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Depression (109)

02 Jun

Researchers from the Brain and Mind Research Institute at the University of Sydney in New South Wales, Australia, evaluated the effectiveness of internet-delivered Cognitive Behavioral Therapy (iCBT) on depressive symptom severity and adherence to medical advice (including lifestyle interventions) in adults with mild to moderate depression and high cardiovascular disease (CVD) risk.

This was a randomized, double-blind, 12 week attention-controlled trial comparing an iCBT program (E-couch) with an internet-delivered attention control health information package (HealthWatch, n = 282).

The primary outcome measured was depression symptom level on the nine-item Patient Health Questionnaire (PHQ-9) (trial registration: ACTRN12610000085077).

Out of 562 subjects, there were 487 completers (88%) who lasted to the final assessment.

19 May

Investigators from San Diego State University/University of California looked at whether, for dual diagnosis veterans with substance dependence and major depressive disorder, 12-Step success with alcohol and drug use might be mediated by reductions in depression. 

Veterans (209) with this dual diagnosis (chemical dependency and depression) were enrolled in this controlled trial, randomized to either Twelve-Step Facilitation (TSF) or Integrated Cognitive-Behavioral Therapy (ICBT), delivered in out-patient groups for 6 months, with support from medication.

Twelve-Step attendance and affiliation, depression severity, percentage of days drinking and percentage of days using drugs were assessed at baseline and at months 3, 6 and 9.

Greater 12-Step meeting attendance predicted lower depression and mediated the superior depression outcomes of the TSF group, explaining 24.3% of the group difference in depression.

12 May


Audio Sample

Question:

Belleruth,

You have NO IDEA how timely this post (The Joy of Tossing Clutter) is for me!!  I just looked at the HJ site today hoping to find something to help w/ Procrastination because I look around my house...thinking I NEED to clean this junk and paper clutter out!!
   
Anything already in the HJ library that might help?
 
Thanks so much for your work!

Dana

15 Apr

We got this exquisite, heroic message a few years ago, in response to my email request for input when I was writing the Caregiver Stress imagery a few years ago.  

I recently came across it and again marveled at the beauty, wisdom, self-awareness and courage of this rock star of a mother – it’s an essential manual for anyone facing similar, heartbreaking circumstances.  

She helped me enormously with writing the narrative I eventually recorded, but more importantly, she’s just such a dazzling role model, who offers such excellent advice, even though she’s not trying to give it.

24 Feb

Hi,

I’m an LPC and LMFT and attended one of your workshops (Houston, 2004 maybe). I refer a lot of clients to your website to purchase CDs and love your work.

I have a new client who is on Lexapro, Resperdil, and Xanax for the most severe anxiety Ive seen in my 42 years counseling.
 
Jan. 2013 he suffered a spinal cord injury in a ski accident/long rehab/finally back to work as an attorney and walking w/crutches. Doing well.

Then several months later, he falls apart w/anxiety, physical pain in legs and legs shaking constantly/spastic - finally quits going to work and is now in a wheelchair.
 
Had another brain and spinal cord MRI and doctors find nothing wrong. Just sits & does NOTHING. No hope. Becoming irritated by everything.

I had them buy your Ease Pain CD and Healthful Sleep (as hes getting only a few hours of sleep). He listened to Ease Pain only a few times and says it irritates him and he refuses to listen.

Any suggestions?

Thank you.

14 Feb

Researchers from the Veterans Affairs Palo Alto Health Care System assessed therapist and patient outcomes from a national training initiative with eleven cohorts (391 therapists and 745 depressed patients) across the country in using Acceptance and Commitment Therapy for depression or ACT-D.
 
Three-hundred thirty four therapists successfully completed the requirements of the ACT-D training program.
 
Ninety-six percent of therapists achieved competency by the end of training, as compared to 21% at the outset of training.
 
Mixed effects model analysis indicated therapists' overall ACT-D competency scores increased from 76 to 112 (conditional SD = 6.6), p < 0.001.

10 Feb

Researchers from the VA Puget Sound Health Care System in Seattle, WA assessed outcomes resulting from Mindfulness-Based Stress Reduction (MBSR) for 47 veterans with PTSD, depression and quality of life.

The subjects were randomized to treatment as usual (TAU; n = 22), or MBSR plus TAU (n = 25), and assessed at baseline, post-treatment, and 4-month follow-up.

Intention-to-treat analyses found no reliable effects of MBSR on PTSD or depression. Quality of life improved at posttreatment but there was no reliable effect at 4 months.

03 Feb

Researchers from Stanford University investigated the effectiveness of MBSR (Mindfulness Based Stress Reduction) on Social Anxiety Disorder, as compared with aerobic exercise.

Fifty-six adults (52% female; 41% Caucasian; age mean [M] ± standard deviation [SD]: 32.8 ± 8.4) with SAD were randomized to either an MBSR condition or the active comparison condition of aerobic exercise (AE).
 
At baseline and post-intervention, participants completed measures of social anxiety , depression, stress and sense of well-being (Liebowitz Social Anxiety Scale, Social Interaction Anxiety Scale, Beck Depression Inventory-II, and Perceived Stress Scale, Rosenberg Self-Esteem Scale, Satisfaction with Life Scale, Self-Compassion Scale, and UCLA-8 Loneliness Scale).

20 Jan

Researchers from the Department of Psychology at the University of Vermont in Burlington looked at the recurrence of SAD (seasonal affective disorder or depression) in the fall/winter, one year after receiving cognitive behavioral treatment.

The investigators had previously developed a group cognitive-behavioral therapy approach (CBT) specifically targeted for SAD and tested its efficacy in 2 pilot studies that compared outcomes with light therapy.

This study examines impact during the subsequent winter season (approximately 1 year after acute treatment), following participants randomized to CBT, light therapy, and a combination of both treatments.  (N=69).

12 Nov

Investigators from the Department of Music at the University of Jyväskylä, in Jyväskylä, Finland conducted a two-armed, randomized, controlled trial (RCT) with 79 depressed clients who were also experiencing anxiety, in order to compare the impact of standard care versus Music Therapy (MT) in addition to Standard Care (SC), on symptoms.
 
The purpose of the study was to examine the mechanisms involved in any improvements that might result from Music Therapy, with particular focus on anterior frontotemporal resting state alpha and theta brain waves*.
 
Measures were taken at intake and after 3 months, using the Montgomery-Asberg Depression Rating Scale and the Hospital Anxiety and Depression Scale, along with EEG results.
 
The research team found that music therapy significantly reduced both depression and anxiety symptoms.