March | 2008 | Lancashire Care Library and Information Service

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CBT – Vocational Rehabillitation with the Severely Mentally Ill

Posted on March 31, 2008 by lancashirecarelibraryblog

Cognitive behavioural therapy in vocational rehabilitation with the severely mentally ill: Review, design and implementation , Journal of Mental Health, Volume 17, Issue 1 February 2008 , pages 105 – 117

Abstract: Many individuals with severe mental illness want to return to work. Vocational rehabilitation attempts practically to help those with severe mental illness achieve this aim. However, the uptake of services is low and job tenure is short lived.

Aims: This pilot study presents a cognitive behavioural treatment programme to help service users address their negative thinking that acts as a barrier to employment and reduces work duration.

Method: Participants from a supported employment service were seen for ten sessions of vocation focussed cognitive behavioural therapy. Measures were taken pre and post intervention. A case series design is presented.

Results: Two out of three participants completed treatment. Both benefited from the interventions, with one returning to employment.

Conclusions: The focus of the study is exploratory, rather than an indication of clinical effectiveness. As a result suggestions for service design have been made apparent and future research identified.

For the full-text of this article please email: susan.jennings@lancashirecare.nhs.uk

Filed under: CBT Cognitive Behaviour Therapy, depression, mental health, Therapy | Tagged: bipolar, cbt, cognitive behavioural, disorders, drugs, evidence, mental health, multicentre trial, Pharmacy, psychologists, Psychosis, Schizophrenia, ssri, success, therapists, Therapy | Comments Off

Eating Disorders – What do women with bulimic eating disorder think

Posted on March 31, 2008 by lancashirecarelibraryblog

Mental health literacy and eating disorders: What do women with bulimic eating disorders think and know about bulimia nervosa and its treatment? , (2007) Journal of Mental Health, 1 – 11

Abstract: Background and Aims: Attitudes and beliefs concerning the eating disorder bulimia nervosa (BN) were examined in a community sample of women (n¼158) with BN-type eating disorders.
Method: A vignette was presented describing a fictional person meeting diagnostic criteria for BN.
Participants gave their opinions on a range of issues concerning the nature and treatment of the
problem described.
Results: Most participants believed that BN would be difficult to treat and that relapse would be
likely, were initial treatment successful. Primary care practitioners, psychologists, counsellors and close friends were perceived as helpful in the treatment of BN by the vast majority of participants.
Lifestyle changes, including taking vitamins and minerals, were also highly regarded, whereas
participants were ambivalent about the benefits of psychiatrists and antipathetic towards the use of
prescription medication. Most participants believed that BN is common among women in the
community and many had occasionally or often thought that it ‘‘might not be too bad’’ to have such a
problem. Low self-esteem was considered the most likely cause of BN.
Conclusions: Beliefs and attitudes likely to be conducive to low or inappropriate treatment seeking
exist among women with BN-type eating disorders in the community. Poor ‘‘mental health literacy’’
therefore needs to be addressed in early intervention programs for these disorders. Health professionals need to be aware of patients’ belief systems and their potential effects on treatment-seeking and adherence to treatment.

For the full-text of this article please email: susan.jennings@lancashirecare.nhs.uk

Filed under: Eating Disorders | Tagged: anorexia, anorexia nervosa, beat, bulimia, bulimia nervosa, carers, Eating Disorders, families, mental health literacy eating disorders, NICE Guidelines, self help, sufferes | Comments Off

Document of the Week from NLH – The evidence base for palliative care at the end of life.

Posted on March 31, 2008 by lancashirecarelibraryblog

Evidence-based interventions to improve the palliative care of pain, dyspnea and depression at the end of life.

Click on the links below for full-text

The evidence base for palliative care at the end of life.

The first paper is a clinical practice guideline and the second paper is a systematic review, providing the evidence for improving the palliative care of pain at the end of life.

