Is treatment for depression cost-effective in people with diabetes?

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There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story…]

Meditation programmes may improve anxiety, depression and pain but better quality research is needed, says systematic review

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There’s little doubt about it – meditation is in vogue. In fairness, it probably always has been. However, clinical and research interest in the effects of meditation programmes on psychological wellbeing has grown considerably in recent years. The development of mindfulness-based interventions has no doubt driven much of this interest. For example, running a PubMed keyword [read the full story…]

Be Mindful of the Gap: What we know about ‘third wave’ cognitive behavioural therapies compared to other psychological therapies

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Breathe. Hold in your mind your view of what constitutes the most effective psychological therapy for acute depression. Try not to identify with your favourite therapy but simply observe it and let it be. Wish it well. And breathe again. This was not the approach of the Cochrane Depression, Anxiety and Neurosis Group when it [read the full story…]

Systematic review identifies key parenting factors associated with adolescent depression and anxiety

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Parenting is a tough gig. As a mum of three, I can honestly say that nothing in my everyday professional life comes close to the trials and tribulations of guiding small people through toddlerhood and beyond. Parenting advice comes thick and fast from all corners, most of it unsolicited, some of it anecdotal, much of [read the full story…]

Cochrane review finds that haloperidol is an effective antipsychotic, but its side effects can be problematic

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Schizophrenia is a serious disorder characterised by delusions (including paranoid beliefs and hallucinations) and other symptoms such as blunted affect and reduced motivation. While relatively uncommon (lifetime prevalence is less than 1%), it is associated with serious social impairment (e.g., unemployment, homelessness), which in turn can result in physical health problems. As a result, the [read the full story…]

Cochrane review finds no evidence to support the use of user held records for patients with severe mental illness

The reviewers can't have been too pleased with the paucity of research in this field

The use of care plans and Wellness Recovery Action Plans (WRAP®) (Cook et al, 2009) within mental health is commonplace. In Wales, care planning is covered by legislation in the form of the Mental Health Measure (Welsh Government website, 2013). The care plans are designed to be developed and agreed in a collaborative way with input [read the full story…]

“Everyone’s a winner, all must have prizes!” but which psychotherapy for depression wins, if any?

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Previous meta-analyses in the field of depressive disorders have yielded mixed conclusions about which the most efficacious treatment is.  Within the process of any therapy, there are universal features such as; the therapeutic relationship, rationale for treatment, a patient and therapist belief in treatment, a confidential and respectful space for the patient and so on.  [read the full story…]

Meta-analysis finds that pituitary volume is not affected in people with first episode psychosis or schizophrenia

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* Declaration; I have published articles with two of the authors of this article, including on this topic, and know most of them professionally One influential model of the onset of psychotic disorders such as schizophrenia is the stress-vulnerability model, first put forward by Zubin and Spring in 1977. This model proposes that people at [read the full story…]

Atypical antipsychotics no better than typicals for adolescents with psychosis, but atypicals may have fewer short-term side effects

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Schizophrenia is a serious neurodevelopmental disorder that often starts during adolescence. Current treatment guidelines (NICE, 2013) recommend atypical antipsychotics for adolescents with this condition, but this is based largely on studies of adults with the condition. The Cochrane Schizophrenia Group conducted this systematic review to synthesise the current evidence base for atypical antipsychotic medication in [read the full story…]

Reality orientation and skills training may improve cognition in dementia, but don’t jump to conclusions

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Well this is an interesting one. The abstract of a recent review by Carrion et al concludes that cognitive psychosocial interventions such as reality orientation and skills training improve cognition (Carrion, 2013). Woohoo, I thought; fantastic!  And then I read the review… Methods The authors searched the usual bibliographic databases for randomised and non-randomised controlled trials, [read the full story…]