Initial Severity and Depressive Relapse in Cognitive Behavioral Therapy and Antidepressant Medications: An Individual Patient Data Meta-analysis

ConclusionsRegardless of a patient ’s baseline symptom severity, CBT and ADM-c both prevent depressive relapse substantially better than medication discontinuation. Given the shorter duration of treatment and equivalent longer-term outcomes, treatment with CBT might be considered a first choice for adults with depression.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research

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Behav Ther. 2022 Jan;53(1):92-104. doi: 10.1016/j.beth.2021.06.004. Epub 2021 Jul 1.ABSTRACTIllicit drug use and cognitive distortions confer significant risks to youth suicidal thoughts and behaviors. However, there has been limited evidence regarding the efficacy of suicide prevention interventions with homeless youth, especially studies testing whether such interventions can reduce the risk for suicidal ideation associated with illicit drug use. Suicidal homeless youth (N = 150) between the ages of 18 to 24 years were recruited from a drop-in center. Youth were randomly assigned to Cognitive Therapy for Suicide Preventi...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Source Type: research
ConclusionThese findings suggest that the most robust model of cognitive-emotional processes driving maladaptive regulatory behavior in daily life includes both cognitive control and trait negative affectivity. This model appears useful across diagnostic groups and findings provide preliminary support for the consideration of these behaviors as a class. These results suggest key targets for future research, including the consideration of these behaviors as a class, in treatment.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
Conclusions: The short- and long-term impact of discontinuous change varied by type of treatment package. Identifying strategies within treatment packages and client processes that are associated with gains and spikes may help to inform treatment planning and clinical decision-making. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Source: Journal of Consulting and Clinical Psychology - Category: Psychiatry & Psychology Source Type: research
BACKGROUND: Rumination and overgeneral autobiographical memory are dysfunctional cognitions commonly found in older adults with depression. The theoretical underpinnings of mindfulness-based cognitive therapy (MBCT) address the ruminative tendencies and th...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
Sleep Breath. 2022 Jan 8. doi: 10.1007/s11325-021-02547-1. Online ahead of print.ABSTRACTOBJECTIVE: To investigate the positive impact of e-aid cognitive behavioural therapy on the sleep quality, anxiety, and depression of nurses on site during the COVID-19 pandemic.METHODS: Nurses on site at the Tianjin Medical University General Hospital Airport Site experiencing insomnia, anxiety and depression during the COVID-19 prevention and control period, from February 2020 to April 2021, were selected and divided into either an e-aid cognitive behavioural therapy (eCBT-I) group or a control group using a randomized grouping metho...
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Source Type: research
Clin Psychol Psychother. 2022 Jan 6. doi: 10.1002/cpp.2708. Online ahead of print.ABSTRACTSubjective chronic tinnitus consists of a more or less continuous perception of sound in the absence of a corresponding acoustic source, which can lead to various psychological problems like depression, anxiety, attentional deficits, and sleep disturbances. The prevalence is 10 to 15% of the general population. Various therapy and management options have been proposed, but outcomes vary and no generally accepted cure exists. In this review, the coherence of the most frequently used etiological models shall be evaluated and the efficac...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Authors: Source Type: research
ConclusionsThe main findings suggest that (1) worry is strongly associated with poor mental health, (2) worry is associated with poor mental health even outside of GAD and clinical populations included in the current meta-analysis, and (3) there are differences in this association across the lifespan. Overall, the results from this meta-analysis support earlier calls for intense worry to be assessed and treated, regardless of whether the individual has a diagnosis of GAD or MDD.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
This study aims to examine the efficacy and cognitive mechanisms of MBCT in older adults with active depressive symptoms.METHODS: 57 older adults (mean age, 70 years) with normal cognition and mild to moderate depressive symptoms were randomly allocated to either the MBCT group or the active control group for 8 weeks. The MBCT group consisted of eight 2-hour weekly sessions and a 7-hour full-day retreat, with different themes for each class, guided mindfulness exercises, feedback and discussion, homework review, and psychoeducation. The active control group comprised a 1-hour physical exercise and a standardised health edu...
Source: East Asian Archives of Psychiatry - Category: Psychiatry Authors: Source Type: research
AbstractPurposeTo clarify what is known and identify research gaps on the role of self-compassion (SC) and potential interventions for individuals with severe mental illness (SMI).Design and MethodsWe analyzed 24 studies of SC in schizophrenia spectrum disorder, bipolar disorder (BD), and major depressive disorder (MDD).FindingsMindfulness-based cognitive therapy (MBCT) was the most common intervention. Predicting depression by SC was common in MDD and BD; however, relationships between demographics/clinical variables and SC in BD and schizophrenia spectrum disorder remain unclear.Practice ImplicationsMBCT increases SC in ...
Source: Perspectives in Psychiatric Care - Category: Psychiatry Authors: Tags: REVIEW Source Type: research
AbstractPosttraumatic stress disorder (PTSD) is a well-established risk factor for suicidal thoughts and behaviors. Historically, guidelines for treating PTSD have recommended against the use of trauma-focused therapies for patients who are at high risk for suicide, likely due to concerns about potential suicide-related iatrogenesis, specifically the “triggering” of suicidal behaviors. This systematic review examined evidence of the impact of treatments specifically designed to treat PTSD or suicide on both PTSD- and suicide-related outcomes. The Preferred Reporting Items for Systematic Reviews and Meta-Analyse...
Source: Journal of Traumatic Stress - Category: Psychiatry & Psychology Authors: Tags: RESEARCH ARTICLE Source Type: research
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