What’s the ‘optimal dose’ of psychotherapy to improve social functioning in people with depression?

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The majority of studies about depression measure outcomes using a scale such as the Hamilton Depression Rating Scale (PDF), which is a questionnaire that patients complete with a health professional. This new randomised controlled trial by researchers from the Arkin Institute for Mental Health in Amsterdam uses the Hamilton Depression Scale, but is also measures social [read the full story…]

Non-directive supportive therapy is effective for adult depression, according to new meta-analysis

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We know that various psychotherapies are effective in treating adult depression, but there remains quite a bit of uncertainty about which specific therapies work best and what factors within the treatments contribute most to the improvement. This new meta analysis from a mixed group of researchers from the Netherlands, USA, Switzerland and Sweden, looks at [read the full story…]

Young people with psychotic symptoms should be offered CBT before antipsychotics, according to new RCT

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Antipsychotic drugs are currently prescribed to a significant proportion of young people who are diagnosed with psychosis. Past research has estimated that up to half of people at risk of developing psychosis at a young age will progress to a full blown psychotic illness such as schizophrenia. A new landmark randomised controlled trial has been [read the full story…]

Targeted psychotherapies work best for children and adolescents with anxiety disorders, according to major new meta-analysis

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Around 10% of children are diagnosed with anxiety disorders before the age of 16 and for many this can be a long lasting problem that has a major impact on their development. There’s lots of research in this field and many systematic reviews have been conducted to assess the effectiveness of talking treatments for this [read the full story…]

Insufficient evidence to recommend first line treatment for depression in cancer patients

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Depression is at least three times as common in patients with cancer compared to the rest of the population. Studies show that major depression occurs in 16% of cancer patients, with combined minor depression and dysthymia reported in 22% of people with cancer. Depression also appears to be more prevalent amongst people with certain cancers (pancreatic, [read the full story…]

Group CBT is an effective treatment for depression, but the evidence remains quite weak

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The NICE depression guidance recommends a stepped-care model for treating mild to moderate depression (see figure 11 below). A considerable amount of funding has gone towards the Improving Access to Psychological Therapies initiative in England, but despite this the availability of individual therapy remains limited and relatively few people with depression receive the kind of [read the full story…]

Preventing and managing violence in mental health and criminal justice populations: results of a new systematic review

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The public perception of mental health and violent behaviour has often been influenced by poor media coverage and a focus on specific crimes committed by people with psychosis. There’s a nice summary of work in this area on the Mind website, which includes a number of enlightening stats, including this one: The fear of random [read the full story…]

Different types of psychotherapy for different types of depression: a summary of best current knowledge

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Mental Elf readers have been voting for their favourite topics and top of the list at present are psychological therapies and depression. Us elves like to give people what they want, so here’s a review conducted by researchers in the Netherlands that summarises what we know about the effectiveness of different types of psychotherapy in [read the full story…]

More psychotherapy does not improve social functioning for depressed people also taking antidepressants

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This is an unusual randomised controlled trial conducted by a research team from Arkin Institute for Mental Health in Amsterdam and funded by Eli Lilly. The study measures social functioning as an outcome, as well as the more commonly measured depression symptoms. It aims to find out how much psychotherapy is optimal for depressed people [read the full story…]

Depression prevention programmes show promise in helping children and young people, according to new Cochrane review

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By the age of 19, between a fifth and a quarter of young people have suffered from a depressive disorder. There are associations between depression and self-harm, suicide, substance abuse, poor academic performance and social dysfunction. The most robust evidence exists for two particular psychological interventions: cognitive behavioural therapy and interpersonal therapy. There is evidence [read the full story…]