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...]

Psychotherapy trials should report the side effects of treatment

shutterstock_178351865

If a treatment is powerful enough to have a good effect, then it’s powerful enough to have a bad effect. This is well recognised when it comes to medication, with strict regulations in place to ensure adverse outcomes are monitored and measured. By contrast, psychotherapy has never been as readily associated with the potential to [read the full story...]

Psychotherapy for social functioning in depression: insufficient good quality research into an overlooked issue

shutterstock_145641868

Social functioning is defined as the degree to which a person is able to fulfill different roles in social environments, such as home, work or relationships (Bosc, 2000). There is consistent evidence that depressed patients display considerable social functioning impairments, which add significantly to the burden of depression. In a recent article published in Psychological [read the full story...]

Is the Dodo finally dead?

shutterstock_108134705

There’s been a lot of chatter here in the woodlands about the role of cognitive behavioural therapy (CBT) in psychosis – what do service users think of it? Can it be used in place of antipsychotics for some people? Outside of the woodlands, CBT for psychosis has also been generating a lot of attention: Does [read the full story...]

Psychological treatment may be useful in reducing depression and anxiety in people with dementia, says new Cochrane review

shutterstock_35854804

Depression and anxiety are both common conditions in patients with dementia and mild cognitive impairment (MCI), with some studies finding around 30% of patients show at least some depressive symptoms (Enache et al, 2011). Similarly, a study on vascular dementia found around 70% of participants had two or more symptoms of anxiety (Ballard et al, 2000). [read the full story...]

Service user perspectives on individual CBT for psychosis

shutterstock_140282743

I have been procrastinating about writing this blog for a while. This is, in part, caused by hesitancy about involving myself in the CBT for psychosis (CBTp) debate. Regular readers of the Mental Elf will be aware that in recent months Jauhar and colleagues presented results of a meta-analysis that called into question the effectiveness [read the full story...]

Is treatment for depression cost-effective in people with diabetes?

shutterstock_135457484

There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story...]

Be Mindful of the Gap: What we know about ‘third wave’ cognitive behavioural therapies compared to other psychological therapies

shutterstock_143317846

Breathe. Hold in your mind your view of what constitutes the most effective psychological therapy for acute depression. Try not to identify with your favourite therapy but simply observe it and let it be. Wish it well. And breathe again. This was not the approach of the Cochrane Depression, Anxiety and Neurosis Group when it [read the full story...]

“Everyone’s a winner, all must have prizes!” but which psychotherapy for depression wins, if any?

shutterstock_133966544

Previous meta-analyses in the field of depressive disorders have yielded mixed conclusions about which the most efficacious treatment is.  Within the process of any therapy, there are universal features such as; the therapeutic relationship, rationale for treatment, a patient and therapist belief in treatment, a confidential and respectful space for the patient and so on.  [read the full story...]