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This page shows you the latest news and research items in this category.

Multifactorial intervention for children with asthma and overweight (Mikado): study design of a randomised controlled trial
DiscussionIn this randomised controlled trial we will study the potential of a multifactorial weight reduction intervention to improve asthma-related outcome measures in asthmatic children with overweight. Moreover, it will provide information about the underlying mechanisms in the relationship between asthma and a high body weight in children. These findings can contribute to optimal management programs and better clinical guidelines for children with asthma and overweight.Trial registration: Clinicaltrial.gov NCT00998413 (Source: BMC Public Health - Latest articles)
Source: BMC Public Health - Latest articles - May 21, 2013 Category: Consumer Health News Authors: Maartje WilleboordseKim van de KantMaroeska de LaatOnno van SchayckSandra MulkensEdward Dompeling Source Type: research

Psychological therapies for the treatment of post‐traumatic stress disorder in children and adolescents (Review)
Abstract BackgroundPost‐traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no systematic reviews of these therapies in children and adolescents. ObjectivesTo examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD. Search methodsWe searched the Cochrane Depression, Anxiety and Neurosis Review Group's Specialised Register (CCDANCTR) to December 2011. The CCDANCT...
Source: Evidence-Based Child Health: A Cochrane Review Journal - May 16, 2013 Category: Pediatrics Authors: Donna Gillies, Fiona Taylor, Carl Gray, Louise O'Brien, Natalie D'Abrew Tags: Intervention Review Source Type: research

Comparative efficacy of pharmacological and non-pharmacological interventions in fibromyalgia syndrome: network meta-analysis
Conclusions Benefits of pharmacological treatments in FMS are of questionable clinical relevance and evidence for benefits of non-pharmacological interventions is limited. A combination of pregabalin or SNRIs as pharmacological interventions and multicomponent therapy, aerobic exercise and CBT as non-pharmacological interventions seems most promising for the management of FMS. (Source: Annals of the Rheumatic Diseases)
Source: Annals of the Rheumatic Diseases - May 10, 2013 Category: Rheumatology Authors: Nuesch, E., Hauser, W., Bernardy, K., Barth, J., Juni, P. Tags: Muscle disease, Pain (neurology), Drugs: musculoskeletal and joint diseases, Fibromyalgia, Musculoskeletal syndromes, Epidemiology Clinical and epidemiological research Source Type: research

Nonpharmacological nursing interventions for the management of patient fatigue: a literature review
ConclusionPsycho‐education was evaluated in several studies and demonstrated effectiveness when delivered in both acute and community settings. Relevance to clinical practiceThis review focused on interventions that are within the scope of nursing practice for the management of fatigue. The findings provide nurses with an overview of the effectiveness of interventions they may use in their day‐to‐day practice to help patients manage fatigue. A detailed description of interventions found effective is provided to assist nurses in translating evidence into practice. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - May 9, 2013 Category: Nursing Authors: Erin Patterson, Yi Wai Teresa Wan, Souraya Sidani Tags: Review Source Type: research

The impact of web-based approaches on psychosocial health in chronic physical and mental health conditions
Chronic conditions such as cancer, cardiovascular disease and mental illness are increasingly prevalent and associated with considerable psychosocial burden. There is a need to consider population health approaches to reducing this burden. Web-based interventions offer an alternative to traditional face-to-face interventions with several potential advantages. This systematic review explores the effectiveness, reach and adoption of web-based approaches for improving psychosocial outcomes in patients with common chronic conditions. A systematic review of published work examining web-based psychosocial interventions for patie...
Source: Health Education Research - May 9, 2013 Category: Research Authors: Paul, C. L., Carey, M. L., Sanson-Fisher, R. W., Houlcroft, L. E., Turon, H. E. Tags: ORIGINAL ARTICLES Source Type: research

