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General Data Protection Regulation ("GDPR")

General Data Protection Regulation ("GDPR") came into effect on May 25 2018. We have reviewed and adapted our services and policies to ensure that we comply with GDPR consent requirements.

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Mental Health Act Code of Practice 2015: An evaluation of how the Code is used

Our new report looks at how well the Mental Health Act (MHA) Code of Practice is being used across mental health services since it was updated in 2015. We looked for the useful things and the barriers that services have found when they use the guidance. We also looked at what impact these things have had on people’s experience of detention, care and treatment. We found that the Code is still not being used as it was intended to be, and make a number of recommendations for the Department of Health and Social Care.

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EVENTS AND CONFERENCES

Integrating physical and mental health At our event on Tuesday 4 February, we'll share examples of ways to support people who have both mental and physical long-term conditions. Healthy Minds in Buckinghamshire will tell us how their Improving Access to Psychological Therapies service is working with people with long-term conditions and the impact this is having on their lives. Find out more

Mental Health: Supporting NHS Workforce Resilience Conference & Exhibition 2020 Now Live Tuesday, 17th March 2020 – Manchester Looking after the mental health and wellbeing of staff is paramount in delivering benefits to NHS organisations and ultimately the patients in their care. Join us in March 2020 to discuss and learn more about the NHS’ forward plan to support the resiliency of the workforce. This conference, in continuation with Open Forum's successive years of promoting mental health best practices, will provide invaluable updates and new information on the road map to improved mental health support for NHS staff. Our 2020 series of MH conferences are encouraging initiatives that would see the NHS as well as social services, housing/education providers and the criminal justice system collaborate on MH policy development and care provision to develop truly consistent, cross-sector care.

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Current Awareness Service

Psychological Therapies January 2020

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Current awareness bulletins provided by the Partnership Trust’s Library and Information Service include a selection of current articles and publications and is not intended to be exhaustive.

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Dementia 2020 : The Final Review 28th of April 2020 - RSM, London For the last 4 years, Govconnect’s Dementia 2020 series of conferences have allowed government departments, arms-length bodies, the NHS and local authorities, research institutions, and the charity and voluntary sector to hear from senior leaders from many of the key partner organisations involved in the 2020 Challenge. The Govconnect 2020 series to date has welcomed 1000+ delegates & 70+ speakers, providing the platform to discuss actions up to 2020 and hear more detailed delivery plans for them. Each year bursaries have been provided for carers and service users to attend, so as their views can be incorporated into the days discussions, in the hope they will contribute significantly to future policy and direction. Register Here

Young people and mental health resources: NICE NICE has launched two new resources to support the improvement of mental health transition. Working with young people to plan person-centred care and support for admission to and discharge from inpatient mental health settings. Young people and mental health resources: NICE Working with adults to ensure person-centred care and support for admission to and discharge from inpatient mental health settings. Working with adults resource

Mental Health Act 1983: Code of Practice (Downloadable copy) https://www.gov.uk/government/publications/code-of-practice-mental-health-act-1983

Up-to-Date Journal Abstracts on Newly Published Research

Full-text of any of the articles listed below is available from your nearest library. Our Document Delivery Service is free of charge to all Trust staff. Just complete an ‘Article Request Form’ and send it in to your nearest Trust Library.

Child and Adolescent Mental Health

LGBGTQ

Anxiety and Depression

IAPT

Post-Traumatic Stress Disorder

Mental Disorders

Compulsions and Phobias

Alzheimer’s and Dementia

Psychological Assessment

Pain, Physical Illness, and Long Term Conditions

Brain Injury and Stroke

Suicide/Self-harm

Eating Disorders

Attachment

Mindfulness and Well-being

Autism/Asperger’s Syndrome

Sleep Disorders

Anger Management/Intimate Partner Violence

Couples and Family Therapy

Group Therapy

https://2020.alzheimers2020.co.uk/index.php?option=com_reg&pcode=D2020_EARLYBIRD

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Addiction/Substance Misuse

Stress

Transference

Therapeutic Relationship

Intellectual Disabilities

Offenders

Research

Training and Education

Miscellaneous

Book Reviews

Links to the latest issues of key psychology journals and their table of contents

Evidence-Based Resources on the Web

Other Current Awareness Bulletins

Help select library stock

New Books

Trust Libraries and Staff Contact Details

SELECTED JOURNAL ABSTRACTS

The following section contains abstracts from selected clinical databases. If you have a particular topic which you would like us to search in more depth, please contact your nearest Trust Library and complete a ‘Literature Search Request Form’. A member of the Library staff will perform the search and email the results within your specified timeframe.

Full-text of any of the articles listed below is available from your nearest library. Our Document Delivery Service is free of charge to all Trust staff. Just complete an ‘Article Request Form’ and send it in to your nearest Trust Library.

Manor Court Library, Nuneaton – 024 7632 1561 [email protected]

Brooklands, Marston Green, B’ham - 0121 329 4923 [email protected]

Caludon Centre, Coventry – 024 7696 7928 [email protected]

St Michaels Hospital, Warwick – 01926 406749 [email protected]

CHILD AND ADOLESCENT MENTAL HEALTH

The state of children’s mental health services This report looks at the provision of Children and Young People’s Mental Health Services for the hundreds of thousands of children who need help, support and treatment. It also looks ahead to assess whether current government plans go far enough to meet demand. It finds that, while the NHS has made tangible progress in the provision of mental health services for children, the current system still doesn't meet the needs of all of the estimated 12.8 per cent of children in England with mental health problems – or the many more children who fall just below the threshold for clinical diagnosis.

Report

Press release

How should we support young people with asd and mental health problems as they navigate the transition to adult life including access to adult healthcare services

Author(s): King, Christopher; Merrick, Hannah; Le Couteur, Ann

Source: Epidemiology and Psychiatric Sciences; Jan 2020

Publication Date: Jan 2020

Publication Type(s): Journal Peer Reviewed Journal

PubMedID: 31915102

Abstract:For young people with autism spectrum disorder (ASD), the transition from childhood to adulthood especially for those with additional mental health problems can be challenging. Increasing

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numbers of young people attending child and adolescent mental health services (CAMHS) have a recognised diagnosis of ASD. What are the outcomes of these young people when they are discharged from CAMHS and how best can services support their needs? In this editorial we consider the emerging literature on transition for young people with long-term conditions and in particular those with ASD. Longer term studies suggest that the outcomes for individuals with ASD across the ability range is mostly poor and that healthcare transfer has generally not been managed well, with service users often reporting a lack of appropriate types of support. Encouragingly there is an increasing awareness of the need to support young people with long-term conditions as they negotiate the many developmental tasks of transition to adulthood. However, less is known about the experiences and aspirations of autistic individuals of all abilities as they transition to adulthood. This knowledge can inform a more nuanced approach to identifying developmentally appropriate outcomes. Recent studies with cognitively able young people with ASD, highlight some features in common with young people with long-term conditions but also the importance of identifying ways to foster underlying skills and the ability of young people with ASD to develop and maintain relationships. Child-focussed and adult-orientated healthcare services need to work directly with autistic individuals and their support networks to facilitate successful engagement with services and enable adults to manage their mental health needs. There is an urgent need to investigate the implementation and effectiveness of research and clinical guideline recommendations that aim to increase wellbeing, health self-efficacy and improve the mental health outcomes for autistic adults. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

Efficacy of dialectical behavior therapy versus treatment as usual for acute-care inpatient adolescents

Author(s): Tebbett-Mock, Alison A.; Saito, Ema; McGee, Madeline; Woloszyn, Patricia; Venuti, Maria

Source: Journal of the American Academy of Child & Adolescent Psychiatry; Jan 2020; vol. 59 (no. 1); p. 149-156


Publication Type(s): Journal Peer Reviewed Journal Journal Article

PubMedID: 30946973

Abstract:Objective: Dialectical behavior therapy (DBT) is an evidence-based treatment that targets suicidal behavior and nonsuicidal self-injury (NSSI) and has been adapted for adolescents. Given the seriousness of these behaviors, many adolescents are psychiatrically hospitalized, but minimal research has been conducted on specific interventions during hospitalization. The goal of this study was to evaluate DBT versus treatment as usual (TAU) for adolescents on an acute-care psychiatric inpatient unit. Method: We conducted a retrospective chart review for adolescents receiving inpatient DBT (n = 425) and for a historical control group treated on the same unit before DBT (ie, TAU, n = 376). Both χ² and t tests were conducted as preliminary analyses to examine differences between groups on diagnosis, sex, and age. Mann−Whitney U tests were conducted to examine differences between groups on outcome variables. The potential benefit of cost savings was analyzed. Results: Patients who received DBT had significantly fewer constant observation (CO) hours for self-injury; incidents of suicide attempts and self-injury; restraints; and days hospitalized compared to patients who received TAU. Statistically significant differences were not found between DBT and TAU groups for number of CO hours for aggression, incidents of aggression toward patients or staff, seclusions, or readmissions. A cost analysis determined that $251,609 less was spent on staff time for CO hours with DBT compared to TAU. Conclusion: Results provide support for the implementation of DBT in an acute-care adolescent psychiatric inpatient unit for adolescents. Clinical implications, study limitations, and future research directions are discussed. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

Common therapeutic elements of interventions aimed at enhancing parent–child early relationships