Citations:
Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians
A Qaseem, V Snow, P Shekelle, DE Casey Jr, JT Cross Jr, DK Owens
Annals of Internal Medicine, 2008, 148(2), pp141-146

Evidence for improving palliative care at the end of life: a systematic review
KA Lorenz, J Lynn, SM Dy, LR Shugarman, A Wilkinson, RA Mularski, SC Morton, RG Hughes, LK Hilton, M Maglione, SL Rhodes, C Rolon, VC Sun, PG Shekelle
Annals of Internal Medicine, 2008, 148(2), pp147-159

Filed under: alzheimers, dementia, Older People | Tagged: care, change, depression, depression at the end of life, dyspnea, elderly, end of life, evidence, healthy lifestyle, old people, palliative care, retiered, wellbeing | Comments Off

Dementia – Top 10 Most Read Articles from – Dementia

Posted on March 30, 2008 by lancashirecarelibraryblog

The Top 10 most read articles from the journal – Dementia

Some links below will take you straight through to full-text, for all others contact myself at the email address below.

How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver?: A case study, Dementia, 2006; 5: 503-532.

Quality of life in dementia in perspective: An explorative study of variations in opinions among people with dementia and their professional caregivers, and in literature, Dementia, Nov 01, 2006; 5: 533-558.

Wisdom, resilience and successful aging: Changing public discourses on living with dementia, Dementia, Feb 01, 2008; 7: 5-8.

A Person-Centred Approach to Counselling, Psychotherapy and Rehabilitation of People Diagnosed with Dementia in the Early Stages, Dementia, Jun 01, 2002; 1: 141-156.

Freedom of choice and decision-making in health and social care: Views of older patients with early-stage dementia and their carers, Dementia, Nov 01, 2006; 5: 479-502.

Telling Stories: Choices and Challenges on the Journey of Dementia, Dementia, Feb 01, 2004; 3: 9-17.

Ethical issues in social research involving people with dementia, Dementia, Nov 01, 2007; 6: 463-479.

Dementia care in England and the social model of disability: Lessons and issues, Dementia, Nov 01, 2005; 4: 571-586.

Auguste D: One hundred years on: ‘The person’not ‘the case’, Dementia, Nov 01, 2006; 5: 571-583.

The next 100 years of Alzheimer’s — learning to care, not cure, Dementia, Nov 01, 2007; 6: 459-462.

For the full-text of any of the above articles please email: susan.jennings@lancashirecare.nhs.uk

Filed under: alzheimers, dementia, mental health, Mental Health Nurses, Older People, OT - Occupational Therapy, Therapy | Tagged: alzheimers disease, alzheimers society, awareness, care homes, dementia, dementia care, elderly, guide to choosing a care home, old people, plaque, putting care right, relationship-centred care • respite care, standards of care, tony robinson | Comments Off

Dementia – Using the Senses Framework to achieve relationship-centred dementia care services

Posted on March 30, 2008 by lancashirecarelibraryblog

Using the Senses Framework to achieve relationship-centred dementia care services: A case example, Dementia, Vol. 7, No. 1, 71-93 (2008)

Abstact:

This article describes the development of a new service forpeople with dementia and their carers in a large post-industrialcity in the north of England, UK. The service arose in responseto the perceived inadequacies of existing respite care provisionand has proved very successful in meeting the needs of peoplewith dementia and their family carers, and in providing highlevels of job satisfaction for staff. The success of the initiativecan be understood using the Senses Framework and relationship-centredcare as an analytic lens to identify key attributes of the service.The article also discusses implications for the developmentof support services more generally.

For the full-text of this article please email: susan.jennings@lancashirecare.nhs.uk

Filed under: alzheimers, dementia, Older People | Tagged: alzheimers disease, alzheimers society, awareness, care homes, dementia, dementia care, elderly, guide to choosing a care home, old people, plaque, putting care right, relationship-centred care • respite care, standards of care, tony robinson | Comments Off

CBT & GCBT – The effectiveness of group cognitive behaviour therapy for unipolar depressive disorders

Posted on March 29, 2008 by lancashirecarelibraryblog

The effectiveness of group cognitive behaviour therapy for unipolar depressive disorders, Journal of Affective Disorders Volume 107, Issues 1-3 April 2008, Pages 5-21

