Posts

February 06, 2015

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1:39 PM | Do we let patients suffer needlessly?
PTSD treatment guidelines invariably point to trauma-focused therapy, such as trauma-focused cognitive behavioral therapy (TF-CBT) or Eye Movement Desensitization and Reprocessing (EMDR) as preferred interventions. Is the trauma focus justified? Researcher and psychologist Joris Haagen tells the story of a … Continue reading →

Benish, S., Imel, Z. & Wampold, B. (2008). The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons, Clinical Psychology Review, 28 746-758. DOI: 10.1016/j.cpr.2007.10.005

Ehlers, A., Bisson, J., Clark, D., Creamer, M., Pilling, S., Richards, D., Schnurr, P., Turner, S. & Yule, W. (2010). Do all psychological treatments really work the same in posttraumatic stress disorder?, Clinical Psychology Review, 30 269-276. DOI: 10.1016/j.cpr.2009.12.001

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10:30 AM | Shame about the past related to not recovering in the present?
We cite and use the findings of a study (1) which demonstrates how shame about the consequences of one’s alcoholism can prevent recovery and prompt relapse. Our shameful secrets do keep us ill. We are ill people getting better and … Continue reading →
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10:00 AM | Depression and risk of coronary heart disease
"The results of our meta-analysis suggest that depression is independently associated with a significantly increased risk of CHD [coronary heart disease] and MI [myocardial infarction], which may have implications for CHD etiological research and psychological medicine."No owners means - no heartbreak!So said the conclusion of the paper by Yong Gan and colleagues [1] (open-access) and their synthesis of the peer-reviewed literature on the topic of heart health and depression. […]
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7:30 AM | Addiction is a brain disease…but does it matter?
Matt Field reviews a recent Lancet Psychiatry paper that explores whether the brain disease model of addiction is supported by evidence and has delivered on its promises. The post Addiction is a brain disease…but does it matter? appeared first on The Mental Elf.

February 05, 2015

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10:27 AM | Interpersonal Relationships and Internet Addiction
INTERNET ADDICTION has become a prevailing problem in the modern wired society. One important line of research has examined the relationships among Internet abuse, social anxiety, and interpersonal relationships. Several studies have identified that people who are shy, have poor … Continue reading →
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10:21 AM | The interpersonal neurobiology of addiction
Following on from our recent blogs on who interpersonal factors (e.g. family and love relationships conflict and distress) can interact with intrapersonal factors (e.g. insecure attachment based rejection sensitivity, low self esteem) can prompt relapse. Today  we look at both … Continue reading →
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9:38 AM | Tics, OCD and non-coeliac gluten sensitivity: a case report
A curious case report is documented in the paper by Luis Rodrigo and colleagues [1] (open-access) discussing the diagnosis of non-coeliac gluten sensitivity (NCGS) in a young lady "with a long history of 10 years of tics and obsessive compulsive disorder [OCD]." Further, quite a remarkable turn-around in her clinical symptoms was observed following institution of a gluten-free diet (GFD); as the authors note: "One week after the beginning of this diet, the tics diminished notably and […]

Huerta M, R. (2015). Tourette Syndrome and Non-Coeliac Gluten Sensitivity. Clinical Remission with a Gluten-Free Diet: A Description Case, Journal of Sleep Disorders & Therapy, 04 (01) DOI: 10.4172/2167-0277.1000183

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7:30 AM | ECT for depression in the elderly
Andrew Shepherd reports on a post-hoc analysis of pre-existing trial data, which does little to convince him that ECT is a safe and effective treatment option for older people with severe depression. The post ECT for depression in the elderly appeared first on The Mental Elf.

