7 or less), autistic disorder, blindness, mental retardation, deafness, not speaking English. Setting Outpatient study of children recruited via battered women's ...

Review: psychological and pharmacological treatments reduce depression symptoms in adults with coronary artery disease, but have no effect on mortality or cardiac events

Evidence-Based Mental Health — Tue, 17 Jan 2012 05:00:00 +0100

QuestionQuestion What are the effects of psychological and pharmacological interventions for depression in coronary artery disease (CAD) patients with comorbid depression? Outcomes Primary outcomes were depression symptoms, depression remission, all-cause and CAD-related morality and non-fatal cardiac events or surgery. MethodsDesign Systematic review and meta-analysis. Data sources Searches were carried out on 15 July 2009 in 10 electronic databases (CENTRAL, DARE, HTA and EED on The Cochrane Library, MEDLINE, EMBASE, PsycINFO, CINAHL, ISRCTN Register and CardioSource Registry). Reference lists of included randomised controlled trials (RCTs) were also examined for relevant trials. Study authors were contacted for recommendations of other relevant published and unpublished RCTs. Study sel...

Adjunctive cognitive behavioural therapy improves response in children with OCD and partial response to serotonin reuptake inhibitors

Evidence-Based Mental Health — Tue, 17 Jan 2012 05:00:00 +0100

QuestionQuestion What are the effects of adding cognitive behavioural therapy (CBT), brief CBT or instructions in CBT in children with obsessive-compulsive disorder (OCD) and a partial response to serotonin reuptake inhibitors (SRI)? Patients 124 paediatric outpatients between the ages of 7 and 17 with a primary DSM-IV diagnosis of OCD, and residual symptoms (Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) score of ≥16), and were defined as having a partial response to an adequate SRI trial by a study psychiatrist. Setting Three US academic medical centres (University of Pennsylvania, Duke University and Brown University); from 2004 to 2009. Intervention Adjunctive CBT or instructions in CBT or no adjunctive treatment over 12 weeks. All participants received medication manage...

The importance of observing

Guardian Unlimited Science — Sun, 15 Jan 2012 00:28:00 +0100

To commit something to memory, you need to pay attention the next time you encounter something – or someone – new• Click here to download your daily memory taskNever was the phrase "a job well begun, is a job half done" truer than in the case of memory. All memories begin with what you perceive – with how you see, hear and feel the world. And for that simple reason, the first way to boost your memory is to make sure that you experience the world as vividly, clearly and meaningfully as possible.To understand how to do this, we need to appreciate that our senses are not designed to record the world, but instead to make sense of it. Where cameras take instantaneous, detailed snapshots of our surroundings, human perception takes time and is full of creativity and imagination. To experi...

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Is Long-Term Psychodynamic Psychotherapy Worthwhile?

Psychology Today Anxiety Center — Sat, 14 Jan 2012 20:37:17 +0100

All of the studies were conducted by advocates of long-term psychodynamic therapy and that makes all the more surprising the uniformity of the negative results. After all, investigator allegiance is typically a stronger predictor of the outcome of a clinical trial evaluating a psychotherapy than the therapy being evaluated.read more (Source: Psychology Today Anxiety Center)

Group cognitive behavioural therapy for first episode psychosis: who's referred, who attends and who completes it?

Early Intervention in Psychiatry — Fri, 13 Jan 2012 05:00:00 +0100

Conclusion: Within an early intervention service for FEP, it appears that individuals with less education, more negative symptoms and less insight experienced significant barriers to successfully completing group CBT. More information for referring clinicians about the benefits of CBT for FEP could help increase referral rates. Assertive outreach for people at risk of disengaging or non‐adherence should also be considered. (Source: Early Intervention in Psychiatry)

Treatment strategies of obsessive-compulsive disorder and panic disorder/agoraphobia.

Current Topics in Medicinal Chemistry — Tue, 10 Jan 2012 19:55:37 +0100

Authors: Marazziti D, Carlini M, Dell'osso L Abstract Anxiety disorders represent the most prevalent psychiatric disorders. In addition, a considerable burden is associated with them, not only for individual sufferers, but also for the health care system. However, many patients who might benefit from treatment are not diagnosed or treated. This may partly be due to lack of awareness of the anxiety disorders by primary care practitioners and by the sufferers themselves. In addition, the stigma still associated with psychiatric disorders and lack of confidence in psychiatric treatments are factors leading to no/under recognition and treatment, or the use of unnecessary or inappropriate treatments. This paper aims to provide a comprehensive review of recommendations for the pharmacolo...

Randomized Controlled Trial of Cognitive Behavioral Social Skills Training for Older Consumers With Schizophrenia: Defeatist Performance Attitudes and Functional Outcome.

Am J Geriatr Psychia... — Tue, 10 Jan 2012 05:00:00 +0100

CONCLUSIONS:: CBSST is an effective treatment to improve functioning in older consumers with schizophrenia, and both CBSST and other supportive goal-focused interventions can reduce symptom distress, increase motivation and self esteem, and improve life satisfaction. Participants with more severe defeatist performance attitudes may benefit most from cognitive behavioral interventions that target functioning.Trial Registry: ClinicalTrials.Gov #NCT00237796 (http://clinicaltrials.gov/show/NCT00237796). PMID: 22237248 [PubMed - as supplied by publisher] (Source: Am J Geriatr Psychia...)

Cognitive Behavioral Therapy in Prodromal Psychosis.

Current Pharmaceutical Design — Tue, 10 Jan 2012 05:00:00 +0100

Authors: Addington J, Marshall C, French P Abstract There is a strong impetus in the psychosis research field to develop interventions that aim to prevent the onset of psychotic disorders. Over the past 15 years there has been a tremendous development in the work aimed at understanding the pre-psychotic period. More recently there has been a focus on developing and testing treatments both pharmacological and psychological that could potentially prevent or delay the onset of psychosis. One of the psychological treatments that has received the most attention is cognitive behavior therapy (CBT). Relatively few trials have been completed and this paper reviews the existing trials. Implications of these trials for the treatment of this early phase as well as for designing future studies...

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Thinking Our Way to Better Treatments of Chronic Pain [Editorial]

Archives of Internal Medicine — Mon, 09 Jan 2012 05:00:00 +0100

(Source: Archives of Internal Medicine)

Cognitive Behavior Therapy, Exercise, or Both for Treating Chronic Widespread Pain [Original Investigation]

Archives of Internal Medicine — Mon, 09 Jan 2012 05:00:00 +0100

Conclusions on cost-effectiveness were sensitive to missing data. Conclusion TCBT was associated with substantial, statistically significant, and sustained improvements in patient global assessment. Trial Registration clinicaltrials.gov Identifier: ISRCTN67013851 (Source: Archives of Internal Medicine)

A Randomized Trial of Cognitive Behaviour Therapy and Cognitive Therapy for Children with Posttraumatic Stress Disorder Following Single-Incident Trauma. - Nixon RD, Sterk J, Pearce A.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

The present study compared the efficacy of trauma-focused cognitive behavior therapy (CBT) with trauma-focused cognitive therapy (without exposure; CT) for children and youth with posttraumatic stress disorder (PTSD). Children and youth who had experienced... (Source: SafetyLit: All (Unduplicated))

OCD: Treatment for Contamination Fears

Psych Central — Wed, 04 Jan 2012 21:14:48 +0100

Before discussing currently accepted treatments for contamination obssessive-compulsive (OC) disorder, let’s cover treatments that should be avoided (but unfortunately are still used by some providers). These treatments may be helpful for other problems, but the weight of evidence suggests that for contamination OC (and other forms of OCD), these should be avoided. Systematic desensitization: The functional component of this treatment involves relaxation in association with feared images and objects. Although this approach is of some value for other anxiety conditions, it is not advisable for contamination OC. One of the clearest reasons is that most people receiving this treatment find they cannot engage in relaxation exercises when they are ‘in the moment’ of their co...

Effectiveness of Internet-based Exposure Treatment for IBSEffectiveness of Internet-based Exposure Treatment for IBS

Medscape Today Headlines — Wed, 04 Jan 2012 04:00:00 +0100

How well do IBS patients fare when undergoing cognitive-behavior therapy sessions via the internet? BMC Gastroenterology (Source: Medscape Today Headlines)

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Antidepressant, Talk Therapy Fail to Beat Placebo--Really?

