Sustained smoking cessation intervention for hospitalised smokers

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Sally Adams summarises a new randomised controlled trial in JAMA, which tests a sustained care intervention and post-discharge smoking cessation for hospitalised smokers.

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Smoking cessation in the emergency setting

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Olivia Maynard summarises a systematic review of smoking cessation interventions in the emergency setting, which highlights the poor quality and heterogenous nature of the published trials in this field.

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Psychotherapy for depression in older adults: promising results, but insufficient good quality research

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This recent meta-analysis confirms that psychotherapy has a moderate to high effect on depression in older adults. However, a note of caution is sounded because of publication bias and the low quality of several of the included studies.

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Counselling is as effective as CBT for depression, according to a reanalysis of RCT data

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In recent years, cognitive-behavioural therapy (CBT) has become the most widely delivered therapy for depression within the NHS.  CBT interventions are recommended by NICE for people with mild, moderate and severe depression. By contrast, recent NICE guidelines recommend counselling only for people with persistent subthreshold depressive symptoms or mild to moderate depression who decline another [read the full story…]

WEAVE RCT: GP training, but not screening, may benefit women who have experienced intimate partner violence

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Behaviour within an intimate relationship which causes psychological, physical or sexual harm to either party is known as intimate partner violence (IPV). This violence is perpetrated by both men and women, but significant injuries are more commonly sustained by women. Consequently, IPV is a major public health concern as it contributes majorly to mortality in [read the full story…]

Review suggests that counselling may have a role in management of temporomandibular disorders

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Temporomandibular disorders (TMD) are a group of disorders with symptoms that include pain, clicking, grating in the jaw joint and/or problems chewing or opening the jaw.   It has been estimated that around 75% of the population have at least one sign of TMD.  The aim of this review was to assess the effectiveness of counselling [read the full story…]

Increasing smoking cessation implementation in dental primary care

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In addition to its well-known harmful effects on the lungs and heart Smoking tobacco has serious adverse effects on oral health. Dental health professionals have an excellent opportunity to help reduce smoking and tobacco use.  The aim of this study was to evaluate two interventions intended to increase the implementation of tobacco use prevention and [read the full story…]

For patients with temporomandibular disorders stablisation splint did not provide additional pain relief over counselling and muscle exercises alone in short term

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The 2003 Cochrane review by Al-Ani et al found no evidence for or against the use of stablisation splints for the treatment of temporomandibular disorders (TMD). While a subsequent review by Fricton et al in 2010 found modest evidence for effectiveness of hard stabilization splints.  The implications from both reviews are that more robust randomised [read the full story…]

The evidence remains weak for the long-term effectiveness of counselling in primary care

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General practices in the UK sometimes offer counselling to people with mental health or psychosocial problems. This is an alternative to standard GP care or the conventional treatments such as cognitive behaviour therapy or antidepressants. However, recent guidelines have not been able to recommend the use of counselling because the evidence-base remains weak in comparison [read the full story…]

More mental health support needed for students in higher education

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The Royal College of Psychiatrists has today published a new report into the mental health of students in higher education. The report calls for more investment in mental health support for university students, amid concerns that some students with mental health problems may be missing out on the help they need. The College published its [read the full story…]