CBT based strategies, physiotherapy and low back pain

Goldfish jumps out of bowl

Can CBT (cognitive behavioural therapy) based treatment strategies be delivered by physiotherapists and other healthcare professionals? Heather Gray reports on a systematic review.

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Mental health therapy for refugee and asylum seeking children: a small evidence base for a big problem

Refugees face a substantially higher risk of psychotic disorders compared to non-refugee migrants [see previous blog].

Laurence Palfreyman considers the very small and mixed evidence base of mental health interventions for refugee and asylum seeking children presented in a well conducted systematic review from last year.

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Preventing and responding to violence against disabled people – what works?

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Professor Jill Manthorpe begins 2015 with a blog considering a systematic review on interventions to prevent and respond to violence against disabled people. She reflects on how social workers use systematic review papers as part of evidence based practice and gives some useful pointers for reading and getting the most from such studies.

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Tai chi improves health related quality of life for people with musculoskeletal conditions

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How effective is Tai Chi on quality of life for people with musculoskeletal conditions? This mind-body exercise is often used by people with musculoskeletal conditions as part of a self-management strategy.

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Medication for the maintenance treatment of bipolar disorder

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Elena Marcus summarises a recent network meta-analysis published in The Lancet of the comparative efficacy and tolerability of medication for the maintenance treatment of bipolar disorder.

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CBT for insomnia in psychiatric populations: an effective alternative to hypnotics?

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Amy Green appraises a systematic review of CBT for insomnia (CBTi) in people with comorbid mental illness, which concludes that cognitive behaviour therapy could be an effective alternative to hypnotics. However, concerns about the review methodology cast some doubt on the findings.

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Alcohol misuse and PTSD comorbidity: a significant problem lacking solutions

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Current NICE guidelines state that PTSD should not be dealt with unless alcohol dependence is first treated. Paul Christiansen summarises a systematic review of the comorbidity between PTSD and alcohol misuse and wonders where the guidance leaves patients and professionals.

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Anti-inflammatory drugs for depression: new review points to benefits, but more research needed

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Helge Hasselmann highlights a recent systematic review of anti-inflammatory drugs for depression, which concludes that NSAIDs, in particular celecoxib, decreases depressive symptoms without increased risk of adverse effects. However, the meta-analysis has a number of draw-backs, which make the study findings far from convincing.

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Are treatments for borderline personality disorder cost-effective?

Dialectical behaviour therapy was specifically developed to help people with borderline personality disorders

Our resident Elf Economist, Chris Sampson, reports on a new systematic review of economic evaluations for borderline personality disorder. Are any cost-effective?

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