This randomised controlled trial published in the Journal of the American Academy of Child and Adolescent Psychiatry looks at the effectiveness of a new cognitive-behavioural parenting-based approach for treating anxiety in young children. Timid to Tiger is an entirely parenting-based approach to managing anxiety in children aged nine years or below. It is based on evidence that anxious children benefit [read the full story…]
It can be hard to detect and treat depression when it occurs in palliative care because it often presents amongst a multitude of other symptoms. There are obviously many systematic reviews that assess the use of antidepressants as a treatment for various life threatening illnesses, but no previous study has synthesized the evidence in palliative [read the full story…]
This meta-analysis looks to provide reliable evidence about the effectiveness of psychological treatment for depressed inpatients. The authors carried out a systematic search and found 12 studies with a total of 570 respondents. The included studies had sufficient statistical power to detect small effect sizes, there was no significant heterogeneity, there was no indication for significant publication [read the full story…]
Anti-psychotic medications comprise between 30–50% of all psychotropics prescribed for people with learning disabilities as reported in this WELD post: This study set out to explore metabolic syndrome (a group of risk factors that occur together and increase the risk for coronary artery disease, stroke and type 2 diabetes in people with learning disabilities who [read the full story…]
A large observational study from Finland has found that women who drink alcohol and take selective serotonin reuptake inhibitor antidepressives (SSRI) during the first trimester of pregnancy significantly increase their risk for foetal alcohol spectrum disorders. The study also found an increase in risk for some major congenital malformations associated with the use of SSRIs during the first [read the full story…]
Many published guidelines (including the American Psychiatric Association Clinical Practice Guidelines for schizophrenia), recommend second-generation antipsychotics for the treatment of depression in schizophrenia. This study compared a first-generation antipsychotic (perphenazine) with 4 second-generation antipsychotics (olanzapine, quetiapine, risperidone, and ziprasidone) and the impact these drugs had on the symptoms of depression. The authors used data from the Clinical [read the full story…]
This care recommendation produced by Drew H. Barzman (Assistant Professor of Pediatrics and Psychiatry at Cincinnati Children’s Hospital Medical Center) sets out to answer the following question: Among children with ADHD and aggression, is the pharmacological treatment of ADHD, versus no pharmacological treatment of ADHD, effective in reducing aggressive behaviour? The authors searched Medline, PsychInfo, the National Guidelines [read the full story…]
Web-based education support for people with health problems is now widespread, but there is comparatively little research that explores the reasons why people do not complete online courses once they are enrolled. This paper presents data from a randomised controlled trial based in Australia, where 370 participants were randomly allocated to: An online bipolar education [read the full story…]
Eating disorders such as anorexia nervosa can place considerable strain on families. Parents or partners often care for people with anorexia nervosa and this can be a very distressing experience for them. Carers naturally get very involved, but unfortunately this can sometimes lead to them criticising the sufferer and making the situation worse by contributing [read the full story…]
This systematic review conducted by the UK National Collaborating Centre for Mental Health set out to review the efficacy of non-pharmacological treatment for depression in people with depression and chronic physical health problems. They found 35 RCTs that met their inclusion criteria and ended up conducting a meta-anlalysis of 22 studies using a random-effects model. The bulk [read the full story…]
