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Beliefs About the Malleability of Anxiety and General Emotions and Their Relation to Treatment Outcomes in Acute Psychiatric Treatment
AbstractBeliefs about the malleability of self-attributes —mindsets—may have important relevance to clinical psychology. Individuals with growth mindsets of anxiety and general emotions (the belief that these attributes are changeable) report fewer psychological symptoms, more adaptive emotion regulation strategies, and prefer effortful treatments. How ever, most research has been conducted in unselected student samples, limiting understanding of clinical utility. Thus, we evaluated mindsets of anxiety and emotion in patients attending an intensive psychiatric partial hospitalization program using cognitive-beh...
Source: Cognitive Therapy and Research - November 28, 2018 Category: Psychiatry & Psychology Source Type: research
Early Maladaptive Schemas and Cognitive-Behavioral Aspect of Anger: Schema Model Perspective
This study examined the relationships between early maladaptive schemas (EMSs), anger, and aggression among 86 adult individuals in Anger therapy group (n = 24), Control group (n = 29) and Outpatients group (n = 33). The results indicated that the mistrust/abuse schema among five schemas in disconnection/rejection domain, and the entitlement/grandiosity schema among two schemas in impaired limits domain were the strongest predictors of an ger and aggression. The next schemas that were associated or predicted anger and aggression and might be considered in therapy are insufficient ...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - November 28, 2018 Category: Psychiatry & Psychology Source Type: research
No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain.
Authors: Jarrell JF, Vilos GA, Allaire C, Burgess S, Fortin C, Gerwin R, Lapensee L, Lea RH, Leyland NA, Martyn P, Shenassa H, Taenzer P Abstract OBJECTIVE: To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who specialize in chronic pain. BURDEN OF SUFFERING: CPP is a common, debilitating condition affecting women. It accounts for substantial personal suffering and health care expenditure for interventions, including multiple consultations and medical and surgical t...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - November 27, 2018 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Economic Evaluation of an Internet-Based Preventive Cognitive Therapy With Minimal Therapist Support for Recurrent Depression: Randomized Controlled Trial
Conclusions: The results suggest that adding M-CT to TAU is not effective and cost effective compared to TAU alone. Adherence rates were similar to other studies and therefore do not explain this finding. The participants scarcely booked additional therapist support, resulting in 17.3 minutes of mean total therapist support. More studies are needed to examine the cost effectiveness of internet-based interventions with respect to long-term outcomes and the role and optimal dosage of therapist support. Overall, more research is needed on scalable and cost-effective interventions that can reduce the burden of recurrent MDD. T...
Source: Journal of Medical Internet Research - November 26, 2018 Category: General Medicine Authors: Nicola S Klein Claudi LH Bockting Ben Wijnen Gemma D Kok Evelien van Valen Heleen Riper Pim Cuijpers Jack Dekker Colin van der Heiden Huibert Burger Filip Smit Source Type: research
Attentional Control and Threat-Related Attention Bias Partially Explain the Association Between Maternal Psychological Control and Youth Anxiety Severity
AbstractEtiological models of youth anxiety disorders have generally treated maternal psychological control (PC) and youth attentional processes as separate lines of inquiry. As a consequence, little is known about the interplay of PC and youth attentional processes as it relates to youth anxiety. The current study bridges these two lines of inquiry, and evaluates a conceptual model wherein youth threat-related attention bias and youth attentional control account for the relation between maternal PC and youth anxiety. Participants were 202 clinic-referred youths (M = 10.09 years; 54% male) and their moth...
Source: Cognitive Therapy and Research - November 26, 2018 Category: Psychiatry & Psychology Source Type: research
Lessons learned from delivering an internet intervention for insomnia in an Australian public hospital outpatient setting
ConclusionThe findings support Sleep ‐e as a helpful treatment for insomnia in a public hospital outpatient population for at least a subgroup of patients. However, significant lessons were learned regarding the importance of educating health care providers and patients about novel models of internet service delivery. Potential model s of adaptive or blended stepped‐care are discussed to facilitate program implementation. Future research should identify how to implement internet interventions more effectively in public health settings to take advantage of their potential to improve clinical efficiency. (Source: Australian Psychologist)
Source: Australian Psychologist - November 26, 2018 Category: Psychiatry & Psychology Authors: Hailey Meaklim, Jo ‐Anne M. Abbott, Gerard A. Kennedy, Greg Murray, Britt Klein, Imogen Rehm Tags: ORIGINAL ARTICLE Source Type: research
Economic evaluation of mindfulness group therapy for patients with depression, anxiety, stress and adjustment disorders compared with treatment as usual.