Author(s): Pitillas, Carlos

Source: Psychoanalytic Psychology; Jan 2020; vol. 37 (no. 1); p. 28-36




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Abstract:Attachment-based interventions with parent–child dyads constitute a clinical scenario characterized by a series of specific challenges and opportunities for intervention and, essentially, considerations with respect to technique which are novel in comparison with the classical psychoanalytic intervention model. This paper aims to highlight the common therapeutic elements that define and differentiate intervention with parent–child dyads. The common therapeutic elements that traverse these interventions are: specific consideration for and handling of the therapeutic alliance with parents; mentalization-centered interventions with parents; promoting parental sensitivity through self-observation; and modifying second-order parental representations. Insight-oriented interpretation through words or actions is also considered as a technique appearing among certain models of dyadic therapy. The rationale, implications and advantages of each of these therapeutic elements are explored and exemplified. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

Transitional care for young adults with adhd: Transforming potential upheaval into smooth progression

Author(s): Ford, Tamsin

Source: Epidemiology and Psychiatric Sciences; Jan 2020


Publication Type(s): Journal Peer Reviewed Journal

PubMedID: 31915090

Abstract:Increasing numbers of young adults need continued support for their attention deficit hyperactivity disorder (ADHD) beyond the age-boundary for children's services. The sparse literature on transition in general suggests patchy provision and huge gaps in transitional care, but also that young people with ADHD and other neurodevelopmental disorders fair particularly badly. Transition in health care coincides with many other important life-transitions while the difficulties associated with ADHD may make these challenges particularly hard to cope with. Parents or other advocates therefore often need to be involved, which can present problems in adult mental health services given that they tend to be less family oriented than children's services. Importantly, young people need help negotiating the transition from passive recipient of care to active self-management, and in building relationships with the adult team.In addition to patchy provision of adult ADHD services, transition is currently hampered by poor understanding of ADHD as a long term condition and uncertain knowledge of what services are available among young people and parents as well as the clinicians working with them. Guidelines recommend, and more importantly young people want, access to psycho-social interventions as well as medication. However, available evidence suggests poor quality transitional care and adult services that are highly focused on medication.Adult ADHD services need to undergo similar development to that experienced by Child and Adolescent Mental Health Services and community paediatrics over the last few decades. While we debate the relative merits of dedicated or specialist v. generic adult mental health services, for young adults with ADHD the training, experience and availability of professionals are more important than their qualifications or setting. (PsycINFO Database Record (c) 2020 APA

Longitudinal study of sleep and internalizing problems in youth treated for pediatric anxiety disorders

Author(s): Bai, Sunhye; Ricketts, Emily J.; Thamrin, Hardian; Piacentini, John; Albano, Anne Marie; Compton, Scott N.; Ginsburg, Golda S.; Sakolsky, Dara; Keeton, Courtney P.; Kendall, Philip C.; Peris, Tara S.

Source: Journal of Abnormal Child Psychology; Jan 2020; vol. 48 (no. 1); p. 67-77



PubMedID: 31506757

Abstract:Abstract The current study examined prospective bidirectional links between dysregulated sleep, and anxiety and depression severity across 4 years, among youth with a history of anxiety disorder. Participants were 319 youth (age 11–26 years), who previously participated in a large multisite randomized controlled trial for the treatment of pediatric anxiety disorders,


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Child/Adolescent Anxiety Multimodal Study (CAMS), and subsequently enrolled in a naturalistic follow-up, Child/Adolescent Anxiety Multimodal Extended Long-term Study (CAMELS), an average of 6.5 years later. They participated in four annual visits that included self-report items of dysregulated sleep and semi-structured multi-informant interviews of anxiety and depression. Dysregulated sleep was bidirectionally associated with clinician-rated anxiety and depression symptom severity across adolescence and young adulthood. However, these bidirectional relationships were attributable to youth mean levels of dysregulated sleep, and anxiety and depression severity over the 4 years. Elevations in dysregulated sleep at each visit, relative to mean levels, did not predict worse anxiety or depression severity 1 year later. Likewise visit-specific elevations in anxiety and depression severity, as opposed to average levels, did not predict higher levels of dysregulated sleep at the next visit. Having higher levels of dysregulated sleep or more severe internalizing problems across the four-year period, as opposed to reporting a relative increase in symptom severity at a particular visit, posed greater risk for poor mental health. Interventions should continue to assess and treat persistent sleep problems alongside anxiety and depression. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

When adolescents stop psychological therapy: Rupture–repair in the therapeutic alliance and association with therapy ending

Author(s): O'Keeffe, Sally; Martin, Peter; Midgley, Nick

Source: Psychotherapy; Jan 2020



Abstract:The therapeutic alliance predicts dropout from psychological therapy, and ruptures in the therapeutic alliance may also predict dropout, yet there is a dearth of research with adolescents. This study investigated whether markers of rupture–repair in the alliance were indicative of different types of treatment ending in adolescents receiving psychological treatment for depression. Data were from the IMPACT study, a trial investigating the effectiveness of therapies for adolescent depression. Participants were randomly allocated to receive a brief psychosocial intervention, cognitive–behavioral therapy, or short-term psychoanalytic psychotherapy. The sample ( N = 35) comprised adolescents who had either completed their treatment ( n = 14) or dropped out ( n = 21) according to their therapist. Dropout cases were further classified as dissatisfied ( n = 14) or got-what-they-needed ( n = 7) based on posttherapy interviews with the adolescent and therapist. Selected recordings of therapy sessions were rated using the Rupture Resolution Rating System and Working Alliance Inventory (observer version). Therapeutic alliance and rupture–repair during therapy were similar for completers and got-what-they-needed dropouts, whereas dissatisfied dropouts had poorer therapeutic alliance, more ruptures, ruptures that were frequently unresolved, and greater therapist contribution to ruptures. Qualitative analysis of sessions led to the construction of three categories of therapist contribution to ruptures: therapist minimal response, persisting with a therapeutic activity, and focus on risk. Results suggest that ruptures, especially when unresolved, could be warning signs of disengagement and dropout from therapy. Future research should investigate how ruptures may be effectively identified and resolved in treatment with adolescents. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

Therapists’ behaviors and youths’ therapeutic alliance during trauma-focused cognitive behavioral therapy

Author(s): Ovenstad, Kristianne S.; Ormhaug, Silje M.; Shirk, Stephen R.; Jensen, Tine K.

Source: Journal of Consulting and Clinical Psychology; Jan 2020



Abstract:Objective: Trauma-focused cognitive–behavioral therapy (TF-CBT) is a recommended treatment for posttraumatic stress (PTS) in youth, and a strong therapeutic alliance predicts reductions of PTS in TF-CBT. However, little is known of how therapists can build a strong alliance. This study seeks to understand which therapist behaviors are associated with the strength of alliance in TF-CBT. Method: Participants were 65 youth ( M age = 15.1, SD = 2.19; 77% girls) engaged in TF-CBT and their therapists ( n = 24). The alliance was assessed midtreatment using the Therapeutic


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Alliance Scale for Children-revised. Therapists’ behaviors were coded using the Adolescent Alliance-Building Scale—revised, and youth engagement behavior was coded using the Behavioral Index of Disengagement Scale. Linear mixed-effects models were used to evaluate clients’ and therapists’ in-session behaviors as predictors of the alliance, in addition to assessing the potential moderating effects of youth behaviors. Results: Rapport-building behaviors were significantly predictive of higher alliance scores (Est. = 1.81, 95% CI [0.11, 3.52], p = .038), whereas there was no predictive effect of treatment socialization or trauma-focusing behavior on alliance scores. Initial youth behavior significantly moderated the effect of trauma-focusing on the alliance ( p = .007); greater focus on trauma was associated with higher alliance scores among passively disengaged youth (Est. = 4.92, 95% CI [1.80, 8.05], p = .003). Conclusions: Rapport-building behaviors are associated with a stronger alliance in TF-CBT. Gradual exposure through initial trauma-eliciting does not appear to undermine alliance formation but is rather associated with higher alliance-scores among passively disengaged youth. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract) Impact statementWhat is the public health significance of this article?—This study suggests that therapist rapport-building behaviors (i.e., focusing on youth’s experiences, providing support, and cognitive restructuring) during the early phase of TF-CBT are associated with a stronger therapeutic alliance. Focusing on youth’s traumatic experiences early in treatment does not undermine alliance building in TF-CBT. For youth who are marginally engaged when entering treatment, therapists’ elicitation of trauma-related content seems to be beneficial for alliance formation. (PsycINFO Database Record (c) 2020 APA, all rights reserved)

Play therapy treatment of pediatric medical trauma: A retrospective case study of a preschool child

Author(s): Locatelli, Margaret G.

Source: International Journal of Play Therapy; Jan 2020; vol. 29 (no. 1); p. 33-42



Abstract:Play therapists have become sensitized to interpersonal trauma and its varied presentations and consequences. Children who experience frightening and painful medical procedures may become traumatized by these experiences. Personnel working in inpatient medical facilities are presumably familiar with emotional and behavioral presentations of pediatric medical trauma. However, underlying pediatric medical trauma may be overlooked in outpatient play therapy settings. This article describes the clinical case of a young child whose relatively severe emotional and behavioral problems masked medical trauma. Examples of thematic play sessions are presented to illustrate the child’s underlying trauma and the process of play therapy that led to considerable improvement. The importance of the play therapy relationship is emphasized. Play therapists are encouraged to consider the presence of pediatric medical trauma when assessing young children with histories of medical intervention. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

The relationship between working alliance and client outcomes in coaching: A meta-analysis

Author(s): Graßmann, Carolin; Schölmerich, Franziska; Schermuly, Carsten C.