Psychology Today Depression Center — Tue, 03 Jan 2012 18:49:56 +0100

If all treatments are equal, why not treat depression with sugar pills rather than expensive psychotherapy or medication?read more (Source: Psychology Today Depression Center)

Understanding children’s dental anxiety and psychological approaches to its reduction

International Journal of Paediatric Dentistry — Tue, 03 Jan 2012 05:00:00 +0100

This article will consider the prevalence, development, and implications of children’s dental anxiety. It will also discuss the opportunities for and challenges of psychological approaches such as cognitive behavioural therapy aimed at the reduction of dental anxiety in children. (Source: International Journal of Paediatric Dentistry)

A survey of engagement and competence levels in interventions and activities in a community mental health workforce in England

BMC Health Services Research — Thu, 29 Dec 2011 05:00:00 +0100

Conclusions: There was a reasonable competence level in the community-setting mental health workforce, but competence varied with professional groups and cluster activities. New staff and other non-qualified support professionals need to receive efficient training, and the training content is more important than frequency to increase level of competence. (Source: BMC Health Services Research)

Avoidance in OCD: It’s Never the Answer

Psych Central — Wed, 21 Dec 2011 14:27:47 +0100

One of the common ways that people deal with anxiety is through avoidance. Afraid to fly? Well then, don’t. A large crowd of people too much to deal with? Just stay away from parties or large gatherings. Too anxious to ever give a presentation? Don’t apply for that job you’d otherwise love. So what’s the problem? In isolated instances, avoidance may work. But as Dr. Charles Elliott, a clinical psychologist and a Founding Fellow in the Academy of Cognitive Therapy, says in reference to this behavior: “It makes your world smaller and fosters your fears. The more you avoid, the worse things get.” I believe this is especially true when talking about avoidance and Obsessive Compulsive Disorder. OCD is characterized by unreasonable thoughts and fears (obsessions) that lead the suf...

Efficacy of exposure versus cognitive therapy in anxiety disorders: systematic review and meta-analysis

BMC Psychiatry - Latest articles — Tue, 20 Dec 2011 05:00:00 +0100

Conclusions: On the basis of extant literature, there appears to be no evidence of differential efficacy between Cognitive Therapy and Exposure in PD, PTSD and OCD and strong evidence of superior efficacy of Cognitive Therapy in Social Phobia (Source: BMC Psychiatry - Latest articles)

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Cannabinoid hyperemesis

Emergency Medicine Journal — Tue, 20 Dec 2011 05:00:00 +0100

A 21-year-old woman presented with a 4-week history of sudden onset vomiting, nausea and anorexia. Questioning revealed that she had a 7-year history of heavy cannabis use (smoking). She did not describe abdominal pain, change in bowel habit, antibiotic use, foreign travel or contact with gastroenteritis. Biochemistry results demonstrated mild metabolic derangement with a low potassium and a low bicarbonate, and urine toxicology was positive for cannabinoids. Other investigations, including a full blood count, renal function tests, liver function tests, a coagulation sample, an ECG, urinary β-hCG and a CT head scan, were all normal. A diagnosis of cannabinoid hyperemesis was made and her symptoms resolved after treatment with intravenous fluids, antiemetics and abstinence from cannabi...

Virtual Reality Cognitive-Behavior Therapy for Public Speaking Anxiety: One-Year Follow-Up.

Behavior Modification — Thu, 15 Dec 2011 05:00:00 +0100

Authors: Safir MP, Wallach HS, Bar-Zvi M Abstract Public speaking anxiety (PSA) is a common social phobia. Although cognitive-behavior therapy (CBT) is the treatment of choice, difficulties arise with both in vivo and in vitro exposure (lack of therapist control, patient's inability to imagine, self-flooding, and a lack of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these difficulties. In a previous publication, the authors reported on their findings that VRCBT (n = 28) and CBT (n = 30) groups were significantly more effective than a wait-list control (WLC; n = 30) group in anxiety reduction on four of five anxiety measures as well as on participant's self-rating of anxiety during a behavio...

Computerised cognitive behavioural therapy for the treatment of depression in people with multiple sclerosis: external pilot trial

Trials — Wed, 14 Dec 2011 05:00:00 +0100

A pilot study of computerised cognitive behavioural therapy (CCBT) for treatment of depression in Multiple Sclerosis patients identifies challenges in participant recruitment. (Source: Trials)

Chronic fatigue syndrome 'cause of school absence'

NHS News Feed — Tue, 13 Dec 2011 17:25:00 +0100

Conclusion This research assessed the number of children that had chronic fatigue syndrome out of nearly 3,000 children attending secondary school and the feasibility of identifying them using a school-based clinic. The researchers identified potential new cases by assessing children who had missed more than a fifth of school days, and whose absence could not be attributed to other medical reasons or other reasons such as truancy. This study had several strengths, including the fact that the frequently absent children who reported unexplained fatigue were screened for medical and emotional causes of fatigue other than CFS. Another strength was that well-validated procedures were used to look for other conditions. However, there are inherent limitations to this type of study, which mean fur...

The Effect of a Structured Behavioral Intervention on Poorly Controlled Diabetes: A Randomized Controlled Trial [Original Investigation]

Archives of Internal Medicine — Mon, 12 Dec 2011 05:00:00 +0100

Conclusions A structured, cognitive behavioral program is more effective than 2 control interventions in improving glycemia in adults with long-duration diabetes. Educators can successfully use modified psychological and behavioral strategies. Trial Registration clinicaltrials.gov Identifier: NCT000142922 (Source: Archives of Internal Medicine)

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Improving Glycemic Control When "Usual" Diabetes Care Is Not Enough: Comment on "The Effect of a Structured Behavioral Intervention on Poorly Controlled Diabetes" [Invited Commentary]

Archives of Internal Medicine — Mon, 12 Dec 2011 05:00:00 +0100

(Source: Archives of Internal Medicine)

Comparative Effectiveness of Patient Education Methods for Type 2 Diabetes: A Randomized Controlled Trial [Original Investigation]

Archives of Internal Medicine — Mon, 12 Dec 2011 05:00:00 +0100

Conclusions Individual education for patients with established suboptimally controlled diabetes resulted in better glucose control outcomes than did group education using Conversation Maps. There was also a trend toward better psychosocial and behavioral outcomes with individual education. Trial Registration clinicaltrials.gov Identifier: NCT00652509 (Source: Archives of Internal Medicine)

Evaluation of a Behavior Support Intervention for Patients With Poorly Controlled Diabetes [Original Investigation]

Archives of Internal Medicine — Mon, 12 Dec 2011 05:00:00 +0100

Conclusions There was no significant effect of the experimental intervention compared with the control condition. The dose of intervention provided was less than in previously published studies. More intensive interventions may be necessary for the most disadvantaged patients. Trial Registration clinicaltrials.gov Identifier: NCT00668590 (Source: Archives of Internal Medicine)

Does Treating Insomnia With Cognitive-Behavioural Therapy Influence Comorbid Anxiety and Depression? An Exploratory Multiple Baseline Design With Four Patients

Behaviour Change — Thu, 08 Dec 2011 05:00:00 +0100

Conclusions: CBT-I was able to reduce insomnia and co-morbid anxiety and depression, thus providing preliminary evidence for using CBT-I on insomnia co-morbid with psychiatric conditions. (Source: Behaviour Change)

A randomised controlled trial of acceptance-based cognitive behavioural therapy for command hallucinations in psychotic disorders.

Behaviour Research and Therapy — Thu, 08 Dec 2011 05:00:00 +0100

Authors: Shawyer F, Farhall J, Mackinnon A, Trauer T, Sims E, Ratcliff K, Larner C, Thomas N, Castle D, Mullen P, Copolov D Abstract Command hallucinations represent a special problem for the clinical management of psychosis. While compliance with both non-harmful and harmful commands can be problematic, sometimes in the extreme, active efforts to resist commands may also contribute to their malignancy. Previous research suggests Cognitive Behaviour Therapy (CBT) to be a useful treatment for reducing compliance with harmful command hallucinations. The purpose of this trial was to evaluate whether CBT augmented with acceptance-based strategies from Acceptance and Commitment Therapy could more broadly reduce the negative impact of command hallucinations. Forty-three participants with...

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Don't Yield to Holiday Over-Indulgence

Psychology Today Food and Diet Center — Thu, 08 Dec 2011 04:31:58 +0100

Whether you have been working at weight loss, weight maintenance, or simply eating healthier, it's easy to yield to temptation and eat unhealthy and in excess during the holiday season. It's possible to partake in all the holiday fun without compromising your waistline or goals. Here are a few tips to not let the holidays lure you onto a path that compromises your objective. Primary Topic: Diet read more (Source: Psychology Today Food and Diet Center)

Variation in the BDNF Val66Met polymorphism and response to cognitive-behavior therapy in obsessive-compulsive disorder.

