Concludes that there is little uptake of psychological interventions for depression. Strategies currently in development that could change this include single session interventions and task sharing which involves using lay counsellors to deliver the intervention. Digital interventions could improve access to treatment and have shown some positive outcomes.
Emotional stress reactivity may be a mediating factor in the association between trauma and psychosis. This review aimed to (i) identify, summarise and critically evaluate the link between emotional stress reactivity and psychotic experiences (ii) examine evidence for a 'dose–response' relationship between stress reactivity and psychosis in the wider psychosis phenotype (i.e., sub-clinical symptoms).
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CBT treatment for children and young people with anxiety appears to be equally effective with and without family/parental involvement. This suggests that it is appropriate to offer both approaches to patients under the age of 17. In deciding which approach to offer it would be helpful to consider the child’s age and developmental level, as well as the child’s preferences. It’s likely that treatment adherence and engagement can be improved if the child feels their voice is heard and that their views are considered during treatment.
Depression is one of the most common mental illnesses globally and a leading cause of disability. It is often established by late adolescence and thus identifying which adolescents are most at risk is crucial to enable early intervention to prevent depression onset. We have previously developed a risk calculator to stratify which adolescents are at high risk of developing depression and in this study explore the views of stakeholders to ascertain the acceptability and feasibility of implementing such a tool in the UK. To read the full article, log in using your MPFT NHS OpenAthens details.
The research implications of the study highlight the need for co-production with young people when understanding perfectionism. Better understanding the views of young people would help to tailor more effective, relevant interventions.
The clinical implications give insight into the maintaining factors of perfectionism that could be targeted using CBT. For example, targeting dichotomous thinking, or behaviours like avoidance. It also highlighted the value of the group setting. Services should ensure that when offering CBT, a variety of therapeutic modalities are available to individuals.
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is associated with worsening mental health among young adults, but further research is necessary to quantify the associations with depression and anxiety. Using Monitoring the Future data (N = 1244 young adults, modal age: 19, Fall 2020 supplement), we examined internalizing symptoms (Patient Health Questionnaire-8 and Generalized Anxiety Disorder Scale-7 separately), dividing the sample into those without clinically significant scores, significant scores but minimal pandemic-attributed symptoms, and significant scores with substantial pandemic-attributed symptoms. Logistic regression analyses linked demographic factors, pandemic-related experiences, and coping methods to symptom groups.
Amotivation is a typical feature in major depressive disorders and refers to individuals exhibiting reduced willingness to exert effort for rewards. However, the motivation pattern when deciding whether to exert effort for self versus others in people with depression remains unclear. We conducted a functional magnetic resonance imaging study and employed an adapted Effort-Expenditure for Rewards Task in subthreshold depressive (SD) participants (n = 33) and healthy controls (HC) (n = 32). Open access article- no login required