Source: Human Relations; Jan 2020; vol. 73 (no. 1); p. 35-58



Abstract:A growing number of studies emphasize the working alliance between the client and the coach to be a key factor in coaching. Synthesizing 27 samples ( N = 3563 coaching processes), this meta-analysis sheds light on the relationship between working alliance and a broad range of coaching outcomes for clients. The meta-analytic results indicate a moderate and consistent overall relationship between a high-quality working alliance and coaching outcomes for clients ( r = .41, 95% CI [.34, .48], p < .001). Working alliance was positively related to all desirable coaching outcomes (range: r = .32 to .64), with the strongest relationship to affective and cognitive coaching outcomes. Moreover, working alliance was negatively related to unintended negative effects of coaching ( r = –.29). Results revealed no differences regarding the type of clients, coaches’ expertise, number of coaching sessions, and clients’ or coaches’ perspectives. Similar to other helping relationships like psychotherapy or mentoring, the results support the importance of a high-quality working alliance in


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coaching. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

Suicide prevention: Using the number of health complaints as an indirect alternative for screening suicidal adolescents

Author(s): Heinz, Andreas; Catunda, Carolina; van Duin, Claire; Willems, Helmut

Source: Journal of Affective Disorders; Jan 2020; vol. 260 ; p. 61-66



PubMedID: 31493640

Abstract:Background: Suicide is the second leading cause of death in adolescents. Screening for persons at risk usually includes asking about suicidal ideation, which is considered inappropriate in some societies and situations. To avoid directly addressing suicide, this paper investigates whether the Health Behaviour in School-aged Children Symptom Checklist (HBSC-SCL), a validated non-clinical measure of eight subjective health complaints (e.g. headache, feeling low), could be used as a tool for screening suicidal ideation and behavior in adolescents. Methods: 5262 secondary school students aged 12–18 answered the Luxembourgish HBSC 2014 survey, including the HBSC-SCL items and suicidal ideation and behavior questions. Results: Each HBSC-SCL item correlates with suicidal ideation and behavior. A sum score was calculated ranging from zero to eight health complaints to predict respondents who considered suicide (area under the ROC curve = 0.770). The ideal cut-off for screening students who consider suicide is three or more health complaints: sensitivity is 66.3%, specificity is 75.9% and positive predictive value is 32.9%. Limitations: One limitation is HBSC-SCL's low positive predictive value. This is a general problem of screening rare events: the lower the prevalence, the lower the positive predictive value. Sensitivity and specificity could be improved by taking age-, gender- and country-specific cut-off values, but such refinements would make the score calculation more complicated. Conclusions: The HBSC-SCL is short, easy to use, with satisfactory screening properties. The checklist can be used when suicide cannot be addressed directly, and also in a more general context, e.g. by school nurses when screening adolescents. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

Database: PsycINFO

LGBGTQ

Longitudinal predictors of self-injurious thoughts and behaviors in sexual and gender minority adolescents

Author(s): Smith, Diana M.; Wang, Shirley B.; Carter, Mikaela L.; Fox, Kathryn R.; Hooley, Jill M.

Source: Journal of Abnormal Psychology; Jan 2020; vol. 129 (no. 1); p. 114-121



PubMedID: 31657599

Abstract:Sexual and gender minority (SGM) populations are at increased risk for several negative psychological outcomes, including self-injury. Although correlates of self-injurious thoughts and behaviors (SITBs) have been identified, it is unclear which factors are prospective predictors of SITB engagement in SGM youth. The current study investigated an online sample of 252 SGM adolescents over a 6-month period. Participants reported attitudes based on SGM identity, depression, self-criticism, body image, family support and family strain, friend NSSI engagement, and experiences of everyday discrimination. Lasso and elastic net regularized logistic regressions were used to examine which baseline variables were associated with SITB engagement at follow-up. Models resulted in excellent predictive accuracy of nonsuicidal self-injury and suicidal ideation (mean Area Under the Receiving Operating Characteristics Curve [AUC] of 0.90 and 0.91), good predictive accuracy for suicide plans (mean AUC = 0.85), and fair predictive accuracy for suicidal behaviors (mean AUC = 0.78). Several variables emerged as prospectively related to SITB risk, with varied associations across different SITBs. Results suggest that minority-specific factors may predict SITBs in SGM adolescents. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)


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ANXIETY AND DEPRESSION

Social phobia moderates the outcome in the EVIDENT study: A randomized controlled trial on an Internet-based psychological intervention for mild to moderate depressive symptoms

Author(s): Probst, Thomas; Berger, Thomas; Meyer, Björn; Späth, Christina; Schröder, Johanna; Hohagen, Fritz; Moritz, Steffen; Klein, Jan Philipp

Source: Journal of Consulting and Clinical Psychology; Jan 2020; vol. 88 (no. 1); p. 82-89



PubMedID: 31682137

Abstract:Objective: Data from the EVIDENT trial were reanalyzed to examine whether specific anxiety-related comorbidities moderate the effect of an Internet intervention on depression outcome. Method: The EVIDENT study is a randomized controlled trial that included N = 1,013 participants with mild to moderate depressive symptoms (i.e., scores between 5 and 14 on the Patient Health Questionnaire−9 [PHQ-9]) who were randomized to a control group with access to care-as-usual (n = 504) or to an intervention group, which accessed the Internet intervention Deprexis adjunctively to care-as-usual (n = 509). Anxiety-related comorbidities (generalized anxiety disorder, social phobia, panic disorder, agoraphobia, panic disorder with agoraphobia, specific phobia, posttraumatic stress disorder, obsessive–compulsive disorder) were assessed with the Web Screening Questionnaire at baseline. Multilevel models were performed. Results: Twelve potential moderators (8 specific anxiety-related comorbidities, depression severity, and 3 previously identified moderators in the EVIDENT trial) were examined within 1 multilevel model, and only social phobia moderated the intervention effect on depression outcome (in favor of Deprexis). This moderating effect of social phobia did not depend on the other moderators’ being included in the model. These results emerged for continuous PHQ-9 scores as well as for clinically important PHQ-9 changes as outcome (p < .05). However, moderating effects did not reach small effect sizes, accounted for less than 1% of the variance in change in depressive symptoms, and showed limited reproducibility in randomly selected split halves. Conclusions: Deprexis appears to be most effective for participants with mild to moderate depressive symptoms and comorbid social phobia, but further replications of this finding are necessary. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract) Impact statementWhat is the public health significance of this article?—To individualize clinical decision-making, it is important to examine which individuals with depressive symptoms benefit the most from Internet-based interventions for depression. This study suggests that the Internet intervention Deprexis is particularly effective for adults with mild to moderate depression who have comorbid social phobia symptoms. (PsycINFO Database Record (c) 2019 APA, all rights reserved)

The longitudinal course of pregnancy-related anxiety in parous and nulliparous women and its association with symptoms of social and generalized anxiety

Author(s): Mudra, Susanne; Göbel, Ariane; Barkmann, Claus; Goletzke, Janina; Hecher, Kurt; Schulte-Markwort, Michael; Diemert, Anke; Arck, Petra




PubMedID: 31494362

Abstract:Background: There is evidence that pregnancy-related anxiety (PrA) has a negative impact on birth outcomes and infant development. However, little is known about worrisome levels and individual trajectories of PrA dimensions across pregnancy and their predictive factors, particularly the association of PrA with symptoms of social phobia (SP) and generalized anxiety disorder (GAD). Methods: A sample of 180 pregnant women was assessed three times during pregnancy with the Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). Linear mixed model analyses were used to investigate the course of different PrA dimensions across pregnancy, and to relate PrA to symptoms of social and generalized anxiety. Additionally, distinct developmental patterns of PrA were explored by latent class growth analyses. Results: While the PrA total score remained stable, the different dimensions of PrA varied significantly over time. After controlling for obstetric and


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sociodemographic factors as well as depression, perceived social support and self-efficacy, symptoms of SP significantly predicted higher levels of fear of childbirth, child-related worries and concerns about mother´s appearance. Symptoms of GAD predicted higher child-related worries. Moreover, two distinct groups of women with either consistently higher or lower PrA scores were identified. Limitations: Our results are limited due to the use of self-report questionnaires and would benefit from a larger sample size and replication in high-risk samples. Conclusion: Our study suggests that a longitudinal and differentiated investigation of specific forms of prenatal anxiety may improve our understanding of women at high risk for PrA and promote the development of individualized forms of interventions initiated during pregnancy. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

Music Therapy for Surgical Patients: Approach for Managing Pain and Anxiety

Author(s): Bojorquez G.R.; Jackson K.E.; Andrews A.K.