Fatigue related to radiotherapy for breast and/or gynaecological cancer: a systematic review
ConclusionEarly detection of fatigue, using appropriate scales, is relevant to propose suitable treatments and achieve better clinical conditions, adherence and continuity of radiotherapy treatment, aiming to ensure more effective responses. Relevance to clinical practiceFatigue is a frequent symptom in patients undergoing radiotherapy. It may become a factor that limits or prevents the continuity of radiotherapy and therefore should be diagnosed in the initial appointments, so that it can be properly treated. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - May 8, 2013 Category: Nursing Authors: Tereza Raquel M Alcântara‐Silva, Ruffo Freitas‐Junior, Nilceana MA Freitas, Graziela DP Machado Tags: Review Source Type: research

Post-traumatic stress disorder: new directions in pharmacotherapy [Articles]
This article reviews the evidence base for typically recommended treatments such as cognitive–behavioural therapy (CBT), eye movement desensitisation and reprocessing and selective serotonin reuptake inhibitors (SSRIs). It tabulates the major randomised controlled trials of SSRIs and trauma-focused CBT and reviews research on novel treatments such as ketamine, MDMA, quetiapine, propranolol and prazosin. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - May 1, 2013 Category: Psychiatry Authors: Green, B. Tags: Articles Source Type: research

Staff Expectations and Views of Cognitive Behaviour Therapy (CBT) for Adults with Intellectual Disabilities
ConclusionsThe results suggest that for CBT to be effective in the longer term, the therapist is required to consider a wider systemic approach including staff training and supervision, staff and management consultancy and creating a delicate balance between confidentiality and sharing the psychological formulation with ‘significant others’ to ensure maintenance and generalisation of improved psychological well‐being. (Source: Journal of Applied Research in Intellectual Disabilities)
Source: Journal of Applied Research in Intellectual Disabilities - May 1, 2013 Category: Disability Authors: Biza Stenfert Kroese, Andrew Jahoda, Carol Pert, Peter Trower, Dave Dagnan, Mhairi Selkirk Tags: Original Article Source Type: research

Influence of dependent personality status on the outcome and health service costs of health anxiety
Conclusions: The DPQ is probably a reliable instrument for assessing dependent personality characteristics without the need for interview and its scores, unlike many ratings of personality, are stable over time. The findings may have been influenced by different responses to those treated in the trial with cognitive behaviour therapy compared with control treatment. (Source: International Journal of Social Psychiatry)
Source: International Journal of Social Psychiatry - April 29, 2013 Category: Psychiatry Authors: Tyrer, H., Tyrer, P., Barrett, B. Tags: Articles Source Type: research

The use of psychological therapies by mental health nurses in Australia
Accessible summaryThis paper examines the usage of psychological therapies by mental health nurses. The paper presents the findings from a questionnaire survey of 528 practising mental health nurses in Australia. Key findings include: Mental health nurses believe employing psychological therapies such as cognitive behaviour therapy in their practice will improve therapeutic outcomes for consumers. Mental health nurses overwhelmingly want to employ psychological therapies in their practice. They think mental health nursing and hospital and community health management is too focussed on medical treatment and risk management,...
Source: Journal of Psychiatric and Mental Health Nursing - April 29, 2013 Category: Nursing Authors: J. E. Fisher Tags: Original Article Source Type: research

A controlled evaluation of the ‘FRIENDS for Life’ emotional resiliency programme on overall anxiety levels, anxiety subtype levels and school adjustment
ConclusionsA significant negative correlation was found between anxiety and school adjustment. The professional implications of these findings are discussed. (Source: Child and Adolescent Mental Health)
Source: Child and Adolescent Mental Health - April 26, 2013 Category: Psychiatry Authors: Alish Rodgers, Sandra Dunsmuir Tags: Original Article Source Type: research

Psychological management of unipolar depression.
CONCLUSION: Cognitive behaviour therapy and IPT can be effective in alleviating acute depression for all levels of severity and in maintaining improvement. Psychological treatments for depression have demonstrated efficacy across the lifespan and may present a preferred treatment option in some groups, for example, children and adolescents and women who are pregnant or postnatal. PMID: 23586874 [PubMed - in process] (Source: Acta Psychiatrica Scandinavica Supplementum)
Source: Acta Psychiatrica Scandinavica Supplementum - April 23, 2013 Category: Psychiatry Tags: Acta Psychiatr Scand Suppl Source Type: research