CONCLUSIONS: MGT is a cost-saving alternative to treatment as usual over the trial duration from both a healthcare and a societal perspective for patients with a diagnosis of depression, anxiety or stress and adjustment disorders in Sweden.Declaration of interestNone. PMID: 30468136 [PubMed - as supplied by publisher] (Source: The British Journal of Psychiatry for Mental Science)
Source: The British Journal of Psychiatry for Mental Science - November 25, 2018 Category: Psychiatry Tags: Br J Psychiatry Source Type: research
Centrality of Traumatic Events: Double Edged Sword or Matter of Valence?
AbstractEvent centrality, as measured by the Centrality of Event Scale (CES), refers to the degree to which a salient traumatic memory becomes central to individual identity. The current investigation modified the CES to capture valence (positive vs. negative) of event centrality (i.e., CES-V) and determine whether the valence of event centrality for traumatic events differentially relates to trauma responses (i.e., posttraumatic stress disorder [PTSD], posttraumatic growth [PTG]). Trauma-exposed community members (n = 512) completed measures of trauma experiences, PTSD, PTG, and the CES-V. Exploratory factor...
Source: Cognitive Therapy and Research - November 24, 2018 Category: Psychiatry & Psychology Source Type: research
When is Unconditional Self-Acceptance a Better Predictor of Mental Health than Self-Esteem?
This study aimed to compare USA and SE as predictors of mental health when positive and negative affectivity traits are included in the same model. Indicators of mental health were subjective well-being, a state of positive and negative affect, and state of anxiety and depression. The sample consisted of 268 university students. The following instruments were used: Big five plus two (Smederevac et al. in Velikih pet plus dva: Primena i nterpretacija [Big Five Plus Two: Manual for administration and interpretation], Centar za primenjenu psihologiju, Beograd,2010), Unconditional Self-Acceptance Questionnaire (Chamberlain and...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - November 23, 2018 Category: Psychiatry & Psychology Source Type: research
WITHDRAWN: Psychotherapy for depression among incurable cancer patients.
CONCLUSIONS: Evidence from RCTs of moderate quality suggest that psychotherapy is useful for treating depressive states in advanced cancer patients. However, no evidence supports the effectiveness of psychotherapy for patients with clinically diagnosed depression. PMID: 30480780 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)
Source: Cochrane Database of Systematic Reviews - November 22, 2018 Category: General Medicine Authors: Akechi T, Okuyama T, Onishi J, Morita T, Furukawa TA Tags: Cochrane Database Syst Rev Source Type: research
Examining the Role of Anxiety Sensitivity and Intolerance of Uncertainty in the Relationship Between Health Anxiety and Likelihood of Medical Care Utilization
We examined the role of both anxiety sensitivity (AS; fear of arousal-related sensations) and intolerance of uncertainty (IU; fear of the unknown) in the relationship between health anxiety and likelihood of utilization of general, specialist, and emergency care among 566 adults (Mage = 20.47,SD = 3.54, 79.9% female). A three-way interaction revealed that AS strengthened the association between health anxiety and likelihood of general medical care utilization within the context of higher, but not lower, levels of IU. Only the main effects of AS and IU were significantly associated with odds of e...
Source: Cognitive Therapy and Research - November 21, 2018 Category: Psychiatry & Psychology Source Type: research
The U & I study: study protocol for a feasibility randomised controlled trial of a pre-cognitive behavioural therapy digital ‘informed choice’ intervention to improve attitudes towards uptake and implementation of CBT for psychosis
At least 40% of people with psychosis have persistent distressing symptoms despite optimal medication treatment. Cognitive behaviour therapy for psychosis (CBTp) is the only NICE-recommended individual therapy... (Source: Trials)
Source: Trials - November 20, 2018 Category: General Medicine Authors: Kathryn Greenwood, Katie Alford, Ian O ’Leary, Emmanuelle Peters, Amy Hardy, Kate Cavanagh, Andy P. Field, Richard de Visser, David Fowler, Matthew Davies, Alexandra Papamichail and Philippa Garety Tags: Study protocol Source Type: research
Lack of Emotional Awareness is Associated with Thwarted Belongingness and Acquired Capability for Suicide in a Military Psychiatric Inpatient Sample.
