The evidence for the effect of therapeutic alliance in group cognitive behaviour therapy (CBT) for anxiety disorders is unclear. Identifying whether the alliance–outcome relationship depends on (1) which components are assessed, (2) who is measuring the alliance and (3) when the alliance is measured will help to clarify the role of the client–therapist relationship in therapy. The present study explored the effects of alliance component (agreement vs. bond), rater perspective (client vs. therapist) and timing (early vs. late therapy) on the alliance–outcome relationship.. To read the full article, log in using your MPFT NHS OpenAthens details.
There are increased prescribing rates of antidepressants associated with an increase in the diagnosis of depression. However, antidepressants are not effective for many people. There is a gap in the existing literature for a synthesis of the experiences of those with lived experience of antidepressant use to better understand their use and impact given their ubiquitous use in mental health, primary care and other secondary and tertiary care settings. Mental health nurses play direct or indirect roles in both advocating for antidepressant use and monitoring adherence.
Most studies on the health impact of occupational stress use single-point measures of stress at work. This study analyses the associations of properties of entire employment trajectories over an extended time period with a composite score of allostatic load (AL). To read the full article, log in using your NHS OpenAthens details.
This descriptive study aimed to present the characteristics and needs of refugee women who attended a psychosocial walk-in clinic addressing pregnant refugees’ and new mothers’ maternity mental healthcare needs in a state registration and reception centre in Germany. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Seasonal affective disorder (SAD) is common and debilitating. The standard of care includes light therapy provided by a light box; however, this treatment is restrictive and only moderately effective. Advances in LED technology enable lighting solutions that emit vastly more light than traditional light boxes. Here, we assess the feasibility of BROAD (Bright, whole-ROom, All-Day) light therapy and get a first estimate for its potential effectiveness.
This meta-analysis showed that school-based depression and anxiety prevention programmes have small but positive effects. However, these effects dissipate in the long term, at 12 months follow-up. Additionally, targeted programmes seem to be more efficient compared to universal ones, and programmes delivered by external professionals show better outcomes compared to programmes delivered by school staff.
Recognising that physical activity-based interventions are potentially effective in reducing anxiety symptoms in children and young people, especially for those suffering from mental health conditions, has important implications for children and their families or carers, and may inform and guide clinicians in their practice, as well as policy-makers, mental health services and advisory bodies.
Working memory (WM) deficits are recognized as serious cognitive impairment in patients with major depressive disorder (MDD). This review aims to clarify the effects of impaired WM function in patients with MDD and explore non-invasive and effective treatments that can be adopted in clinical practice. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Generalized anxiety disorder (GAD) is associated with the lowest treatment response rate among all anxiety disorders. Understanding mechanisms of improvement may help to develop more effective and personalized treatments. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Magnetic seizure therapy for treatment-resistant depression: a Cochrane Review - Volume 29 Issue 2 To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Generalized anxiety disorder (GAD) is characterized by persistent worry and anxiety, often with a chronic course. We tested the role of two suggested underlying factors in GAD, interpersonal problems and negative metacognitive beliefs, as predictors of trait-worry and trait-anxiety. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Meta-analytic research shows early response to psychotherapy to predict depression and anxiety outcomes at posttreatment. However, little is known about which variables explain differences in early response. Moreover, for patients with generalized anxiety disorder (GAD), there is limited research on whether early response predict longer-term changes in symptoms. In this study, we used anxiety and controllability beliefs assessed in daily life at intake to predict early response to treatment (until session 5), and we further examined if early response predicts longer-term changes in symptoms (until posttreatment, when adjusting for intake symptom severity) in patients with GAD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This review highlights the potential for community interventions to reach marginalised groups that may not access health services. Despite the lack of robust evidence, the included trials did show promising effects of community interventions on anxiety and depression
Depression is a leading cause of disability worldwide that negatively impacts quality of life. Talk therapy such as cognitive behavioural therapy is an effective treatment for depression. The Internet is an important tool for mental healthcare delivery. Internet-delivered or online talk therapy interventions are associated with lower costs and improved accessibility.
Current reviews do not address the effectiveness of Internet-delivered cognitive behavioural therapy (iCBT) on quality of life (QoL). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Major depressive disorder is the most prevalent of all mental illnesses.
10%–20% of patients with depression and 1% of the population overall have treatment-resistant depression (TRD).
DBS is an emerging investigational treatment for TRD with documented clinical efficacy and safety.
The framework of the recovery model includes both clinical and personal recovery. Personal recovery is a self-process in which hope, empowerment and optimism are embraced to overcome the impact of mental illness on one's sense of self.
Although clinical and functional outcomes of DBS for TRD have been well documented in the previous studies, personal recovery as an outcome has been explored only in a handful of studies.
Mental disorders are a major cause of work disability among the working-age population. We used population-based register data to examine the association between statutory rehabilitative psychotherapy and change in depression or anxiety-related work disability. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
A. B, E. CR, F. T, G. FA, K. T, B. G, K. N, and M. S. Cochrane Database of Systematic Reviews, (2009)Art. No.: CD 007954. DOI: 10. 1002 / 14651858. CD 007954.