Pharmacotherapy for anxiety and comorbid alcohol use disorders

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Natasha Clarke summarises a recent Cochrane review of pharmacotherapy for anxiety and comorbid alcohol use disorders, which found only very low quality evidence about the effectiveness of medication (buspirone, paroxetine, sertraline) for treating patients with both conditions.

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CBT for substance misuse in young people

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Eleanor Kennedy summarises a Campbell systematic review of CBT for substance misuse in young people in outpatient treatment, which is inconclusive in terms of CBT being more or less effective than other therapies.

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The value of family meals

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Helen Bould appraises a recent systematic review, which investigates the effects of family meal frequency on psychosocial outcomes in young people.

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Rural housing problems, mental health and substance use

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Ian Cummins considers an Australian study on the interplay of rural issues, mental health problems and substance use on housing and access to a secure home.

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Financial incentives for smoking cessation in pregnancy

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Meg Fluharty highlights a recent study suggesting that financial incentives may be beneficial in helping pregnant women quit smoking. This recent study investigated the effectiveness of shopping vouchers in addition to NHS Stop Smoking Services to aid quit attempts in pregnant women.

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Long working hours are associated with increased alcohol use

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Sally Adams summarises a new BMJ systematic review and meta-analysis of working hours and alcohol use, which finds a link between longer working hours and risky alcohol consumption.

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Reducing alcohol consumption in illicit drug users: new Cochrane review on psychotherapies

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Olivia Maynard reports on a recent Cochrane review that investigates talking therapies for reducing alcohol consumption in illicit drug users. The reviewers found no differences in the effectiveness of different psychotherapies (motivational interviewing, brief interventions, CBT) and insufficient evidence to draw any meaningful conclusions.

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Brief interventions for substance misuse in primary care

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Claire Mokrysz reports on two RCTs in JAMA that find no superiority over control for brief interventions for substance misuse in primary care. A finding that casts some doubt on interventions such as motivational interviewing for unhealthy drug use in primary care patients.

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