Motivational interviewing does not prevent alcohol misuse in young people

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This new Cochrane systematic review finds that motivational interviewing has no effect on reducing alcohol-related problems or risky behaviours such as drunk driving in young people.

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Face-to-face psychotherapy for chronic pain in children and adolescents: Cochrane review calls for better primary research

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Lisa Burscheidt summarises a recent Cochrane review of psychotherapy for chronic pain in children and adolescents, which concludes that psychological therapies should be considered as a treatment, but better primary studies are needed to help steer pain management decisions.

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Cognitive and exercise interventions for older adults with and without cognitive impairment

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Jake Crawshaw reports on a recent systematic review of cognitive and exercise interventions for older people with and without cognitive impairment.

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Mental disorders after critical illness: depression, PTSD and functional disability in survivors of intensive care

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The BRAIN-ICU prospective cohort study published in the Lancet Respiratory Medicine looks at mental health outcomes and functional disabilities in a general ICU population. It explores the hypothesis that depressive symptoms after discharge are more often somatic (i.e. bodily complaints) than cognitive-affective (i.e. thought-related and mood-related complaints).

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Combining psychotherapy and antidepressants is best for common mental illnesses

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Patrick Kennedy-Williams summarises a recent meta-analysis, which finds that combined treatment with psychotherapy and antidepressants is more effective than treatment with antidepressants alone.

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Interpersonal counselling for depression: RCT shows some promise

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Mark Smith summarises an RCT which compares SSRI antidepressants with interpersonal counselling for depression. The trial explores moderators of remission with interpersonal counselling or drug treatment in primary care patients with mild-moderate depression.

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Internet-based interventions for harmful drinking show small beneficial effects

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Andrew Jones summarises a recent meta-analysis on the effectiveness of guided and unguided low-intensity Internet interventions for adult alcohol misuse.

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Exercise for severe mental illness: new review finds few benefits

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This new systematic review concludes that exercise programmes can lead to an improvement in exercise activity, but have no significant effect on mental health symptoms or body weight in people with severe mental illness.

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Meta-review presents the risks of all-cause and suicide mortality in mental disorders

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This recent and well-conducted meta-review concludes that the impact on mortality and suicide of mental disorders is substantial, and probably poorly appreciated as a public health problem. Raphael Underwood’s blog summarises the data for all-cause and suicide mortality in mental disorders.

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Alternatives to medication for agitation in dementia

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Andrés Fonseca summarises the findings of a recent systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in dementia.

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