Clinical depression in children as young as age 3 has been validated, and prevalence rates are similar to the school-age disorder. Homotypic continuity between early and later childhood depression has been observed, with alterations in brain function and structure similar to those reported in depressed adults. These findings highlight the importance of identifying and treating depression as early as developmentally possible, given the relative treatment resistance and small effect sizes for treatments later in life. The authors conducted a randomized controlled trial of a dyadic parent-child psychotherapy for early childhood depression that focuses on enhancing the child’s emotional competence and emotion regulation.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text. SSOTP (legacy account)- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Inês Pote summarises a recent meta-analysis of randomised placebo-controlled trials of cognitive behavioural therapy for anxiety and related disorders.
Open access. Psychological treatment is recommended for depression and anxiety in those with epilepsy. This review used standardised criteria to evaluate, for the first time, the clinical relevance of any symptom change these treatments afford patients.
Results: A significant change was observed on all measures between pre- and postmeasurement and maintained at 3-month follow-up. Clinical improvement was observed for participants on the BDI-II from pre- to postmeasurement, and suicidal ideation also reduced from pre- to postmeasurement.
Pilot and open trials suggest that imagery-enhanced group cognitive behaviour therapy (CBT) is highly effective for social anxiety disorder (SAD). However, before being considered reliable and generalisable, the effects of the intervention need to be replicated by clinicians in a setting that is independent of the protocol developers. The current study compared outcomes from clients with a principal diagnosis of SAD at the Australian clinic where the protocol was developed (n = 123) to those from an independent Canadian clinic (n = 46) to investigate whether the large effects would generalise.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Reading the title of the study by Noble et al1 in Journal of Neurology, Neurosurgery and Psychiatry, ‘Cognitive-behavioural therapy does not meaningfully reduce depression in most people with epilepsy: a systematic review with a reliable change analysis’, stakeholders in ‘Psychotherapy Incorporated’ may wonder whether they need to rush to their stockbroker and sell their cognitive-behavioural therapy (CBT) shares. They need not hurry—but they will need to read the whole paper or this comment.. To read the full article, log in using your NHS OpenAthens details.
Psychological Medicine; Cambridge Vol. 48, Iss. 13, (Oct 2018): 2177-2185.
Cognitive–behavioral group therapy (CBGT) is a first-line treatment for social anxiety disorder (SAD). However, since many patients remain symptomatic post-treatment, there is a need for augmenting procedures. This randomized controlled trial (RCT) examined the potential augmentation effect of attention bias modification (ABM) for CBGT.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Psychological Medicine; Cambridge Vol. 48, Iss. 12, (Sep 2018): 1945-1953. DOI:10.1017/S0033291717003919
Cognitive-behaviour therapy (CBT) for panic disorder may consist of different combinations of several therapeutic components such as relaxation, breathing retraining, cognitive restructuring, interoceptive exposure and/or in vivo exposure. It is therefore important both theoretically and clinically to examine whether specific components of CBT or their combinations are superior to others in the treatment of panic disorder. Component network meta-analysis (NMA) is an extension of standard NMA that can be used to disentangle the treatment effects of different components included in composite interventions.
Depression is a highly prevalent disorder, causing a large burden of disease and substantial economic costs. Web-based self-help interventions seem promising in promoting mental health. Library Services do not currently have access to this journal through this site, but you can request a copy of the article online and we will get a copy to you: http://bit.ly/1Xyazai
Cognitive–behavioural therapy (CBT) is effective for treating anxiety disorders and is offered in most mental health services around the world. However, a relatively large number of patients with anxiety disorders do not benefit from CBT, experience relapses or drop out. Reliable predictors of treatment effects are lacking. The aim of this study is to investigate the predictive value of emotion regulation and attentional control for CBT outcome in a routine setting. To read the full article, log in using your NHS OpenAthens details
Mental Elf Blog post. It is now an increasingly well accepted truism that the origins of mental illness often lie in childhood and adolescence. Most psychological and psychiatric problems present for the first time before the age of 18 years, and even for the remainder there is often a link to important early life risk factors, such as child maltreatment and other psychological or economic adversities.
However, acknowledging that, and doing something useful about it to prevent future mental health problems are different things. To be able to successfully intervene early we need to be able to offer interventions that are effective, acceptable to patients/service users and cost-effective. We also need to work out who these interventions should be offered to.
Follow-up data from the CoBalT trial poses an interesting clinical question (Wiles et al, 2016). If an individual has apparently treatment-resistant depression and antidepressant ‘usual care’ appears the only option available, is there any possible benefit to providing a moderate length course of CBT alongside the medication, and if so, what are the benefits and how long do they last for? Could benefits be detected not just months, but years after the end of therapy?
Cognitive therapies could be an effective alternative to medication in the treatment of depression, according to NIHR research featured in a new Highlight from the NIHR Dissemination Centre.
The Highlight brings together four studies funded by the NIHR that shed light on when, how and for whom, cognitive therapies might be effective. These are accompanied by blogs and interviews with charities, clinicians, researchers and patients.
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Due to an editorial error, the legend for figure 2 in this research paper (BMJ 2015;351:h6127, doi:10.1136/bmj.h6127) is incorrect. The control group is represented by the red dotted line and the intervention group corresponds to the solid blue line in the figure, not the other way round as the legend describes. To read the full article, log in using your NHS OpenAthens details