Are treatments for bipolar disorder cost-effective?

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Chris Sampson reports on a recent systematic review and critical appraisal of economic evaluations in bipolar disorder. He finds that there’s a pressing need for new studies, especially discrete event simulations.

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Eating disorders: mapping the (lack of) evidence

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Helen Bould summarises a recent review that maps the evidence for the prevention and treatment of eating disorders in young people. Her conclusion? A call to arms for more better quality research to help people affected by these serious illnesses.

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Family-based CBT for early childhood OCD: efficient for white, non-minority, upper middle-class children

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Ioana Cristea reviews a recent RCT of family-based CBT for early childhood OCD and concludes that the results are impressive, but may not be applicable to poorer children from ethnic minorities.

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CBT in primary care is cost-effective for treatment-resistant depression

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Elf economist Chris Sampson reports on the economic evaluation of the CoBalT RCT, which finds that CBT is cost-effective for treatment resistant depression in primary care.

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Interpersonal therapy and imipramine may be effective at reducing suicidal ideation in depression, but more research needed

Susie Johnson considers how effective conventional depression treatments are at reducing suicidal ideation in depression. The new study she summarises concludes that interpersonal therapy and antidepressants can also reduce suicidal ideation.

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Psychotherapy for depression in older adults: promising results, but insufficient good quality research

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This recent meta-analysis confirms that psychotherapy has a moderate to high effect on depression in older adults. However, a note of caution is sounded because of publication bias and the low quality of several of the included studies.

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Costs of CBT for anger management tested against 'as usual' day service

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Last week we posted about the publication of a new manual for therapists engaged in providing cognitive behavioural therapy to people with learning disabilities . In that post, we drew attention to two randomised trials that had been done in the early 2000’s whose findings were m anger – encouraging. This latest study adds a [read the full story…]

New manual for cognitive behavioural treatment in people with learning disabilities published online

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Cognitive behavioural therapy (CBT) is used in mainstream services and the evidence for its effectiveness is growing. For people with learning disabilities, there is a growing evidence base for in relation to psychological interventions more generally, although much of the much of the research on CBT has come from forensic secure units. CBT Randomised controlled [read the full story…]

It’s all in the control group: wait-list control may exaggerate apparent efficacy of CBT for depression

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This blog should set the cat amongst the pigeons! Ioana Cristea reviews a recent network meta-analysis in Acta Psychiatrica Scandinavica and discovers that CBT supporters face some well-documented criticism that requires a considered response. Do join in with the discussion and tell us what you think of this new research.

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Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]