Source: Critical Care Nursing Quarterly; Jan 2020; vol. 43 (no. 1); p. 81-85


Publication Type(s): Article

Abstract:Music therapy (MT) in the inpatient setting has demonstrated positive outcomes worldwide. There was no protocol to utilize MT at this organization. The purpose of this project was to incorporate and evaluate MT as an adjunct intervention to address pain and anxiety in adult surgical step-down patients. Evidence-based practice change using the 8A's method integrated individualized MT provided by a board-certified music therapist to hospitalized patients over a 3-month period. Training was provided to 35 nurses and unit-assigned social worker on the utilization of MT for patients exhibiting pain or anxiety symptoms. The clinical social worker and staff nurses provided referrals for MT directly to the music therapist. Evaluation of MT included paired t-test and Wilcoxon signed-rank score comparisons of the numerical pain rating scale and the DSM-5 Patient Reported Outcome Measurement Information System Anxiety short form before and after the MT encounter. Among patients who received MT (n = 42), there was a statistically significant reduction in both pain (pre = 6.07, post = 3.45, t = 7.046, P = <.001) and anxiety (pre = 56.47, post = 46.52, t = 7.787, P <=.001). The reduction in pain (moderate to mild) and anxiety (mild to none) was also clinically significant.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

IAPT

A case of misalignment: the perspectives of local and national decision-makers on the implementation of psychological treatment by telephone in the Improving Access to Psychological Therapy is the name of the service and should be capitalised

Author(s): Rushton K.; Fraser C.; Gellatly J.; Bee P.; Brooks H.; Bower P.; Armitage C.J.; Faija C.; Welsh C.

Source: BMC health services research; Dec 2019; vol. 19 (no. 1); p. 997

Publication Date: Dec 2019


PubMedID: 31878923

Abstract:BACKGROUND: Psychological treatment delivered by telephone is recommended by the National Institute for Health and Care Excellence (NICE) for mild to moderate depression and anxiety, and forms a key part of the Improving Access to Psychological Therapy (IAPT) programme in the UK. Despite evidence of clinical effectiveness, patient engagement is often not maintained and psychological wellbeing practitioners (PWPs) report lacking confidence and training to deliver treatment by telephone. This study aimed to explore the perspectives of professional decision makers (both local and national) on the barriers and facilitators to the implementation of telephone treatment in IAPT. METHOD(S): Sixteen semi-structured qualitative telephone interviews and one focus group were carried out with decision makers (n=21) who were involved locally and nationally in policy, practice and research. The interviews and focus group were coded thematically, and then mapped onto the four core constructs of Normalisation Process Theory (NPT). RESULT(S): The use of telephone for psychological treatment was universally recognised amongst participants as beneficial for improving patient choice and access to treatment. However, at service level, motives for the


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implementation of telephone treatments are often misaligned with national objectives. Pressure to meet performance targets has become a key driver for the use of telephone treatment, with promises of increased efficiency and cost savings. These service-focussed objectives challenge the integration of telephone treatments, and PWP acceptance of telephone treatments as non-inferior to face-to-face. Ambivalence among a workforce often lacking the confidence to deliver telephone treatments leads to reluctance among PWPs to 'sell' treatments to a patient population who are not generally expecting treatment in this form. CONCLUSION(S): Perceptions of a need to 'sell' telephone treatment in IAPT persist from top-level decision makers down to frontline practitioners, despite their conflicting motives for the use of telephone. The need for advocacy to highlight the clinical benefit of telephone treatment, along with adequate workforce support and guidance on best practice for implementation is critical to the ongoing success and sustainability of telephone treatment in primary care mental health programmes.

POST-TRAUMATIC STRESS DISORDER

Individual prediction of psychotherapy outcome in posttraumatic stress disorder using neuroimaging data

Author(s): Zhutovsky P.; Thomas R.M.; Olff M.; van Wingen G.A.; van Rooij S.J.H.; Kennis M.; Geuze E.

Source: Translational Psychiatry; Dec 2019; vol. 9 (no. 1)



Abstract:Trauma-focused psychotherapy is the first-line treatment for posttraumatic stress disorder (PTSD) but 30-50% of patients do not benefit sufficiently. We investigated whether structural and resting-state functional magnetic resonance imaging (MRI/rs-fMRI) data could distinguish between treatment responders and non-responders on the group and individual level. Forty-four male veterans with PTSD underwent baseline scanning followed by trauma-focused psychotherapy. Voxel-wise gray matter volumes were extracted from the structural MRI data and resting-state networks (RSNs) were calculated from rs-fMRI data using independent component analysis. Data were used to detect differences between responders and non-responders on the group level using permutation testing, and the single-subject level using Gaussian process classification with cross-validation. A RSN centered on the bilateral superior frontal gyrus differed between responders and non-responder groups (PFWE< 0.05) while a RSN centered on the pre-supplementary motor area distinguished between responders and non-responders on an individual-level with 81.4% accuracy (P < 0.001, 84.8% sensitivity, 78% specificity and AUC of 0.93). No significant single-subject classification or group differences were observed for gray matter volume. This proof-of-concept study demonstrates the feasibility of using rs-fMRI to develop neuroimaging biomarkers for treatment response, which could enable personalized treatment of patients with PTSD.Copyright © 2019, The Author(s).

Posttraumatic growth during cognitive behavioural therapy for posttraumatic stress disorder: Relationship to symptom change and introduction of significant other assessment

Author(s): Schubert C.F.; Comtesse H.; Rosner R.; Schmidt U.; Gall-Kleebach D.

Source: Stress and Health; Dec 2019; vol. 35 (no. 5); p. 617-625



Abstract:Posttraumatic growth (PTG) may play a role in the treatment of posttraumatic stress disorder (PTSD) as it is supposed to have either beneficial or dysfunctional effects on treatment-related PTS symptom (PTSS) changes. This study examined whether cognitive behavioral therapy (CBT) for PTSD patients can foster PTG assessed by self-reports and reports from significant others. Forty-eight PTSD patients participating in trauma-focused CBT were assessed twice: at the beginning of therapy (T1) and after 3 months of therapy (T2, N = 34). We used the Clinician Administered PTSD Scale and the Posttraumatic Growth Inventory (PTGI), and constructed a significant other version of the PTGI (PTGI-SOA). The PTSS severity declined during the course of treatment, whereas PTG levels remained stable. Both the PTGI and PTGI-SOA were associated with higher PTSS reduction at T2. The results suggest that PTG is associated with greater improvement in PTSS during trauma-focused CBT, even though treatment could not directly enhance PTG. Significant other assessments seem to be a


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promising approach to improve PTG measurement.Copyright © 2019 John Wiley & Sons, Ltd.

Cognitive Behavioral Treatment for Acute Posttrauma Distress: A Randomized, Controlled Proof-of-Concept Study Among Hospitalized Adults With Burns

Author(s): Fauerbach J.A.; Gehrke A.K.; Milner S.M.; Caffrey J.; Gould N.F.; Mason S.T.

Source: Archives of Physical Medicine and Rehabilitation; Jan 2020; vol. 101 (no. 1)



Abstract:Objective: (1) To evaluate the feasibility of conducting a randomized controlled trial (RCT) of the Safety, Meaning, Activation and Resilience Training (SMART) intervention vs nondirective supportive psychotherapy (NDSP) in an acutely hospitalized adult survivor of burn injury sample; and (2) to assess the preliminary effect of SMART on acute stress disorder (ASD), posttraumatic stress disorder (PTSD), and major depressive disorder (MDD) symptom reduction as secondary prevention. Design(s): Proof-of-concept, parallel group RCT design. Setting(s): Regional burn center. Participant(s): Acutely injured, hospitalized adult survivors of burn injury (N=50) were randomly assigned to SMART (n=28) or nondirective supportive psychotherapy (n=22). Due to dropout and missing data, final sample size was 40, SMART (n=21) and nondirective supportive psychotherapy (n=19). Intervention(s): SMART is a manualized, 4-session cognitive behavioral therapy-based psychological intervention targeting ASD, PTSD, and MDD symptoms. NDSP is a manualized, 4-session protocol. Main Outcome Measure(s): Davidson Trauma Scale ([DTS]; diagnostic proxy for ASD and PTSD; clinical cutoff=40, with higher score=higher severity) and the Patient Health Questionnaire-9 ([PHQ-9]; diagnostic proxy for MDD; clinical cutoff=10, with higher score=higher severity) at pretreatment, immediate posttreatment, and 1 month posttreatment. Result(s): At baseline, median DTS scores and PHQ-9 scores were above clinical cutoffs and did not differ across groups. At 1 week and 1 month posttreatment, median DTS and PHQ-9 scores were beneath clinical cutoffs in the SMART group; scores remained above clinical cutoffs in the NDSP group at these time points. Conclusion(s): It is feasible to conduct an RCT of SMART in hospitalized adult survivors of burn injury. SMART has the potential to yield clinically significant outcomes. Additional studies are needed to replicate and extend these findings.Copyright © 2019 American Congress of Rehabilitation Medicine

MENTAL DISORDERS

The influence of the working alliance on the treatment and outcomes of patients with bipolar disorder: A systematic review

Author(s): Andrade-González, Nelson; Hernández-Gómez, Alba; Álvarez-Sesmero, Sonia; Gutiérrez-Rojas, Luis; Vieta, Eduard; Reinares, María; Lahera, Guillermo




PubMedID: 31521862

Abstract:Background: The working alliance plays an essential role in the treatment of patients with different diseases. However, this variable has received little attention in patients with bipolar disorder. Therefore, this systematic review aimed to examine the working alliance's influence on these patients’ treatment outcomes, analyze its role in the adherence to pharmacotherapy, and identify the variables that are related to a good working alliance. Methods: PubMed, PsycINFO, and Web of Science databases were searched until January 5, 2018 using a predetermined search strategy. Then, a formal process of study selection and data extraction was conducted. Results: Seven articles fulfilled the inclusion criteria and they included a total of 3,985 patients with bipolar disorder type I and II. Although the working alliance's ability to predict the duration and presence of manic and depressive symptoms is unclear, a good working alliance facilitates the adherence to pharmacological treatment. In addition, good social support for patients is associated with a strong working alliance. Limitations: The selected studies used different definitions and measures of the working alliance and adherence, and most used self-reports to assess the working alliance. Furthermore, the relationships found among the variables were correlational. Conclusions: The working alliance can play an important role in adjunctive psychological therapies and in pharmacological and somatic treatments


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for patients with bipolar disorder. However, the number of studies on working alliance in bipolar disorder is rather limited and there is methodological heterogeneity between the studies. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

Client experiences of blending a coping-focused therapy for auditory verbal hallucinations with smartphone-based ecological momentary assessment and intervention

Author(s): Moore E.; Williams A.; Bell I.; Thomas N.

