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https://www.readbyqxmd.com/read/29160597/effects-of-a-psychosocial-intervention-programme-combined-with-exercise-in-community-dwelling-older-adults-with-chronic-pain-a-randomized-controlled-trial
#1
T Hirase, H Kataoka, J Nakano, S Inokuchi, J Sakamoto, M Okita
BACKGROUND: Although researchers have recommended exercise training and psychosocial intervention to manage chronic pain, an effective intervention for Japanese community-dwelling older adults with chronic pain has not been established. This randomized controlled trial examined whether exercise training combined with psychosocial intervention more effectively improves pain, psychological status and physical activity than does exercise training alone in this population. METHODS: We randomized 128 older adults with chronic pain to either an intervention group (n = 64) involving exercise training combined with psychosocial intervention, or a control group (n = 64) involving only exercise training...
November 21, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29157025/non-pharmacological-rehabilitation-interventions-for-concussion-in-children-a-scoping-review
#2
Danielle M Dobney, Matthew B Miller, Emily Tufts
PURPOSE: To summarise the extent, nature, and quality of current scholarly literature related to non-pharmacological, rehabilitation interventions following concussion, or mild traumatic brain injury in children. METHODS: An electronic search was conducted from 1987 to 24 October 2017. Studies were included if they met the following criteria: (1) full text, peer reviewed, and written in English, (2) original research, (3) diagnosed concussion or mild traumatic brain injury, (4) described the evaluation of an intervention, (5) the outcome was a concussion impairment, and (6) the mean/median age was under 19...
November 20, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29151815/how-should-we-evaluate-research-on-counselling-and-the-treatment-of-depression-a-case-study-on-how-the-national-institute-for-health-and-care-excellence-s-draft-2018-guideline-for-depression-considered-what-counts-as-best-evidence
#3
Michael Barkham, Naomi P Moller, Joanne Pybis
Background: Health guidelines are developed to improve patient care by ensuring the most recent and 'best available evidence' is used to guide treatment recommendations. The National Institute for Health and Care Excellence's (NICE's ) guideline development methodology acknowledges that evidence needed to answer one question (treatment efficacy) may be different from evidence needed to answer another (cost-effectiveness, treatment acceptability to patients). This review uses counselling in the treatment of depression as a case study, and interrogates the constructs of 'best' evidence and 'best' guideline methodologies...
December 2017: Couns Psychother Res
https://www.readbyqxmd.com/read/29151273/post-treatment-with-methylene-blue-is-effective-against-delayed-encephalopathy-after-acute-carbon-monoxide-poisoning
#4
Ningjun Zhao, Pengchong Liang, Xiaoying Zhuo, Chenglei Su, Xuemei Zong, Bingnan Guo, Han Dong, Xianliang Yan, Shuqun Hu, Quanguang Zhang, Xu Tie
Delayed encephalopathy after acute carbon monoxide (CO) poisoning (DEACMP) is the most severe and clinically intractable complication that occurs following acute carbon monoxide poisoning. Unfortunately, the mechanism of DEACMP is still vague. Growing evidence indicates that delayed cerebral damage following CO poisoning is related to oxidative stress, abnormal neuro-inflammation, apoptosis and immune-mediated injury. Our recent report indicated that methylene blue (MB) may be a promising therapeutic agent in the prevention of neuronal cell death and cognitive deficits following transient global cerebral ischaemia (GCI)...
November 19, 2017: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/29146648/economic-evaluation-of-an-e-mental-health-intervention-for-patients-with-retinal-exudative-diseases-who-receive-intraocular-anti-vegf-injections-e-pseye-protocol-for-a-randomised-controlled-trial
#5
Hilde P A van der Aa, Ger H M B van Rens, Frank D Verbraak, Machteld Bosscha, Marc A Koopmanschap, Hannie C Comijs, Pim Cuijpers, Ruth M A van Nispen
INTRODUCTION: Because of the great potential of vascular endothelial growth factor inhibitors (anti-VEGF) for retinal exudative diseases, an increased number of patients receives this treatment. However, during this treatment, patients are subjected to frequent invasive intravitreal injections, and the effects on reversing the process of vision loss are uncertain, which may have negative consequences for patients' mental health. One in three patients experience at least mild symptoms of depression/anxiety...