CONCLUSIONS: Findings imply that individuals with reduced emotional awareness may have difficulty cultivating interpersonal bonds and be more vulnerable to elevated acquired capability. Lack of emotional awareness may be a potential contributor to both suicidal desire and capability. PMID: 30457162 [PubMed - as supplied by publisher] (Source: Suicide and Life-Threatening Behavior)
Source: Suicide and Life-Threatening Behavior - November 20, 2018 Category: Psychiatry & Psychology Authors: Baer MM, LaCroix JM, Browne JC, Hassen HO, Perera KU, Weaver J, Soumoff A, Ghahramanlou-Holloway M Tags: Suicide Life Threat Behav Source Type: research
Mindfulness-based cognitive therapy (MBCT) in patients with obsessive-compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): a randomized controlled trial.
We examined the efficacy of mindfulness-based cognitive therapy (MBCT) as a complementary treatment option. In a prospective, bicentric, assessor-blinded, randomized, and actively controlled clinical trial, 125 patients with OCD and residual symptoms after cognitive behavioral therapy (CBT) were randomized to either an MBCT group (n = 61) or to a psychoeducational group (OCD-EP; n = 64) as an active control condition. At post-treatment, there was no significant benefit of MBCT over OCD-EP with the Yale-Brown-Obsessive-Compulsive Scale (Y-BOCS) as the primary outcome measure, but with the Obsessi...
Source: European Archives of Psychiatry and Clinical Neuroscience - November 19, 2018 Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
Management of anxiety and depression in haemodialysis patients: the role of non-pharmacological methods
AbstractAnxiety and depression in patients undergoing haemodialysis can be reduced by a variety of treatment methods, including pharmacological therapy, cognitive-behavioural therapy, regular exercise and relaxation techniques, such as Benson ’s relaxation method and acupressure treatment. Additionally, intradialytic exercise training programmes have a positive effect on patients’ physical and psychological functioning. Moreover, social support from family and social environment, spirituality and religiosity, tele- nursing programmes and participation in network support groups frequently lead to a reduction of ...
Source: International Urology and Nephrology - November 19, 2018 Category: Urology & Nephrology Source Type: research
Long-Term Efficacy of Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Tinnitus
Conclusions The clinical benefits of audiologist-guided iCBT for tinnitus and tinnitus-related difficulties were sustained 1 year postintervention. Predictors of outcome indicated that the intervention is applicable to a wide range of participants regardless of their demographic backgrounds. Attempts should be made to minimize unwanted events in subsequent trials. (Source: American Journal of Audiology)
Source: American Journal of Audiology - November 19, 2018 Category: Audiology Source Type: research
Long-Term Efficacy of Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Tinnitus.
Conclusions: The clinical benefits of audiologist-guided iCBT for tinnitus and tinnitus-related difficulties were sustained 1 year postintervention. Predictors of outcome indicated that the intervention is applicable to a wide range of participants regardless of their demographic backgrounds. Attempts should be made to minimize unwanted events in subsequent trials. PMID: 30452747 [PubMed - in process] (Source: American Journal of Audiology)
Source: American Journal of Audiology - November 19, 2018 Category: Audiology Authors: Beukes EW, Allen PM, Baguley DM, Manchaiah V, Andersson G Tags: Am J Audiol Source Type: research
Randomised controlled trial of pulmonary rehabilitation including cognitive behavioural therapy for breathlessness.
Conclusion: Combining CBT+CPR produced comparable results to standard CPR. These findings may reflect cohort characteristics (HADs-A 24 cases, 17 borderline) or the inclusion of covert CBT in standard CPR as a consequence of education and coaching in supervised exercise sessions. (Source: European Respiratory Journal)
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Williams, M., Paquet, C., Cafarella, P., Frith, P. Tags: Rehabilitation and Chronic Care Source Type: research
The clinical role of well-being therapy.
CONCLUSIONS: Even though more randomized controlled trials concerned with WBT are needed, consideration of psychological well-being may unravel innovative approaches to the prevention, assessment and treatment of mood and anxiety disorders. PMID: 30445901 [PubMed - as supplied by publisher] (Source: Nordic Journal of Psychiatry)
Source: Nordic Journal of Psychiatry - November 18, 2018 Category: Psychiatry Tags: Nord J Psychiatry Source Type: research
Cognitive Behavioural Therapy for Psychosis: A Health Technology Assessment.