Source: Internet Interventions; Mar 2020; vol. 19

Publication Date: Mar 2020


Abstract:This study explored participants' experiences of a novel intervention blending ecological momentary assessment and intervention (EMA/I) digital technologies with four face-to-face therapy sessions to improve coping in people who experience persisting auditory verbal hallucinations (hear voices). A smartphone app was used to deliver prompts to facilitate both self-monitoring and self-management of voices. Analysis of data recorded by the app was also used in-session to develop an idiographic formulation of antecedents of and responses to voice-hearing episodes. Semi-structured interviews were conducted with 12 participants who completed the blended therapy. A thematic approach was used to analyse the data, generating four main themes, with associated subthemes: (1) Therapy experience changed by digital technology; (2) Valuing face-to-face component; (3) Preference for different phases of the digital technology; (4) Not as bothered by voices. Key findings revealed that participants perceived EMA/I technology as helping capture their experience more accurately and communicate this more effectively to the therapist, which, in combination with coping prompts developed in-session, deepened the therapeutic relationship. These findings add to the emerging literature that shows blended therapy can play an important role in the treatment of people with psychosis, and suggest potential of EMA/I as a technology for other clinical populations.Copyright © 2019 The Authors

ALZHEIMER’S / DEMENTIA

A challenging diagnosis of reversible "vascular" dementia: Cerebral amyloid angiopathy-related inflammation

Author(s): Poli, L.; De Giuli, V.; Piazza, F.; Volonghi, I.; Bigliardi, G.; Vallone, S.; Nichelli, P. F.; Gasparotti, R.; Zini, A.; Padovani, A.; Pezzini, A.

Source: Journal of Neuroimmunology; Jan 2020; vol. 338



PubMedID: 31715460

Available at Journal of neuroimmunology - from Unpaywall

Abstract:Cerebral amyloid angiopathy-related inflammation (CAA-ri) is a rare and treatable variant of CAA likely due to an autoimmune response directed toward beta-amyloid deposits. Cognitive and behavioral manifestations are the most common symptoms, followed by focal neurological signs, headache and seizures, associated with characteristics neuroradiological features on brain magnetic resonance imaging (MRI). We describe the clinical course, radiological features and therapeutic approach of two patients with probable CAA-ri with the aim of emphasizing the importance of an early diagnosis of this potentially reversible disease in different neurological settings, such as memory clinics and stroke units. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

COMPULSIONS AND PHOBIAS

Correlation of the Standardized Cosmesis and Health Nasal Outcomes Survey With Psychiatric Screening Tools.

Author(s): Spataro, Emily A; Kandathil, Cherian K; Saltychev, Mikhail; Olds, Cristen E; Most, Sam P

Source: Aesthetic surgery journal; Jan 2020

http://www.jni-journal.com/article/S016557281930517X/pdf


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Publication Type(s): Journal Article

PubMedID: 31917417

Abstract:BACKGROUNDIdentifying mental health disorders, including body dysmorphic disorder (BDD), is important prior to rhinoplasty surgery, however, these disorders are underdiagnosed, and screening tools are underutilized in clinical settings.OBJECTIVETo evaluate the correlation of a rhinoplasty outcomes tool (SCHNOS) with psychiatric screening tools.METHODSPatients presenting for rhinoplasty consultation were prospectively enrolled and administered mental health instruments to assess depression (PHQ-9), anxiety (GAD-7) and BDD (BDDQ-AS), as well as the SCHNOS rhinoplasty outcomes scale. Convergent validity of SCHNOS scores with these mental health instruments were assessed, as well as calculation of an optimal SCHNOS-C score to screen for BDD.RESULTS76 patients were enrolled in the study. The average SCHNOS-O score (SD) was 46.1 (34.0) and average SCHNOS-C score was 61.1 (27.0). Five (7%) patients screened positive for depression, while 24 (32%) patients screened positive for mild, 5 (7%) for moderate, and 4 (5%) for severe anxiety. 24 (32%) patients screened positive for BDD by BDDQ-AS scores. SCHNOS-O and SCHNOS-C did not correlate with PHQ-9 or GAD-7 scores; SCHNOS-C did correlate with BDDQ-AS. A score of 73 or greater on SCHNOS-C maximized the sensitivity and specificity of also screening positive for BDD with BDDQ-AS. This score correlated with a sensitivity of 62.5%, specificity of 80.8%, and number needed to diagnose of 2.3, meaning for every 2 patients with a score of ≥73 on SCHNOS-C, one will have a positive BDDQ-AS score.CONCLUSIONSSCHNOS-C correlates with BDDQ-AS and may help screen rhinoplasty patients at higher risk for BDD.

Design of virtual environments for the treatment of agoraphobia: Inclusion of culturally relevant elements for the population of the Dominican Republic

Author(s): García-Batista, Zoilo Emilio; Guerra-Peña, Kiero; Alsina-Jurnet, Ivan; Cano-Vindel, Antonio; Herrera Martínez, Solmary Xiomara; Jiménez-Payano, Daniel; Moretti, Luciana Sofía; Medrano, Leonardo Adrián

Source: Computers in Human Behavior; Jan 2020; vol. 102 ; p. 97-102



Abstract:Virtual Reality is a powerful tool for the treatment of agoraphobia. However, how effective is the use of these scenarios when they do not resemble the sociocultural context? Literature suggests that the inclusion of culturally relevant elements increases the ecological validity and transferability of learning since it reduces the gap between the virtual and real context. Unfortunately, in Latin America, the development of virtual environments is incipient, and the use of generic virtual environments is commonplace. The objective of this study was to develop virtual environments that include elements that are culturally relevant to the population of the Dominican Republic. Three hundred people with symptoms of agoraphobia were interviewed. Based on the information obtained, four scenarios were designed: house, elevator, park and public transport. In each scenario, the parameters that increase anxiety levels (for example, number of people) may be controlled and modified, allowing the development of exposure levels. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

PSYCHOLOGICAL ASSESSMENT

PAIN, PHYSICAL ILLNESS AND LONG TERM CONDITIONS

How and for whom does a positive affect intervention work in fibromyalgia: An analysis of mediators and moderators

Author(s): Molinari G.; Miragall M.; Botella C.; Banos R.M.; Garcia-Palacios A.; Enrique A.

Source: European Journal of Pain (United Kingdom); Jan 2020; vol. 24 (no. 1); p. 248-262



Abstract:Objectives: Psychological interventions designed to enhance positive affect are promising ways to promote adaptive functioning in people with chronic pain. However, few studies have


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addressed the efficacy of positive affect interventions in chronic pain populations and examined which patients can benefit more from them. The aim of the present study was to identify mediators and moderators of the best possible self intervention (BPS) in fibromyalgia patients. Method(s): We used data from a previous randomized controlled trial that examined changes in pain interference, depression, self-efficacy and quality of life after the BPS intervention. Result(s): Mediation analyses showed that depression mediated changes in pain interference. Positive and negative affect were significant mediators of the change in depression and quality of life. No significant mediators of the change in self-efficacy were found. Baseline levels of quality of life, emotion regulation strategies of negative and positive affect, and rumination moderated the effects of the intervention on depressive symptomatology. Discussion(s): In fibromyalgia patients, the effects of the BPS on the outcomes seem to be more related to changes in affect than to changes in future expectations. Significance: This study presents evidence about who can benefit from an intervention designed to augment positive affect and promote positive functioning in FMS patients and how these changes occur. It extends previous findings on patient characteristics associated with the response to pain management interventions.Copyright © 2019 European Pain Federation - EFIC

The effectiveness of psychological interventions for fatigue in cancer survivors: Systematic review of randomised controlled trials

Author(s): Corbett T.K.; Groarke A.; Carr E.; Walsh J.C.; McGuire B.E.; Devane D.

