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26 Mar

Researchers from Yale University School of Medicine performed a meta-analysis on the effectiveness of computerized CBT (cCBT) for anxiety disorders and the durability of treatment gains during follow-up.

They included randomized controlled trials assessing the efficacy of cCBT for non-OCD and non-PTSD anxiety disorders, resulting in 40 trials involving 2,648 participants.

Computerized CBT was compared to wait-list, in-person CBT, and Internet control. They also examined moderators of cCBT treatment gains over follow-up.

19 Mar

Researchers from Duke University, Loma Linda University, the University of Maryland, University College in London and King Abdulaziz University in Saudi Arabia examined the relationships between religiosity, depressive symptoms, and positive emotions in people with major depression and chronic illness.

Investigators recruited 129 people who were at least somewhat religious/spiritual into a clinical trial to evaluate the effectiveness of religious vs. secular cognitive behavioral therapy. They used standard measures to assess at baseline the relationships between religious involvement and depressive symptoms, purpose in life, optimism, generosity, and gratefulness using standard measures.

12 Mar

Researchers from the University of Calgary in Alberta, Canada looked at the impact of mindfulness-based cancer recovery (MBCR) training, as well as supportive-expressive group therapy, on telomere length in breast cancer survivors. Telomere length is associated with longevity and has been found to be a predictive element in breast cancer prognosis.

The MBCR focused on training in mindfulness meditation and gentle Hatha yoga, whereas SET focused on emotional expression and group support.

The primary outcome measure was relative telomere length, the telomere/single-copy gene ratio, assessed before and after each intervention. Secondary outcomes were self-reported mood and stress symptoms.

05 Mar

In this pilot study, researchers from the University of Montreal investigated the impact of a guided imagery intervention on post-op pain intensity, anxiety, coping and daily activities in adolescents and young adults, ages 11-20, after undergoing orthopedic surgery (spinal fusion) for idiopathic scoliosis.

Participants were randomized to standard care or standard care with the guided imagery intervention. The intervention consisted of a DVD with information and guided imagery/relaxation exercises to practice at least three times a week at home.

A nurse screened the DVD with the patient pre-operatively and at discharge (T1) and telephoned 2 weeks post-discharge (T2) to reinforce the use of the technique.

26 Feb

Belgian researchers from the University of Antwerp, the University of Brussels and Artevelde University, Ghent, performed a review of studies investigating the effects of different kinds of relaxation therapy on autonomic function, pain, fatigue and daily functioning of patients with chronic fatigue syndrome or fibromyalgia.

The electronic databases PubMed and Web of Science were searched. Studies were assessed for their risk of bias and relevant information regarding relaxation was extracted.

Thirteen randomized clinical trials of sufficient quality were included, resulting in a total of 650 fibromyalgia patients (11 studies) and 88 chronic fatigue syndrome patients (3 studies).

19 Feb

Researchers from the Departments of Neurology and Anatomy and Neurobiology at the University of California, Irvine, examined the neural correlates of motor imagery when used in conjunction with movement of the paretic arm after stroke. Subjects were 7 patients in the chronic phase of stroke recovery (median (range): age: 58 years (37-73); time post-stroke: 9 months (4-42); upper extremity Fugl-Meyer motor score: 48 (36-64)).

Participants actively moved the paretic/right arm under two conditions while undergoing functional magnetic resonance imaging. In the motor condition, pronation/supination movements were made in response to a visual cue. In the motor + imagery condition, the same movements were performed in response to a visual cue but the participants were instructed to imagine opening and closing a doorknob during performance of the movement.

12 Feb

Researchers from University Hospitals of Geneva in Switzerland evaluated the use of an online, guided, self-administered treatment program for bulimia nervosa (BN), and to determine predictors of outcome.

Data were collected in four European countries where the program was simultaneously used. One hundred and twenty-seven female patients with bulimia nervosa (mean age of 24.7 years) participated in a 4-month intervention, using a CBT based online-guided self-help program. Contact during the treatment period included weekly e-mails with a coach.

Measures included the Eating Disorders Inventory-2 (EDI-2) and the Symptom Check List-Revised (SCL-90R).

05 Feb

Researchers from University Bochum in Germany studied 41 patients with an eating disorder who participated in a body image group therapy program, to examine the relationship between changes in dysfunctional body and self perceptions and their eating disorder behavior.

Dysfunctional cognitions were assessed with the 'Eating Disorder Cognition Questionnaire', both before and after treatment. Eating disorder psychopathology was also assessed.

29 Jan

Researchers from Syracuse University looked at how to reduce the adrenergized alarm state experienced by veterans with PTSD, a hypothalamic pituitary axis dysfunction that is reflected in measurable cortisol output.

Knowing that many veterans with PTSD are hesitant to engage in distressing, triggering trauma-focused exposure treatments, these investigators explored the impact that non-exposure-based treatments, briefer in duration might have.

One such promising approach is an abbreviated, Primary Care, 4-week, brief Mindfulness Program (PCbMP).

22 Jan

This research was to see if the positive effects that were attained immediately after, were sustained after six months

Researchers from Tilburg University in The Netherlands conducted a 6-month follow up study of the DiaMind trial, which showed beneficial immediate effects of mindfulness-based cognitive therapy (MBCT) on emotional distress, but not on diabetes distress nor on HbA1c.

This research was to see if the positive effects that were attained immediately after, were sustained after six months.

In the DiaMind trial, 139 outpatients with diabetes (type-I or type-II) and a lowered level of emotional well-being were randomized into MBCT (n=70) or a waiting list with treatment as usual (TAU: n=69).