The objectives of this report were to assess the effectiveness, harms, cost-effectiveness, and lived experience of CBT for psychosis in improving outcomes for adults with a primary diagnosis of schizophrenia. Methods: We performed literature searches on March 28 and April 5, 2017, and undertook a qualitative synthesis of systematic reviews of the clinical and economic literature comparing CBT for psychosis with any comparator interventions (e.g., usual care, waitlist control, or pharmacotherapy) in adults with a diagnosis of schizophrenia as defined by any criteria (including related disorders such as schizoaffective d...
Source: Ontario Health Technology Assessment Series - November 18, 2018 Category: General Medicine Tags: Ont Health Technol Assess Ser Source Type: research
Alcohol Use Disorders in Alcoholic Liver Disease
Alcohol use disorder (AUD) is common in alcoholic liver disease (ALD) and intrinsic to its pathophysiology. Optimal treatment requires a multidisciplinary team approach and a working alliance between patients and providers. Diagnosing AUD involves a combination of thorough history taking, physical examination, screening questionnaires, and alcohol biomarkers. Alcohol biomarkers have advantages and limitations of use of which clinicians should be aware. AUD treatment is effective, multifaceted, and can be tailored to each individual. Available treatment modalities are myriad: motivational enhancement therapy, cognitive beha...
Source: Clinics in Liver Disease - November 17, 2018 Category: Gastroenterology Authors: Jessica L. Mellinger, Gerald Scott Winder Source Type: research
Hopelessness: A Network Analysis
In this study, hopelessness was investigated in a large community sample (n = 1985), recruited to be highly representative of general population in Germany. In the context of network analysis, state-of-the-art techniques were adopted (i) to investigate which thoughts and beliefs (nodes) are the most central ones and (ii) to shed light on the specific associations (edge s) among them. Stability and accuracy were also checked to ensure trustworthiness of the findings. The analyses revealed that expecting more negative than positive future events and having important goals blocked along with feelings of giving-...
Source: Cognitive Therapy and Research - November 17, 2018 Category: Psychiatry & Psychology Source Type: research
Comparison of Cognitive Intervention Strategies for Older Adults With Mild to Moderate Alzheimer's Disease: A Bayesian Meta-analytic Review
We aimed to identify the best form of cognitive therapy among 3 main cognitive interventions of Alzheimer's disease (AD) including cognitive training (CT), cognitive stimulation (CS), and cognitive rehabilitation (CR). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - November 17, 2018 Category: Health Management Authors: Jing-Hong Liang, Jia-Yu Li, Rui-Xia Jia, Ying-Quan Wang, Rong-Kun Wu, Hong-Bo Zhang, Lei Hang, Yong Xu, Chen-Wei Pan Tags: Original Study Source Type: research
Predictors of Dropout in Internet-Based Cognitive Behavioral Therapy for Depression
AbstractInternet-based cognitive behavioral therapy (iCBT), provided with guidance, has been shown to outperform wait-list control conditions and appears to perform on par with face-to-face psychotherapy. However, dropout remains an important problem. Dropout rates for iCBT programs for depression have ranged from 0 to 75%, with a mean of 32%. Drawing from a recent study in which 117 people participated in iCBT with support, we examined participant characteristics, participants ’ use of iCBT skills, and their experience of technical difficulties with iCBT as predictors of dropout risk. Educational level, extraversion...
Source: Cognitive Therapy and Research - November 16, 2018 Category: Psychiatry & Psychology Source Type: research
Mindfulness-based cognitive therapy (MBCT) in patients with obsessive –compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): a randomized controlled trial
We examined the efficacy of mindfulness-based cognitive therapy (MBCT) as a complementary treatment option. In a prospective, bicentric, assessor-blinded, randomized, and actively controlled clinical trial, 125 patients w ith OCD and residual symptoms after cognitive behavioral therapy (CBT) were randomized to either an MBCT group (n = 61) or to a psychoeducational group (OCD-EP;n = 64) as an active control condition. At post-treatment, there was no significant benefit of MBCT over OCD-EP with the Yale-Brown-Obsessive–Compulsive Scale (Y-BOCS) as the primary outcome measure, but with the O...
Source: European Archives of Psychiatry and Clinical Neuroscience - November 16, 2018 Category: Neuroscience Source Type: research
Pre-treatment CBT-Mindedness Predicts CBT Outcome
This study investigated whether pre-treatment attitudes aligned with cognitive behaviour therapy (CBT) (termed CBT-mindedness) predicts CBT outcome within a clinical sample of adults diagnosed with social phobia (N = 50). Pre-treatment CBT-mindedness, measured by the CBT Suitability Scale, was found to predict treatment outcome immediately and 3 months following treatment. Higher CBT-mindedness was associated with lower clinician-rated diagnostic severity and client self-reported social anxiety symptoms following CBT. CBT-mindedness predicted self-reported, but not clinician-reported severity, even when ...