European Psychiatry — Tue, 06 Dec 2011 05:00:00 +0100

CONCLUSION: Genetic variation in BDNF may be associated with treatment response in exposure-based CBT in OCD, especially in those patients exhibiting contamination/cleaning symptoms. PMID: 22153732 [PubMed - as supplied by publisher] (Source: European Psychiatry)

Cognitive behavioural therapy and its relevance to nursing.

British Journal of Nursing — Tue, 06 Dec 2011 05:00:00 +0100

Cognitive behavioural therapy and its relevance to nursing. Br J Nurs. 2011 Dec 6;20(22):1443-1447 Authors: Currid TJ, Nikc 711 Evic AV, Spada MM Abstract Over the last 20 years, cognitive behavioural therapy (CBT) has gained considerable momentum in mental healthcare practice. Its extensive evidence base for the treatment of mental health problems is well documented with the National Institute for Health and Clinical Excellence (2007a; b), which has recommended CBT as a key treatment modality in its best practice guidelines. More recently, the use of CBT has widened to a diverse range of physical healthcare environments, including dentistry, occupational therapy, palliative care and physiotherapy (Chartered Society of Physiotherapists, 2004; Buchanan and Zakrzewska, 2008; ...

Considerations in the development of a therapist-assisted internet cognitive behavior therapy service.

Professional Psychology: Research and Practice — Mon, 05 Dec 2011 05:00:00 +0100

There is mounting evidence in clinical trials that therapist-assisted Internet cognitive behavior therapy (TAICBT) is efficacious in the treatment of depression and anxiety. Nevertheless, many clinical service providers (both individuals and organizations) question whether offering this form of treatment in clinical practice is feasible. As such, having information on the factors involved in the development of this service is essential. In this article, we describe the steps taken to develop a TAICBT service that registered professionals and students (under supervision) can use with clients suffering from symptoms of depression, generalized anxiety, and panic disorder. We share salient decisions made in developing this web application and the necessary unit policies and procedures. We also...

Science News » Adding Psychotherapy to Medication Treatment Improves Outcomes in Pediatric OCD

National Institute of Mental Health — Sat, 03 Dec 2011 03:50:27 +0100

Youth with obsessive compulsive disorder (OCD) who are already taking antidepressant medication benefit by adding a type of psychotherapy called cognitive behavior therapy (CBT), according to an NIMH-funded study published September 21, 2011, in the Journal of the American Medical Association. (Source: National Institute of Mental Health)

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A Randomized Controlled Trial of Cognitive-Behavior Therapy Plus Bright Light Therapy for Adolescent Delayed Sleep Phase Disorder

Sleep — Fri, 02 Dec 2011 20:45:23 +0100

Conclusions:CBT plus BLT for adolescent DSPD is effective for improving multiple sleep and daytime impairments in the immediate and long-term. Studies evaluating the treatment effectiveness of each treatment component are needed.Clinical Trial Information:Australia – New Zealand Trials Registry Number: ACTRN12610001041044.Citation:Gradisar M; Dohnt H; Gardner G; Paine S; Starkey K; Menne A; Slater A; Wright H; Hudson JL; Weaver E; Trenowden S. A randomized controlled trial of cognitive-behavior therapy plus bright light therapy for adolescent delayed sleep phase disorder. SLEEP 2011;34(12):1671-1680. (Source: Sleep)

Neck exercises, physical and cognitive behavioural-graded activity as a treatment for adult whiplash patients with chronic neck pain: Design of a randomised controlled trial

BMC Musculoskeletal Disorders — Fri, 02 Dec 2011 05:00:00 +0100

The objective is to present the design of a randomised controlled trial (RCT) aimed at evaluating the effectiveness of a combined individual physical and cognitive behavioural-graded activity program on self-reported general physical function, in addition to neck function, pain, disability and quality of life in patients with chronic neck pain following whiplash injury compared with a matched control group measured at baseline and 4 and 12 months after baseline. Methods: The design is a two-centre, RCT-study with a parallel group design. Included are whiplash patients with chronic neck pain for more than 6 months, recruited from physiotherapy clinics and an out-patient hospital department in Denmark. Patients will be randomised to either a pain management (control) group or a combined pain...

Cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment resistant depression in primary care: The CoBalT randomised controlled trial protocol

Contemporary Clinical Trials — Fri, 02 Dec 2011 05:00:00 +0100

Discussion: The CoBalT trial will provide evidence on the clinical and cost effectiveness of CBT as an adjunct to antidepressant medication in the treatment of depression that has not responded to pharmacotherapy. Given the move to widen access to ‘talking therapies’, the results of this study will be timely. (Source: Contemporary Clinical Trials)

Evaluation and management of depressive and anxiety symptoms in midlife.

Climacteric — Thu, 01 Dec 2011 05:00:00 +0100

Conclusions There is no clear evidence that the menopause transition alone increases the risk of clinically significant affective disorders, except in women with risk factors such as psychosocial stressors, severe and prolonged vasomotor symptoms and a previous history of affective disorders. Nevertheless, anxiety and depression are common in women and clinicians should be alert to the symptoms of these conditions at all encounters. PMID: 22132727 [PubMed - as supplied by publisher] (Source: Climacteric)

The Effect of Cognitive Behavioral Group Therapy for Depression: A Meta‐Analysis 2000–2010

Worldviews on Evidence-Based Nursing — Thu, 01 Dec 2011 05:00:00 +0100

Conclusions: Researchers and clinicians should take note that CBGT had a moderate effect on the level of depression and a small effect on the relapse rate of depression. The results of this study suggest that the patient should receive a course of therapy at least every 6 months. (Source: Worldviews on Evidence-Based Nursing)

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Cognitive Behavior Therapy for Chronic Fatigue Syndrome: Where to Go From Here?

Clinical Psychology: Science and Practice — Thu, 01 Dec 2011 05:00:00 +0100

[Clin Psychol Sci Prac 18: 325–330, 2011]The meta‐analytic review of Castell, Kazantzis, and Moss‐Morris (2011) is a valuable contribution to the debate about the efficacy of behavioral interventions for chronic fatigue syndrome (CFS). Again it is found that cognitive behavior therapy (CBT) has a positive effect on the outcomes of patients with CFS. However, a substantial number of patients do not profit (enough) from this intervention. Increasing our knowledge about the mechanisms of change and other relevant aspects related to the treatment response could help to improve further the efficacy and applicability of CBT for CFS. This commentary discusses some of these aspects and, where possible, research strategies are proposed. (Source: Clinical Psychology: Science and Practice)

Post-traumatic stress disorder in children and adolescents.

Community Practitioner — Thu, 01 Dec 2011 05:00:00 +0100

This article reviews treatment approaches to PTSD in young people in particular the use of cognitive behavioural therapy (CBT). PMID: 22220363 [PubMed - in process] (Source: Community Practitioner)

Alternative Treatment Options to Cure Insomnia

About Sleep Disorders — Wed, 30 Nov 2011 05:00:00 +0100

If you have difficulty falling or staying asleep or you find that your sleep is simply not refreshing, you are familiar with the symptoms of insomnia. When this becomes persistent and bothersome, you may be interested in learning about your treatment options. For some, sleeping pills are acceptable, but for others it is desirable to seek alternative treatment options to cure your insomnia. Many benefit from simple behavioral changes that are outlined in guidelines for better sleep. You might find that keeping a regular sleep schedule, avoiding naps, and limiting your caffeine and nicotine before bed is helpful. In addition, maintaining an appropriate sleep environment and reducing the time you spend awake there through a treatment called stimulus control can make a difference. When you f...

The European Psychiatric Association (EPA) guidance on suicide treatment and prevention.

European Psychiatry — Wed, 30 Nov 2011 05:00:00 +0100

Authors: Wasserman D, Rihmer Z, Rujescu D, Sarchiapone M, Sokolowski M, Titelman D, Zalsman G, Zemishlany Z, Carli V Abstract Suicide is a major public health problem in the WHO European Region accounting for over 150,000 deaths per year. SUICIDAL CRISIS: Acute intervention should start immediately in order to keep the patient alive. DIAGNOSIS: An underlying psychiatric disorder is present in up to 90% of people who completed suicide. Comorbidity with depression, anxiety, substance abuse and personality disorders is high. In order to achieve successful prevention of suicidality, adequate diagnostic procedures and appropriate treatment for the underlying disorder are essential. TREATMENT: Existing evidence supports the efficacy of pharmacological treatment and cognitive behavioural ...

