Treating depression with a smartphone-delivered self-help cognitive behavioral therapy for insomnia: study protocol for a parallel group randomized controlled trial

DiscussionIt is expected that proACT-S is an efficacious brief sleep-focused self-help treatment for people with major depression and insomnia. If proven efficacious, due to its self-help nature, proACT-S may be applicable as a community-based early intervention, thereby  reducing the burden of the public healthcare system in Hong Kong.Trial registrationClinicalTrials.govNCT04228146. Retrospectively registered on 14 January 2020.
Source: Trials - Category: Research Source Type: clinical trials

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Abstract OBJECTIVE: Unintentional drug overdose and suicide have emerged as public health problems. Prescription drug misuse can elevate risk of overdose. Severe suicidal ideation increases risk of suicide. We identified shared correlates of both risk factors to inform cross-cutting prevention efforts. METHODS: We conducted a cross-sectional study using the Military Suicide Research Consortium's Common Data Elements survey; 2012-2017 baseline data collected from 10 research sites were analyzed. The sample included 3962 clinical patients at risk of suicide. Factors examined in relation to the outcomes, prescri...
Source: Suicide and Life-Threatening Behavior - Category: Psychiatry & Psychology Authors: Tags: Suicide Life Threat Behav Source Type: research
Mikayla Mace A team of University of Arizona researchers says loneliness and insomnia triggered by fears of COVID-19 may be driving an increase in thoughts of suicide. June 2, 2020 University Communicationsdepression-anxiety.jpgHealthCollege of Medicine - TucsonCOVID-19Researcher contact:William D. " Scott " KillgoreDepartment of Psychiatry520-621-0605killgore@psychiatry.arizona.eduMichael GrandnerDepartment of Psychiatry520-329-5801grandner@email.arizona.eduMedia contact:Mikayla MaceUniversity Communications520-621-1878mikaylamace@arizona.eduNational Suicide Prevention Lifeline 1-800-273-8255For the latest ...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
With the 24-hour news cycles spinning out of control these days, you may find yourself feeling way more stressed than usual. And that additional anxiety can lead to a lot of sleepless nights… If there’s one thing these trying times will teach us, it’s that we need to take control of our own health. We can’t rely on the government, or Big Pharma or anyone else to do it for us. After all, self-reliance in hard times is the core of the American spirit. Which means it’s up to each of us to protect and bolster our own immune system. And one of the best – and easiest – ways to do thi...
Source: Al Sears, MD Natural Remedies - Category: Complementary Medicine Authors: Tags: Health Source Type: news
CONCLUSIONS: These findings from a large sample of adults with depression and/or anxiety provide evidence that both short and long sleep duration, insomnia symptoms, and IL-6 are associated with the indicators of suicide risk. Furthermore, the association between long sleep duration and SI may operate through IL-6. PMID: 32321599 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
CONCLUSIONS: Our psychotropic decisional tool illustrates a novel algorithmic approach for operationalizing the management of depression and anxiety. Similar approaches can improve the skills of a variety of PCPs in the management of psychiatric disorders. Further studies in the military operational setting are needed to assess the effects of similar educational interventions on access to behavioral health care, suicidal behaviors, and unit medical readiness. PMID: 31990025 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Many people with clinical depression have tried an array of medication and still feel sick. Maybe they’ve tried different selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs). Maybe they’ve taken these antidepressants along with an antipsychotic (a common strategy to boost effectiveness). Either way, the lack of improvement can make individuals feel even more hopeless and fear the darkness will never lift. If this sounds all-too familiar, you’re definitely not alone. In fact, up to 30 percent of people with depression don’t respond to the first few ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Antidepressants Depression Disorders ECT General Medications Treatment Atypical Depression difficult to treat depression Managing Depression MAOIs medication for depression Monoamine Oxidase Inhibitors Severe Depression Treatin Source Type: news
Conclusions: A more refined delineation of insomnia and suicide-related ideation may serve to clarify the nature of the association, and potentially offer some clues as to the underlying mechanisms. With regard to potential clinical implications, the results support that careful assessment of insomnia symptoms, suicide-related ideation, and their respective subtypes, is important and may influence how we estimate risk for suicide. PMID: 31738588 [PubMed - as supplied by publisher]
Source: Behavioral Sleep Medicine - Category: Sleep Medicine Authors: Tags: Behav Sleep Med Source Type: research
ConclusionsA history of MST is common among older women veterans and associated with a range of medical and mental health diagnoses. These findings call attention to the need for additional research in this understudied population, and the importance of trauma-informed care approaches for women across the lifespan.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
In conclusion, this review highlights the importance for clinicians to investigate for the presence of chronic nightmares along with other sleep difficulties (most commonly, insomnia and sleep apnea), to consider the potential influence of nightmares on the course of the primary mental disorder, and to be prepared to grant access to treatments targeting nightmares. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Source: Dreaming - Category: Psychiatry & Psychology Source Type: research
Depression and Addiction Throughout life, everyone has bad days and low moments. We all get into a “funk” or have times when we feel the blues. While this is a normal part of life and reaction to stress or traumatic events, depression is an entirely different thing. According to the American Psychiatry Associaton, Depression is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. The condition causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a pers...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Depression Depression Treatment Dual Diagnosis and Eating Disorder Treatment antidepressants co-occurring disorder co-occurring disorders co-occurring disorders treatment co-occurring psychological disorders depression disorder Source Type: blogs
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