Source: Cognitive Therapy and Research - November 15, 2018 Category: Psychiatry & Psychology Source Type: research
The multi-component model of harmful sexual behaviour for people with autism and co-morbid intellectual disabilities – a theory and practice guide
The Journal of Forensic Practice, Ahead of Print. Purpose The purpose of this paper is to explore to what extent neuro-typical theories of sexual offending apply to clients with Levels 2 and 3 autism with a co-morbid intellectual disability (ID). The paper develops a model of harmful sexual behaviour (HSB) for this client group and makes suggestions for how these behaviours can be understood and reduced. Design/methodology/approach The revised Integrated Theory of Sexual Offending (ITSO) (Ward and Beech, 2016) is used as a starting framework to understand HSB in this client group. This attends to specific neuropsychologica...
Source: Journal of Forensic Practice - November 15, 2018 Category: Forensic Medicine Source Type: research
Time Course of Attentional Biases Toward Body Shapes in Women Who Are Overweight or Obese
AbstractAlthough attentional bias toward body-related stimuli has been implicated as a vulnerability factor for body image disturbances, the time course of attentional biases toward body shapes in women who are overweight or obese is not clear. Using a dot-probe task and a between-subjects design, we assessed attentional biases (including facilitated attention, delayed disengagement, and avoidance) toward fat and thin body images in women who were overweight or obese (body mass index, BMI ≥ 25 kg/m2; n = 25) and normal-weight controls (BMI
Source: Cognitive Therapy and Research - November 15, 2018 Category: Psychiatry & Psychology Source Type: research
Does Transcranial Direct Current Stimulation Affect Post-stressor Intrusive Memories and Rumination? An Experimental Analogue Study
In this study, we investigated the effects of tDCS over the left dorsolateral prefrontal cortex (dlPFC) on one aspect of cognitive control —resistance to proactive interference (PI)—as well as on intrusive memories and rumination. Using a between-subject design, we expected active tDCS to affect intrusive memories and rumination by influencing resistance to PI.N = 118 healthy individuals completed the modified California Verbal Learning Test twice, once without stimulation and once during 20-min tDCS (anodal, cathodal, or sham). Following tDCS, participants watched a trauma film; afterwards, intru...
Source: Cognitive Therapy and Research - November 15, 2018 Category: Psychiatry & Psychology Source Type: research
Cognitive behavioural therapy plus standard care versus standard care plus other psychosocial treatments for people with schizophrenia.
CONCLUSIONS: Evidence based on data from randomised controlled trials indicates there is no clear and convincing advantage for cognitive behavioural therapy over other - and sometimes much less sophisticated and expensive - psychosocial therapies for people with schizophrenia. It should be noted that although much research has been carried out in this area, the quality of evidence available is mostly low or of very low quality. Good quality research is needed before firm conclusions can be made. PMID: 30480760 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)
Source: Cochrane Database of Systematic Reviews - November 15, 2018 Category: General Medicine Authors: Jones C, Hacker D, Meaden A, Cormac I, Irving CB, Xia J, Zhao S, Shi C, Chen J Tags: Cochrane Database Syst Rev Source Type: research
A Case Report of Compassion Focused Therapy (CFT) for a Japanese Patient with Recurrent Depressive Disorder: The Importance of Layered Processes in CFT.
This report presents a case of compassion focused therapy for a Japanese female with major depressive disorder and suicidal feelings. After receiving compassion focused therapy, the patient recovered and began to have social interaction with others again. This case suggested the importance of psychoeducation, exercises involving compassionate images and breathing, and a compassionate relationship in conducting compassion focused therapy. PMID: 30416837 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - November 13, 2018 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research
Is successful treatment of depression in dialysis patients an achievable goal?
AbstractDepression is undisputedly common among individuals with End ‐Stage Kidney Failure and associated with adverse outcomes. It is well recognized that effective treatments for depression are needed within routine dialysis care. But, are we any closer to successfully treating depression in dialysis patients? We consider this question here with respect to two co mmon treatments, antidepressant medication and cognitive behavioural therapy (CBT). Currently, there are limited data from randomized placebo‐controlled trials regarding the acceptability and efficacy of antidepressants. CBT trials appear to show more consis...
