CBT for grief (e.g., Boelen et al, 2021), of 10 sessions or more, in an individual format, with more than 50% of the intervention including specific CBT strategies, should be offered to grieving young people with symptoms of anxiety and depression.
There is growing evidence that remote monitoring technologies are acceptable to young people and can collect data that is associated with and potentially predictive of depressive symptoms. However, there is a distinct lack of evidence for their impact on clinical outcomes (good or bad) and whether they can be implemented in the real-world,
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.
This paper highlights the need for more research, as there was little empirical evidence establishing the specific intervention mechanisms. With further investigation, this could support clinicians to refine existing interventions for depression and anxiety to ensure the most effective underlying mechanisms are incorporated into treatment plans.
The qualitative findings imply the importance of co-design and co-evaluation with young people using therapeutic services. It suggests that service-user forums are necessary to help clinicians identify treatment barriers, and therefore should be encouraged to ensure the best outcomes for service-user and service by designing the most effective interventions.
Psychological interventions for depression/anxiety should target more and more diverse intrapersonal emotion regulation skills. More specifically, therapies focusing on improving engagement emotion regulation skills and reducing disengagement emotion regulation skills and emotion dysregulation seem particularly impactful. Additionally, long treatments with six or more sessions, cognitive behavioural therapies and group interventions should be favoured.
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 COVID-19 pandemic has had a significant impact on mental health. Specifically, the stringent lockdown restrictions have heightened anxiety and depression. Therefore, monitoring and supporting the mental health of the population during these unprecedented times is an immediate priority. To read the full article, log in using your MPFT NHS OpenAthens details.
Findings from this review identify key clinical and psychological characteristics that place individuals at particular risk for developing persistent anxiety disorders.
Development and use of the UP-C indicates a priority to move away from a medical model which requires formal diagnosis and toward more of a social/psychological model based around a joint formulation between the young person and therapist. The latter recognises the role of the system surrounding the young person and allows specific treatment to take place without the need of formal diagnosis and based on individual need. This can be helpful in ensuring our young people get the support that would help.
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 article explores men's experiences of using peer support groups for coping with mental distress. To read the full article, log in using your NHS OpenAthens details.
There is no evidence here that removing stepped care as an approach is clinically required or financially effective. Within the stratified care condition which contains personalised treatment recommendations, 50.9% of patients were still allocated to low-intensity treatments first. The training and financial burden to services of offering high-intensity interventions to all patients as a first line treatment for depression makes this recommendation unfeasible and is likely to lead to longer waits for treatment for all patients and unnecessarily so
Contrary to previous research, this study demonstrates that VC-delivered CBT is not a barrier to the establishment of a strong working alliance and successful treatment outcomes.
The purpose of this study is to find out a simple cognitive intervention method to use MCI and suffering people with depression. As the elderly society increases around the world, the number of elderly people with diseases and dementia is increasing rapidly. Mild cognitive impairment (MCI), a pre-stage to dementia, is a critical treatment time to slow disease progression. However, there is currently no appropriate medication. Furthermore, MCI patients with depression are more difficult to treat.
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The authors evaluated AKL-T03, an investigational digital intervention delivered through a video game–based interface, designed to target the fronto-parietal network to enhance functional domains for attentional control. AKL-T03 was tested in adult patients with major depressive disorder and a demonstrated cognitive impairment at baseline. To read the full article, log in using your MPFT NHS OpenAthens details.
Previous research provided preliminary support of a potential reinforcing effect of suicidal ideation demonstrating reduced negative affect and increased positive affect after thinking about suicide. The present study therefore sought to investigate the role of mood and affect as a proximal risk factor of suicidal ideation in a high-risk sample.. To read the full article, log in using your MPFT NHS OpenAthens details.
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.
The objective of this review was to identify clinical, psychosocial and biological correlates of suicidality in young people diagnosed with a broad range of unipolar and bipolar depressive disorders.. To read the full article, log in using your MPFT NHS OpenAthens details.
To describe, quantify and explain the variability in subjective cognitive complaints and subjective cognition following electroconvulsive therapy for depression.. To read the full article, log in using your MPFT NHS OpenAthens details.
Rumination and worry have been implicated in the onset, severity, maintenance and relapse risk of depression and anxiety disorders. Despite this, little research has examined individuals' personal experiences of these processes. This study investigates how individuals experience these processes, which will provide insight into these common features of mental disorders and inform the development of an online intervention specifically targeting rumination and worry.