Abstract: This paper evaluates the effectiveness of group cognitive behaviour therapy (GCBT) as an intervention for unipolar depressive disorders. PsychINFO and PubMed databases were selected to generate the 34 papers used for this review. Our results showed that effect sizes for GCBT over the control conditions range from small (0.1) to large (2.87) with the mean effect size of 1.10. The pre-post treatment effect sizes for GCBT range from 0.30 to 3.72 with a mean of 1.30. Convergent evidence was demonstrated across different outcome measures of GCBT. Our findings indicated that GCBT yielded outcomes better than no-treatment controls and was comparable with other treatments (including both bona fide and non-bona fide comparison treatments). It was concluded that GCBT was effective for the treatment of Unipolar depression and thus can be used with confidence. There is now an urgent need to develop and evaluate a coherent GCBT theory, in particular the roles of group processes in GCBT, before further major advancement in this area can be made. For the full-text of this article please email susan.jennings@lancashirecare.nhs.uk

Filed under: CBT Cognitive Behaviour Therapy, depression, Therapy | Tagged: cbt, Cognitive behavioral therapy; Depression; Group process, gcbt, Therapy | Comments Off

Mental Health Nurse – Partial agonists and suicide: the role of the mental health nurse

Posted on March 29, 2008 by lancashirecarelibraryblog

Partial agonists and suicide: the role of the mental health nurse, Journal of Psychiatric and Mental Health Nursing, Volume 15, Issue 3, Page 253-259, Apr 2008,

Abstract:

Key messages
• Partial agonist is a novel treatment approach for people with schizophrenia.
• Partial agonists may, theoretically, initially increase the risk of suicide for people with schizophrenia.
• Mental health nurses need to combine a sophisticated pharmacological knowledge of the differential mechanisms of action of atypical antipsychotic medication, in particular partial agonists.
• Mental health nurses need to complete careful risk assessment of these potential risks, in combination with core mental health nurse interventions, to reduce the potential risk of suicide, in addition to guiding the clinical decision making of the multidisciplinary team in the safe use of partial agonists.

For the full-text of this article please email: susan.jennings@lancashirecare.nhs.uk

Filed under: Mental Health Nurses, Schizophrenia, Self Harm, Self Harm Men, suicide, Therapy | Tagged: a&e, argonists, attempted, clincal staff, communication, cry for help, failed, family, guidance, pressures, Schizophrenia, Self Harm, self injury, self mutilation, study, suicide, suicide notes, survival | Comments Off

HighWire Press now available on the Journals Page of this Site

Posted on March 28, 2008 by lancashirecarelibraryblog

What is HighWire Press?

A division of the Stanford University Libraries, HighWire Press hosts the largest repository of high impact, peer-reviewed content, with 1126 journals and 4,715,731 full text articles from over 140 scholarly publishers. HighWire-hosted publishers have collectively made 1,863,537 articles free. With our partner publishers we produce 71 of the 200 most-frequently-cited journals.

Filed under: Journal Databases, literature searching | Tagged: articles, bulletin, collections, Current Awareness, highwire press, journal, literature searching, peer reviewed journal articles, psychiatric, rss | Comments Off

Self Harm & Suicide Statistics

Posted on March 28, 2008 by lancashirecarelibraryblog

Self Harm & Suicide Statistics from University of Oxford Centre for Suicide Research, UK, England

Suicide and attempted suicide (now usually termed ‘deliberate self harm’ or ‘self harm’ in the UK) are major problems in most countries in the world. There are more than 800,000 suicides per year worldwide. The number of episodes of deliberate self-harm is far greater. In the UK there are approximately 5000 suicides per year, and considerably more deaths from suicide than from road traffic accidents. The number of people presenting to hospitals following deliberate self harm episodes exceeds the number of suicides in most countries by at least 20 to one. In the UK there are an estimated 170,000 cases annually. This figure has increased substantially in recent years. Both suicide and deliberate self harm involve large numbers of young people, many in their teens. Prevention of suicidal behaviour is a major health care target for the UK Government, which in 2002 established a National Suicide Prevention Strategy for England. A separate prevention strategy has been established in Scotland. Suicide prevention is a high priority in an increasing number of other countries. The programme of work being conducted at the Centre for Suicide Research is aimed at increasing knowledge directly relevant to prevention of suicide and deliberate self harm.