Source: Seminars In Dialysis - November 12, 2018 Category: Hematology Authors: Joseph Chilcot, Joanna L. Hudson Tags: EDITORIAL Source Type: research
A Clinical Strategy to Strengthen the Connection Between Cognition, Emotion, and Behavior: From Philosophical Principles to Psychotherapy Practice
AbstractHelping clients gain insight into the ways in which their thinking influences the expression of emotional distress and maladaptive behavior is an important goal of CBT-based psychotherapies. However, efforts to establish this insight into the connection between dysfunctional beliefs and the consequences of having them (i.e., B –C connection) are often met with resistance. To address this issue in practice, therapists can draw upon certain existential principles underpinning CBT theory. More specifically, practitioners can use the concepts of existential freedom and responsibility, contained in the rational-hu...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - November 12, 2018 Category: Psychiatry & Psychology Source Type: research
Long-term effect of cognitive behavioural therapy and doxycycline treatment for patients with Q fever fatigue syndrome: One-year follow-up of the Qure study
Previously, we reported a randomized placebo-controlled trial, the Qure study, showing that cognitive behavioural therapy (CBT), and not doxycycline, was significantly more effective than placebo in reducing fatigue severity in Q fever fatigue syndrome (QFS) patients. This follow-up study evaluates the long-term effect of these treatment regimens, 1 year after completion of the original trial. (Source: Journal of Psychosomatic Research)
Source: Journal of Psychosomatic Research - November 12, 2018 Category: Psychiatry & Psychology Authors: Ruud P.H. Raijmakers, Stephan P. Keijmel, Evi M.C. Breukers, Gijs Bleijenberg, Jos W.M. van der Meer, Chantal P. Bleeker-Rovers, Hans Knoop Source Type: research
Is successful treatment of depression in dialysis patients an achievable goal?
Abstract Depression is undisputedly common among individuals with End-Stage Kidney Failure and associated with adverse outcomes. It is well recognized that effective treatments for depression are needed within routine dialysis care. But, are we any closer to successfully treating depression in dialysis patients? We consider this question here with respect to two common treatments, antidepressant medication and cognitive behavioural therapy (CBT). Currently, there are limited data from randomized placebo-controlled trials regarding the acceptability and efficacy of antidepressants. CBT trials appear to show more co...
Source: Seminars in Dialysis - November 12, 2018 Category: Urology & Nephrology Authors: Chilcot J, Hudson JL Tags: Semin Dial Source Type: research
Cognitive rehabilitation, self-management, psychotherapeutic and caregiver support interventions in progressive neurodegenerative conditions: a scoping review.
CONCLUSIONS: The limited range of studies for all conditions except MS suggests a need firstly to synthesise systematically the available evidence across conditions and secondly to develop well-designed studies to provide evidence about the effectiveness of CR and other psychological interventions. PMID: 30412509 [PubMed - as supplied by publisher] (Source: NeuroRehabilitation)
Source: NeuroRehabilitation - November 11, 2018 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research
Genetics of response to cognitive behavior therapy in adults with major depression: a preliminary report
Genetics of response to cognitive behavior therapy in adults with major depression: a preliminary report, Published online: 08 November 2018; doi:10.1038/s41380-018-0289-9Major depressive disorder is heritable and a leading cause of disability. Cognitive behavior therapy is an effective treatment for major depression. By quantifying genetic risk scores based on common genetic variants, the aim of this report was to explore the utility of psychiatric and cognitive trait genetic risk scores, for predicting the response of 894 adults with major depressive disorder to cognitive behavior therapy. The participants were recruited...
Source: Molecular Psychiatry - November 8, 2018 Category: Psychiatry Authors: Evelyn Andersson James J. Crowley Nils Lindefors Brj ánn Ljótsson Erik Hedman-Lagerl öf Julia Boberg Samir El Alaoui Robert Karlsson Yi Lu Manuel Mattheisen Anna K. K ähler Cecilia Svanborg David Mataix-Cols Simon Mattsson Erik Forsell Viktor Kaldo Ma Source Type: research
Cognitive Behavior Therapy and Metacognitive Therapy: Moderators of Treatment Outcomes for Children with Generalized Anxiety Disorder.
rn BH Abstract Although cognitive behavioral therapy (CBT) is effective for childhood anxiety disorders, approximately 40% of youth remain anxious after treatment. Metacognitive therapy (MCT-c) for children with generalized anxiety disorder (GAD) has shown promising effects. The present study aimed to examine if CBT and MCT-c show differential effects in children with primary GAD based on baseline characteristics, in a quasi-experimental design. To investigate which treatment is most beneficial for whom, three potential moderators: age, symptom severity, and comorbid social anxiety were examined. Sixty-three child...
