Empowering mental health service users to become more involved in decisions about their care: the DECIDE RCT

shutterstock_194874257

Laurence Palfreyman highlights an RCT of the DECIDE intervention, which aims to build awareness of the service user’s role in decisions about their care including how they can become more involved and seek information from independent sources.

[read the full story...]

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

Caption

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.

[read the full story...]

Combining psychotherapy and antidepressants is best for common mental illnesses

shutterstock_174674552

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.

[read the full story...]

Interpersonal counselling for depression: RCT shows some promise

shutterstock_160648694

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.

[read the full story...]

Psychotherapy for depression in older adults: promising results, but insufficient good quality research

shutterstock_60149383

This recent meta-analysis confirms that psychotherapy has a moderate to high effect on depression in older adults. However, a note of caution is sounded because of publication bias and the low quality of several of the included studies.

[read the full story...]

Mindfulness-based cognitive therapy may reduce the demand for primary care visits

shutterstock_on the phone

Can’t get an appointment with your GP? Don’t stress, mindfulness-based cognitive therapy may help by reducing the demand for primary care visits by distressed patients, according to a new study in the Journal of Psychosomatic Research.

[read the full story...]

Outcome and methodological comparisons in psychotherapy and pharmacotherapy meta-analyses

shutterstock_128524325

Andrew Shepherd summarises a recent JAMA Psychiatry study looking at the efficacy of pharmacotherapy and psychotherapy for adult psychiatric disorders (and uses words like hubristic and existential quite a lot!)

[read the full story...]

It’s all in the control group: wait-list control may exaggerate apparent efficacy of CBT for depression

cheating dice

This blog should set the cat amongst the pigeons! Ioana Cristea reviews a recent network meta-analysis in Acta Psychiatrica Scandinavica and discovers that CBT supporters face some well-documented criticism that requires a considered response. Do join in with the discussion and tell us what you think of this new research.

[read the full story...]

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

shutterstock_the gap

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...]

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

shutterstock_166315385

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...]