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Mentalization based therapy

Flavio Rose Epstein, Chi-Mei Liu, Janet Marie Stevenson
BACKGROUND: Depression and anxiety are common after heart transplant, and in a regional heart transplant center servicing northern California, willingness to participate in treatment can be a major barrier. INTRODUCTION: Our primary aim is to design a remote cognitive-behavioral therapy (CBT) intervention. This study is the first step in the process. Through a survey to the cohort of heart transplant recipients (N = 230), managed within the Kaiser Permanente Northern California's Heart Transplant Service, we aimed to assess symptoms of stress, depression, and anxiety, patient willingness to participate in a CBT intervention, and preference between video and telephone...
August 10, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Šemsa Šabanović, Selvira Draganović
INTRODUCTION: Mental health services after the war 1992-1995 in Bosnia and Herzegovina (B-H) are primarily reduced to the public care, though, there are not enough professionals in existing conditions, and they are not able to respond to cover all the cases. This leaves the room to non governmental organizations (NGO) and private mental health care professionals in providing psycho-social services to vulnerable populations. Islamic Relief World Wide (IRWW), United Kingdom (UK) based humanitarian organisation, whose personal working within Orphans department, took part in this mission to contribute B-H citizens wellbeing...
July 2018: Psychiatria Danubina
Walid Abdul-Hamid, Jamie Hacker Hughes, Sian Morgan
BACKGROUND: Trauma Aid UK (previously HAP UK &Ireland) conducted three EMDR trainings in Turkey: the first was in Istanbul on 28th November 2013. AIM: The purpose of this study is to assess the needs of the Syrian Refugees for trauma services training and provision as assesses by mental health professionals who work with them. SUBJECTS AND METHODS: Amongst the 62 participants of two Istanbul EMDR trainings organised by HAP, 53% were Syrian...
July 2018: Psychiatria Danubina
Amar Shah, Auzewell Chitewe, Emma Binley, Forid Alom, James Innes
Early intervention following initial referral into healthcare services can have a significant impact on the prognosis and outcomes of patients. Long waiting times and non-attendance can have an immediate and enduring negative impact on patients and healthcare service providers. The traditional management options in reducing waiting times have largely revolved around setting performance targets, providing financial incentives or additional resourcing. This large-scale quality improvement project aimed to reduce waiting times from referral to first appointment and non-attendance for a wide range of services providing primary and secondary care mental health and community health services at East London NHS Foundation Trust (ELFT)...
2018: BMJ Open Quality
Cristy Phillips, Atoossa Fahimi
Physical activity-a lifestyle factor that is associated with immune function, neuroprotection, and energy metabolism-modulates the cellular and molecular processes in the brain that are vital for emotional and cognitive health, collective mechanisms that can go awry in depression. Physical activity optimizes the stress response, neurotransmitter level and function (e.g., serotonergic, noradrenergic, dopaminergic, and glutamatergic), myokine production (e.g., interleukin-6), transcription factor levels and correlates [e...
2018: Frontiers in Neuroscience
Jessica Louise Roberts, Aaron W Pritchard, Michelle Williams, Nikki Totton, Val Morrison, Nafees Ud Din, Nefyn H Williams
OBJECTIVES: To describe the implementation of an enhanced rehabilitation programme for elderly hip fracture patients with mental capacity, in a randomised feasibility study compared with usual rehabilitation. To compare processes between the two and to collect the views of patients, carers and therapy staff about trial participation. DESIGN: Mixed methods process evaluation in a randomised feasibility study. SETTING: Patient participants were recruited on orthopaedic and rehabilitation wards; the intervention was delivered in the community following hospital discharge...
August 8, 2018: BMJ Open
Abhishek Pratap, Brenna N Renn, Joshua Volponi, Sean D Mooney, Adam Gazzaley, Patricia A Arean, Joaquin A Anguera
BACKGROUND: Most people with mental health disorders fail to receive timely access to adequate care. US Hispanic/Latino individuals are particularly underrepresented in mental health care and are historically a very difficult population to recruit into clinical trials; however, they have increasing access to mobile technology, with over 75% owning a smartphone. This technology has the potential to overcome known barriers to accessing and utilizing traditional assessment and treatment approaches...
August 9, 2018: Journal of Medical Internet Research
Matthijs Oud, Arnoud Arntz, Marleen Lm Hermens, Rogier Verhoef, Tim Kendall
OBJECTIVE: Borderline personality disorder affects up to 2% of the population and is associated with poor functioning, low quality of life and increased mortality. Psychotherapy is the treatment of choice, but it is unclear whether specialized psychotherapies (dialectical behavior therapy, mentalization-based treatment, transference-focused therapy and schema therapy) are more effective than non-specialized approaches (e.g. protocolized psychological treatment, general psychiatric management)...
