CBT may prevent depression in at-risk children whose parents have a history of depression

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The harmful impact of depression extends far beyond the individual sufferer to caregivers, friends and family members.  Children of people with depression are more likely to suffer from depression themselves.  This may be due to both inherited and environmental factors. This new randomised controlled trial (RCT), published earlier this week in JAMA Psychiatry, set out [read the full story…]

Can assessing and acting on quality of life scores improve patient satisfaction? New study concludes yes, but the results actually say no

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For mental health patients, quality of life (QoL) can include many things like self-esteem, autonomy, satisfaction with the care they’re receiving and the staff who are caring from them, reduced symptoms, minimal side-effects from treatment and good overall functioning. Measuring QoL can pick up on difficulties a patient is having that wouldn’t have otherwise come [read the full story…]

Can brain imaging help predict who will respond to CBT versus antidepressants?

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A major challenge in the treatment of depression is that only a proportion of people respond to the first treatment they try.  For example, with antidepressants only 40% of people will see their symptoms fall to a level that can be considered a recovery.  Trying further treatments after the first one does not work can [read the full story…]

Group-based CBT effective in improving anger control by people with learning disabilities

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Cognitive behavioural therapy (CBT) is an approach used to help people manage problems by changing the way they think and behave. It is a talking therapy designed to help examine they way in which their actions can affect they way they think and feel. It looks for practical ways to improve states of mind on [read the full story…]

Treatment of depression after a heart attack does not improve the long-term risk of adverse cardiac events but may increase survival

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Although there have been huge advances in the treatment of heart disease, it is still the UK’s biggest killer (more information on heart disease can be found at the British Heart Foundation’s website). Depression after a heart attack is common (roughly 20% prevalence) and can worsen heart disease and increase the risk of death.  A [read the full story…]

Talking therapy for teenagers (MBT-A) reduces self-harm and depression in self harming teens over a 12 month period

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In adults there is a growing body of evidence for psychotherapeutic interventions such as Transference Focussed Psychotherapy, Mentalization-Based Treatment and Dialectic Behavioural Therapy for patients who self harm. In the teenage population, there has been limited evidence to show that interventions are better than the treatment already provided. MBT has developed from psychodynamic psychotherapy and [read the full story…]

Moderate intensity exercise programmes do not improve depressive symptoms in elderly care home residents: results from the OPERA trial

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Depression is a common problem in older adults with some data suggesting significant symptoms are present in over 40% of nursing home residents (Teresi, 2001). Clearly physical exercise has a number of benefits particularly with regards to cardiovascular health. Some of you may remember the Mental Elf blog back in September 2012 with positive results from [read the full story…]

Behavioural weight-loss interventions can be effective for people with serious mental illness, says new RCT

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People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story…]

Pay for performance improves treatment implementation, not outcomes, for adolescent substance use disorders

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The NHS has entered the era of GP-led commissioning of services, and providers will be required to submit data on key indicators such as quality of care and survival rates. This echoes some aspects of a 2001 report by the Institute of Medicine in the USA Crossing the Quality Chasm, which emphasised the need to [read the full story…]

Functional remediation shows promise for enhancing functioning in patients with bipolar disorder

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Bipolar disorder is a term applied to conditions that are characterised by extreme mood swings.  These swings in mood range from periods of overactive excited behaviour (known as mania) to deep depression. Some people also see or hear things that others around them don’t (known as having visual or auditory hallucinations) or have strange, unshared, beliefs (known [read the full story…]