A randomized, controlled clinical trial: The effect of mindfulness-based cognitive therapy on generalized anxiety disorder among Chinese community patients: protocol for a randomized trial

BMC Psychiatry - Latest articles — Tue, 29 Nov 2011 05:00:00 +0100

DiscussionThis is a first randomized controlled trial that compare the effectiveness of MBCT with an active control, findings will advance current knowledge in the management of GAD and the way that group intervention can be delivered and inform future research.Unique Trail Number (assigned by Centre for Clinical Trails, Clinical Trials registry, The Chinese University of Hong Kong): CUHK_CCT00267 (Source: BMC Psychiatry - Latest articles)

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How to Conquer Panic in Three Easy Steps

Psychology Today Anxiety Center — Sun, 27 Nov 2011 16:30:35 +0100

Imagine that you’re feeling fine, minding your own business, when suddenly out of the blue your chest tightens, you can’t catch your breath, your heart races, you feel dizzy, and break into a cold sweat. Sounds like a heart attack, right? Not necessarily, it could be simple panic and here’s how to conquer it. Primary Topic: Anxiety read more (Source: Psychology Today Anxiety Center)

Anti-Anxiety Medications Explained

Psychology Today Anxiety Center — Sat, 26 Nov 2011 02:05:13 +0100

Americans' use of anti-anxiety medications has increased dramatically over the past decade, and while medications can play an important role in the treatment of anxiety disorders, they are not risk free and in some cases, may exacerbate the problem. Primary Topic: Anxiety read more (Source: Psychology Today Anxiety Center)

The use of Buddhist mindfulness meditation in psychotherapy: A case report from Sri Lanka

Transcultural Psychiatry — Wed, 23 Nov 2011 05:00:00 +0100

Buddhist practices have been increasingly influencing psychotherapy. For over 20 centuries, Buddhism has been the religion of a majority of Sri Lankans. However, there is little documentation of the use of Buddhist practices in psychotherapy in Sri Lanka. This paper presents a case study in which Theravadan Buddhist mindfulness meditation and cognitive therapy practices were used in the treatment of a client with depressive disorder. The paper also summarizes the influence of Buddhist concepts and mindfulness meditation on psychotherapy and illustrate how Buddhist doctrine and practices can be considered a psychotherapeutic method. (Source: Transcultural Psychiatry)

The Limits of Cognitive Psychotherapy

Psychology Today Depression Center — Mon, 21 Nov 2011 15:22:55 +0100

Are people really as stupid as they seem? Primary Topic: Therapy read more (Source: Psychology Today Depression Center)

Psychosocial interventions for the management of chronic orofacial pain.

Cochrane Database of Systematic Reviews — Sun, 20 Nov 2011 22:06:03 +0100

CONCLUSIONS: There is weak evidence to support the use of psychosocial interventions for chronic orofacial pain. Although significant effects were observed for outcome measures where pooling was possible, the studies were few in number and had high risk of bias. However, given the non-invasive nature of such interventions they should be used in preference to other invasive and irreversible treatments which also have limited or no efficacy. Further high quality trials are needed to explore the effects of psychosocial interventions on chronic orofacial pain. PMID: 22071849 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

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Therapygenetics: moving towards personalized psychotherapy treatment.

Trends Cogn Sci — Fri, 18 Nov 2011 05:00:00 +0100

Authors: Beevers CG, McGeary JE Abstract New research suggests that genetic variation predicts response to cognitive behavior therapy (CBT) for the treatment of pediatric anxiety. We discuss this intriguing finding, review its implications for understanding the etiology of psychopathology, and suggest that psychosocial treatment research would strongly benefit from routinely assessing genetic variation in clinical trials. PMID: 22104133 [PubMed - as supplied by publisher] (Source: Trends Cogn Sci)

Phone counselling pain management 'better than GP care'

Nursing Times Breaking News — Wed, 16 Nov 2011 09:43:00 +0100

Chronic widespread pain is treated better by counselling over the phone with cognitive behavioural therapy (CBT) or through following an exercise plan than visiting a GP, researcher have claimed. (Source: Nursing Times Breaking News)

Symptoms Of Chronic Widespread Pain Improved By Talking Therapy Over The Phone

Health News from Medical News Today — Wed, 16 Nov 2011 09:00:00 +0100

Patients who received a short course of cognitive behavioural therapy (CBT) over the telephone from trained therapists reported that they felt "better" or "very much better" at the end of a six-month treatment period, and also three months after it ended. The Arthritis Research UK-funded trial led by the University of Aberdeen working with the University of Manchester was the first-ever trial of telephone-delivered CBT for people with chronic widespread pain... (Source: Health News from Medical News Today)

Nonpharmacological Therapies for Behavioral and Cognitive Symptoms of Mild Cognitive Impairment

Journal of Aging and Health — Tue, 15 Nov 2011 05:00:00 +0100

Discussion: Behavioral, diet, and exercise regimens show some promise with respect to reducing behavioral and cognitive symptomology. Rigorous research studies are needed to create more certainty about their potential to complement drug and/or cognitive therapies. (Source: Journal of Aging and Health)

Treatment of depressive disorders in primary care - protocol of a multiple treatment systematic review of randomized controlled trials

BMC Family Practice — Tue, 15 Nov 2011 05:00:00 +0100

DiscussionPractitioners do not only want to know whether there is evidence that a specific treatment is more effective than placebo, but also how the treatment options compare to each other. Therefore, we believe that a multiple treatment systematic review of primary-care based randomized controlled trials on the most important therapies against depression is timely. (Source: BMC Family Practice)

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Group cognitive behavior therapy for children with high‐functioning autism spectrum disorders and anxiety: a randomized trial

Journal of Child Psychology and Psychiatry — Tue, 15 Nov 2011 05:00:00 +0100

Conclusions: Initial results from this randomized, designed treatment study suggest that a group CBT intervention specifically developed for children with ASD may be effective in decreasing anxiety. Limitations of this study include small sample size, lack of an attention control group, and use of outcome measures normed with typically developing children. (Source: Journal of Child Psychology and Psychiatry)

Cognitive Behavior Therapy, Exercise, or Both for Treating Chronic Widespread Pain [Original Investigation]

Archives of Internal Medicine — Mon, 14 Nov 2011 05:00:00 +0100

Thinking Our Way to Better Treatments of Chronic Pain [Editorial]

Archives of Internal Medicine — Mon, 14 Nov 2011 05:00:00 +0100

(Source: Archives of Internal Medicine)

Systematic review: the treatment of noncardiac chest pain

Alimentary Pharmacology and Therapeutics — Sun, 13 Nov 2011 05:00:00 +0100

Conclusions Patients with GERD‐related noncardiac chest pain should be treated with at least double dose PPI. The primary treatment for non‐GERD‐related noncardiac chest pain, regardless if oesophageal dysmotility is present, is pain modulators. (Source: Alimentary Pharmacology and Therapeutics)

Insomnia: Britons' health 'at risk' as 50% fail to get enough sleep

Guardian Unlimited Science — Sun, 13 Nov 2011 00:07:00 +0100

NHS must take action or face an increase in a raft of illnesses, including diabetes and depression, warns expertWorrying about the recession? Anxious about a big work meeting? Fretting over the performance of your football team? If these concerns keep you awake at night, you're not alone.Getting a good night's sleep has never been so tricky in Britain, it seems, as 51.3% of us struggle to nod off. And women are three times more likely than men to suffer – 75% of women report problems, compared with 25% of men, say new statistics from the Great British Sleep Survey, which suggests the nation's health is suffering as a result of insomnia.Professor Colin Espie of Glasgow University, the co-founder of sleep organisation Sleepio, which commissoned the survey, said the results pointed to a "re...