August 9, 2018: Australian and New Zealand Journal of Psychiatry
Diyang Lyu, Xuanxin Lyu, Yong Zhang, Yi Ren, Fan Yang, Li Zhou, Yihuai Zou, Zongheng Li
Background: Stroke is a major cause of poor health and has numerous complications. Tai Chi (TC) may have positive effects on the rehabilitation of stroke survivors, but recent clinical findings have not been included in previously published reviews. Objectives: We conducted this systematic review and meta-analysis to determine the effectiveness of all types of TC vs. conventional rehabilitation therapy for all aspects of stroke survivors' rehabilitation that have been studied. Method: We searched seven electronic literature databases (three in English, four in Chinese) and one clinical registry platform using established strategies to identify randomized controlled trials performed up to October 2017...
2018: Frontiers in Physiology
Mira B Cladder-Micus, Anne E M Speckens, Janna N Vrijsen, A Rogier T Donders, Eni S Becker, Jan Spijker
BACKGROUND: Chronic and treatment-resistant depressions pose serious problems in mental health care. Mindfulness-based cognitive therapy (MBCT) is an effective treatment for remitted and currently depressed patients. It is, however, unknown whether MBCT is effective for chronic, treatment-resistant depressed patients. METHOD: A pragmatic, multicenter, randomized-controlled trial was conducted comparing treatment-as-usual (TAU) with MBCT + TAU in 106 chronically depressed outpatients who previously received pharmacotherapy (≥4 weeks) and psychological treatment (≥10 sessions)...
August 8, 2018: Depression and Anxiety
Marit Kool, Henricus L Van, Anna Bartak, Saskia C M de Maat, Arnoud Arntz, Johanna W van den Eshof, Jaap Peen, Matthijs Blankers, Judith E Bosmans, Jack J M Dekker
BACKGROUND: Patients with comorbid depression and personality disorders suffer from a heavy disease burden while tailored treatment options are limited, accounting for a high psychological and economic burden. Little is known about the effect of treatment dosage and type of psychotherapy for this specific co-morbid patient population, in terms of treatment-effect and cost-effectiveness. This study aims to compare treatment outcome of 25 versus 50 individual therapy sessions in a year...
August 7, 2018: BMC Psychiatry
Yuting Duan, Liming Lu, Juexuan Chen, Chunxiao Wu, Jielin Liang, Yan Zheng, Jinjian Wu, Peijing Rong, Chunzhi Tang
BACKGROUND: Alzheimer disease (AD) is the most common type of dementia with cognitive decline as one of the core symptoms in older adults. Numerous studies have suggested the value of psychosocial interventions to improve cognition in this population, but which one should be preferred are still matters of controversy. Consequently, we aim to compare and rank different psychosocial interventions in the management of mild to moderate AD with cognitive symptoms. METHODS: We did a network meta-analysis to identify both direct and indirect evidence in relevant studies...
August 7, 2018: BMC Geriatrics
Carol A Mathews, Robert Scott Mackin, Chia-Ying Chou, Soo Y Uhm, Larry David Bain, Sandra J Stark, Michael Gause, Ofilio R Vigil, John Franklin, Mark Salazar, Julian Plumadore, Lauren C Smith, Kiya Komaiko, Gillian Howell, Eduardo Vega, Joanne Chan, Monika B Eckfield, Janice Y Tsoh, Kevin Delucchi
Background: Treatment for hoarding disorder is typically performed by mental health professionals, potentially limiting access to care in underserved areas. Aims: We aimed to conduct a non-inferiority trial of group peer-facilitated therapy (G-PFT) and group psychologist-led cognitive-behavioural therapy (G-CBT). Method: We randomised 323 adults with hording disorder 15 weeks of G-PFT or 16 weeks of G-CBT and assessed at baseline, post-treatment and longitudinally (≥3 months post-treatment: mean 14...
July 2018: BJPsych Open
Janine Ehrbar, Serge Brand, Flora Colledge, Lars Donath, Stephan T Egger, Martin Hatzinger, Edith Holsboer-Trachsler, Christian Imboden, Nina Schweinfurth, Stefan Vetter, Markus Gerber
Background: People with mental disorders engage in sedentary behaviors more often than their healthy counterparts. In Switzerland, nearly all psychiatric hospitals offer structured exercise and sport therapy as part of their standard therapeutic treatment. However, little is known about the degree to which psychiatric patients make use of these treatment offers. The aim of this study is to examine, in a sample of psychiatric in-patients (a) how many participate in the structured exercise and sport therapy programs offered by the clinic, (b) how many engage in exercise and sport activities on an individual basis, and (c) how many meet recommended levels of health-enhancing physical activity during their stay at the clinic...