Filed under: Self Harm, Self Harm Men, statistics, suicide | Tagged: awareness, families, friends, hawton, help, mental health, Occupational therapy, patient information, peer pressure, professionals, self injury, self mutilation, suicide, Suicide; Self-harm; Psychosocial assessment; Service pr, support, teenagers, therapists, Therapy | Comments Off

Hawton – Psychosocial assessment following self-harm: Results from the Multi-Centre Monitoring of Self-Harm Project

Posted on March 28, 2008 by lancashirecarelibraryblog

Psychosocial assessment following self-harm: Results from the Multi-Centre Monitoring of Self-Harm Project, Journal of Affective Disorders
Volume 106, Issue 3, March 2008, Pages 285-293

Navneet Kapur^a^,^,, Elizabeth Murphy^a, Jayne Cooper^a, Helen Bergen^b, Keith Hawton^b, Sue Simkin^b, Deborah Casey^b, Judith Horrocks^c, Rachael Lilley^c, Rachael Noble^c and David Owens^c
^aCentre for Suicide Prevention, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK
^bCentre for Suicide Research, University of Oxford, UK
^cAcademic Unit of Psychiatry and Behavioural Sciences, University of Leeds, UK
Received 26 March 2007; revised 10 July 2007; accepted 11 July 2007. Available online 29 August 2007

Abstract:

Background

Psychosocial assessment is central to the management of self-harm, but not all individuals receive an assessment following presentation to hospital. Research exploring the factors associated with assessment and non-assessment is sparse. It is unclear how assessment relates to subsequent outcome.

Methods

We identified episodes of self-harm presenting to six hospitals in the UK cities of Oxford, Leeds, and Manchester over an 18-month period (1st March 2000 to 31st August 2001). We used established monitoring systems to investigate: the proportion of episodes resulting in a specialist assessment in each hospital; the factors associated with assessment and non-assessment; the relationship between assessment and repetition of self-harm.

Results

A total of 7344 individuals presented with 10,498 episodes of self-harm during the study period. Overall, 60% of episodes resulted in a specialist psychosocial assessment. Factors associated with an increased likelihood of assessment included age over 55 years, current psychiatric treatment, admission to a medical ward, and ingestion of antidepressants. Factors associated with a decreased likelihood of assessment included unemployment, self-cutting, attending outside normal working hours, and self-discharge. We found no overall association between assessment and self-harm repetition, but there were differences between hospitals – assessments were protective in one hospital but associated with an increased risk of repetition in another.

Limitations

Some data may have been more likely to be recorded if episodes resulted in a specialist assessment. This was a non-experimental study and so the findings relating specialist assessment to repetition should be interpreted cautiously.

Conclusion

Many people who harm themselves, including potentially vulnerable individuals, do not receive an adequate assessment while at hospital. Staff should be aware of the organizational and clinical factors associated with non-assessment. Identifying the active components of psychosocial assessment may help to inform future interventions for self-harm.

For the full-text please email: susan.jennings@lancashirecare.nhs.uk

Filed under: Forensic Mental Healthcare, mental health, OT - Occupational Therapy, Self Harm, Self Harm Men, suicide | Tagged: awareness, families, friends, hawton, help, mental health, Occupational therapy, patient information, peer pressure, professionals, self injury, self mutilation, suicide, Suicide; Self-harm; Psychosocial assessment; Service pr, support, teenagers, therapists, Therapy | Comments Off

Occupational Therapists take the Initiative with CRHT in Manchester

Posted on March 27, 2008 by lancashirecarelibraryblog

Psychosocial interventions during crisis resolution, Lindsay Rigby, Richard Pattison, Carmel Pilkington, Fiona Winstanley. Mental Health Today, Mar 2008. pg. 29, 3 pgs

Abstract

The literature also highlights the problem of ‘ring fencing’ time for psychological interventions: all too often, professionals with this expertise are drawn into dealing with the crises and emergencies that so often occur in such teams.1,2 This article describes an initiative developed by an occupational therapist and two mental health nurses to provide evidence-based psychosocial interventions for service users and their carers referred to a crisis resolution/home treatment (CRHT) team in Central Manchester.