Early Cognitive Behavioural Therapy Reduces Risk Of Psychosis
Young people seeking help who are at high risk of developing psychosis could significantly reduce their chances of going on to develop a full-blown psychotic illness by getting early access to cognitive behavioural therapy (CBT), new research shows. Researchers from The University of Manchester found the risk of developing psychosis was more than halved for those receiving CBT at six, 12 and 18-24 months after treatment started... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 23, 2013 Category: Consumer Health News Tags: Mental Health Source Type: news

Risk Of Psychosis Reduced By Early Cognitive Behavioural Therapy
Researchers from The University of Manchester found the risk of developing psychosis was more than halved for those receiving CBT at six, 12 and 18-24 months after treatment started. The team from the University's School of Psychological Science and the Psychosis Research Unit at Greater Manchester West Mental Health NHS Foundation Trust adds weight to earlier studies in this area... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 23, 2013 Category: Consumer Health News Tags: Psychology / Psychiatry Source Type: news

Regensburg Insomnia Scale (RIS): a new short rating scale for the assessment of psychological symptoms and sleep in insomnia; Study design: development and validation of a new short self-rating scale in a sample of 218 patients suffering from insomnia and 94 healthy controls
Conclusion: The RIS is a valid and feasible instrument for assessing psychological PI-symptoms and sleep parameters. (Source: Health and Quality of Life Outcomes)
Source: Health and Quality of Life Outcomes - April 22, 2013 Category: Global & Universal Authors: Tatjana CrönleinBerthold LangguthRoland PoppHelmut LukeschChristoph PiehGöran HajakPeter Geisler Source Type: research

Management of irritable bowel syndrome in primary care: the results of an exploratory randomised controlled trial of mebeverine, methylcellulose, placebo and a self-management website
Conclusions: This exploratory study demonstrates feasibility and high follow-up rates and provides information for a larger trial. Primary outcomes (IBS SS and IBS QOL) did not reach significance at 6 or 12 weeks, apart from IBS SSS being lower in the no-website group at 6 weeks - this disappeared by 12 weeks. Improved Enablement suggests patients with access to the Regul8 website felt better able to cope with their symptoms than the non-website group. Improved SGA score in the Regul8 groups may indicate some overall improvement not captured on other measures.Trial registration: ClinicalTrials.gov Identifier (NCT number): ...
Source: BMC Gastroenterology - April 21, 2013 Category: Gastroenterology Authors: Hazel EverittRona Moss-MorrisAlice SibelliLaura TappNicholas ColemanLucy YardleyPeter SmithPaul Little Source Type: research

Processes and effects of Solution‐Focused Brief Therapy in people with intellectual disabilities: a controlled study
ConclusionsAlthough the study had limitations because of the short follow‐up period and the non‐random selection of participants, the statistically significant differences between the SFBT and CAU groups and the medium to large effect sizes, indicate the potential effectiveness of SFBT for people with MID. (Source: Journal of Intellectual Disability Research)
Source: Journal of Intellectual Disability Research - April 17, 2013 Category: Disability Authors: J. M. Roeden, M. A. Maaskant, L. M. G. Curfs Tags: Invited review Source Type: research

Psychological management of unipolar depression
ConclusionCognitive behaviour therapy and IPT can be effective in alleviating acute depression for all levels of severity and in maintaining improvement. Psychological treatments for depression have demonstrated efficacy across the lifespan and may present a preferred treatment option in some groups, for example, children and adolescents and women who are pregnant or postnatal. (Source: Acta Psychiatrica Scandinavica)
Source: Acta Psychiatrica Scandinavica - April 16, 2013 Category: Psychiatry Authors: L. Lampe, C. M. Coulston, L. Berk Tags: Clinical overview Source Type: research