Source: Child Psychiatry and Human Development - November 8, 2018 Category: Child Development Authors: Walczak M, Breinholst S, Ollendick T, Esbjørn BH Tags: Child Psychiatry Hum Dev Source Type: research
Negative Thoughts, Fears Linked to Risk of Suicide in Patients With Psychosis
Negative thoughts about psychotic experiences and fears of losing mental control may heighten the risk of suicide in patients with psychosis who were not taking antipsychotics, suggests areport inSchizophrenia Bulletin.“Overall, our findings emphasize the importance of clinicians promoting a recovery-focused and appropriately optimistic outlook when working with people with psychosis, taking care to avoid providing information that might heighten negative illness appraisals and/or fears of losing mental control, ” wrote Paul Hutton, Ph.D., of the Edinburgh Napier University in the United Kingdom and colleagues....
Source: Psychiatr News - November 6, 2018 Category: Psychiatry Tags: metacognition negative thoughts and beliefs Paul Hutton psychosis schizophrenia Schizophrenia Bulletin suicidal thinking suicidality suicide Source Type: research
Psychosocial interventions for chronic pain and comorbid prescription opioid use disorders: A narrative review of the literature.
CONCLUSIONS: The findings of this review offer clinical insight and reinforce the importance of psychosocial interventions in CNCP and opioid use disorders. However, little empirical data are available to guide practitioners in treating patients with CNCP who misuse opioid medications, and thus future research on integrated approaches, is needed. PMID: 30387858 [PubMed - in process] (Source: Journal of Opioid Management)
Source: Journal of Opioid Management - November 4, 2018 Category: Addiction Tags: J Opioid Manag Source Type: research
Effects of multidisciplinary therapy on physical function in Huntington's disease
ObjectiveThe primary objective of this trial was to evaluate the effects of outpatient multidisciplinary therapy, compared to usual care, on measures of physical function and muscle strength in patients with manifest Huntington's disease (HD).MethodsTwenty ‐two patients with clinically verified HD were randomized to receive 36 weeks of outpatient multidisciplinary therapy or usual care. Outpatient multidisciplinary therapy comprised 9 months of supervised exercise, cognitive therapy and self‐directed home‐based exercise. Usual care consisted o f standard medical care. Patients were assessed at 0 and 36 ...
Source: Acta Neurologica Scandinavica - November 4, 2018 Category: Neurology Authors: Travis M. Cruickshank, Alvaro P. Reyes, Luis E. Penailillo, Tim Pulverenti, Danielle M. Bartlett, Pauline Zaenker, Anthony J. Blazevich, Robert U. Newton, Jennifer A. Thompson, Johnny Lo, Mel R. Ziman Tags: ORIGINAL ARTICLE Source Type: research
A Double-Blind Placebo Controlled Study of Intranasal Oxytocin ’s Effect on Emotion Recognition and Visual Attention in Outpatients with Emotional Disorders
AbstractThe current study used double-blind, placebo-controlled design to examine the effect of intranasal oxytocin (OT) on emotion recognition (ER) and visual attention in 60 outpatients presenting for assessment and treatment of emotional disorders. Our primary hypothesis was that OT would improve recognition of happy faces in depressed participants. The main effect of OT on ER accuracy, speed, and proportion of fixations in the eye region was not significant. Diagnostic group (i.e., presence/absence of a depressive disorder) moderated the effect of OT on ER, but not as expected: OT significantly slowed ER speed for all ...
Source: Cognitive Therapy and Research - November 3, 2018 Category: Psychiatry & Psychology Source Type: research
Meta-Analysis Finds Group CBT Optimal Psychotherapy for Children, Adolescents With Anxiety
Group therapy may work best for children and adolescents with anxiety, a meta-analysis of various psychotherapies found, with group cognitive-behavioral therapy (CBT) showing the greatest effectiveness in reducing anxiety symptoms. Thereport was published this week inJAMA Psychiatry.“The results of our analysis suggest that psychotherapy delivered in a group format may generally result in better outcomes than when delivered individually,” wrote Xinyu Zhou, Ph.D., of Chongqing Medical University in China and colleagues. The benefit “may be attributed to the additional expo sure of social stimuli and intera...
