Psychotherapy for Depression May Be Cost - Effective Over Time

No clear superiority seen on cost basis for second - generation antidepressants versus cognitive therapy
Source: The Doctors Lounge - Psychiatry - Category: Psychiatry Tags: Family Medicine, Internal Medicine, Pharmacy, Psychiatry, Journal, Source Type: news

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AbstractAlthough the effectiveness of dialectical behavior therapy (DBT) in the treatment of generalized anxiety disorder (GAD) has not been addressed to date, cognitive behavior therapy (CBT) is the gold-standard psychotherapy for GAD patients. The present study investigated effects of DBT versus CBT on emotion regulation and mindfulness in GAD patients. Conducted in Iran, 68 GAD patients were randomly assigned to one of two groups: CBT or DBT. Assessment was performed at pre-treatment, post-treatment, and at 3  months follow-up. Evaluation included the Generalized Anxiety Disorder scale (GAD-7), Structured Clinical ...
Source: Journal of Contemporary Psychotherapy - Category: Psychiatry & Psychology Source Type: research
ConclusionICBT can be an effective alternative when treating adolescents with anxiety. Learning support could be of importance to enhance short-term treatment effects, and should be investigated further.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
ConclusionsPresenting depression as malleable may be associated with more positive attitudes towards treatment, although the impact on actual treatment engagement warrants future investigation.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
This study is the first of its kind to use a novel longitudinal qualitative methodology to directly compare family/carers earlier experiences supporting ARMS individuals to 12-months later. This provides a more ecologically valid insight into how perceptions change over time and how family/carers adapt. Semi-structured interviews were conducted with ten family/carers at two points within a 12-month period. This study was embedded within a randomised control trial, the Individual and Family Cognitive Behavioural Therapy (IFCBT) trial. Interview transcripts were analysed using thematic analysis, with a focus on how experienc...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
As the COVID-19 pandemic and its economic effects spread, concerns about mental health impacts continue to grow. For example, we worry for health and human services professionals whose duties involve higher risk for trauma exposure and post-traumatic stress. Reports of global increases in family violence also suggest that there will be many violence victims and witnesses in need of mental health support. Add to this the potential effects of social isolation, health-related anxiety, and that these mental health problems may persist and worsen long after society goes back to “normal.” And this is all happening as...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Mental Health and Wellness Psychology Stress Suicide coronavirus COVID-19 Depression pandemic Task sharing Source Type: blogs
AbstractSuicide is one of the major public health problems in young adults. Detecting the risk factors and correlates among university students might help identify students who are under risk and who need early interventions for suicide prevention. The current study aimed to investigate the cognitive style, self-esteem, hopelessness, rumination, cognitive reactivity, and personality characteristics of Turkish university students, who previously attempted suicide and who did not. A total of 355 university students (34 previous suicide attempters) were recruited for this study, and they completed the Ten-Item Personality Inv...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research
CONCLUSIONS: Outcomes of IPT and CT did not appear to differ significantly. IPT may have an enduring effect not different from that of CT. The field would benefit from further refinement of study methods to disentangle mechanisms of change and from advances in the field of personalized medicine (i.e., person-specific analyses and treatment selection methods). PMID: 32122161 [PubMed - as supplied by publisher]
Source: American Journal of Psychotherapy - Category: Psychiatry & Psychology Authors: Tags: Am J Psychother Source Type: research
ConclusionICBT has a strong potential to balance demand and supply of CBT in unipolar depression by reducing therapist time per patient. It is highly likely to generate more QALYs and reduce health care expenditure. In addition, ICBT may have further positive external effects, such as freeing up capacities for the most severely depressed patients.
Source: Applied Health Economics and Health Policy - Category: Health Management Source Type: research
CONCLUSIONS: In clinical practice settings, delivery of twice weekly sessions of CBT and IPT for depression is a way to improve depression treatment outcomes. PMID: 32029012 [PubMed - as supplied by publisher]
Source: The British Journal of Psychiatry for Mental Science - Category: Psychiatry Tags: Br J Psychiatry Source Type: research
CONCLUSIONS: From both a societal and health system perspective, utilizing MBCT as a first-line relapse prevention treatment is potentially cost-effective in a Canadian setting. Future economic evaluations should consider combined treatment (e.g., ADM and psychotherapy) as a comparator and longer time horizons as the literature advances. PMID: 32031000 [PubMed - as supplied by publisher]
Source: Canadian Journal of Psychiatry - Category: Psychiatry Authors: Tags: Can J Psychiatry Source Type: research
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