Is computerised CBT really helpful for adult depression?-A meta-analytic re-evaluation of CCBT for adult depression in terms of clinical implementation and methodological validity
Conclusion: Despite a short-term reduction in depression at post-treatment, the effect at long follow-up and the function improvement were not significant, with significantly high drop-out. Considering the risk of bias, our meta-analysis implied that the clinical usefulness of current CCBT for adult depression may need to be re-considered downwards in terms of practical implementation and methodological validity. (Source: BMC Psychiatry - Latest articles)
Source: BMC Psychiatry - Latest articles - April 15, 2013 Category: Psychiatry Authors: Mirai SoSosei YamaguchiSora HashimotoMitsuhiro SadoToshi FurukawaPaul McCrone Source Type: research

Recurrence of anxiety disorders and its predictors
Conclusions: Recurrence of anxiety disorders is common and clinicians should be aware of the diagnostic instability within anxiety disorders. Disability and anxiety sensitivity are independent predictors of recurrence of anxiety disorders. Altering these predictors in regular cognitive behavioural therapy could contribute to the reduction of recurrence. (Source: Journal of Affective Disorders)
Source: Journal of Affective Disorders - April 13, 2013 Category: Neurology Authors: Willemijn D. Scholten, Neeltje M. Batelaan, Anton JLM. van Balkom, Brenda WJH. Penninx, Johannes H. Smit, Patricia van Oppen Tags: Research Reports Source Type: research

Adjunctive CBT increases response in pharmacotherapy-resistant depression in primary care
Question Question: How effective is adding cognitive behavioural therapy (CBT) to pharmacotherapy-based usual care for primary care patients with treatment resistant depression? Patients: A total of 469 adults (average age 49.6 years, 72% female and 44% in paid employment) with treatment resistant depression (meeting ICD-10 criteria for depression, treated with adequate dose of antidepressants for ≥6 weeks but still with Beck depression inventory (BDI) score ≥14). For more than half of the participants (59%) the current depression episode had lasted 2 years or longer, and 70% had taken their antidepres...
Source: Evidence-Based Mental Health - April 12, 2013 Category: Psychiatry & Psychology Authors: Hopko, D. Tags: Clinical trials (epidemiology), General practice / family medicine, Neurology, Substance dependence, Bipolar disorder, Depressive disorder, Suicide (psychiatry), Epidemiology Therapeutics Source Type: research

Starving the Anger Gremlin: A Cognitive Behavioural Therapy Workbook on Anger Management for Young People K. Collins‐Donnelly London: Jessica Kingsley, 2012. pp. 88, £11.99(pb). ISBN: 978‐1‐84905‐283‐3.
(Source: Child and Adolescent Mental Health)
Source: Child and Adolescent Mental Health - April 11, 2013 Category: Psychiatry Authors: Kenny Ross Tags: Book News Source Type: research

A randomised, wait‐list controlled trial: evaluation of a cognitive–behavioural group intervention on psycho‐sexual adjustment for men with localised prostate cancer
ConclusionsThis group‐based CBT intervention for men post‐radical prostatectomy for localised prostate cancer shows promising results in terms of improving quality of life. Copyright © 2013 John Wiley & Sons, Ltd. (Source: Psycho-Oncology)
Source: Psycho-Oncology - April 10, 2013 Category: Cancer & Oncology Authors: Heather M. Siddons, Addie C. Wootten, Anthony J. Costello Tags: Paper Source Type: research

Diabetes Trials Worldwide Are Not Addressing Key Issues In Affected Populations
Only one in ten are studying prevention while almost two thirds focus on drug therapy An analysis of diabetes trials worldwide has found they are not addressing key issues relating to the condition with almost two thirds focusing on drug therapy while only one in ten addresses prevention or behavioural therapies. The research is published in Diabetologia, the journal of the European Association for the Study of Diabetes (EASD), and is by Dr Jennifer Green, Duke University Medical Center, Durham, NC, USA, and colleagues... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 6, 2013 Category: Consumer Health News Tags: Diabetes Source Type: news

CBT improves dysfunctional attitudes, memory in bipolar disorder
Cognitive behavioural therapy improves dysfunctional attitudes and is associated with a reduction in residual symptoms in euthymic patients with bipolar disorder, results from a French study show. (Source: MedWire News - Psychiatry)
Source: MedWire News - Psychiatry - April 4, 2013 Category: Psychiatry Source Type: news