Source: Systematic Reviews; Dec 2019; vol. 8 (no. 1)


Publication Type(s): Review

Abstract:Background: Fatigue is a common symptom in cancer patients that can persist beyond the curative treatment phase. This systematic review evaluated the effectiveness of psychological interventions for cancer-related fatigue in post-Treatment cancer survivors. Method(s): We searched relevant online databases and sources of grey literature. Randomised controlled trials (RCTs) evaluating psychological interventions in adult cancer patients after the completion of treatment, with fatigue as an outcome measure, were included. Two review authors extracted data independently from the selected studies and assessed the methodological quality using the Cochrane Collaboration Risk of Bias Tool. Result(s): Thirty-Three psychological interventions were identified. The sample size of the included studies varied between 28 and 409, with 4525 participants overall. Twenty-Three of the included studies reported a significant effect of the interventions on reducing fatigue in cancer survivors. Most interventions focused on psychoeducation, mindfulness, cognitive or behaviour therapy-oriented strategies. However, studies differed widely in terms of measurement tools used to assess fatigue, mode, duration and frequency of the intervention delivery. Conclusion(s): This review showed some tentative support for psychological interventions for fatigue after cancer treatment. However, as the RCTs were heterogeneous in nature and the number of high-quality studies was limited, definitive conclusions are not yet possible. With the growing need for stage-specific research in cancer, this review sought to inform current practice and to summarise the existing evidence base of randomised controlled trials in the area. Systematic review registration: PROSPERO registration number:

BRAIN INJURY AND STROKE

SUICIDE AND SELF-HARM

An initial investigation of the association between <i>DSM–5</i> posttraumatic stress disorder symptoms and nonsuicidal self-injury functions

Author(s): Ennis, Chelsea R.; Tock, Jamie L.; Daurio, Allison M.; Raines, Amanda M.; Taylor, Jeanette

Source: Psychological Trauma: Theory, Research, Practice, and Policy; Jan 2020



Abstract:Objective: Despite the well-established link between posttraumatic stress disorder (PTSD) and nonsuicidal self-injury (NSSI), little is known about factors that may lead to self-injury among trauma-exposed individuals. Moreover, no research to date has examined these relations in the


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context of the newly revised Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM–5) PTSD criteria. Thus, the purpose of the current study was to explore the associations between DSM–5 PTSD symptom clusters (i.e., intrusion, avoidance, negative alterations in cognitions and mood, alterations in arousal and reactivity) and self-injury functions using a small sample of college students. Method: Participants ( N = 81) were recruited for a lifetime history of NSSI and trauma exposure. Results: Findings revealed a statistically significant path from PTSD avoidance symptoms to NSSI social functions and from PTSD negative alterations in cognitions and mood symptoms to NSSI intrapersonal functions, even after controlling for relevant covariates. Conclusions: Results of the current study highlight the importance of assessing for NSSI among trauma-exposed individuals. Considering that NSSI is a risk factor for suicidal behavior and potentially a clinically distinct diagnosis, future research should continue to explore these associations using larger, more diverse clinical samples. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract) Impact statementClinical Impact Statement—This study examined the link between posttraumatic stress disorder (PTSD) symptom clusters and reasons for engaging in nonsuicidal self-injury (NSSI), referred to as a NSSI function. Results indicated that PTSD symptom clusters are differentially related to NSSI functions. Specifically, PTSD negative alterations in cognitions and mood symptoms were associated with engaging in NSSI for intrapersonal (i.e., emotion regulation) functions, whereas PTSD avoidance symptoms were related to NSSI for social functions (i.e., communication, avoidance). These results suggest that PTSD symptom clusters may differentially maintain NSSI behaviors, and highlight the importance of assessing for NSSI among those who experience PTSD symptoms. (PsycINFO Database Record (c) 2020 APA, all rights reserved)

Efficacy of dialectical behavior therapy versus treatment as usual for acute-care inpatient adolescents

Author(s): Tebbett-Mock, Alison A.; Saito, Ema; McGee, Madeline; Woloszyn, Patricia; Venuti, Maria




PubMedID: 30946973

Abstract:Objective: Dialectical behavior therapy (DBT) is an evidence-based treatment that targets suicidal behavior and nonsuicidal self-injury (NSSI) and has been adapted for adolescents. Given the seriousness of these behaviors, many adolescents are psychiatrically hospitalized, but minimal research has been conducted on specific interventions during hospitalization. The goal of this study was to evaluate DBT versus treatment as usual (TAU) for adolescents on an acute-care psychiatric inpatient unit. Method: We conducted a retrospective chart review for adolescents receiving inpatient DBT (n = 425) and for a historical control group treated on the same unit before DBT (ie, TAU, n = 376). Both χ² and t tests were conducted as preliminary analyses to examine differences between groups on diagnosis, sex, and age. Mann−Whitney U tests were conducted to examine differences between groups on outcome variables. The potential benefit of cost savings was analyzed. Results: Patients who received DBT had significantly fewer constant observation (CO) hours for self-injury; incidents of suicide attempts and self-injury; restraints; and days hospitalized compared to patients who received TAU. Statistically significant differences were not found between DBT and TAU groups for number of CO hours for aggression, incidents of aggression toward patients or staff, seclusions, or readmissions. A cost analysis determined that $251,609 less was spent on staff time for CO hours with DBT compared to TAU. Conclusion: Results provide support for the implementation of DBT in an acute-care adolescent psychiatric inpatient unit for adolescents. Clinical implications, study limitations, and future research directions are discussed. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

High viewership of videos about teenage suicide on YouTube

Author(s): Dagar, Anjali; Falcone, Tatiana



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Publication Type(s): Journal Peer Reviewed Journal Letter

Abstract:The ubiquity of social media in a teenager’s daily life is no secret, as 97% of teens use at least one major online platform, and 45% stay online "almost constantly. Although we are still trying to understand the benefits and risks of extensive media use, some research has suggested that YouTube may promote the normalization of nonsuicidal self-injury among youths, and it may facilitate the rapid spread of harmful trends, such as the Tide pod challenge, among teenagers. A comprehensive search was conducted on two different computers separately using all the relevant and possible permutations and combinations of the keywords "suicide," "suicidal," "adolescents," "adolescence," "teens," "teenage," "teenager," and "teenagers" on YouTube between December 18, 2018 and December 21, 2018. This study was motivated by a concern about what youths would be exposed to around the topic of suicide on You-Tube. The most encouraging finding is that close to 80% of the videos on teenage suicide present educational content or promote awareness of the issue. There are multiple limitations to our study. We limited our search to videos with 1000 views only; our findings primarily apply to English-speaking viewers; and we did not use keywords that were not age specific, such as "boys" and "girls." We do not have information on the demographics of the viewers, and a small, but substantial, portion of view counts could be attributed to concerned parents and caregivers. In conclusion, although this study was encouraging, ongoing research into social media and its risks and benefits as well as how mental health professionals, parents, and concerned adults can protect youths engaged in social media is warranted. (PsycINFO Database Record (c) 2020 APA, all rights reserved)

Suicide among college students in psychotherapy: Individual predictors and latent classes

Author(s): Hayes, Jeffrey A.; Petrovich, Justin; Janis, Rebecca A.; Yang, Ying; Castonguay, Louis G.; Locke, Benjamin D.

Source: Journal of Counseling Psychology; Jan 2020; vol. 67 (no. 1); p. 104-114



PubMedID: 31556625

Abstract:This study sought to identify predictors of suicidal behavior among college students who are psychotherapy clients, as well as to determine underlying classes of clients with suicidal ideation. Data were gathered from 101,570 clients, 391 of whom engaged in suicide behavior during treatment. Regression analyses revealed that suicide behavior was positively associated with 3 pretreatment variables: depression, prior suicide behavior, and prior nonsuicidal self-injury. Four latent classes of clients with suicidal ideation were identified that were named "prior ideation," "extensive risk," "prior treatment," and "circumscribed depression." The number of clients in each class varied widely, as did the relative risk of suicide behavior. Implications for treatment, suicide assessment, and suicide prevention are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

ROC analysis of three-dimensional psychological pain in suicide ideation and suicide attempt among patients with major depressive disorder

Author(s): Sun, Xuemei; Li, Huanhuan; Song, Wei; Jiang, Songyuan; Shen, Chengfeng; Wang, Xiang

Source: Journal of Clinical Psychology; Jan 2020; vol. 76 (no. 1); p. 210-227



PubMedID: 31576558

Abstract:Objective: To identify the predictive ability of the three-dimensional psychological pain scale (TDPPS) on suicide risk among MDD patients as compared to impulsivity, depression, hopelessness, psychache and acquired capability for suicide, and to determine the cut-off point of TDPPS in the identification of those at risk for suicide. Method: The sample comprised 137 depressed outpatients who were divided into subjects with a history of suicidal attempt (SA, N = 31) and those without such history (NSA, N = 106). All participants completed the questionnaires to evaluate interested variables.