For the full-text of this article please email: susan.jennings@lancashireacare.nhs.uk

Filed under: crht, OT - Occupational Therapy, Therapy | Tagged: arts, crht, crisis resolution, evidence base, home visits, interventions, Occupational therapy, outcome measure, participation, pensioners, therapists, tools, validity, well elderly. | Comments Off

Self-injurious behaviors, diagnoses, and treatment methods: What mental health professionals are reporting

Posted on March 27, 2008 by lancashirecarelibraryblog

Self-injurious behaviors, diagnoses, and treatment methods: What mental health professionals are reporting

Journal of Mental Health Counseling, Oct2007, Vol. 29 Issue 4, p363-375

Abstract: Self-injurious behaviors are gaining increased attention in both the media and the professional literature. Despite increased interest, little is actually known about prevalence, diagnoses, and treatment considerations, specifically with outpatient mental health populations. This article presents the results from a national survey of American Mental Health Counselor Association (AMCHA) members regarding the rate at which they see clients who self-injure and their clinical opinions of related diagnoses. Finally, the treatment methods used by counselors with clients who self-injure are also reported.

For the full-text of this article please email: susan.jennings@lancashirecare.nhs.uk

Filed under: depression, mental health, Self Harm, Self Harm Men, suicide, Therapy | Tagged: accident and emergency, adolescents, adolescents views on self harm, bullying, dsh, hospital, ireland, mental illness, optional thinking ability, peer pressure, psychological stress, repeated self harm, school, Self Harm, self injury, self mutilation, study, suicide, teenagers, uk | Comments Off

February 2008 – Special Section on Suicide and Non-Suicidal Self-Injury

Posted on March 27, 2008 by lancashirecarelibraryblog

Journal of Consulting and Clinical Psychology. 2008 Feb Vol 76(1)

Introduction to the special section on suicide and nonsuicidal self-injury: A review of unique challenges and important directions for self-injury science.
By Prinstein, Mitchell J.

A comparison of linear versus non-linear models of aversive self-awareness, dissociation, and non-suicidal self-injury among young adults.
By Armey, Michael F.; Crowther, Janis H.

Parent-child interactions, peripheral serotonin, and self-inflicted injury in adolescents.
By Crowell, Sheila E.; Beauchaine, Theodore P.; McCauley, Elizabeth; Smith, Cindy J.; Vasilev, Christina A.; Stevens, Adrianne L.

Identifying clinically distinct subgroups of self-injurers among young adults: A latent class analysis.
By Klonsky, E. David; Olino, Thomas M.

Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers.
By Nock, Matthew K.; Mendes, Wendy Berry

Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury.
By Weierich, Mariann R.; Nock, Matthew K.

Emotional responses to self-injury imagery among adults with borderline personality disorder.
By Welch, Stacy Shaw; Linehan, Marsha M.; Sylvers, Patrick; Chittams, Jesse; Rizvi, Shireen L.

Nonsuicidal self-injury among “privileged” youths: Longitudinal and cross-sectional approaches to developmental process.
By Yates, Tuppett M.; Tracy, Allison J.; Luthar, Suniya S.

Nonsuicidal self-injury in young adolescent girls: Moderators of the distress-function relationship.
By Hilt, Lori M.; Cha, Christine B.; Nolen-Hoeksema, Susan

Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults.
By Van Orden, Kimberly A.; Witte, Tracy K.; Gordon, Kathryn H.; Bender, Theodore W.; Joiner Jr., Thomas E.