CBT improves dysfunctional attitudes, memory in bipolar disorder
Cognitive behavioural therapy improves dysfunctional attitudes and is associated with a reduction in residual symptoms in euthymic patients with bipolar disorder, results from a French study show. (Source: MedWire News - Bipolar Disorder)
Source: MedWire News - Bipolar Disorder - April 4, 2013 Category: Psychiatry Source Type: news

Randomized controlled trial of cognitive behaviour therapy for comorbid post‐traumatic stress disorder and alcohol use disorders
ConclusionsIndividuals with severe and complex presentations of coexisting post‐traumatic stress disorder (PTSD) and alcohol use disorders (AUD) can derive substantial benefit from cognitive behaviour therapy targeting AUD, with greater benefits associated with exposure for PTSD. Among individuals with dual disorders, these therapies can generate significant, well‐maintained treatment effects on PTSD, AUD and psychopathology. (Source: Addiction)
Source: Addiction - April 4, 2013 Category: Addiction Authors: Claudia Sannibale, Maree Teesson, Mark Creamer, Thiagarajan Sitharthan, Richard A. Bryant, Kylie Sutherland, Kirsten Taylor, Delphine Bostock‐Matusko, Alicia Visser, Marie Peek‐O'Leary Tags: Research Report Source Type: research

Change in jumping to conclusions linked to change in delusions in early psychosis
Symptom-related cognitive biases such as jumping to conclusions (JTC) can potentially be the focus of cognitive therapies such as cognitive behavioural therapy for psychosis (CBTp; ) and metacognitive training (MCT; ). To provide support for such an approach it is important to demonstrate correspondence between change in delusions and change in JTC. JTC studies typically employ the beads task, where an individual is presented with two jars containing different ratios of beads of two colours, and is asked to decide from which jar a series of beads are being drawn. A cross-sectional association between delusions and JTC is a...
Source: Schizophrenia Research - April 4, 2013 Category: Psychiatry Authors: Nicole Sanford, Tania Lecomte, Claude Leclerc, Til Wykes, Todd S. Woodward Tags: Letters to the Editor Source Type: research

A Novel, Web‐Based, Psychological Intervention for People with Psoriasis: The Electronic Targeted Intervention for Psoriasis (eTIPs) Study
ConclusionsThis first on‐line CBT intervention for people with skin disease showed improvement in anxiety and quality of life in patients with psoriasis. The results are limited by the large number of missing data and at this stage on‐line delivery cannot substitute for established methods of delivery for CBT. (Source: British Journal of Dermatology)
Source: British Journal of Dermatology - April 1, 2013 Category: Dermatology Authors: C. Bundy, B. Pinder, S. Bucci, D. Reeves, C.E.M. Griffiths, N. Tarrier Tags: Original Article Source Type: research

An investigation into adolescents' experience of cognitive behavioural therapy within a child and adolescent mental health service
Cognitive Behavioural Therapy (CBT) is frequently referenced within NICE (National Institute for Clinical Excellence) guidance and is a recommended psychological therapy for a number of different mental health disorders for both adults and children. This is due to the current body of quantitative research around CBT demonstrating its efficacy for a range of mental health difficulties. However, CBT has not been as well addressed within the qualitative field and this gap in research is even more obvious when looking at CBT conducted with children and adolescents. This interpretative phenomenological study explored adolescent...
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Donnellan, D., Murray, C., Harrison, J. Tags: Articles Source Type: research

Psychological treatment of dental anxiety among adults: a systematic review
The aim was to investigate the efficacy of behavioural interventions as treatment of dental anxiety/phobia in adults, by conducting a systematic review of randomized controlled trials (RCTs). The inclusion criteria were defined according to the Patients, Interventions, Controls, Outcome (PICO) methodology. The study samples had documented dental anxiety, measured using validated scales [the Dental Anxiety Scale (DAS) or the Dental Fear Survey (DFS)], or fulfilled the psychiatric criteria for dental phobia. Behavioural interventions included were based on cognitive behavioural therapy (CBT)/behavioural therapy (BT), and con...
Source: European Journal of Oral Sciences - March 28, 2013 Category: Dentistry Authors: Ulla Wide Boman, Viktor Carlsson, Maria Westin, Magnus Hakeberg Tags: Review Source Type: research

Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial
ConclusionExistential behavioural therapy appears to exert beneficial effects on distress and QOL of informal caregivers of palliative patients. Further longitudinal evidence is needed to confirm these findings. Copyright © 2013 John Wiley & Sons, Ltd. (Source: Psycho-Oncology)
Source: Psycho-Oncology - March 27, 2013 Category: Cancer & Oncology Authors: M. J. Fegg, M. Brandstätter, M. Kögler, G. Hauke, P. Rechenberg‐Winter, V. Fensterer, H. Küchenhoff, M. Hentrich, C. Belka, G. D. Borasio Tags: Paper Source Type: research

Group-based cognitive-behavioural anger management for people with mild to moderate intellectual disabilities: cluster randomised controlled trial.
CONCLUSIONS: The intervention was effective in improving anger control by people with intellectual disabilities. It provides evidence of the effectiveness of a CBT intervention for this client group and demonstrates that the staff who work with them can be trained and supervised to deliver such an intervention with reasonable fidelity. PMID: 23520220 [PubMed - as supplied by publisher] (Source: The British Journal of Psychiatry for Mental Science)
Source: The British Journal of Psychiatry for Mental Science - March 23, 2013 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Psychotherapy for adult attention deficit/hyperactivity disorder: a comparison with cognitive behaviour therapy
Accessible summary Attention deficit/hyperactivity disorder (ADHD) is a neurobiological disorder that persists into adulthood for more than half of those diagnosed. Pharmacotherapy is the first line treatment, but alone may not be sufficient. When comparing the effectiveness of researched psychotherapies, cognitive behaviour therapy (CBT) is one of the most efficacious treatments. This literature synthesis offers some intervention guidance for nurses and other clinicians who care for patients with ADHD. AbstractAttention deficit/hyperactivity disorder (ADHD), a disorder generally associated with children, has become a val...
Source: Journal of Psychiatric and Mental Health Nursing - March 18, 2013 Category: Nursing Authors: M. L. Chandler Tags: Original Article Source Type: research

Effects of Dialectical Behaviour Therapy-Mindfulness Training on Emotional Reactivity in Borderline Personality Disorder: Preliminary Results.
Authors: Feliu-Soler A, Pascual JC, Borràs X, Portella MJ, Martín-Blanco A, Armario A, Alvarez E, Pérez V, Soler J Abstract Emotional dysregulation has been proposed as a hallmark of borderline personality disorder (BPD). Mindfulness techniques taught in dialectical behaviour therapy (DBT) appear to be effective in reducing affective symptoms and may enhance emotion regulation in BPD patients. In the present study, we assessed whether 10 weeks of DBT-mindfulness (DBT-M) training added to general psychiatric management (GPM) could improve emotion regulation in BPD patients. A total of 35 patients with BPD were ...
Source: Clinical Psychology and Psychotherapy - March 16, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Computerised cognitive behavioural therapy for depression and anxiety with older people: a pilot study to examine patient acceptability and treatment outcome
ConclusionAlthough further research is required, including a randomised controlled trial, the results of this initial pilot study provide evidence that BTB may offer an acceptable and effective treatment option for older people. Copyright © 2013 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - March 14, 2013 Category: Geriatrics Authors: William McMurchie, Fiona Macleod, Kevin Power, Ken Laidlaw, Neil Prentice Tags: Research Article Source Type: research