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Cognitive Therapy Improves Three-Month Outcomes in Hospitalized Patients With Heart Failure

Journal of Cardiac Failure — Thu, 10 Nov 2011 05:00:00 +0100

Conclusion: Nurses can deliver a brief intervention to hospitalized patients with heart failure that may improve short-term, event-free survival. Future research is needed to verify these results with a larger sample size. (Source: Journal of Cardiac Failure)

Effectiveness of Computerized CBT in Treating DepressionEffectiveness of Computerized CBT in Treating Depression

Medscape Today Headlines — Wed, 09 Nov 2011 11:20:19 +0100

Several computerized cognitive-behavior therapy packages are now available to treat mild to moderate depression. How do they compare? BMC Psychiatry (Source: Medscape Today Headlines)

Why You Should Make Mistakes on Purpose

Psychology Today Anxiety Center — Mon, 07 Nov 2011 12:01:14 +0100

Many of us with social anxiety hold ourselves to unrealistically high standards. We are terribly afraid of making mistakes, somehow believing that perfection is a requirement for being accepted as a worthy member of the human race. Primary Topic: Anxiety read more (Source: Psychology Today Anxiety Center)

Doctor-Office Collaborative Care for Pediatric Behavioral Problems: A Preliminary Clinical Trial [Article]

Archives of Pediatrics — Mon, 07 Nov 2011 05:00:00 +0100

Conclusion The feasibility and clinical benefits of DOCC for behavioral problems support the integration of collaborative mental health services for common mental disorders in primary care. (Source: Archives of Pediatrics)

Interval aerobic training as a tool in the cognitive-behavioral treatment of panic disorder

Jornal Brasileiro de Psiquiatria — Sat, 05 Nov 2011 23:14:13 +0100

We describe the procedures used in the exercise program and also the positive results achieved regarding cardiac anxiety reduction and everyday anxiety reduction concerning activities that requested physical effort. (Source: Jornal Brasileiro de Psiquiatria)

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Marcos Tomanik Mercadante (1960-2011)

Jornal Brasileiro de Psiquiatria — Sat, 05 Nov 2011 23:14:13 +0100

Errata

Jornal Brasileiro de Psiquiatria — Sat, 05 Nov 2011 23:14:13 +0100

A Randomized Clinical Trial Comparing Affect Regulation and Social Problem-Solving Psychotherapies for Mothers With Victimization-Related PTSD.

Behavior Therapy — Fri, 04 Nov 2011 08:48:00 +0100

Authors: Ford JD, Steinberg KL, Zhang W Abstract Addressing affect dysregulation may provide a complementary alternative or adjunctive approach to the empirically supported trauma memory processing models of cognitive behavior therapy (CBT) for posttraumatic stress disorder (PTSD). A CBT designed to enhance affect regulation without trauma memory processing-trauma affect regulation: guide for education and therapy (TARGET)-was compared to present centered therapy (PCT) and wait-list (WL) conditions in a randomized clinical trial with 146 primarily low-income and ethnoracial minority mothers with PTSD. TARGET achieved statistically and clinically significant improvement on PTSD and affect regulation measures compared to WL, with more consistent and sustained (over a 6-month follow-u...

The behavioral activation for depression scale-short form: development and validation.

Behavior Therapy — Fri, 04 Nov 2011 08:45:39 +0100

Authors: Manos RC, Kanter JW, Luo W Abstract Following a landmark component analysis of cognitive therapy by Jacobson and colleagues (1996), there has been renewed interest in behavioral activation (BA) treatments for depression. The Behavioral Activation for Depression Scale (BADS) was developed to measure when and how clients become activated over the course of BA treatment. Multiple studies have provided initial support for the BADS but have also identified several potential problems. Four studies were conducted in order to develop and provide initial evaluation of a short form of the BADS that addresses these concerns. In Study 1, an exploratory factor analysis was conducted on existing data using the original BADS in order to identify items to retain for the short form. In Stu...

Effects of cognitive therapy versus interpersonal psychotherapy in patients with major depressive disorder: a systematic review of randomized clinical trials with meta-analyses and trial sequential analyses.

Psychological Medicine — Fri, 04 Nov 2011 04:00:00 +0100

CONCLUSIONS: Randomized trials with low risk of bias and low risk of random errors are needed, although the effects of cognitive therapy and interpersonal psychotherapy do not seem to differ significantly regarding depressive symptoms. Future trials should report on adverse events. PMID: 22051174 [PubMed - as supplied by publisher] (Source: Psychological Medicine)

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Multiple sclerosis and depression

Multiple Sclerosis — Fri, 04 Nov 2011 04:00:00 +0100

Clinically significant depression can affect up to 50% of patients with multiple sclerosis over the course of their lifetime. It is associated with an increased morbidity and mortality and is regarded by patients as one of the main determinants of their quality of life. This review summarizes current perspectives relating to diagnosis, the utility of self report screening questionnaires, warning signs of suicidal intent and the biological and psychosocial variables implicated in mood change. In particular, the association between depression and structural brain abnormalities, including those derived from diffusion tensor imaging, is highlighted. Depression is treatable, as the results from randomized controlled trials of antidepressant medication, cognitive behavior therapy and mindfulness...

Cognitive-behavioural therapy for children with behavioural difficulties in the Singapore mainstream school setting

School Psychology International — Fri, 04 Nov 2011 04:00:00 +0100

The present study investigated the effectiveness of a cognitive-behavioural therapy (CBT) programme delivered by a school psychologist for children with behavioural difficulties in Singapore elementary school classrooms. It examined the impact of a 12-session, psychoeducational group intervention in helping misbehaving pupils to control their school and home behaviours, maintain peer relationships, and improve self-esteem. Ninety-five pupils, aged between 8- and 12-years-old (M = 10.08, SD = 1.10) were randomly assigned to CBT (experimental) groups and control groups. The CBTgroups learned and practised skills in self-monitoring, problem-solving, and self-management. The control groups discussed rule compliance and role-played behaviours that conformed to school rules. CBT groups improved ...

The impact of depression on the treatment of obsessive–compulsive disorder: Results from a 5-year follow-up

Journal of Affective Disorders — Thu, 03 Nov 2011 23:29:31 +0100

Conclusions: Treatment of OCD with comorbid depression should focus on amelioration of OCD symptoms. When OCD treatment is successful, depressive symptoms are likely to ameliorate as well. (Source: Journal of Affective Disorders)

Online Mindfulness Therapy for Healing Anxiety

Psychology Today Anxiety Center — Thu, 03 Nov 2011 21:13:11 +0100

You need to learn how to make friends with your anxiety. Works every time! Primary Topic: Anxiety read more (Source: Psychology Today Anxiety Center)

Internet-Based Cognitive Behavior Therapy for OCDInternet-Based Cognitive Behavior Therapy for OCD

Medscape Today Headlines — Thu, 03 Nov 2011 10:20:20 +0100

Patients with obsessive-compulsive disorder usually respond well to cognitive-behavior therapy, but access to a CBT therapist may be limited. Can an internet-based program provide comparable benefit? BMC Psychiatry (Source: Medscape Today Headlines)

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The effectiveness of an improved multidisciplinary pain management programme: a 6‐ and 12‐month follow‐up study

Journal of Advanced Nursing — Thu, 03 Nov 2011 04:00:00 +0100

Conclusion. These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic pain to cope more effectively and to improve their health‐related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow‐up interventions that are designed to prevent drop out and relapse. (Source: Journal of Advanced Nursing)

Tailored cognitive-behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia

Annals of the Rheumatic Diseases — Wed, 02 Nov 2011 04:00:00 +0100

Conclusions A tailored multidisciplinary treatment approach for fibromyalgia consisting of CBT and exercise training is well tolerated, yields clinically relevant changes, and appears a promising approach to improve patients' physical fitness. ClinicalTrials.gov ID NCT00268606 (Source: Annals of the Rheumatic Diseases)

The process of change in psychotherapy for depression: helping clients to reformulate the problem

Journal of Psychiatric and Mental Health Nursing — Tue, 01 Nov 2011 04:00:00 +0100

This study examined how clients with depression improved during psychotherapy sessions.AbstractThere is increasing interest in mental health nurses delivering structured short‐term evidence‐based psychotherapies such as cognitive behavioural therapy (CBT) and interpersonal psychotherapy (IPT); however, while there is evidence of the efficacy of psychotherapy for depression, there is limited understanding of the treatment processes. Data were drawn from audio tapes of CBT and IPT sessions for treatment of depression. The transcripts of the initial, middle and final psychotherapy sessions of 40 clients were analysed. A thematic analysis was conducted to identify what was occurring in the sessions, how the client was describing psychotherapy and how the client was describing improvement o...

What are specialist mental health clinician attitudes to guideline recommendations for the treatment of depression in young people?