Identifying predictors for future onset of depression is crucial to effectively developing preventive interventions. We conducted a systematic review and meta-analysis to identify risk factors for first-onset depression among adolescents and young people.
Community environments have the potential to alleviate loneliness and social isolation as they offer opportunity for sociality and to expand personal social network connections. Implementing a social network intervention in community environments to connect people to who are at risk of loneliness or social isolation could help alleviate these concerns. To read the full article, log in using your NHS OpenAthens details.
This study suggests that the UP should be considered a viable alternative to dCBT for common anxiety disorders and depression in outpatient mental health services, particularly in light of the finding that client satisfaction and participant engagement and response to treatment were similar across conditions.
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.
Young people with anxiety disorders may benefit from tCBT. It is not clear how long-lasting these effects may be, how they compare to CBT on its own or as an adjunct, or whether there are any adverse effects.
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”.
The aim of this research was to better understand how mental health practitioners assessed, understood and worked with, service users diagnosed with depression who had previously exhibited declining personal hygiene and grooming standards. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
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
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.
This systematic review provided a comprehensive and up-to-date synthesis of a large volume of data, which has recently emerged since the beginning of the COVID-19 pandemic. It is a unique study, offering pooled prevalence estimates and focusing on doctors specifically as a high-risk group of the health workforce cohort. However, there was a wide variation in point prevalence and pooled prevalence estimates had broad confidence intervals.
In 2013, the UK government implemented the underoccupancy penalty (ie, the bedroom tax) to reduce the national housing benefits bill, by cutting social housing subsidies for households deemed to have excess rooms. We investigated the impact of the bedroom tax on self-reported psychological distress. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Lived experience is increasingly viewed as an important means of informing mental health practice. In this case, the lived experience narrative comes from a father who experienced postnatal depression (PND). Yet, whilst men are increasingly sharing their experiences of PND in the public sphere, there have been limited advances in their quality of care and support during the perinatal period. Services for perinatal mental health problems are targeted towards mothers, with fathers not traditionally being seen as experiencing perinatal mental health problems. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
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.
This meta-analysis adds to the knowledge base about a lack of robustly effective treatments for depression in children and adolescents. Psychological treatments appear to be only moderately effective for this age group (Cuijpers et al. 2020), antidepressant medications perform at negligible levels above the placebo effect (Feeny et al. 2022), and the studies under consideration here indicate that subclinical symptoms show, at best, small to moderate changes that do not reduce the incidence of later disorder.
The present longitudinal study examined the role of SOC in recovery from loss, in a Danish sample (N = 221) of elderly spousally bereaved people. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
We examined associations between the severity of symptoms of prolonged grief disorder (PGD) and depression and recent suicidal ideation among bereaved family members.To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
To clarify, using an extended adoption design, the sources of parent-offspring transmission for anxiety disorder (AD) and its major subforms and their familial cross-generational relationship with major depression (MD). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This research provides reassuring evidence that DBS can have long-term benefits. This intervention is still only suitable for those with severe ‘treatment-resistant depression’, due to the highly invasive nature of the surgical procedure and the risk of complications.
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.
Depression is common in individuals with endocrine-metabolic disorders and vice versa, and a better understanding of the underlying factors contributing to the comorbidity of these disorders is needed. This study investigated the familial coaggregation of depression and endocrine-metabolic disorders and estimated the contribution of genetic and environmental factors to their co-occurrence. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Editorial- Special issue includes a meta-ethnography of mindfulness-based CBT for peope with major depression. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Difficulty in accessing specific memories, referred to as reduced memory specificity or overgeneral memory (OGM), has been established as a marker of clinical depression. However, it is not clear if this deficit persists following the remission of depressive episodes. The current study involved a systematic review and meta-analysis of empirical studies with the aim of establishing whether remitted depression was associated with retrieving fewer specific and more overgeneral autobiographical memories. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Few studies have examined sensory processing in mood disorders, including depression. The interactions between sensory inputs and adaptive behavior have yet to be clarified in this pathology. We assessed sensory profiles among people with major depressive disorder (MDD) with the Adult/Adolescent Sensory Profile (AASP) scale and determined whether sensory processing patterns were associated with clinical variables such as anxiety, depression, psychomotor retardation or self-esteem. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Substance use is highly prevalent among people with mood disorders. Effective treatment for these people requires a better understanding of the relationship between both mood and substance use from the perspectives of those with lived experience.