Effects of Dialectical Behaviour Therapy‐Mindfulness Training on Emotional Reactivity in Borderline Personality Disorder: Preliminary Results
Emotional dysregulation has been proposed as a hallmark of borderline personality disorder (BPD). Mindfulness techniques taught in dialectical behaviour therapy (DBT) appear to be effective in reducing affective symptoms and may enhance emotion regulation in BPD patients. In the present study, we assessed whether 10 weeks of DBT‐mindfulness (DBT‐M) training added to general psychiatric management (GPM) could improve emotion regulation in BPD patients. A total of 35 patients with BPD were included and sequentially assigned to GPM (n = 17) or GPM plus DBT‐M (n = 18). Participants underwent a negative emotion ...
Source: Clinical Psychology - March 14, 2013 Category: Psychiatry & Psychology Authors: Albert Feliu‐Soler, Juan C. Pascual, Xavier Borràs, Maria J. Portella, Ana Martín‐Blanco, Antonio Armario, Enric Alvarez, Víctor Pérez, Joaquim Soler Tags: Practitioner Report Source Type: research

A randomized controlled trial of a smoking cessation intervention conducted among prisoners
ConclusionAdding nortriptyline to a smoking cessation treatment package consisting of behavioural support and nicotine replacement therapy does not appear to improve long‐term abstinence rates in male prisoners. (Source: Addiction)
Source: Addiction - March 11, 2013 Category: Addiction Authors: Robyn Richmond, Devon Indig, Tony Butler, Kay Wilhelm, Vicki Archer, Alex Wodak Tags: Research Report Source Type: research

The European Psychiatric Association (EPA) guidance on suicide treatment and prevention.
Authors: Wasserman D, Rihmer Z, Rujescu D, Sarchiapone M, Sokolowski M, Titelman D, Zalsman G, Zemishlany Z, Carli V, European Psychiatric Association Abstract UNLABELLED: 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...
Source: Journal of the Association of European Psychiatrists - March 9, 2013 Category: Psychiatry Tags: Eur Psychiatry Source Type: research

A review on assessment and treatment for depression in malaysia.
Authors: Mukhtar F, Oei TP Abstract This paper aimed to review the literature on depression that focused on its assessment and treatment in Malaysia. PsycINFO, Medline, local journals were searched, and 18 published articles were included in this paper. Results indicate that research on depression in Malaysia, particularly validation studies and psychotherapy research, was weak and fragmented, with minimal empirical evidence available. Pharmacotherapy still dominated the treatment for depression, and, in terms of psychotherapy, Cognitive Behavioural Therapy (CBT) was recently practiced, but only a few studies have ...
Source: Depression Research and Treatment - March 9, 2013 Category: Psychiatry Tags: Depress Res Treat Source Type: research

Forecasting Success: Patients' Expectations for Improvement and Their Relations to Baseline, Process and Outcome Variables in Group Cognitive-Behavioural Therapy for Depression.
Authors: Tsai M, Ogrodniczuk JS, Sochting I, Mirmiran J Abstract There is growing evidence for the important role of patients' outcome expectations to the process and outcome of psychotherapy, yet its relevance to group cognitive-behavioural therapy (CBT) for depression has not been examined. In an effort to fill this void, the present study investigated expectations for improvement among 80 psychiatric outpatients attending a group CBT program for depression. The study addressed the following four questions: (1) Which baseline patient characteristics might be associated with patients' expectations for improvement?...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Implementing Evidence-Based Practice for Patients with Chronic Fatigue Syndrome.
Authors: Wiborg JF, Wensing M, Tummers M, Knoop H, Bleijenberg G Abstract The aim of our study was to explore whether community-based mental health care centres (MHCs) are able to implement and sustain cognitive behaviour therapy (CBT) for chronic fatigue syndrome (CFS) with the help of an implementation manual. We monitored the implementation process and treatment outcome data of three Dutch MHCs that implemented or sustained CBT for CFS, one in the context of a stepped care programme. We compared these data with findings of other treatment studies conducted in the context of CBT for CFS. All three MHCs included a...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Changes in Symptom Severity, Schemas and Modes in Heterogeneous Psychiatric Patient Groups Following Short-term Schema Cognitive-Behavioural Group Therapy: A Naturalistic Pre-treatment and Post-treatment Design in an Outpatient Clinic.
CONCLUSIONS: In this naturalistic study, SCBT-g was associated with reduced symptom and schema and mode severity in more than half of the psychiatric outpatients. Furthermore, the results suggest that changes in schemas and symptomatology mutually reinforce each other. Copyright © 2012 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Over 50% of ambulatory patients show clinical improvement after treatment in a short-term schema therapy group. Other Directedness seems to be a predictor of schema group therapy success. More randomized controlled trial studies and prediction and mediation studies on (short-term) schema...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