2018: Frontiers in Psychiatry
Kensuke Takada, Yoshinori Maki, Masanori Kinosada, Ryota Ishibashi, Masaki Chin, Sen Yamagata
Metronidazole induced encephalopathy (MIE), an encephalopathy brought by an antibiotic, is characterized with cerebellar dysfunction, altered mental status and extrapyramidal symptoms. MIE can result in an acute manifestation, but MIE has not been reported as a stroke mimic. An 86-year-old patient undergoing metronidazole therapy for Clostridium difficile enteritis presented to our hospital with sudden disoriented status and motor weakness of the left extremities. Computed tomography (CT) was unrevealing of intracranial hemorrhagic change, and CT angiography did not show any apparent major occlusion or stenosis of the intracranial vessels...
August 3, 2018: Neurologia Medico-chirurgica
Patricia A M Kracht, Faydra I Lieveld, Linde M Amelung, Carina J R Verstraete, Eveline P Mauser-Bunschoten, Joep de Bruijne, Peter D Siersema, Andy I M Hoepelman, Joop E Arends, Karel J van Erpecum
INTRODUCTION: Pegylated interferon-based therapy for hepatitis C virus (HCV) negatively impacts nutritional state and patient-reported outcomes (PROs) such as health-related quality of life (HRQL). Clinical trials with direct-acting antivirals (DAAs) report significant PRO improvement but real-world data are still scarce. METHODS: Prospective cohort study recruiting HCV patients treated with DAAs in 2015-2016. Data at baseline, end of treatment (EOT) and 12 weeks thereafter (FU12 ) included: patient-reported medication adherence; SF-36; Karnofsky Performance Status; paid labour productivity; physical exercise level; nutritional state [by body mass index (BMI) and Jamar hand grip strength (HGS)] and Beliefs about Medicines Questionnaire...
August 3, 2018: Infectious Diseases and Therapy
Wiebke Birnbaum, Louise Marshall, Ralf Werner, Alexandra Kulle, Paul-Martin Holterhus, Katharina Rall, Birgit Köhler, Annette Richter-Unruh, Michaela F Hartmann, Stefan A Wudy, Matthias K Auer, Anke Lux, Siegfried Kropf, Olaf Hiort
BACKGROUND: Women with complete androgen insensitivity syndrome (CAIS) after gonadectomy have complained about reduced psychological wellbeing and sexual satisfaction. The aim of this study was to compare the effectiveness of hormone-replacement therapy with either androgen or oestrogen in women with 46,XY karyotype and CAIS after gonadectomy. METHODS: This national, multicentre, double-blind, randomised crossover trial was performed at three university medical centres and three specialised treatment institutions in Germany...
July 31, 2018: Lancet Diabetes & Endocrinology
Nicholas J Hulbert-Williams, Lisa Beatty, Haryana M Dhillon
PURPOSE OF REVIEW: Psychological distress and mental health comorbidity are common in cancer. Various therapeutic frameworks have been used for interventions to improve psychological wellbeing and quality of life in cancer patients with mixed results. This article reviews contributions to that literature published since January 2017. RECENT FINDINGS: The majority of new psychological intervention research in cancer has used cognitive behavioural therapy (CBT) or mindfulness-based interventions...
September 2018: Current Opinion in Supportive and Palliative Care
Shinichiro Suganuma, Daisuke Sakamoto, Haruhiko Shimoyama
BACKGROUND: Recent years have seen an increase in the use of internet-based cognitive behavioral therapy in the area of mental health. Although lower effectiveness and higher dropout rates of unguided than those of guided internet-based cognitive behavioral therapy remain critical issues, not incurring ongoing human clinical resources makes it highly advantageous. OBJECTIVE: Current research in psychotherapy, which acknowledges the importance of therapeutic alliance, aims to evaluate the feasibility and acceptability, in terms of mental health, of an application that is embodied with a conversational agent...
July 31, 2018: JMIR Mental Health
Keiko Hirokawa, Shizue Suzuki
Aims: To develop an adjustment ability scale for outpatients with cancer and to investigate its reliability and validity. Design: Quantitative study. Methods: A proposed adjustment ability scale was prepared based on scale development guidelines. Its reliability and validity were statistically analysed using data obtained from 369 patients. Results: Six factors were extracted from the factor analysis. Cronbach's α coefficient was 0...
July 2018: Nursing Open
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