November 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/29132964/premenstrual-dysphoric-disorder-contemporary-diagnosis-and-management
#6
REVIEW
Robert L Reid, Claudio N Soares
Most ovulatory women experience premenstrual symptoms (premenstrual syndrome, molimina) which indicate impending menstruation and are of little clinical relevance because they do not affect quality of life. A few women, however, experience significant physical and/or psychological symptoms before menstruation that, if left untreated, would result in deterioration in functioning and relationships. The precise etiology remains elusive, although new theories are gaining support in pre-clinical and early clinical trials...
November 10, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29130468/-efficacy-of-group-reminiscence-therapy-for-people-with-dementia-systematic-literature-review-and-meta-analysis
#7
E Irazoki, J A Garcia-Casal, J Sanchez-Meca, M Franco-Martin
INTRODUCTION: Reminiscence therapy is one of the most effective psychosocial interventions for people with dementia. AIMS: To analyse the effectiveness of group reminiscence therapy in people with dementia and to check their involvement in the design and evaluation of the interventions. PATIENTS AND METHODS: CINHAL, PubMed, Psicodoc and PsycINFO databases were searched for the period of 2004 to 2016. A systematic search was performed, as well as a quality assessment and a meta-analysis of the articles...
November 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/29120840/responsibility-beliefs-and-persecutory-delusions
#8
Katherine Pugh, Olga Luzon, Lyn Ellett
Recent research implicates cognitive processes traditionally linked to anxiety disorders in the maintenance of paranoia. Responsibility beliefs have traditionally been associated with OCD, and recent research suggests they may be transdiagnostic. The present study reports the first data on responsibility beliefs in individuals with persecutory delusions. 30 people with persecutory delusions completed measures of psychotic symptoms and responsibility beliefs. Participants were also asked to identify who they held responsible for their persecution...
November 2, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29119827/a-two-week-inpatient-programme-with-a-booster-improved-long-term-management-of-severe-chronic-paediatric-pain
#9
János Major, Zsófia K Varga, Andrea Gyimesi-Szikszai, Szilvia Ádám
In the context of limited healthcare resources and increasing demands for more cost-effective healthcare solutions, this study assessed the short- and long-term clinical outcomes and resource utilization of a two-week inpatient, interdisciplinary, pain treatment (IIPT) including individual and group cognitive behavioural, occupational, physical and recreational therapy, education and family intervention and a booster in the chronic paediatric pain setting. Using a longitudinal design with a two-year follow-up, two-week IIPT resulted in sustainable improvements in mean and maximum pain intensity, physical functioning and internalization and reductions in the mean number of medical visits, school absence and frequency of pain medication at year 2 following IIPT...
June 2017: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29110681/treatment-of-sleep-disturbances-in-trauma-affected-refugees-study-protocol-for-a-randomised-controlled-trial
#10
Hinuga Sandahl, Poul Jennum, Lone Baandrup, Ida Sophie Poschmann, Jessica Carlsson
BACKGROUND: Sleep disturbances are often referred to as a hallmark and as core symptoms of post-traumatic stress disorder (PTSD). Untreated sleep disturbances can contribute to the maintenance and exacerbation of PTSD symptoms, which may diminish treatment response and constitute a risk factor for poor treatment outcome. Controlled trials on treatment of sleep disturbances in refugees suffering from PTSD are scarce. The present study aims to examine sleep-enhancing treatment in refugees with PTSD...
