Modelling changes in anxiety and depression during low-intensity cognitive behavioural therapy: An application of growth mixture models.

CONCLUSIONS: Findings indicate most of the sample populated an 'improvers' class for both depression and anxiety. Pre-treatment variables identified as predictive of poor treatment response may need to be considered by practitioners in potential triage referral decision policies, supporting cost-effective and efficient services. Further research around predictors of clinical outcome is recommended. PRACTITIONER POINTS: Most of the sample belonged to an 'improvers' class. Several pre-treatment variables predicted poor treatment response (unemployment, suicide risk, neglect, medication, previous or concurrent treatments, longer duration of difficulties, and comorbidities). Few studies have utilized GMM to determine predictors of outcome following LICBT Regarding pre-treatment variables, the possibility of self-report bias cannot be excluded. The time period was relatively short, although represented the optimum number of sessions recommended for LICBT. The lack of a control group and random allocation were the main limitations. PMID: 31696972 [PubMed - as supplied by publisher]
Source: The British Journal of Clinical Psychology - Category: Psychiatry & Psychology Authors: Tags: Br J Clin Psychol Source Type: research

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CONCLUSIONS: Cognitive behavioural therapy, exercise or relaxation techniques probably reduce depressive symptoms (moderate-certainty evidence) for adults with ESKD treated with dialysis. Cognitive behavioural therapy probably increases health-related quality of life. Evidence for spiritual practices, acupressure, telephone support, and meditation is of low certainty . Similarly, evidence for effects of psychosocial interventions on suicide risk, major depression, hospitalisation, withdrawal from dialysis, and adverse events is of low or very low certainty. PMID: 31789430 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
ConclusionFew studies were found, which limits the possibility of drawing strong conclusions about cost effectiveness. There is some evidence based on decision-analytic modelling that anti-bullying interventions represent value for money. Generally, there is a lack of studies that take into account long-term costs and effects.Systematic Review Registration NumberCRD42019115882.
Source: Applied Health Economics and Health Policy - Category: Health Management Source Type: research
Publication date: Available online 29 July 2019Source: The Lancet PsychiatryAuthor(s): Christopher G Davey, Andrew M Chanen, Sarah E Hetrick, Sue M Cotton, Aswin Ratheesh, Günter P Amminger, John Koutsogiannis, Mark Phelan, Edward Mullen, Ben J Harrison, Simon Rice, Alexendra G Parker, Olivia M Dean, Amber Weller, Melissa Kerr, Amelia L Quinn, Lisa Catania, Nikolaos Kazantzis, Patrick D McGorry, Michael BerkSummaryBackgroundMedication is commonly used to treat youth depression, but whether medication should be added to cognitive behavioural therapy (CBT) as first-line treatment is unclear. We aimed to examine whether ...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
Simple therapies such as CBT can be only partly effective. We need to rein in an industry that unscrupulously targets vulnerable young peopleAlmost half a million children in England and Wales aregambling regularly, with about 55,000 estimated to have a serious problem. Suicide rates for gambling addicts are high, and gambling-related problems cause stress for individuals and families. In response, theNHS has opened its first children ’s gambling clinic, offering face-to-face treatment – mostly cognitive behavioural therapy (CBT).Out-of-control gambling is linked to complex individual and social problems &ndash...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Gambling Children Society Psychology Source Type: news
Conclusion: This is the first implementation of SocialMind, which is the first mindfulness-based social cognition training. It is well tolerated by participants with schizophrenia spectrum disorders, and a further randomized controlled trial is proposed for people who have suffered their first episode of psychosis within the past 5 years.Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT03434405.IntroductionPeople suffering from psychosis frequently find it difficult to establish or maintain relationships with others or to engage in community activities (1, 2). These deficits are present even in high-risk ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusions: The findings from this exploratory study are consistent with the possibility that dialogue therapy may lead to improvements in symptoms and functioning compared to standard treatment in psychosis. Introduction Standard treatment (ST) for psychosis consists primarily of antipsychotics, hospitalization, social rehabilitation, and different types of supportive therapy (1–3). Antipsychotic drugs have only moderate effects on positive symptoms and no demonstrable effects on negative symptoms (4–6). Side effects are often prominent and might include a reduction in emotional expression, menstrual ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSIONS: Although it is reassuring that many ICAMHS are using evidence-based approaches to address self-harm in young people, there is concerning variability in the way these therapies are delivered. Improvement in training in key modalities, further research into therapist performance and continuous evaluation of workforce development are needed to maximise the effectiveness of proven interventions and provide NZ young people with the state-of-the-art service they deserve. PMID: 29357671 [PubMed - as supplied by publisher]
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research
By Alex Fradera “In the dark, in the quiet, in the lonely stillness, the aggrieved struggle to rescue sleep from vigilance.” This arresting sentence introduces a new review of insomnia in Behaviour Research and Therapy that addresses a troubling fact observed in sleep labs across the world: poor sleep is not sufficient to make people consider themselves to have the condition… and poor sleep may not even be necessary. The paper, by Kenneth Lichstein at the University of Alabama, explores the implications of “Insomnia Identity”: how it contributes to health problems, and may be an obstacle...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Mental health Sleep and dreaming Source Type: blogs
Conclusions The trial was underpowered due to difficulties recruiting participants as a result of the complex recruitment procedures that were used to ensure safety of participants. Although there were no significant differences between groups, young people were safely and generally well engaged in Reframe-IT and experienced decreases in suicidal ideation and other symptoms as well as improvements in CBT skills. The study is the first online intervention trial internationally to include young people demonstrating all levels of suicide risk.Clinical implications Integration of internet-delivered interventions for young peop...
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
Conclusion Involvement in a traumatic event such as a traffic accident can have long-lasting effects on mental health. Some people have months or years of distressing, intrusive flash-backs, feelings of guilt or helplessness, anxiety and depression. At present, there are no treatments that can be given straight away to prevent such long-term effects. The lack of long-term effects in the study results mean we need to be cautious about claims that playing Tetris could "prevent" PTSD. Limitations of the study – such as an untested control intervention, and the relatively small number of participants – me...
Source: NHS News Feed - Category: Consumer Health News Tags: Mental health Source Type: news
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