Depressed people on disability benefits do as well on CBT as people not receiving benefits, according to new systematic review

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I’ve read with interest a number of recent publications that suggest that cognitive behavioural therapy (CBT) may be less effective in patients receiving disability benefits versus other patients. The theory here is that the specific circumstances of being on disability benefits may somehow lead to poorer outcomes following CBT. There’s some evidence in other clinical [read the full story…]

Women and men with mental health problems are significantly more likely to have experienced domestic violence

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The 2010/11 British Crime Survey reported that levels of lifetime partner abuse were 27% in women and 17% in men. The survey concluded that women experience more domestic violence than men and the abuse is more severe and prolonged in women. The Home Office is planning to redefine domestic violence in the coming months, to [read the full story…]

A review of systematic reviews on anterior cruciate ligament reconstruction rehabilitation

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The anterior cruciate ligament (ACL) is the primary stabilising structure within the knee, limiting anterior translation of tibia on the femur as well as tibial internal rotation. Injuries are more common in high demand sports and usually follow non- contact trauma such as landing incorrectly from a jump, pivoting or decelerating suddenly, but can occur [read the full story…]

Non-pharmacological interventions can help prevent and reduce weight gain in people who take antipsychotics

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The reduced life expectancy (15-20 years less) often faced by many people with schizophrenia is frequently a result of cardiovascular disease. Lifestyle choices (smoking, lack of exercise and poor diet) can increase the risk of these diseases, but people who take antipsychotic drugs often have the additional problem of weight gain that is caused by [read the full story…]

Cost-effectiveness of self-management for chronic pain in an aging population

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Chronic pain is a major health concern, which increases in prevalence and impact with age. This is important as chronic pain can result in a significant decrease in function and quality of life along with an increase in use of health and social care. Self-management is a potentially inexpensive form of pain management and it [read the full story…]

Prazosin may help reduce nightmares in people with PTSD, but more evidence is needed

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People who suffer from post-traumatic stress disorder (PTSD) often have nightmares that relive the experience and these can sometimes be as terrifying as the original trauma. These nightmares can be very difficult to treat effectively as there are few options available. A team of researchers from the Mayo Clinic have published a systematic review that [read the full story…]

CBT and other psychotherapies can help children with PTSD in the short-term, but more evidence is needed according to Cochrane

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Nearly a year ago I blogged about a promising but small RCT, which showed that Trauma-focused cognitive behavioural therapy may help young children with post traumatic stress disorder (PTSD). The blog generated a fair bit of feedback from readers and so I’ve been on the look out ever since for a systematic review that brings [read the full story…]

Progressive muscle relaxation may help reduce anxiety in schizophrenia

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People with schizophrenia often experience psychological distress and anxiety. This can have a knock on impact on the positive (delusions and hallucinations) and negative (apathy, social withdrawal, cognitive impairments) symptoms of schizophrenia. As a result, there’s lots of interest in psychosocial approaches that may help patients relax. These include talking treatments like CBT, as well [read the full story…]

Defining Pilates exercise

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Have you ever taken part in or even taught a Pilates class? Do you really know what it is and could you define it for others? We were interested to read a recently published paper by authors from Australia that aimed to describe Pilates exercise according to peer-reviewed literature, and compare definitions used in papers [read the full story…]

People with mental illness are prescribed fewer drugs for physical disorders than the rest of the population

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A year ago this week I blogged about a study in the British Journal of Psychiatry that showed the dramatically reduced life expectancy of people with severe mental illness, who on average live 15-20 years less than the rest of the population. Twelve months on and a new study published in the same journal paints an equally [read the full story…]