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”.
The authors concluded that, in the context of university students with major depression, displaying a larger reward positivity before receiving the treatment predicts a better response to aerobic exercise.
Childhood social anxiety disorder (SAD) is a common and disabling condition. General forms of cognitive behavioural treatments have demonstrated poorer efficacy for childhood SAD when compared to other childhood anxiety disorders and further understanding of the psychological factors that contribute to the maintenance of childhood SAD is warranted. Examining the social experiences of children with SAD may help to identify relevant psychological factors and increase our understanding of what keeps childhood SAD going. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
With what has been published so far, it is too early to say what the efficacy is, so it is important to read this review as stimulating hypotheses and further research.
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.
The authors addressed an important gap in research: is iCBT as effective in practice as in theory? The exclusion of studies using randomised control trials enabled the authors to gather a synthesised understanding of what iCBT would look like in more widespread practice. However, this research used quantitative articles only. Including qualitative research allows for the inclusion of service-user voices.
Too late to be included in this review, NICE Guideline Depression in adults, was issued in 2022 with more complete tapering information, including an exponential taper to be adjusted to the tolerance of the individual patient. It advised clinicians “slowly reduce the dose to zero in a step-wise fashion, at each step prescribing a proportion of the previous dose” and “consider using smaller reductions”. While this is still not very specific, it is a significant improvement over the guidance reviewed in this paper.
The findings of the study suggest that most heavy drinkers who experience negative life events in late mid-life tend to continue with this pattern of alcohol consumption whilst going through these events. Therefore, mental health practitioners may wish to consider asking about and/or assessing alcohol consumption in individuals reporting mid-life events such as divorce and severe illness or death of a family member. This is especially pertinent given that the “constant heavy drinking” group in the study was also shown to be more vulnerable to depression, suggesting a co-morbidity between alcohol use and mental health problems in this group.
The impact of childhood experiences on the development of psychopathology is well established in the literature. Few studies, however, have assessed parental bonding during childhood as a predictor of response to anxiety disorders treatment. The aim of the study was to examine whether emotional memories of childhood parenting could predict short-term and long-term outcome in three different interventions for patients with generalized anxiety disorder (GAD). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Numerous randomized controlled trials have shown cognitive behaviour therapy (CBT) to be effective in treating social anxiety disorder (SAD). Yet, less is known about the effectiveness of CBT for SAD conducted by psychotherapists in training in routine clinical practice. In this study, 231 patients with SAD were treated with CBT under routine conditions and were examined at pre- and post-treatment as well as at 6 and 12 months follow-up.
Individuals with physical comorbidities and polypharmacy may be at higher risk of depression relapse, however, they are not included in the ‘high risk of relapse’ group for whom longer antidepressant treatment durations are recommended. 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”.
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”.
Recurrence is common in patients diagnosed with major depressive disorder (MDD). Psychological resilience has been shown to be a protective factor against recurrence of depression. It has important clinical nursing significance to analyse the influencing factors of psychological resilience in major depressive disorder in remission (MDDR) patients. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Fear of negative evaluation (FNE) is a hallmark feature of social anxiety disorder (SAD). There is also evidence that people with SAD fear receiving positive evaluation, and that fear of positive evaluation (FPE) is distinct from FNE. However, researchers have speculated that concerns related to negative evaluation may actually underlie FPE. This study sought to advance our understanding of FPE by employing both quantitative and qualitative methods to assess the reasons underlying participants’ endorsement of FPE on the Fear of Positive Evaluation Scale (FPES; Weeks, Heimberg, & Rodebaugh, 2008) and the extent to which these reasons reflect FNE versus FPE in a sample of individuals with SAD (n = 47) and a nonclinical comparison group (n = 49). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Expressive writing is a promising tool to heal the wounds with words. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study has demonstrated that although gaming interventions are not currently recommended for depression among young people by the NICE guidelines, they could potentially be offered as a stand-alone treatment. This is a promising new avenue which could alleviate the current high demand for other psychological modalities (i.e., traditional CBT).
