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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Can schools prevent eating disorders?

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In 2012 there was a call from Parliament to research school interventions to reduce body dissatisfaction. Helen Bould reports on an RCT of school-based prevention programme for eating disorders, which highlights the need for more work in this area.

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Internet-based alcohol and cannabis prevention: Climate Schools and salami slicing

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Matt Field summarises the findings of a recent cluster RCT that uses internet-based prevention (an Australian programme called Climate Schools) to reduce alcohol and cannabis use, truancy, psychological distress and moral disengagement.

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Paliperidone Palmitate is no better than Haloperidol Decanoate at preventing relapse or controlling psychotic symptoms

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Alex Langford summarises a relatively large and pragmatic study, which provides firm evidence that the newer antipsychotic, Paliperidone, is no better at preventing relapse or controlling psychotic symptoms than its decades-old comparator, Haloperidol.

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Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story...]

Is telephone peer support for the prevention of postnatal depression worth the cost?

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. Peer support has been a hot topic in the woodland recently. Although there appears to be a lack of evidence to support the clinical effectiveness of peer support interventions for people with severe mental illness, such as bipolar disorder and schizophrenia, it is an approach that is highly valued by many. It might be [read the full story...]

RCT shows CBT is more effective than psychoanalytic psychotherapy for treating bulimia nervosa, but that’s only half the story

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I had actually heard about this Danish study, published recently by Poulsen et al. (2014) in the American Journal of Psychiatry, before it landed in my inbox. The findings are interesting because they highlight the debate surrounding the comparative efficacy of psychological treatments. What is most striking though, is how the study itself challenges the [read the full story...]

CBT is more cost-effective than SSRI alone as treatment for panic disorder

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In addition to its impact on quality of life, panic disorder can have a number of costly consequences such as lost productivity – particularly if also associated with agoraphobia. Cost-effectiveness is therefore an important consideration in choosing the optimal treatment for panic disorder, which might improve value via the cost side of the equation. A recent [read the full story...]

Targeted mindfulness-based relapse prevention may support long-term outcomes for substance use disorders

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Approximately 10.6% of individuals with Substance Use Disorders (SUD) in the US seek treatment, with 40-60% relapsing within a year (Dept of Health and Human Services, 2008; McLellan et al, 2000). This highlights a real need for substance abuse treatment that focuses on relapse prevention. This blog summarises a recent RCT from JAMA Psychiatry on [read the full story...]