November 6, 2017: Trials
https://www.readbyqxmd.com/read/29108526/stabilising-sleep-for-patients-admitted-at-acute-crisis-to-a-psychiatric-hospital-owls-an-assessor-blind-pilot-randomised-controlled-trial
#11
Bryony Sheaves, Daniel Freeman, Louise Isham, Josephine McInerney, Alecia Nickless, Ly-Mee Yu, Stephanie Rek, Jonathan Bradley, Sarah Reeve, Caroline Attard, Colin A Espie, Russell Foster, Anna Wirz-Justice, Eleanor Chadwick, Alvaro Barrera
BACKGROUND: When patients are admitted onto psychiatric wards, sleep problems are highly prevalent. We carried out the first trial testing a psychological sleep treatment at acute admission (Oxford Ward sLeep Solution, OWLS). METHODS: This assessor-blind parallel-group pilot trial randomised patients to receive sleep treatment at acute crisis [STAC, plus standard care (SC)], or SC alone (1 : 1). STAC included cognitive-behavioural therapy (CBT) for insomnia, sleep monitoring and light/dark exposure for circadian entrainment, delivered over 2 weeks...
November 7, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/29107155/the-bbi-at-the-bbi-a-culture-change
#12
Ian Galea, V Hugh Perry
The blood-brain interface (BBI) is the subject of a new named series at Brain, Behavior, and Immunity. It is timely to reflect on a number of advances in the field within the last ten years, which may lead to an increased understanding of human behavior and a wide range of psychiatric and neurological conditions. We cover discoveries made in solute and cell trafficking, endothelial cell and pericyte biology, extracellular matrix and emerging tools, especially those which will enable study of the human BBI. We now recognize the central role of the BBI in a number of immunopsychiatric syndromes, including sickness behaviour, delirium, septic encephalopathy, cognitive side effects of cytokine-based therapies and the frank psychosis observed in neuronal surface antibody syndromes...
October 26, 2017: Brain, Behavior, and Immunity
https://www.readbyqxmd.com/read/29095725/audiologist-guided-internet-based-cognitive-behavior-therapy-for-adults-with-tinnitus-in-the-united-kingdom-a-randomized-controlled-trial
#13
Eldré W Beukes, David M Baguley, Peter M Allen, Vinaya Manchaiah, Gerhard Andersson
OBJECTIVES: Specialist tinnitus services are in high demand as a result of the negative effect tinnitus may have on quality of life. Additional clinically and cost-effective tinnitus management routes are needed. One potential route is providing Cognitive Behavioural Therapy for tinnitus via the Internet (iCBT). This study aimed to determine the efficacy of guided iCBT, using audiological support, on tinnitus distress and tinnitus-related comorbidities, in the United Kingdom. A further aim was to establish the stability of intervention effects 2-months postintervention...
November 1, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/29095133/stepped-care-in-primary-care-guided-self-help-and-face-to-face-cognitive-behavioural-therapy-for-common-mental-disorders-a-randomized-controlled-trial
#14
Sigrid Salomonsson, Fredrik Santoft, Elin Lindsäter, Kersti Ejeby, Brjánn Ljótsson, Lars-Göran Öst, Martin Ingvar, Mats Lekander, Erik Hedman-Lagerlöf
BACKGROUND: Common mental disorders (CMD) cause large suffering and high societal costs. Cognitive behavioural therapy (CBT) can effectively treat CMD, but access to treatment is insufficient. Guided self-help (GSH) CBT, has shown effects comparable with face-to-face CBT. However, not all patients respond to GSH, and stepping up non-responders to face-to-face CBT, could yield larger response rates. The aim was to test a stepped care model for CMD in primary care by first evaluating the effects of GSH-CBT and secondly, for non-responders, evaluating the additional effect of face-to-face CBT...
November 2, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/29094663/cognitive-behavioural-therapy-competency-pilot-data-from-a-comparison-of-multiple-perspectives
#15
David C Rozek, Jamie L Serrano, Brigid R Marriott, Kelli S Scott, L Brian Hickman, Brittany M Brothers, Cara C Lewis, Anne D Simons
BACKGROUND: Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency. AIMS: This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). METHOD: Patients (n = 12, 75% female, mean age 30...