Sleep disturbance preceding completed suicide in adolescents.
By Goldstein, Tina R.; Bridge, Jeffrey A.; Brent, David A.

Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization.
By Prinstein, Mitchell J.; Nock, Matthew K.; Simon, Valerie; Aikins, Julie Wargo; Cheah, Charissa S. L.; Spirito, Anthony

Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff.
By Wyman, Peter A.; Brown, C. Hendricks; Inman, Jeff; Cross, Wendi; Schmeelk-Cone, Karen; Guo, Jing; Pena, Juan B.

Benchmarking the effectiveness of psychotherapy treatment for adult depression in a managed care environment: A preliminary study.
By Minami, Takuya; Wampold, Bruce E.; Serlin, Ronald C.; Hamilton, Eric G.; Brown, George S. (Jeb); Kircher, John C.

If you would like the full-text of any of these articles please email: susan.jennings@lancashirecare.nhs.uk

Filed under: depression, Finding the Evidence, Forensic Mental Healthcare, medium secure, mental health, OT - Occupational Therapy, Self Harm, Self Harm Men, suicide, Therapy | Tagged: accident and emergency, adolescents, adolescents views on self harm, bullying, dsh, hospital, ireland, mental illness, non-suicidal, optional thinking ability, peer pressure, psychological stress, repeated self harm, school, Self Harm, self injury, self mutilation, study, suicide, teenagers, uk | Comments Off

NLH – National Library for Health – NLH Search 2.0 is coming 6days to go ….

Posted on March 26, 2008 by lancashirecarelibraryblog

NLH – National Library for Health Resource Guide

Searching the National Library for HealthCurrently there are six elements (with a seventh in development) of the library that you can search:

Evidence based reviews – synthesising known evidence, these secondary sources e.g. the Cochrane Library should be used when you want a quality review of the best available evidence.
Guidance – if you are looking for international, national guidelines or care pathways, start here.
Specialist Libraries – offering rapid access to the latest quality evidence by patient group or type of service.
Books, Journals and Healthcare Databases (Bibliographic Databases) – use them when you need to search the literature (these will need an Athens password which you can get from the NHS here, providing you work for the service).
Images – quality medical images/photos/graphics.
For Patients – quality assured information for patients.
Drugs Resource – is under development… as soon as we can tell you about it, we will.

Searching the Resources

Easy Search

The search box appears at the top of the National Library for Health page. You can use the check boxes to select the types of resources you want to search.

you can construct your search using the following linking terms:

AND – to make sure the words used appear in the results – this will limit your search results.
OR – to create an either/or link to expand your search
NOT – to exclude a word from a search (this will limit your search).
EXACT PHRASE – by putting your search in “speech marks” you will search for the phrase as you type it. This technique also works with Google and other search engines and is a Fade top tip to find relevant material on the internet.

Advanced Search

The advanced search option allows you to select from the range of NLH resources for inclusion in your search. It also allows you to limit a search to materials from discrete date ranges and to particular elements of a record.

If you are logged into the library you can search accross the range of journals and e-resources available to you through your Athens password.

Just hit the search button when you’re ready to search.

Search results will be displayed by type in a results bar accross the top of the page.

The added advantage with logging in is you can of course save your search to return to at any point you log-in to NLH.

Saving Search Results

To save results requires you to be logged into Athens (which you can get from the NHS here, providing you work for the NHS). Check the check boxes of the items you want to save and then click the button. Alternatively just click on Save Search Result for individual items.

To retrieve items you’ve saved when you’ve logged in with your Athens password jsut click on the Saved Search Results link in the MY SEARCH section of the page.

This is also where you can find Saved Search Histories, Saved Search Criteria and your Search Profiles.

E-Mailing Search Results

You can e-mail individual search results by clicking on the More Details link. This will then bring up an e-mail form (shown below) which you can mail to yourself or a colleague you think will be interested in the item. It has space for you to add your own message.