The Australian and New Zealand Journal of Psychiatry — Tue, 01 Nov 2011 04:00:00 +0100

Conclusions: There is a clear imperative to develop the evidence base to ensure that effective treatments for young people aged up to 25 years with severe and complex disorders that include comorbid conditions, suicide risk and psychosocial difficulties are investigated and disseminated. Furthermore, this work has highlighted the need for greater investment in models of care that ensure integration between existing primary and secondary care and enhanced specialist early intervention mental health services for young people. PMID: 21999241 [PubMed - in process] (Source: The Australian and New Zealand Journal of Psychiatry)

Regulation of Emotion in Major Depressive Disorder

Biological Psychiatry — Fri, 28 Oct 2011 21:52:27 +0100

The ability to regulate emotion is central to everyday functioning and has been studied extensively in healthy adults in the last two decades. One conclusion supported by this research is that various cognitive strategies can be used to effectively regulate both positive and negative emotion (which is consistent with a wealth of clinical work on the efficacy of cognitive therapy). More recently, basic neuroimaging work using now-well-established experimental paradigms has increased our understanding of the neural systems involved in the cognitive regulation of emotion. The majority of this research has focused on a specific cognitive regulation strategy known as reappraisal, which involves reinterpreting the meaning of stimuli in ways that alter one's affective responses to them. Taken tog...

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Mindfulness Meditation Will Make You Tougher Too

Psychology Today Depression Center — Fri, 28 Oct 2011 16:40:56 +0100

Mindfulness training has been proven to help relieve anxiety, stress and depression whilst boosting intelligence and creative thinking. This is all good news, but it's also necessary to have a degree of 'toughness' (we prefer the term 'resilience') to withstand life's knocks and kick-backs. So, could regular meditation make you 'too' nice? Primary Topic: Depression read more (Source: Psychology Today Depression Center)

The Dangers of Optimism

Psychology Today Depression Center — Fri, 28 Oct 2011 15:20:41 +0100

Just think positively and everything will turn out the way you want. This is the premise behind the book, The Secret, which advertises itself as “Everything is possible, nothing is impossible”. How wonderful to know that we can count on the power of our thinking to change the laws of nature. Primary Topic: Anxiety read more (Source: Psychology Today Depression Center)

Gray Matter Volumes in Obsessive-Compulsive Disorder Before and After Fluoxetine or Cognitive-Behavior Therapy: A Randomized Clinical Trial

Neuropsychopharmacology — Wed, 26 Oct 2011 04:00:00 +0100

Authors: Marcelo Queiroz Hoexter, Fábio Luis de Souza Duran, Carina Chaubet D'Alcante, Darin Dean Dougherty, Roseli Gedanke Shavitt, Antonio Carlos Lopes, Juliana Belo Diniz, Thilo Deckersbach, Marcelo Camargo Batistuzzo, Rodrigo Affonseca Bressan, Euripedes Constantino Miguel & Geraldo Filho Busatto Keywords: biological psychiatry; imaging; clinical or preclinical; psychopharmacology; clinical pharmacology/clinical trials; neuroimaging; OCD; magnetic resonance imaging (Source: Neuropsychopharmacology)

Cognitive Therapy May Aid Patients With Schizophrenia [Medical News & Perspectives]

JAMA — Tue, 25 Oct 2011 04:00:00 +0100

(Source: JAMA)

Changes in problem-solving appraisal after cognitive therapy for the prevention of suicide. - Ghahramanlou-Holloway M, Bhar SS, Brown GK, Olsen C, Beck AT.

SafetyLit: All (Unduplicated) — Sun, 23 Oct 2011 16:00:32 +0100

BACKGROUND: Cognitive therapy has been found to be effective in decreasing the recurrence of suicide attempts. A theoretical aim of cognitive therapy is to improve problem-solving skills so that suicide no longer remains the only available option. This stu... (Source: SafetyLit: All (Unduplicated))

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Mindfulness-based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences.

The British Journal of Clinical Psychology — Sat, 22 Oct 2011 03:05:56 +0100

Conclusions. The majority of participants considered MBCT to be an acceptable and beneficial treatment for health anxiety. Participants reported beneficial impacts of MBCT both on their health anxiety and on their broader functioning. Importantly, the focusing of attention upon bodily sensations required in MBCT practice did not exacerbate participants' health anxiety. PMID: 22003948 [PubMed - in process] (Source: The British Journal of Clinical Psychology)

Review: group cognitive behavioural therapy reduces depression symptoms in older adults with depression compared with waiting list control

Evidence-Based Mental Health — Tue, 18 Oct 2011 04:00:00 +0100

QuestionQuestion Is group psychotherapy an effective treatment for older adults with depression? Outcomes Changes in depression scale scores. MethodsDesign Systematic review with meta-analysis. Data sources Medline, Embase, PsychoInfo, CINAHL, Cochrane and Controlled trials register were searched up to April 2009. Additional studies were identified by reviewing evidence and guidelines from National Institute for Health and Clinical Excellence, the Society of Psychotherapy Research and the British Association of Psychotherapy; by searching dissertation abstracts; by hand searches of reference lists and key journals; and through contact with experts in the field. Published and unpublished research in any language were included. Study selection and analysis All randomised and cluster-randomi...

The Effect of Cognitive Behavior Therapy-Based "Forest Therapy" Program on Blood Pressure, Salivary Cortisol Level, and Quality of Life in Elderly Hypertensive Patients.

Clinical and Experimental Hypertension — Tue, 18 Oct 2011 04:00:00 +0100

Conclusions: The forest therapy program did not induce prolonged systolic blood pressure (SBP) reduction. However, considering the significant decrease in cortisol level and improvement in QoL measures, this may be a useful model of community hypertension management program. PMID: 22007608 [PubMed - as supplied by publisher] (Source: Clinical and Experimental Hypertension)

A randomized controlled effectiveness trial of cognitive behavior therapy for post-traumatic stress disorder in terrorist-affected people in Thailand. - Bryant RA, Ekasawin S, Chakrabhand S, Suwanmitri S, Duangchun O, Chantaluckwong T.

SafetyLit: All (Unduplicated) — Sun, 16 Oct 2011 02:41:16 +0100

This study reports the first randomized ... (Source: SafetyLit: All (Unduplicated))

Premenstrual syndrome and premenstrual dysphoric disorder.

American Family Physician — Sat, 15 Oct 2011 04:00:00 +0100

Authors: Biggs WS, Demuth RH Abstract Premenstrual syndrome is defined as recurrent moderate psychological and physical symptoms that occur during the luteal phase of menses and resolve with menstruation. It affects 20 to 32 percent of premenopausal women. Women with premenstrual dysphoric disorder experience affective or somatic symptoms that cause severe dysfunction in social or occupational realms. The disorder affects 3 to 8 percent of premenopausal women. Proposed etiologies include increased sensitivity to normal cycling levels of estrogen and progesterone, increased aldosterone and plasma renin activity, and neurotransmitter abnormalities, particularly serotonin. The Daily Record of Severity of Problems is one tool with which women may self-report the presence and severity o...

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Curing Depression with Mindfulness Meditation

Psychology Today Depression Center — Fri, 14 Oct 2011 15:02:35 +0100

Imagine if you could cure depression with a therapy that was effective, long-lasting and side-effect free Primary Topic: Depression read more (Source: Psychology Today Depression Center)

Mediators of change in Acceptance and Commitment Therapy for pediatric chronic pain

Pain — Thu, 13 Oct 2011 04:00:00 +0100

Summary: Variables consistent with psychological flexibility mediate the effects of Acceptance and Commitment Therapy-based interventions to improve functioning in patients with chronic debilitating pain.Abstract: Even though psychological interventions are well established in the treatment of pediatric chronic pain, there is a clear need for further development, especially with severely disabled patients. However, optimizing effectiveness in psychological treatments for pain requires clarification of the mechanisms of action. Studies addressing change processes are scarce, however, particularly in relation to pediatric chronic pain. Acceptance and Commitment Therapy (ACT), as an extension of traditional cognitive behavior therapy, is essentially aimed at improving functioning by increasin...

Acceptability, effectiveness, and cost-effectiveness of internet-based exposure treatment for irritable bowel syndrome in a clinical sample: a randomized controlled trial

BMC Gastroenterology — Wed, 12 Oct 2011 04:00:00 +0100

Background: Internet-based cognitive behavior therapy (ICBT) has shown promising effects in the treatment of irritable bowel syndrome (IBS). However, to date no study has used a design where participants have been sampled solely from a clinical population. We aimed to investigate the acceptability, effectiveness, and cost-effectiveness of ICBT for IBS using a consecutively recruited sample from a gastroenterological clinic. Methods: Sixty-one patients were randomized to 10 weeks of ICBT (n=30) or a waiting list control (n=31). The ICBT was guided by an online therapist and emphasized acceptance of symptoms through exposure and mindfulness training. Severity of IBS symptoms was measured with the Gastrointestinal symptom rating scale - IBS version (GSRS-IBS). Patients in both groups were ass...

Cognitive Therapy Effective in Preventing PTSDCognitive Therapy Effective in Preventing PTSD

Medscape Today Headlines — Tue, 11 Oct 2011 20:25:01 +0100

Cognitive therapies may help prevent PTSD; the SSRI escitalopram appears to have no efficacy. Medscape Medical News (Source: Medscape Today Headlines)

Using positive thinking to find work and self-worth

The Irish Times - Health — Tue, 11 Oct 2011 15:01:38 +0100

A series of free workshops is using cognitive behavioural therapy to help people believe in themselves, writes ELEANOR FITZSIMONS (Source: The Irish Times - Health)

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[Fibromyalgia and psychiatry: 35 years later… What's new?]

Presse Medicale — Tue, 11 Oct 2011 04:00:00 +0100

Authors: Geoffroy PA, Amad A, Gangloff C, Thomas P Abstract Fibromyalgia (FM) is a complex disorder that affects 2 to 5% of the general population worldwide at any age and any sex, but more frequently in adult women. The variability of symptoms and the frequency of comorbidities among patients with fibromyalgia make this a difficult disorder to diagnose and treat. New diagnostic criteria are available to improve the diagnosis and care of patients. We propose the first French translation of the new diagnostic criteria proposed by the American College of Rheumatology (ACR) 2010. Although the etiology of fibromyalgia remains unclear, evidences suggest that biologic, genetic and environmental factors are involved. This chronic psychophysical suffering state of fibromyalgia adversely af...

Effectiveness of different interventions using a psychosocial subgroup assignment in chronic neck and back pain patients: a 10-year follow-up.

Disability and Rehabilitation — Tue, 11 Oct 2011 04:00:00 +0100

Conclusion: In terms of long-term follow-up of sickness absence, the multidisciplinary programme appears to be most beneficial for DYS and AC patients. In contrast, the CBT and PT interventions failed to benefit any patient group. [Box: see text]. PMID: 21988525 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)

The Confidence Gap: A Guide to Overcoming Fear and Self-Doubt

Psych Central — Mon, 10 Oct 2011 19:35:03 +0100

A shaky self-confidence or relentless self-doubt stops many people from pursuing their passions. A fear of failure gnaws at them, leaving them at a standstill and unsatisfied with their lives. If you know what I’m talking about — and so many of us do — Russ Harris’s book The Confidence Gap: A Guide to Overcoming Fear and Self-Doubt may help. Harris is a physician and therapist who’s worked with many clients — thousands, he says — who hadn’t pursued their dreams because of little self-confidence and a whole lot of self-doubt. He’s also been there. For many years, Harris was drowning in insecurities and self-destruction. As an anxious young man terrified of failure and social situations, Harris used alcohol to cope with his crushing self-doubt. He drank...

What Is Health Coaching Anyway?: Standards Needed to Enable Rigorous Research: Comment on "Evaluation of a Behavior Support Intervention for Patients With Poorly Controlled Diabetes" [Invited Commentary]

Archives of Internal Medicine — Mon, 10 Oct 2011 04:00:00 +0100

(Source: Archives of Internal Medicine)

Comparative Effectiveness of Patient Education Methods for Type 2 Diabetes: A Randomized Controlled Trial [Original Investigation]

Archives of Internal Medicine — Mon, 10 Oct 2011 04:00:00 +0100

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The Effect of a Structured Behavioral Intervention on Poorly Controlled Diabetes: A Randomized Controlled Trial [Original Investigation]

Archives of Internal Medicine — Mon, 10 Oct 2011 04:00:00 +0100

Evaluation of a Behavior Support Intervention for Patients With Poorly Controlled Diabetes [Original Investigation]

Archives of Internal Medicine — Mon, 10 Oct 2011 04:00:00 +0100

Improving Glycemic Control When "Usual" Diabetes Care Is Not Enough: Comment on "The Effect of a Structured Behavioral Intervention on Poorly Controlled Diabetes" [Invited Commentary]

Archives of Internal Medicine — Mon, 10 Oct 2011 04:00:00 +0100

(Source: Archives of Internal Medicine)

CBT in Medication-Treated Adults With Persistent ADHDCBT in Medication-Treated Adults With Persistent ADHD

Medscape Today Headlines — Fri, 07 Oct 2011 12:02:21 +0100

The authors present a newly developed cognitive behavior therapy that may be of benefit as an adjunct treatment for adults with ADHD who have not responded to medication alone. BMC Psychiatry (Source: Medscape Today Headlines)

Cognitive therapy may help low-functioning schizophrenics

Modern Medicine — Fri, 07 Oct 2011 04:00:00 +0100

NEW YORK (Reuters Health) - Cognitive therapy focused on concrete goals for enhancing quality of life led to meaningful improvements for patients with schizophrenia and cognitive impairment, in a recent randomized trial. (Source: Modern Medicine)

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Compassion Focused Therapy After Traumatic Brain Injury: Theoretical Foundations and a Case Illustration

Brain Impairment — Fri, 07 Oct 2011 04:00:00 +0100

In conclusion, CFT may be useful in conceptualising emotional responses and developing intervention in rehabilitation after ABI, especially because CFT is based on a neurophysiological model of affect regulation that pays particular attention to the importance of affiliative emotions in the regulation of threat-focused emotion and self-construction. (Source: Brain Impairment)

Novel Therapy Shows Promise in Severe SchizophreniaNovel Therapy Shows Promise in Severe Schizophrenia

Medscape Today Headlines — Thu, 06 Oct 2011 15:14:34 +0100

A novel cognitive therapy program may help improve motivation and decrease hallucinations in low-functioning patients with severe schizophrenia and significant cognitive impairment. Medscape Medical News (Source: Medscape Today Headlines)

Some Treatments Appear To Help Reduce Some Cases Of PTSD Symptoms In Trauma Survivors

Health News from Medical News Today — Tue, 04 Oct 2011 12:00:00 +0100

According to a study published Online First by Archives of General Psychiatry, one of the JAMA/Archives journals, cognitive therapy, prolonged exposure therapy as well as delayed prolonged exposure therapy, seem to reduce the symptoms of post-traumatic stress disorder (PTSD) in individuals who have recently experienced a traumatic event. The researchers explain: "Chronic PTSD is tenacious and disabling. Short-term interventions without prior assessment or diagnosis have failed to prevent PTSD. Preventing post-traumatic stress disorder is a pressing public health need." Arieh Y... (Source: Health News from Medical News Today)

Severe Schizophrenia Improves With Cognitive Therapy

Health News from Medical News Today — Tue, 04 Oct 2011 07:00:00 +0100

Cognitive therapy has dynamically improved the most neurologically impaired, poorly functioning schizophrenic patients. For the first time, researchers from the Perelman School of Medicine at the University of Pennsylvania have shown that a psychosocial treatment can significantly improve daily functioning and quality of life in the lowest-functioning cases of schizophrenia. The study appears in the October 3 edition of Archives of General Psychiatry... (Source: Health News from Medical News Today)

Cognitive Therapy Helps in Schizophrenia (CME/CE)

MedPage Today Psychiatry — Mon, 03 Oct 2011 22:44:07 +0100

(MedPage Today) -- Low-functioning patients with schizophrenia showed significant improvement in disorganized thinking, anhedonia, and other symptoms when cognitive therapy was added to standard drug-based treatment, researchers said. (Source: MedPage Today Psychiatry)

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Certain therapies appear beneficial in reducing PTSD symptoms in some trauma survivors

ScienceDaily Headlines — Mon, 03 Oct 2011 20:19:19 +0100

Prolonged exposure therapy, cognitive therapy, and delayed prolonged exposure therapy, appear to reduce posttraumatic stress disorder symptoms in patients who have experienced a recent traumatic event, according to a new report. (Source: ScienceDaily Headlines)

Severely impaired schizophrenics enter dynamic cycle of recovery after cognitive therapy

ScienceDaily Headlines — Mon, 03 Oct 2011 20:17:17 +0100

For the first time, researchers have shown that a psychosocial treatment can significantly improve daily functioning and quality of life in the lowest-functioning cases of schizophrenia. (Source: ScienceDaily Headlines)

Cognitive Therapy Gets Nod for PTSD Prevention (CME/CE)

MedPage Today Psychiatry — Mon, 03 Oct 2011 20:09:42 +0100

(MedPage Today) -- Survivors of traumatic events had a significantly reduced risk of developing post-traumatic stress disorder with prolonged exposure therapy or cognitive therapy but not with medication alone, investigators reported. (Source: MedPage Today Psychiatry)

The Quest for Mental Health

Psych Central — Mon, 03 Oct 2011 19:33:31 +0100

One thing about getting older is that history feels more relevant. I grew up in the late 1960s and early 1970s. Cognitive-behavioral therapy was in its infancy, and dialectical behavior therapy had not yet been devised. Psychoanalysis was the go-to mental health intervention, though most people couldn’t afford its hefty cost or time commitment. Doctors prescribed the “mother’s little helpers,” Miltown and Valium, but nobody yet was listening to Prozac. The majority of us plodded through life with our “neuroses,” and most of our “psychoses,” left unaddressed. So much in the mental health arena has changed, in barely half a century! In The Quest for Mental Health: A Tale of Science, Medicine, Scandal, Sorrow, and Mass Society, Ian Dowbiggin digs back much further and provides...

Postnatal depression 'often unreported'

NHS News Feed — Mon, 03 Oct 2011 11:40:00 +0100

Rates of postnatal depression may be higher than previously estimated, a children’s charity has claimed today. Various medical sources estimate that around 10-15% of new mothers are affected, but according to the charity 4Children around 3 in 10 new mothers may experience the condition. The figure is based on a new survey and report conducted by the charity in a bid to look at how postnatal depression (PND) is perceived and treated in the UK. According to the figures gathered by the charity: Approximately 33% of mothers who experienced depression symptoms during pregnancy went on to have PND. Approximately 25% of mothers still suffered from PND up to a year after their child was born. Approximately 58% of new mothers with PND did not seek medical help. This was often due to th...

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Severely impaired schizophrenics enter dynamic cycle of recovery after cognitive therapy

EurekAlert! - Social and Behavioral Science — Mon, 03 Oct 2011 04:00:00 +0100

(University of Pennsylvania School of Medicine) For the first time, researchers from the Perelman School of Medicine at the University of Pennsylvania have shown that a psychosocial treatment can significantly improve daily functioning and quality of life in the lowest-functioning cases of schizophrenia. (Source: EurekAlert! - Social and Behavioral Science)

Cognitive Therapy for Negative Symptoms of Schizophrenia [Editorial]

Archives of General Psychiatry — Mon, 03 Oct 2011 04:00:00 +0100

(Source: Archives of General Psychiatry)

Randomized Trial to Evaluate the Efficacy of Cognitive Therapy for Low-Functioning Patients With Schizophrenia [Original Article]

Archives of General Psychiatry — Mon, 03 Oct 2011 04:00:00 +0100

Prevention of Posttraumatic Stress Disorder by Early Treatment: Results From the Jerusalem Trauma Outreach and Prevention Study [Original Article]

Archives of General Psychiatry — Mon, 03 Oct 2011 04:00:00 +0100

A study of the experience of f…

ANXIETY UK News — Sun, 02 Oct 2011 05:45:17 +0100

A study of the experience of failed Cognitive Behavioural Therapy for Panic Disorder is looking for volunteers. jfam20@bath.ac.uk 4 info (Source: ANXIETY UK News)

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Social Anxiety Disorder Treatment

Psych Central — Sat, 01 Oct 2011 13:40:37 +0100

Social Anxiety Disorder — also known as social phobia — is commonly treated by either psychotherapy or certain types of psychiatric medications. Social phobia is characterized by a persistent fear of social situations or performance situations (such as public speaking) where embarrassment might occur. While both psychotherapy and medications have been shown to be effective in the treatment of social anxiety disorder, a combination approach to treatment — utilizing both at the same time — may be the most timely and beneficial. While some people may find relief from some social anxiety symptoms through trying simple self-help techniques, most people with a diagnosed social phobia condition will need professional treatment in order to overcome it. Psychotherapy for ...

Poster 47 Evidence Based Management of Depression following Spinal Cord Injury: A Meta-Analysis

Archives of Physical Medicine and Rehabilitation — Sat, 01 Oct 2011 04:00:00 +0100

To conduct a systematic review and meta-analysis examining the effectiveness of cognitive behavioural therapy for the treatment of depression post SCI. Medline, CINAHL, EMBASE and PsycINFO databases were searched for all relevant articles published 1980 to February 2010. (Source: Archives of Physical Medicine and Rehabilitation)

Psychotherapy as an epigenetic ‘drug’: psychiatric therapeutics target symptoms linked to malfunctioning brain circuits with psychotherapy as well as with drugs

Journal of Clinical Pharmacy and Therapeutics — Sat, 01 Oct 2011 04:00:00 +0100

Conclusion: Psychotherapies can be conceptualized as epigenetic ‘drugs’, or at least as therapeutic agents that act epigenetically in a manner similar or complementary to drugs. These findings are leading to a paradigm shift in psychiatry such that psychotherapy is experiencing a come‐back as various standardized, brief, goal‐directed psychotherapies are being integrated with drug treatment of psychiatric disorders by psychopharmacologists who have traditionally relied on a drugs‐only approach. (Source: Journal of Clinical Pharmacy and Therapeutics)

A randomized controlled effectiveness trial of cognitive behavior therapy for post-traumatic stress disorder in terrorist-affected people in Thailand.

World Psychiatry — Sat, 01 Oct 2011 04:00:00 +0100

This study reports the first randomized controlled trial of CBT for PTSD terrorist-affected people. Twenty-eight survivors of terrorist attacks in southern Thailand were randomized to 8 sessions of either CBT or treatment as usual (TAU). CBT was modified to accommodate the realistic threats facing patients. There were independent assessments conducted before, immediately after, and 3 months following treatment. Main outcome measures included symptoms of PTSD (PTSD Symptom Scale Interview), depression (Beck Depression Inventory) and complicated grief (Inventory of Complicated Grief). CBT resulted in significantly greater reduction in symptoms, including PTSD, depression, and complicated grief, at follow-up than TAU. Relative to TAU, CBT had stronger effect sizes at follow-up for PTSD, depre...

Suicide attempts: prevention of repetition.

Canadian Journal of Psychiatry — Sat, 01 Oct 2011 04:00:00 +0100

Conclusions: There is a need for more research addressing the problem in definitions of outcomes and measurement of the dependent variables, gender-specific effects, and inclusion of high-risk groups. There is a need for the development and evaluation of new approaches that support collaboration with community resources and more careful assessment and comparisons of existing treatments with different populations. PMID: 22014695 [PubMed - in process] (Source: Canadian Journal of Psychiatry)

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[Benefits of cognitive behavior therapy and acupressure therapy in obese patients: a randomized clinical trial].

Nutricion Hospitalaria — Sat, 01 Oct 2011 04:00:00 +0100

Conclusion: In the obese patient, cognitive behavior therapy and acupressure, it has lost at least three kilograms over three months and has changed lifestyles related to obesity. PMID: 22072347 [PubMed - in process] (Source: Nutricion Hospitalaria)

Rumination-focused cognitive-behavioural therapy for residual depression: phase II randomised controlled trial [PAPERS]

The British Journal of Psychiatry — Fri, 30 Sep 2011 04:00:00 +0100

Conclusions This is the first randomised controlled trial providing evidence of benefits of rumination-focused CBT in persistent depression. Although suggesting the internal validity of rumination-focused CBT for residual depression, the trial lacked an attentional control group so cannot test whether the effects were as a result of the specific content of rumination-focused CBT v. non-specific therapy effects. (Source: The British Journal of Psychiatry)

COMMAND: a multi-centre, randomised controlled trial of cognitive therapy to prevent harmful compliance with command hallucinations

BMC Psychiatry - Latest articles — Fri, 30 Sep 2011 04:00:00 +0100

DiscussionCognitive behaviour therapy is recommended for people with psychosis; however, its focus and evaluation has primarily revolved around the reduction of psychotic symptoms. In this trial, however, the focus of the cognitive behavioural intervention is on individuals' appraisals, behaviour and affect and not necessarily symptoms; this is also reflected in the outcome measures used. If successful, the results will mark a significant breakthrough in the evidence base for service users and clinicians and will provide a treatment option for this group where none currently exist. The trial will open the way for further breakthrough work with the 'high risk' population of individuals with psychosis, which we would intend to pursue.Trial RegistrationISRCTN62304114 (Source: BMC Psychiatry -...

Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: A meta-analysis

International Journal of Nursing Studies — Fri, 30 Sep 2011 04:00:00 +0100

Conclusion: The mindfulness-based interventions are efficacious for alleviating depressive symptoms in adults with mental disorders. The interventions could be used in conjunction with other treatments in clinical settings. (Source: International Journal of Nursing Studies)