November 2, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29094622/long-term-effects-of-internet-supported-cognitive-behaviour-therapy
#16
Gerhard Andersson, Alexander Rozental, Roz Shafran, Per Carlbring
Internet-supported and therapist-guided cognitive behaviour therapy (ICBT) is effective for a range of problems in the short run, but less is known about the long-term effects with follow-ups of two years or longer. Areas covered: This paper reviews studies in which the long-term effects of guided ICBT were investigated. Following literature searches in PubMed and other sources meta-analytic statistics were calculated for 14 studies involving a total of 902 participants, and an average follow-up period of three years...
November 2, 2017: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/29089145/the-empirical-status-of-the-third-wave-behaviour-therapies-for-the-treatment-of-eating-disorders-a-systematic-review
#17
REVIEW
Jake Linardon, Christopher G Fairburn, Ellen E Fitzsimmons-Craft, Denise E Wilfley, Leah Brennan
Although third-wave behaviour therapies are being increasingly used for the treatment of eating disorders, their efficacy is largely unknown. This systematic review and meta-analysis aimed to examine the empirical status of these therapies. Twenty-seven studies met full inclusion criteria. Only 13 randomized controlled trials (RCT) were identified, most on binge eating disorder (BED). Pooled within- (pre-post change) and between-groups effect sizes were calculated for the meta-analysis. Large pre-post symptom improvements were observed for all third-wave treatments, including dialectical behaviour therapy (DBT), schema therapy (ST), acceptance and commitment therapy (ACT), mindfulness-based interventions (MBI), and compassion-focused therapy (CFT)...
December 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29081328/experiences-of-improving-access-to-psychological-therapy-services-for-perinatal-mental-health-difficulties-a-qualitative-study-of-women-s-and-therapists-views
#18
Lottie Millett, Billie Lever Taylor, Louise M Howard, Debra Bick, Nicky Stanley, Sonia Johnson
BACKGROUND: Perinatal mental health difficulties are highly prevalent. In England, the Improving Access to Psychological Therapy (IAPT) programme provides evidence-based psychological treatment, predominantly in the form of brief manualized cognitive behavioural therapy (CBT), to people with mild to moderate depression or anxiety. Yet little is known about the experiences of women referred to IAPT with perinatal mental health difficulties. AIMS: The aim of this qualitative study was to investigate how women view IAPT support for perinatal mental health...
October 30, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29076441/-systematic-review-of-the-side-effects-of-benzodiazepines
#19
A Seldenrijk, R Vis, M Henstra, K Ho Pian, D van Grootheest, T Salomons, F Overmeire, M de Boer, T Scheers, R Doornebal-Bakker, E Ruhé, C Vinkers
- Benzodiazepines are used frequently, despite the risk of severe side effects.- The Generic module 'Side effects; prevention, monitoring and treatment of side effects of drugs for psychiatric disorders' will be published soon. This contains recommendations for reduction in the risk for falls and fractures, cognitive problems and dependency related to the use of benzodiazepines or Z-drugs (zopiclone, zolpidem).- Prescribing physicians and pharmacists are compulsorily required to provide extensive information to patients on the anticipated effects and side effects of benzodiazepines, and on the limited prescription period...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29075495/an-exploratory-study-of-creativity-and-eating-disorders
#20
Bruce D Burns, Yichelle Zhang, Mareike Wieth, Stephen Touyz
BACKGROUND: We examined whether cognitive rigidity associated with having an eating disorder generalized to creativity. METHOD: One hundred twelve participants from the participant pool of an Australian university were given a measure of disordered eating (EDE-Q), asked if they had ever had a diagnosis of an eating disorder (16 reported yes), and given 3 min to generate alternative uses for a paper-clip. The alternative uses task yielded measures of creative fluency, originality, elaboration and flexibility...
2017: Journal of Eating Disorders
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