Filed under: 1, National Library for Health | Tagged: cochrane, databases, evidence base, Journals, literature searching, National Library for Health, nlh, search 2.0 | Comments Off

Mindfulness-Based Cognitive Therapy: Evaluating Current Evidence and Informing Future Research

Posted on March 26, 2008 by lancashirecarelibraryblog

Mindfulness-Based Cognitive Therapy: Evaluating Current Evidence and Informing Future Research, Journal of Consulting & Clinical Psychology. 75(6):1000-1005, December 2007.

Abstract: Mindfulness-based cognitive therapy (MBCT) is a recently developed class-based program designed to prevent relapse or recurrence of major depression ( Z. V. Segal, J. M. G. Williams, & J. Teasdale, 2002). Although research in this area is in its infancy, MBCT is generally discussed as a promising therapy in terms of clinical effectiveness. The aim of this review was to outline the evidence that contributes to this current viewpoint and to evaluate the strengths and weaknesses of this evidence to inform future research. By systematically searching 6 electronic databases and the reference lists of retrieved articles, the authors identified 4 relevant studies: 2 randomized clinical trials, 1 study based on a subset of 1 of these trials, and 1 nonrandomized trial. The authors evaluated these trials and discussed methodological issues in the context of future research. The current evidence from the randomized trials suggests that, for patients with 3 or more previous depressive episodes, MBCT has an additive benefit to usual care. However, because of the nature of the control groups, these findings cannot be attributed to MBCT-specific effects. Further research is necessary to clarify whether MBCT does have any specific effects.

For the full-text of this article please email: susan.jennings@lancashirecare.nhs.uk

Filed under: CBT Cognitive Behaviour Therapy, mindfulness, Therapy | Tagged: cbt, children, chronic fatigue syndrome, depression, juniors, mbct, meditation, mindfullness, mindfullness based cognitive therapy, mindfulness, mindfulness-based cognitive therapy (MBCT), pilot study, stress reduction, Therapy, treatment studies | Comments Off

CBT & Psychosocial Therapeutic Strategies Effective in Patients with Schizophrenia

Posted on March 26, 2008 by lancashirecarelibraryblog

Adjunctive psychosocial therapies for the treatment of schizophrenia, Schizophrenia Research Volume 100, Issues 1-3, March 2008, Pages 108-119

Abstract: Antipsychotic pharmacotherapy is the standard of care for the treatment of schizophrenia. Although pharmacotherapy effectively improves some symptoms, others can remain. Pharmacotherapy alone also tends to produce only limited improvement in social functioning and quality of life. Supportive psychosocial therapies have been used as adjuncts to pharmacotherapy to help alleviate residual symptoms and to improve social functioning and quality of life. Additionally, therapies with psychoeducational components can focus on improving medication adherence and reducing relapse and rehospitalization. This review describes the major psychosocial therapeutic strategies that have been used effectively in patients with schizophrenia (cognitive-behavioral therapy, family intervention, social skills, and cognitive remediation), with emphasis on their utility in improving medication adherence. Therapies that integrate various psychosocial therapeutic approaches are also discussed. It is concluded that psychosocial therapy is an effective adjunct to pharmacotherapy for schizophrenia. However, these therapies vary significantly in the functional domains that they address. It is therefore important to identify the form of psychosocial intervention most likely to benefit the individual patient, and to recognize that the effectiveness of any psychosocial intervention could be influenced by such factors as the presence and severity of psychotic or affective symptoms or cognitive impairment. Full-text, please email susan.jennings@lancashirecare.nhs.uk

Filed under: CBT Cognitive Behaviour Therapy, Forensic Mental Healthcare, Schizophrenia, Therapy | Tagged: anxiety, behaviour, cbt, competences, depression, medication, problem solving, psychological, research, Schizophrenia, Schizophrenia; Psychosocial therapy; Psychopathology; A, therapists, Therapy | Comments Off

Mindfulness-based Cognitive Therapy (MBCT) in Bipolar Disorder

Posted on March 26, 2008 by lancashirecarelibraryblog

Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: Preliminary evaluation of immediate effects on between-episode functioning, Journal of Affective Disorders , Volume 107, Issues 1-3, April 2008, Pages 275-279

Abstract: