Mindfulness-based interventions in primary care: absent but successful

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Ioana Cristea appraises a meta-analysis on the effectiveness of mindfulness in primary care. She finds that the evidence is insufficient to draw any reliable conclusions about the actual effectiveness of mindfulness-based interventions in primary care settings.

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New long term conditions compendium from the Department of Health

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Commissioners, health professionals and social care professionals will all be interested in the new Long Term Conditions Compendium of Information published by the Department of Health. This third edition updates the version produced in 2008 and provides the evidence for improving care and outcomes for people with long-term conditions. 70% of the total health and [read the full story…]

How to diagnose and treat medically unexplained physical symptoms and somatoform disorders

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A multidisciplinary group of Dutch scientists have produced a guideline to help diagnose and treat medically unexplained physical symptoms (MUPS) and somatoform disorders (SD) in primary care, hospitals and occupational health settings. The guideline summarises the best available evidence and attempts to answer 4 key questions, for which the following findings are presented: 1. Preventive [read the full story…]

The relationship between medically unexplained symptoms and insecure attachment

Helping someone with a successful benefits appeal, or into secure housing or out of a violent relationship might be our most effective therapeutic intervention.

Medically unexplained symptoms are physical symptoms that have no currently known physical pathological cause. They are common (accounting for as many as 1 in 5 of new primary care consultations) and can impair function and cause significant distress to patients. This longitudinal cohort study conducted by researchers from London set out to understand these presentations [read the full story…]