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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Brief interventions for substance misuse in primary care

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Claire Mokrysz reports on two RCTs in JAMA that find no superiority over control for brief interventions for substance misuse in primary care. A finding that casts some doubt on interventions such as motivational interviewing for unhealthy drug use in primary care patients.

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Psychotherapy for UK military veterans: demographics and clinical outcomes

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Mark Smith reports on a study of psychotherapy for UK military veterans, using an IAPT service, which focuses on the demographic characteristics and clinical outcomes of early service leavers and veterans.

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The Internet Therapist: adherence to Internet CBT compared to face to face CBT

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Andrés Fonseca appraises a recent meta-analysis of adherence to Internet CBT and face-to-face cognitive behavioural therapy for depression.

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Internet-based CBT for chronic somatic conditions: problematic meta-analysis offers an overly enthusiastic appraisal

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Ioana Cristea critically reviews a recent meta-analysis of Internet-based CBT for patients with chronic somatic conditions. She concludes that the review authors are offering an overly positive interpretation of their results, and that we need more high quality studies before we can recommend online cognitive behaviour therapy for this population.

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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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Understanding Psychosis and Schizophrenia: a critique by Laws, Langford and Huda

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Keith Laws, Alex Langford and Samei Huda provide a critique of the British Psychological Society Division of Clinical Psychology report published today.

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Are treatments for borderline personality disorder cost-effective?

Dialectical behaviour therapy was specifically developed to help people with borderline personality disorders

Our resident Elf Economist, Chris Sampson, reports on a new systematic review of economic evaluations for borderline personality disorder. Are any cost-effective?

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Short-term psychodynamic psychotherapy for all common mental health disorders?

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For his ninth Mental Elf blog, Mark Smith reports on a Cochrane systematic review of the effectiveness of short term psychodynamic therapies on common mental health disorders.

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Collaborative care for depression: psychological interventions, alone or in combination with medication, offer additional benefits

A recent meta-analysis sought to identify factors associated with improvement in patient outcomes and in the process of care

Ioana Cristea reviews a recent systematic review and meta-analysis of collaborative care for depression, looking to identify factors predicting improvements. The study finds that collaborative care successfully improves both patient outcomes and the process of care for depression.

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