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Broad sociodemographic and clinical variables were analyzed by using hierarchical and logistic regression analysis and Receiver Operating Characteristic curve analysis. Results: TDPPS, especially pain avoidance subscale displayed superior performance in accurately identifying suicide attempt compared with other measurements. The appropriate cut-off point was 58 for the TDPPS. Conclusions: TDPPS may be an effective screening scale for detecting depressed patients at high suicidal risk. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

The associations between alexithymia and both non-suicidal self-injury and risky drinking: A systematic review and meta-analysis

Author(s): Greene, Danyelle; Boyes, Mark; Hasking, Penelope




PubMedID: 31494366

Abstract:Background: Nonsuicidal self-injury (NSSI; direct harm to the body without suicidal intent) and risky drinking are two behaviours that serve emotion regulatory functions. When underlying emotional problems are untreated, individuals may shift between NSSI and risky drinking. Both behaviours are associated with alexithymia, difficulties identifying and describing emotions and retaining an externally orientated thinking style. However, it is unknown to what extent the associations are similar and under what circumstances (e.g. sex, age) they may differ. Method: To compare both associations we conducted an extensive review using several databases. Overall, 20 NSSI-related articles and 33 risky drinking-related articles met the inclusion criteria. Results: A meta-analysis revealed significant positive associations between total alexithymia scores, difficulties identifying feelings, difficulties describing feelings and both NSSI and risky drinking. However, these associations appear stronger for NSSI. Further, externally orientated thinking was associated with risky drinking but not NSSI. Age had opposing moderating effects on the relationships, with the association between alexithymia and NSSI being stronger in younger samples and the association between alexithymia and risky drinking being stronger in older samples. Further, the association between alexithymia and NSSI was stronger for female only samples compared to male only samples. Limitations: The review was limited to English articles. High levels of heterogeneity were observed. The majority of the studies included were cross-sectional. Conclusion: These results imply that NSSI and risky drinking may have both shared and distinguishable correlates. Alexithymia can be targeted in treatment to potentially reduce the likelihood of individuals shifting between behaviours to regulate their emotions. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

Suicide prevention: Using the number of health complaints as an indirect alternative for screening suicidal adolescents

Author(s): Heinz, Andreas; Catunda, Carolina; van Duin, Claire; Willems, Helmut




PubMedID: 31493640

Abstract:Background: Suicide is the second leading cause of death in adolescents. Screening for persons at risk usually includes asking about suicidal ideation, which is considered inappropriate in some societies and situations. To avoid directly addressing suicide, this paper investigates whether the Health Behaviour in School-aged Children Symptom Checklist (HBSC-SCL), a validated non-clinical measure of eight subjective health complaints (e.g. headache, feeling low), could be used as a tool for screening suicidal ideation and behavior in adolescents. Methods: 5262 secondary school students aged 12–18 answered the Luxembourgish HBSC 2014 survey, including the HBSC-SCL items and suicidal ideation and behavior questions. Results: Each HBSC-SCL item correlates with suicidal ideation and behavior. A sum score was calculated ranging from zero to eight health complaints to predict respondents who considered suicide (area under the ROC curve = 0.770). The ideal cut-off for screening students who consider suicide is three or more health complaints: sensitivity is 66.3%,


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specificity is 75.9% and positive predictive value is 32.9%. Limitations: One limitation is HBSC-SCL's low positive predictive value. This is a general problem of screening rare events: the lower the prevalence, the lower the positive predictive value. Sensitivity and specificity could be improved by taking age-, gender- and country-specific cut-off values, but such refinements would make the score calculation more complicated. Conclusions: The HBSC-SCL is short, easy to use, with satisfactory screening properties. The checklist can be used when suicide cannot be addressed directly, and also in a more general context, e.g. by school nurses when screening adolescents. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

Database: PsycINFO

Longitudinal predictors of self-injurious thoughts and behaviors in sexual and gender minority adolescents

Author(s): Smith, Diana M.; Wang, Shirley B.; Carter, Mikaela L.; Fox, Kathryn R.; Hooley, Jill M.

Source: Journal of Abnormal Psychology; Jan 2020; vol. 129 (no. 1); p. 114-121



PubMedID: 31657599

Abstract:Sexual and gender minority (SGM) populations are at increased risk for several negative psychological outcomes, including self-injury. Although correlates of self-injurious thoughts and behaviors (SITBs) have been identified, it is unclear which factors are prospective predictors of SITB engagement in SGM youth. The current study investigated an online sample of 252 SGM adolescents over a 6-month period. Participants reported attitudes based on SGM identity, depression, self-criticism, body image, family support and family strain, friend NSSI engagement, and experiences of everyday discrimination. Lasso and elastic net regularized logistic regressions were used to examine which baseline variables were associated with SITB engagement at follow-up. Models resulted in excellent predictive accuracy of nonsuicidal self-injury and suicidal ideation (mean Area Under the Receiving Operating Characteristics Curve [AUC] of 0.90 and 0.91), good predictive accuracy for suicide plans (mean AUC = 0.85), and fair predictive accuracy for suicidal behaviors (mean AUC = 0.78). Several variables emerged as prospectively related to SITB risk, with varied associations across different SITBs. Results suggest that minority-specific factors may predict SITBs in SGM adolescents. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

EATING DISORDERS

Change processes related to long-term outcomes in eating disorders with childhood trauma: An explorative qualitative study

Author(s): Olofsson, Malin E.; Oddli, Hanne W.; Hoffart, Asle; Eielsen, Hanna P.; Vrabel, KariAnne R.

Source: Journal of Counseling Psychology; Jan 2020; vol. 67 (no. 1); p. 51-65



PubMedID: 31368720

Abstract:To date, eating disorder (ED) treatments are lacking for ED patients with psychiatric sequelae of childhood trauma, and successful outcomes are scarce. Therefore, the aim of this study was to explore therapeutic change processes from a patient perspective in relation to good versus poor long-term ED outcome at 1-year follow-up. Outcome categories were based on clinician assessment of ED behavior and diagnoses, body mass index, and Eating Disorder Examination Questionnaire scores. Eleven White, cisgendered female ED patients with childhood trauma were interviewed after a 3-month inpatient treatment: data was analyzed with elements from grounded theory and interpretative phenomenological analysis. The qualitative analysis rendered change-related descriptions (9 subcategories) and obstacles to change (6 subcategories), and 3 process-related domains differentiated good from poor long-term outcome: trauma exposure (4 subcategories), patient agency (6 subcategories), and patient–therapist dynamics (3 subcategories). First, sensory and emotional trauma exposure in good outcome informants was contrasted with avoiding or not addressing trauma and body in poor outcome informants. Second, promotion of patient agency while receiving support in the good outcome group was contrasted to an orientation toward others’ needs,


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distrust in own abilities, and difficulties showing vulnerability in the poor outcome group. Third, poor outcome informants described either a distanced or immersed/idealizing relationship to their therapist, as opposed to more balanced between self-assertion and vulnerability in good outcome informants. Our findings raise new hypotheses that trauma work, fostering patient agency, and focusing on relational dynamics in patient–therapist dyad may be important in producing enduring ED outcomes for these patients. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

Individual cognitive remediation therapy benefits for patients with anorexia nervosa and high autistic features

Author(s): Dandil Y.; Smith K.; Adamson J.; Tchanturia K.

Source: European Eating Disorders Review; Jan 2020; vol. 28 (no. 1); p. 87-91



Abstract:Cognitive remediation therapy (CRT) is an increasingly implemented intervention in psychiatric conditions. The majority of randomized treatment trials in psychiatry reports cognitive improvements resulting in better functional outcomes in CRT groups. This brief report from the national inpatient treatment programme for eating disorders demonstrates cognitive performance task-based improvements in patients with high and low autistic characteristics. This preliminary study shows feasibility and benefits of individual CRT in patients who have autism spectrum disorder features.Copyright © 2019 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd

ATTACHMENT

MINDFULNESS AND WELL-BEING

STRESS

AUTISM / ASPERGER’S SYNDROME

SLEEP DISORDERS

ANGER MANAGEMENT/INTIMATE PARTNER VIOLENCE

COUPLES AND FAMILY THERAPY

GROUP THERAPY

ADDICTION/SUBSTANCE MISUSE

TRANSFERENCE

THERAPEUTIC RELATIONSHIP

When adolescents stop psychological therapy: Rupture–repair in the therapeutic alliance and association with therapy ending

Author(s): O'Keeffe, Sally; Martin, Peter; Midgley, Nick

Source: Psychotherapy; Jan 2020



Abstract:The therapeutic alliance predicts dropout from psychological therapy, and ruptures in the


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therapeutic alliance may also predict dropout, yet there is a dearth of research with adolescents. This study investigated whether markers of rupture–repair in the alliance were indicative of different types of treatment ending in adolescents receiving psychological treatment for depression. Data were from the IMPACT study, a trial investigating the effectiveness of therapies for adolescent depression. Participants were randomly allocated to receive a brief psychosocial intervention, cognitive–behavioral therapy, or short-term psychoanalytic psychotherapy. The sample ( N = 35) comprised adolescents who had either completed their treatment ( n = 14) or dropped out ( n = 21) according to their therapist. Dropout cases were further classified as dissatisfied ( n = 14) or got-what-they-needed ( n = 7) based on posttherapy interviews with the adolescent and therapist. Selected recordings of therapy sessions were rated using the Rupture Resolution Rating System and Working Alliance Inventory (observer version). Therapeutic alliance and rupture–repair during therapy were similar for completers and got-what-they-needed dropouts, whereas dissatisfied dropouts had poorer therapeutic alliance, more ruptures, ruptures that were frequently unresolved, and greater therapist contribution to ruptures. Qualitative analysis of sessions led to the construction of three categories of therapist contribution to ruptures: therapist minimal response, persisting with a therapeutic activity, and focus on risk. Results suggest that ruptures, especially when unresolved, could be warning signs of disengagement and dropout from therapy. Future research should investigate how ruptures may be effectively identified and resolved in treatment with adolescents. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

Therapists’ behaviors and youths’ therapeutic alliance during trauma-focused cognitive behavioral therapy

Author(s): Ovenstad, Kristianne S.; Ormhaug, Silje M.; Shirk, Stephen R.; Jensen, Tine K.

