RCT compares two different versions of enhanced cognitive behavioural therapy for anorexia nervosa in an inpatient setting

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A general misconception about anorexia is that it’s just about eating and ‘being thin’, but it’s more complex than that. The illness affects multiple aspects of a person’s life, and often goes hand in hand with other psychological issues such as low mood, or excessive worry. In addition, the jury is still out on the exact [read the full story...]

No evidence that behavioural therapies are any better than other psychological therapies for depression

Depression is a big problem.  In fact, it’s the third leading cause of disease burden worldwide (WHO, 2004 - as cited in Shinohara et al, 2013) and the largest source of nonfatal disease burden in the world (Ustun, 2004 – as cited in Shinohara et al, 2013).   What’s more, the number of people affected by it [read the full story...]

Which psychological therapies work best for borderline personality disorder?

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This systematic review of psychological therapies for borderline personality disorder (BPD), conducted in Spain, takes an interesting approach to reviewing the literature. Unfortunately, there appear to have been challenges in translating the systematic review from Spanish and the text can be difficult to follow at times. This is a real shame as it is an [read the full story...]

Counselling is as effective as CBT for depression, according to a reanalysis of RCT data

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In recent years, cognitive-behavioural therapy (CBT) has become the most widely delivered therapy for depression within the NHS.  CBT interventions are recommended by NICE for people with mild, moderate and severe depression. By contrast, recent NICE guidelines recommend counselling only for people with persistent subthreshold depressive symptoms or mild to moderate depression who decline another [read the full story...]

D-cycloserine does not improve CBT for social anxiety disorder, but may accelerate early treatment gains

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Clinical trials in the field of social anxiety to date have primarily focussed on the effect of either anxiolytic medication or cognitive behavioural therapy (CBT). At best these trials have demonstrated only moderate efficacy for either treatment independently (Davidson et al, 2004; Clark et al, 2003; Heimberg et al, 1998; Stein et al, 1998), and [read the full story...]

Multisystemic therapy may help prevent adolescent sexual offenders from reoffending

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The sexual abuse of children is a worldwide problem that has lasting and sometimes lifelong impacts on the child, their family and the community. There is a substantial amount of research that now demonstrates the long term impacts of child sexual abuse which includes: The increased incidence of all types of mental health difficulties; Increased [read the full story...]

We all know that the Internet can be a dangerous place for people with eating disorders, but can it also help them get better?

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Chances are you’ve heard of the internet. Unless you’re reading this after it’s been transcribed onto some parchment and brought to you by a psychologically-interested crow in which case you’ve got some further research to do. In terms of eating disorders, most people may associate the internet with those ghastly pro-anorexia sites which for reasons [read the full story...]

Trauma exposure is pervasive among US youths

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The media is filled with stories about traumatised children and adolescents, such as the school shootings at Sandy Hook and Columbine. However, a range of more common traumatic events, such as accidents and caregiver maltreatment, receive less attention. We sought to understand how common traumatic experiences are in the lives of U.S. youths by conducting a study examining trauma [read the full story...]

Cochrane review finds ‘solid’ evidence for CBT for anxiety in young people, but lacks evidence for long-term benefits

Anxiety disorders, such as generalised anxiety disorder (GAD), social anxiety, panic disorder and phobias, are common and affect between 5 – 19% of all children and adolescents (Costello, 2004; as cited in James et al, 2013, pg. 6).  Anxiety problems in childhood or adolescence can disrupt social and educational life, and may persist into adulthood. [read the full story...]

The CHAMP RCT finds that CBT is more effective than standard care for reducing health anxiety

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Cognitive behavioural therapy (CBT) is substantially more effective than standard care at reducing symptoms of health anxiety in medical patients, and can be delivered by non-specialist staff with minimal training at little extra cost, according to an RCT published by The Lancet today. The CHAMP (Cognitive behaviour therapy for Health Anxiety in Medical Patients) trial [read the full story...]