An Evaluation of the Impact of Introducing Compassion Focused Therapy to a Standard Treatment Programme for People with Eating Disorders.
CONCLUSION: This study demonstrates the potential benefits of using CFT with people with eating disorders and highlights the need for further research on this new approach. KEY PRACTITIONER MESSAGE: CFT offers new ways to conceptualize and formulate some of the self-critical and shame-based difficulties associated with eating disorders. CFT offers a framework that can enable people with eating disorders to conceptualize their difficulties in different ways. CFT can be combined with standard therapies especially cognitive behavioural therapy. CFT can be especially useful in a group context where the relationships between me...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Strengths-based cognitive-behavioural therapy: a four-step model to build resilience.
This article shows how it can be used to build and strengthen personal resilience. A structured search for client strengths is central to the approach, and methods designed to bring hidden strengths into client awareness are demonstrated through therapist-client dialogues. Development of positive qualities requires a shift in therapy perspective and different therapy methods from those employed when therapy is designed to ameliorate distress. Required adjustments to classic CBT are highlighted with specific recommendations for clinical modifications designed to support client development of resilience such as a focus on cu...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Validity of the Generalized Anxiety Disorder-7 Scale in an Acute Psychiatric Sample.
This study examined the validity of the GAD-7 in a sample of 232 patients enrolled in a partial hospital programme. Patients completed a diagnostic interview and a battery of self-report measures before and after treatment. Findings suggest that the GAD-7 has good internal consistency and good convergent validity with worry, anxiety, depression and stress, and the measure was sensitive to change over the course of a short intensive cognitive-behavioural therapy partial hospital programme. However, the confirmatory analysis failed to support the hypothesized unidimensional factor structure; and although the GAD-7 demonstrat...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A randomized controlled trial of IPT versus CBT in primary care: with some cautionary notes about handling missing values in clinical trials.
Authors: Power MJ, Freeman C Abstract A randomized controlled trial is reported in which three treatments were compared for the management of depression in Primary Care. The treatments were Treatment As Usual (TAU) carried out by the General Practitioners, Cognitive-Behaviour Therapy (CBT) or Interpersonal Psychotherapy (IPT). Measurements of depressive symptomatology were taken at Baseline (Time1), at end of treatment (Time2), and at 5-month follow-up (Time3). An initial analysis of the longitudinal data revealed that there were a significant number of missing values, especially in the Time3 follow-up for the TAU ...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Predicting Outcome of Inpatient CBT for Adolescents with Anxious-Depressed School Absenteeism.
Authors: Walter D, Hautmann C, Minkus J, Petermann M, Lehmkuhl G, Goertz-Dorten A, Doepfner M Abstract Predictors of outcome of inpatient treatment based on manualized cognitive-behavioural therapy (CBT) were examined for 147 adolescents with anxious-depressed school absenteeism assessed at discharge and at 2 months after the end of treatment. Outcome measures were regular school attendance and a wide variety of mental health problems rated by adolescents and parents. Socio-demographic data, clinical ratings/diagnosis and adolescent-reported and parent-reported mental health problems were examined as predictors. ...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Effectiveness of Cognitive-Behavioural Therapy Plus Pharmacotherapy in Inpatient Treatment of Depressive Disorders.
CONCLUSION: The results show that additional cognitive-behavioural treatment of depressive disorders notably improves outcome over standard procedure in acute psychiatric treatment. Copyright © 2011 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: There is a need for treatment strategies to accompany medication. In the Sequenced Treatment Alternatives to Relieve Depression trial (STAR*D), only 33% of the patients reached remission criteria after the first antidepressant treatment step and only 50% after the second step. The strict inclusion criteria of randomized controlled trials often render their patient populatio...
Source: Clinical Psychology and Psychotherapy - March 9, 2013 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research