Preventing or reducing domestic violence against pregnant women: more studies desperately needed!

Bruised woman's face

30% of domestic violence (DV) begins during pregnancy and is most prevalent within the working and lower middle socio-economic classes. It is a major public health concern and abuse during pregnancy is of particular concern due to the health risks to both mother and child. It can cause physical and psychological harm to women, and [read the full story…]

Meta analysis of antidepressants vs talking therapies: another example of ‘All Must Have Prizes’?

Depression

Patients presenting to their GP with a mental health problem are likely to be offered medication, in the form of antidepressants, and/or a ‘talking therapy’, such as counselling or CBT. This is because we know that both those broad categories of treatments (drugs and psychological therapies) are effective in reducing symptoms. However, it’s less clear [read the full story…]

Systematic review exposes the lack of evidence for psychosocial interventions in patients with head and neck cancer

The Dental Elf

Today we feature a blog from our good friend, The Dental Elf, whose remit includes Head and Neck cancers. The psychological impacts of such cancers can be devastating, so we were interested to see a systematic review looking at the impact of psychosocial interventions on anxiety, depression and quality of life. Unfortunately, the bottom line [read the full story…]

The magnificent 7? Review finds that different “talking therapies” offer similar benefits to people with depression

Talking

Scientific studies comparing treatments for depression and depressive disorders keep the mental elves very busy. Most months we are asked to blog on about 3 newly published reviews on this hot topic. The interest in research on the treatment of depression comes as no surprise, when one considers that depressive disorders affect a staggering one-fifth [read the full story…]

Evidence-based youth psychotherapies: better than usual care, but only for less severe cases

Young people experiencing distress often fall through the cracks of a system built around diagnosis. Is treating the struggle, not the label, the answer?

Young people presenting with psychopathology may receive a wide range of treatments, such as family or cognitive behavioural therapy, skills training or behavioural contracting. Clearly it is important to know which of these interventions are best supported by evidence that they are effective in treating the presenting problem. Since some treatments have a significant evidence [read the full story…]

More frequent psychotherapy may lead to better depression outcomes, says new meta-analysis

Calendar

Psychological therapies such as cognitive behaviour therapy, interpersonal psychotherapy, behavioural activation, problem-solving and possibly psychodynamic therapy have been clearly shown to be effective in the treatment of adult depression. However it is not clear, how long such a therapy should last, how many sessions are optimal and what the best intensity of psychotherapy is. A [read the full story…]

Talking therapy for teenagers (MBT-A) reduces self-harm and depression in self harming teens over a 12 month period

Young people skateboarding

In adults there is a growing body of evidence for psychotherapeutic interventions such as Transference Focussed Psychotherapy, Mentalization-Based Treatment and Dialectic Behavioural Therapy for patients who self harm. In the teenage population, there has been limited evidence to show that interventions are better than the treatment already provided. MBT has developed from psychodynamic psychotherapy and [read the full story…]

Psychosocial and psychological interventions can prevent postpartum depression, says new Cochrane review

Pensive woman

The period after giving birth to a child can be difficult for women and in the first twelve weeks after childbirth 13-19% of women will experience post-partum depression (O’Hara 1996, Gaynes 2005). Post-partum depression is bad news – not only does it increase the chance of the mother going onto develop a severe clinical depression [read the full story…]

Meta-analysis finds insufficient evidence for treatments to improve insight for people with psychosis

Man smiling in sunlight

Research suggests that many people with schizophrenia or related psychoses show a striking lack of insight into their condition (Dam, 2006). Poor insight can have a negative impact on several outcomes, including general adjustment (Stefanopoulou et al., 2009), quality of life (Drake et al., 2007), social functioning (Drake et al., 2007) and rehospitalisation. With this [read the full story…]

CBT is better than nothing for older adults with depression, but so is any form of active support

Old man stretching

Depression is such a widely known issue now that it barely needs introduction. It’s something we Elves have covered with interest, looking at the effectiveness of various treatments, like psychotherapy, medication and exercise. For older adults though, there remains a somewhat hazy picture of what treatments work best. Most of the evidence base for the [read the full story…]