Long working hours are associated with increased alcohol use

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Sally Adams summarises a new BMJ systematic review and meta-analysis of working hours and alcohol use, which finds a link between longer working hours and risky alcohol consumption.

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E-therapy for eating disorders: review finds lack of evidence for digital treatment or prevention

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Helen Bould summarises a new systematic review that finds a lack of evidence for the digital treatment or prevention of eating disorders. With so many new websites and apps popping up every week, why is there no reliable evidence of positive effect?

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Reducing alcohol consumption in illicit drug users: new Cochrane review on psychotherapies

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Olivia Maynard reports on a recent Cochrane review that investigates talking therapies for reducing alcohol consumption in illicit drug users. The reviewers found no differences in the effectiveness of different psychotherapies (motivational interviewing, brief interventions, CBT) and insufficient evidence to draw any meaningful conclusions.

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We don’t know how to improve medicine adherence, says new Cochrane review

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Helge Hasselmann reports on a new Cochrane systematic review of interventions for enhancing medication adherence, which finds insufficient evidence to draw any conclusions. The full health benefits of medicines will not be realised until better interventions and better studies are conducted in this area.

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Psychotherapy for medically unexplained physical symptoms

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Ioana Cristea reviews a recent Cochrane systematic review on non-pharmacological interventions for medically unexplained physical symptoms (MUPS). The review finds that psychotherapies for MUPS led to reduced symptom severity, but were associated with a higher drop-out rate than usual care.

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Online social networking and psychosis

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Nikki Newhouse reports on a recent systematic review of online social networking and psychosis. Her blog explores the potential benefits and harms of online social networking for people with psychosis, and reflects on some of the challenges facing researchers working in the field.

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Mental health therapy for refugee and asylum seeking children: a small evidence base for a big problem

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Laurence Palfreyman considers the very small and mixed evidence base of mental health interventions for refugee and asylum seeking children presented in a well conducted systematic review from last year.

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Medication for the maintenance treatment of bipolar disorder

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Elena Marcus summarises a recent network meta-analysis published in The Lancet of the comparative efficacy and tolerability of medication for the maintenance treatment of bipolar disorder.

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CBT for insomnia in psychiatric populations: an effective alternative to hypnotics?

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Amy Green appraises a systematic review of CBT for insomnia (CBTi) in people with comorbid mental illness, which concludes that cognitive behaviour therapy could be an effective alternative to hypnotics. However, concerns about the review methodology cast some doubt on the findings.

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Alcohol misuse and PTSD comorbidity: a significant problem lacking solutions

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Current NICE guidelines state that PTSD should not be dealt with unless alcohol dependence is first treated. Paul Christiansen summarises a systematic review of the comorbidity between PTSD and alcohol misuse and wonders where the guidance leaves patients and professionals.

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