This paper aims to understand the lived experience of people with intellectual disability of their anxiety and of being co-design partners in developing a multi-component approach to the management of anxiety. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Cyberbullying is becoming increasingly widespread as individuals use technology more widely and frequently. Recent studies have shown a growing vulnerability for cyberbullying and cybervictimization, particularly in the adolescent population. We argue that dysfunctional metacognitions, which have been found to be prominent in various psychiatric disorders, may also play a role in predicting cyberbullying and cybervictimization over and above a variety of established factors including daily Internet use, social media use, depression, and anxiety. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This review found that increased experiences of loneliness more than doubled the risk of developing depression in the future among adults. A correlation between loneliness and anxiety was also found, as well as other mental health disorders; however, more research is needed to address a wider range of mental health problems.
Unfortunately, there are no implications for clinical practice just yet. Nonetheless, this line of research does have the potential to help detect those patients who might benefit from a particular form of treatment. Crucially, for the goal of precision medicine to be realised, we need to be able to detect not only who will respond to CBT, but who will respond to other treatments
The authors concluded that perceived workplace discrimination can significantly increase the risk of employees developing severe depressive symptomatology and lead to the onset of a depressive disorder. Additionally, the authors highlighted that this relationship can be affected and differentiated by other work-related variables, such as workload and relationships with colleagues.
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.
Despite substantial progress in identifying genomic variation associated with major depression, the mechanisms by which genomic and environmental factors jointly influence depression risk remain unclear. Genomically conferred sensitivity to the social environment may be one mechanism linking genomic variation and depressive symptoms. The authors assessed whether social support affects the likelihood of depression development differently across the spectrum of genomic risk in two samples that experienced substantial life stress. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Moderate alcohol consumption is associated with decreased risk for depression, but it remains unclear whether this is a causal relationship or a methodological artifact. To compare the effects of consistent abstinence and occasional, moderate, and above-guideline alcohol consumption throughout early to middle adulthood on depression at age 50, the authors conducted a secondary analysis of the National Longitudinal Survey of Youth 1979 cohort and employed a marginal structural model (MSM) approach. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The authors sought to determine the shared and unique changes in brain resting-state functional connectivity (rsFC) between patients with major depressive disorder who achieved remission with cognitive-behavioral therapy (CBT) or with antidepressant medication. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The under-detection of depression in adolescents suggests that a better understanding of its presentation may be needed. Conceptualisations of adolescent depression are largely the same as adult depression, with minimal consideration of developmental stage. Exploration of first-hand accounts could help to identify any unique features of adolescent depression. Therefore, this systematic review aimed to understand the lived experience of adolescents with depression to inform clinical practice.
Depression is a major source of symptoms and disability. In adults, maladaptive coping (usually characterized as personality dysfunction) has been shown to be associated with a depression diagnosis and poorer depression outcome. As adults with maladaptive coping difficulties are more prone to depression, we hypothesized that children with childhood disorders that involve poor coping would increase the risk of later developing depressive disorders. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Growing evidence suggests that community-based interventions may be effective for anxiety and depression. This study aimed to describe studies of community interventions delivered to adults and/or young people, either in person or online, evaluated in randomised controlled trials and provide an indication as to their effectiveness, acceptability, quality of data and where possible, mechanisms of action. We included interventions delivered at and/or by museums, art galleries, libraries, gardens, music groups/choirs and sports clubs.
There have been limited prospective investigations of early clinical markers involved in mood regulation and diagnosis change in young patients. This study aimed to evaluate the changes in impulsivity and defence mechanisms in patients with major depressive disorder (MDD) and bipolar disorder (BD) with acute symptoms and remission compared to healthy controls (HC), and possible psychological predictors of diagnosis conversion. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Schizotypy reflects the vulnerability to schizophrenia in the general population. Different questionnaires have been developed to measure aspects of schizotypy. Higher schizotypy scores have also been linked with depression, anxiety, and stress sensitivity. Here we examine the associations of schizotypy with symptoms of depression and anxiety in a sample of university students, using two different measures (N = 271). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The present study aimed at investigating the relationships between autistic features and cognitive deficits, functionality and quality of life in first episode psychosis (FEP) patients. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
T. Itatsu, A. Nagahara, M. Hojo, A. Miyazaki, T. Murai, M. Nakajima, and S. Watanabe. Internal medicine (Tokyo, Japan), 50 (7):
713-7(Januar 2011)JID: 9204241; 0 (Serotonin Uptake Inhibitors); 2011/04/01 epublish; ppublish; Confusió absoluta entre cas-control i exposats-no exposats<br/><br/><br/>Tipus d'estudis.