Source: Psychiatr News - November 2, 2018 Category: Psychiatry Tags: adolescents anxiety CBT children cognitive-behavior therapy JAMA Psychiatry meta-analysis psychotherapy Xinyu Zhou Source Type: research
Effects of mindfulness ‐based cognitive therapy on shame, self‐compassion and psychological distress in anxious and depressed patients: A pilot study
ConclusionOur preliminary findings suggest that mindfulness ‐based approaches may be helpful in increasing self‐compassion and reducing shame‐proneness in mixed groups of anxious and depressed patients. Controlled studies of the effects of mindfulness‐based interventions on shame in clinical populations are warranted.Practitioner points Shame ‐proneness and external shame showed different patterns of relationship with depressive and stress symptoms and with self‐compassion. Shame‐proneness decreased to a greater extent than external shame decreased following participation in an MBCT group. Mindfulness‐b...
Source: Psychology and Psychotherapy: Theory, Research and Practice - November 2, 2018 Category: Psychiatry & Psychology Authors: Michael Proeve, Rebekah Anton, Maura Kenny Tags: Original Article Source Type: research
Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis
AbstractThis systematic review and meta-analysis aims to evaluate the effectiveness of internet-delivered cognitive behavioural therapy (ICBT) on anxiety and depression among persons with chronic health conditions. A systematic database search was conducted of MEDLINE, CINAHL, PsycInfo, EMBASE, and Cochrane for relevant studies published from 1990 to September 2018. A study was included if the following criteria were met: (1) randomized controlled trial involving an ICBT intervention; (2) participants experienced a chronic health condition; (3) participants ≥ 18 years of age; and (4) effects of ICBT on anxie...
Source: Journal of Behavioral Medicine - November 1, 2018 Category: Psychiatry Source Type: research
Resilience and Coping in Cancer Survivors: The Unique Effects of Optimism and Mastery
AbstractOptimism and mastery are two cognitive traits that involve positive expectations for the future and that have been demonstrated to be important predictors of reduced anxiety as well as superior coping and physical health in many populations, including cancer survivors. There is limited research, however, examining the unique effects of these traits when examined simultaneously. The present cross-sectional study used structural equation modeling to examine the unique effects of optimism and mastery on emotion, coping, and health in 603 adult cancer survivors, and whether results were consistent in men and women. Res...
Source: Cognitive Therapy and Research - November 1, 2018 Category: Psychiatry & Psychology Source Type: research
Earlier in my career, I tried play therapy for young children with trauma-related problems. Sadly, since avoiding traumatic reminders is part of the syndrome of posttraumatic stress disorder (PTSD), I found that young children would not voluntarily talk about or re-enact traumatic events in the nondirective process of play therapy. This seemed to me not only inefficient, but ineffective. Thus I turned to cognitive behavior therapy (CBT). The directiveness of CBT seemed better suited to the developmental capacities of young children to help them express their thoughts and feelings. (Source: Journal of the American Academy o...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Michael S. Scheeringa Tags: Book forum Source Type: research
Outcome of Psychoanalytic and Cognitive-Behavioural Long-Term Therapy with Chronically Depressed Patients: A Controlled Trial with Preferential and Randomized Allocation.
CONCLUSIONS:: Psychoanalytic as well as cognitive-behavioural long-term treatments lead to significant and sustained improvements of depressive symptoms of chronically depressed patients exceeding effect sizes of other international outcome studies. PMID: 30384775 [PubMed - as supplied by publisher] (Source: Canadian Journal of Psychiatry)
Source: Canadian Journal of Psychiatry - November 1, 2018 Category: Psychiatry Authors: Leuzinger-Bohleber M, Hautzinger M, Fiedler G, Keller W, Bahrke U, Kallenbach L, Kaufhold J, Ernst M, Negele A, Schoett M, Küchenhoff H, Günther F, Rüger B, Beutel M Tags: Can J Psychiatry Source Type: research
Modern approaches to the treatment of anorexia nervosa. "The third wave" of cognitive behavioral therapy.
Modern approaches to the treatment of anorexia nervosa. "The third wave" of cognitive behavioral therapy. Psychiatr Pol. 2018 Aug 24;52(4):651-662 Authors: Starzomska M, Wilkos E, Kucharska K Abstract Anorexia nervosa (AN) is being considered one of the most difficult mental disorders to treat. The ego-syntonic nature of this mental disorder makes patients particularly reluctant to engage in or consent to treatment with relatively high drop-out rate. For all these reasons the treatment often takes a very long time, and the illness progresses to the chronic form, increasing the suffering of pa...
Source: Psychiatria Polska - October 30, 2018 Category: Psychiatry Tags: Psychiatr Pol Source Type: research