Clinician-supported computerised CBT effective in US primary care, but what about digital exclusion?

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In her debut blog, Sue Brown explores an RCT from the US, which finds that computerised CBT was effective at treating depression in primary care patients, and was also beneficial to those with lower educational attainment, reading proficiency and incomes.

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iCBT for depression and anxiety: putting theory into practice

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In her debut blog, Bethany Williamson summarises a systematic review and meta-analysis on the effects of Internet-based Cognitive Behavioural Therapy (iCBT) in routine care for adults in treatment for depression and anxiety.

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How important is understanding perfectionism for reducing depression and anxiety? #BABCP2022

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Alice Potter considers a meta-synthesis of qualitative studies on the link between anxiety, depression, and perfectionism in young people, and the implications for treatment.

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Stratified care versus stepped care for depression: which is more effective?

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Sarah Watts reviews a cluster randomised clinical trial investigating the effectiveness of stratified care compared to stepped care for depression, which has implications for IAPT services.

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Maintenance or discontinuation of antidepressants for depression? Findings from the ANTLER trial

For every 6 people stopping their medication there was one additional relapse compared to those who maintained their antidepressant treatment, suggesting that stopping medication has an increased risk of relapse.

Raphael Rifkin-Zybutz and Sameer Jauhar summarise the recently published ANTLER trial, which explores whether antidepressant maintenance can reduce the risk of relapse in depression.

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Young people who self-harm: perspectives on primary care

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In her debut blog, Amelia Talbot summarises a qualitative study investigating young adult’s experiences and perspectives of general practice care for self-harm.

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Does the IAPT self-referral process work for people living in poverty?

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In her debut blog, Alice Potter reviews a qualitative study exploring different perspectives on the accessibility of current IAPT self-referral processes for people with mental health problems living in poverty.

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Healthcare contact prior to suicide: key opportunities for suicide prevention

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In her debut blog, Su-Gwan Tham explores a Welsh population-based data linkage study, which finds that almost 3 in 4 people (73%) who died by suicide in Wales had contact with services in the month before their death.

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Enhancing primary care support for informal carers

An informal carer refers to someone who, “provides unpaid help and support to a partner, child, relative, friend or neighbour who could not manage without this help” (Beesley, 2006). Comparatively, people who choose to be carers have a higher quality of life than those who provide care as it is expected of them. Though health [read the full story…]

Could a decision support tool help to guide mental health treatment in primary care?

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Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.

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