February 04, 2015

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7:50 PM | Beyond Thinness: Men, Muscularity and Eating Disorders
Eating disorder research tends to focus on girls and women. Which makes sense: eating disorders disproportionately affect women. However, it isn’t just the research on eating disorders that focuses on women: it’s the entire history of eating disorders as a diagnosis. The first descriptions of anorexia nervosa by William Gull and bulimia nervosa by Gerald Russell were both based primarily on observations of female patients (although Russell did include two men). Therefore, it’s […]
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9:40 AM | A rat model of early immune stimulation
It took me a few a reads of the paper by Anna Kubesova and colleagues [1] (open-access) to understand just how potentially important their findings might be to various conditions including schizophrenia and autism.Reporting results of a study where "early immune stimulation induced by postnatal systemic administration of LPS [lipopolysaccharide]" was performed in rats, researchers examined various potential effects on "the levels of monoamines (dopamine, serotonin) and their […]

Kubesova A, Tejkalova H, Syslova K, Kacer P, Vondrousova J, Tyls F, Fujakova M, Palenicek T & Horacek J (2015). Biochemical, Histopathological and Morphological Profiling of a Rat Model of Early Immune Stimulation: Relation to Psychopathology., PloS one, 10 (1) PMID: http://www.ncbi.nlm.nih.gov/pubmed/25602957

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7:30 AM | Prescribing antipsychotics in primary care: new study highlights frequent off-label use
Josephine Neale reports on a recent cohort study that finds less than half of UK prescriptions for antipsychotics are issued for main licensed conditions (e.g. psychosis or bipolar disorder). The research provides a reminder about the dangers of prescribing antipsychotics to people with dementia. The post Prescribing antipsychotics in primary care: new study highlights frequent off-label use appeared first on The Mental Elf.

February 03, 2015

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10:34 AM | Interpersonal Factors in Relapse – Part 2
In this two part blog we have considered evidence that shows intrapersonal traits (e.g. rejection sensitivity and low self esteem) and interpersonal environments (e.g. the family environment) can interact to increase an addict’s risk of relapse. This study (1) concludes by proposing … Continue reading →
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10:04 AM | Are you sitting comfortably?
"It Doesn’t Matter How Much You Exercise If You Also Do This" was one of the headlines which followed the systematic review and meta-analysis completed by Aviroop Biswas and colleagues [1] concluding that: "Prolonged sedentary time was independently associated with deleterious health outcomes regardless of physical activity.""The benefits of exercise can be blunted if you also spend most of the rest of your day sitting" was a sentence included in the media take on the Biswas review, […]

Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS & Alter DA (2015). Sedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults: A Systematic Review and Meta-analysis., Annals of internal medicine, 162 (2) 123-132. PMID: http://www.ncbi.nlm.nih.gov/pubmed/25599350

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7:30 AM | Addressing the health needs of people who are homeless
Liz Hughes reviews two recent Lancet papers about the health needs of people who are homeless and the best ways to meet these needs. The post Addressing the health needs of people who are homeless appeared first on The Mental Elf.

February 02, 2015

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8:06 AM | Bisphenol A Exposure in Children With Autism
The paper by T. Peter Stein and colleagues [1] suggesting an "association" between BPA (Bisphenol-A) and autism spectrum disorder (ASD) was always bound to create some interest. Reporting results based on the analysis of urine samples from a group of children diagnosed with an autism spectrum disorder (ASD) (n=46) compared to controls (n=52), authors concluded that: "there is an association between BPA and ASD." Association... note that word.C'mon. Let's go see how much we're going for on […]

Stein, T., Schluter, M., Steer, R., Guo, L. & Ming, X. (2015). Bisphenol A Exposure in Children With Autism Spectrum Disorders, Autism Research, DOI: 10.1002/aur.1444

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8:00 AM | Survey on uptake and quality of annual health checks looking for parents/carers to respond
The Learning Disability Carers Community is calling for parents and carers to take part in a survey of annual health checks. Read on to find out how you can get involved. The post Survey on uptake and quality of annual health checks looking for parents/carers to respond appeared first on The Learning Disabilities Elf.
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7:30 AM | Childhood adversity linked to psychotropic drug use in later life
Andrew Jones summarises a large Finnish population-based cohort study, which finds that childhood adversities strongly predict the use of psychotropic drugs (such as antidepressants and antipsychotics) in adulthood. The post Childhood adversity linked to psychotropic drug use in later life appeared first on The Mental Elf.
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