Source: Journal of Consulting and Clinical Psychology; Jan 2020



Abstract:Objective: Trauma-focused cognitive–behavioral therapy (TF-CBT) is a recommended treatment for posttraumatic stress (PTS) in youth, and a strong therapeutic alliance predicts reductions of PTS in TF-CBT. However, little is known of how therapists can build a strong alliance. This study seeks to understand which therapist behaviors are associated with the strength of alliance in TF-CBT. Method: Participants were 65 youth ( M age = 15.1, SD = 2.19; 77% girls) engaged in TF-CBT and their therapists ( n = 24). The alliance was assessed midtreatment using the Therapeutic Alliance Scale for Children-revised. Therapists’ behaviors were coded using the Adolescent Alliance-Building Scale—revised, and youth engagement behavior was coded using the Behavioral Index of Disengagement Scale. Linear mixed-effects models were used to evaluate clients’ and therapists’ in-session behaviors as predictors of the alliance, in addition to assessing the potential moderating effects of youth behaviors. Results: Rapport-building behaviors were significantly predictive of higher alliance scores (Est. = 1.81, 95% CI [0.11, 3.52], p = .038), whereas there was no predictive effect of treatment socialization or trauma-focusing behavior on alliance scores. Initial youth behavior significantly moderated the effect of trauma-focusing on the alliance ( p = .007); greater focus on trauma was associated with higher alliance scores among passively disengaged youth (Est. = 4.92, 95% CI [1.80, 8.05], p = .003). Conclusions: Rapport-building behaviors are associated with a stronger alliance in TF-CBT. Gradual exposure through initial trauma-eliciting does not appear to undermine alliance formation but is rather associated with higher alliance-scores among passively disengaged youth. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract) Impact statementWhat is the public health significance of this article?—This study suggests that therapist rapport-building behaviors (i.e., focusing on youth’s experiences, providing support, and cognitive restructuring) during the early phase of TF-CBT are associated with a stronger therapeutic alliance. Focusing on youth’s traumatic experiences early in treatment does not undermine alliance building in TF-CBT. For youth who are marginally engaged when entering treatment, therapists’ elicitation of trauma-related content seems to be beneficial for alliance formation. (PsycINFO Database Record (c) 2020 APA, all rights reserved)

Process of object relation therapy based on transference and potential space in patients with major depressive disorder: A grounded theory study

Author(s): Ghafouri, Samaneh; Dehghani, Mahmood; Summers, Frank; Shahboulaghi, Farahnaz


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Mohammadi




Abstract:This study involved 18 patients who received object relations therapy—an analytic therapy based on transference and potential space—after having been diagnosed with major depressive disorder via the clinician version of the Structured Clinical Interview for DSM–IV (First, Spitzer, Gibbon, & Williams, 1996). In-depth interviews were carried out to the point of saturation, after which the experiences of the patients were used as the basis for establishing an independent substantive theory. The findings were categorized into the following themes: context of therapy, barriers to therapy, facilitators of therapy, analytical dyad formation, the development of self-awareness and self-expression, and the realized self. Analyzing patients’ experiences with therapy can play an important role in filling the conceptual gaps of object relations therapy and in identifying its therapeutic effects, which can expand its applicability to other disorders. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

The fear of immigrants

Author(s): Tummala-Narra, Pratyusha




Abstract:The presence and growing visibility of racial minority immigrants in the United States and across the globe has triggered a sense of collective anxiety, where dissociative defenses maintain emotional distance and identification with groups perceived to be threatening. Fringe movements and mainstream political parties have framed immigrants and refugees as the major cause of unemployment, crime, and a threat to their cultural and social fabric. Recent policies in the United States, such as those resulting in heightened policing of Black and Brown people and deportation of undocumented immigrants and separation of children from parents, have made explicit the connection between racism and xenophobia. These macrolevel policies and the broader xenophobic and racist sociopolitical climate in which they are implemented have important implications for intrapsychic life and interpersonal relationships. This paper explores psychoanalytic perspectives on the roots of xenophobia, racialized defenses, and their implications for the experiences of racial minority immigrants in the United States. The paper further addresses how the fear of immigrants reflects anxiety in multiple dimensions, involving not only fears of the receiving context or the host country, but also the xenophobia that immigrants carry with them from their countries of origin. The implications of xenophobia and racism are explored in the context of the therapeutic relationship, where the client and the therapist engage in difficult and emotionally charged ways with respect to the current sociopolitical climate. Clinical examples are provided to illustrate transference and countertransference dynamics, and related dilemmas centered on xenophobia and racism that arise in psychoanalytic psychotherapy.






Abstract:Attachment-based interventions with parent–child dyads constitute a clinical scenario characterized by a series of specific challenges and opportunities for intervention and, essentially, considerations with respect to technique which are novel in comparison with the classical psychoanalytic intervention model. This paper aims to highlight the common therapeutic elements that define and differentiate intervention with parent–child dyads. The common therapeutic elements that traverse these interventions are: specific consideration for and handling of the therapeutic alliance with parents; mentalization-centered interventions with parents; promoting


23

parental sensitivity through self-observation; and modifying second-order parental representations. Insight-oriented interpretation through words or actions is also considered as a technique appearing among certain models of dyadic therapy. The rationale, implications and advantages of each of these therapeutic elements are explored and exemplified. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)






Abstract:Attachment-based interventions with parent–child dyads constitute a clinical scenario characterized by a series of specific challenges and opportunities for intervention and, essentially, considerations with respect to technique which are novel in comparison with the classical psychoanalytic intervention model. This paper aims to highlight the common therapeutic elements that define and differentiate intervention with parent–child dyads. The common therapeutic elements that traverse these interventions are: specific consideration for and handling of the therapeutic alliance with parents; mentalization-centered interventions with parents; promoting parental sensitivity through self-observation; and modifying second-order parental representations. Insight-oriented interpretation through words or actions is also considered as a technique appearing among certain models of dyadic therapy. The rationale, implications and advantages of each of these therapeutic elements are explored and exemplified. (PsycINFO Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)

The influence of the working alliance on the treatment and outcomes of patients with bipolar disorder: A systematic review

Author(s): Andrade-González, Nelson; Hernández-Gómez, Alba; Álvarez-Sesmero, Sonia; Gutiérrez-Rojas, Luis; Vieta, Eduard; Reinares, María; Lahera, Guillermo




PubMedID: 31521862

Abstract:Background: The working alliance plays an essential role in the treatment of patients with different diseases. However, this variable has received little attention in patients with bipolar disorder. Therefore, this systematic review aimed to examine the working alliance's influence on these patients’ treatment outcomes, analyze its role in the adherence to pharmacotherapy, and identify the variables that are related to a good working alliance. Methods: PubMed, PsycINFO, and Web of Science databases were searched until January 5, 2018 using a predetermined search strategy. Then, a formal process of study selection and data extraction was conducted. Results: Seven articles fulfilled the inclusion criteria and they included a total of 3,985 patients with bipolar disorder type I and II. Although the working alliance's ability to predict the duration and presence of manic and depressive symptoms is unclear, a good working alliance facilitates the adherence to pharmacological treatment. In addition, good social support for patients is associated with a strong working alliance. Limitations: The selected studies used different definitions and measures of the working alliance and adherence, and most used self-reports to assess the working alliance. Furthermore, the relationships found among the variables were correlational. Conclusions: The working alliance can play an important role in adjunctive psychological therapies and in pharmacological and somatic treatments for patients with bipolar disorder. However, the number of studies on working alliance in bipolar disorder is rather limited and there is methodological heterogeneity between the studies. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: journal abstract)

INTELLECTUAL DISABILITIES


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Patient experience in adult NHS services

The epilepsies

Psychosis and schizophrenia in children and young people

Attention deficit hyperactivity disorder

Obsessive-compulsive disorder

Post-traumatic stress disorder (PTSD)

Alcohol use disorders: preventing harmful drinking

Epilepsy

Patient experience in adult NHS services

Depression in children and young people

Autism diagnosis in children and young people

Self-harm: longer term management

Common mental health disorders

Alcohol use disorders: harmful drinking and alcohol dependence

Psychosis with coexisting substance misuse

Generalised anxiety disorder in adults

Depression

Depression in adults with a chronic physical health problem

Alcohol-use disorders: physical complications

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NICE SURVEILLANCE REPORTS

March 2019

The following Surveillance Reports have recently been published and include the decision that NICE

has taken about the need to update the guidelines listed below in light of new evidence.

PH49 (exceptional review) Behaviour change: individual approaches

CG178 (exceptional review) Psychosis and schizophrenia in adults: prevention and management

CG109 Transient loss of consciousness ('blackouts') in over 16s

MPG1 Developing and updating local formularies

CG76 Medicines adherence: involving patients in decisions about prescribed medicines and supporting

adherence

NG5 Medicines optimisation: the safe and effective use of medicines to enable the best possible

outcomes

CG162 Stroke rehabilitation in adults

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The librarians are always eager to receive any suggestions for addition to library stock. Simply e-mail the details to the library on [email protected].

NEW BOOKS

Stop Walking on Eggshells Paul T. Mason

Dialectical Behavior Therapy for Binge Eating and Bulimia Debra L Safer Borderline Personality Disorder. An Evidence-based guide for generalist mental health professionals A Bateman

Dementia: Support for Family and Friends Dave Pulsford

How to Become a Clinical Psychologist Laura Golding

Professional Issues in Clinical Psychology Will Curvis

Clinical Psychology: A Very Short Introduction Susan P Llewelyn

Psychology for Medicine and Healthcare Susan Ayers

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