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01 Oct

Researchers from Shihezi University in China analyzed the literature and conducted a meta-analysis to compare the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) with Cognitive Behavioral Therapy (CBT) for adult posttraumatic stress disorder.

They searched Medline, PubMed, Ebsco, Proquest, and Cochrane (1989-2013) to identify relevant randomized control trials comparing EMDR and CBT for PTSD. They included 11 studies (N = 424).

Although all the studies had methodological limitations, meta-analyses for total PTSD scores revealed that EMDR was slightly superior to CBT.

24 Sep

Israeli researchers from Assaf Harofeh Medical Center and the Sackler School of Medicine at Tel Aviv University studied the impact of listening to guided imagery (AGI or auditory guided imagery) on glucose levels, glycated hemoglobin (HbA1c), and quality of life (QOL) in children with type 1 diabetes mellitus.

The blinded, randomized controlled pilot study compared the effect of listening to guided imagery accompanied by background music vs. listening to the background music alone.

Thirteen children, ages 7-16 years old, were connected to a continuous glucose monitoring system for 5 days (short phase), after which the change in mean interstitial glucose concentration (IGC) was assessed as the outcome measure.

17 Sep

Researchers from Virginia Commonwealth University's School of Nursing in Richmond, VA explored the perceptions of pregnant African American women toward using guided imagery as a stress management technique. Interest in this was high, as maternal stress during pregnancy has been associated with adverse pregnancy outcomes, and pregnant African American women are reported to have higher levels of stress than most other ethnic groups.

The guided imagery intervention was part of a larger mixed methods randomized controlled trial. The 12week intervention was a professionally recorded compact disc with four tracks developed and sequenced to reduce stress and associated symptoms in listeners.

10 Sep

Researchers at the University of North Carolina at Chapel Hill reported on their successful hypnosis and guided imagery protocols, using verbatim scripts for treating gastrointestinal disorders - irritable bowel syndrome, ulcerative colitis and functional abdominal pain.

Treatment with these scripted protocols is delivered in a fixed series of sessions over a 2- or 3-month period.

The investigators report these methods have been found to be efficacious for improving bowel symptoms in several clinical trials, even in patients who have been entirely unresponsive to medical treatment.

Response rates in clinical trials have ranged from 53% to 94%, and the therapeutic benefits have been shown to be well maintained at 6-, 10-, or 12-month follow-ups in various studies.

03 Sep

Researchers from the Minneapolis Veterans Affairs Health Care System conducted a randomized clinical trial comparing mindfulness-based stress reduction (MBSR) with present-centered group therapy for the treatment of posttraumatic stress (PTSD).

One hundred sixteen veterans with PTSD were recruited at the Minneapolis V.A. from March 2012 to December 2013. Outcomes were assessed before, during, and after treatment and at 2-month follow-up. Data collection was completed on April 22, 2014.

Participants were randomly assigned to receive mindfulness-based stress reduction therapy (n = 58), consisting of 9 sessions (8 weekly 2.5-hour group sessions and a day-long retreat) focused on teaching patients to attend to the present moment in a nonjudgmental, accepting manner; or present-centered group therapy (n = 58), an active-control condition consisting of 9 weekly 1.5-hour group sessions focused on current life problems.

27 Aug

Researchers from New York University, Boston University, the Boston VA Hospital and the Walter Reed Army Institute of Research examined the effectiveness of psychotherapies for PTSD in military and veteran populations. First-line psychotherapies most often recommended for PTSD consist mainly of "trauma-focused" psychotherapies that involve focusing on details of the trauma or associated cognitive and emotional effects.

The investigators searched PubMed, PsycINFO, and PILOTS for randomized clinical trials (RCTs) of individual and group psychotherapies for PTSD in military personnel and veterans, published from January 1980 to March 1, 2015.

They also searched reference lists of articles, selected reviews, and meta-analyses. Of 891 publications initially identified, 36 were included.

20 Aug

British researchers from the University of Dundee, UK, conducted a systematic review and meta-analysis to assess the appeal and the effectiveness of internet-delivered cognitive behavioral therapy (CBT) for kids diagnosed with an anxiety disorder.

A systematic search of 7 electronic databases was conducted to assess CBT intervention for children with anxiety problems with remote delivery either entirely or partly via technology, yielding 6 articles altogether, reporting on 7 studies.

The findings suggested that web based CBT programs were well received by children and their families, and efficacy was almost as favorable as clinic-based CBT.

13 Aug

Investigators from West Virginia University in Morgantown, WV, conducted a systematic review of RCTs that have examined the effects of guided imagery on pain, function, and other outcomes such as anxiety, depression, and quality of life in adults with arthritis and other rheumatic diseases or AORD.

Ten electronic bibliographic databases were searched for reports of RCTs published between 1960 and 2013. Selection criteria included adults with AORD who participated in RCTs that used guided imagery as a partial or sole intervention strategy.

Risk of bias was assessed using the Cochrane Risk of Bias Assessment Instrument. Results were synthesized qualitatively.

06 Aug

Researchers from the Institute of Psychiatry,Psychology and Neuroscience at King's College in London, UK and Freie Universität in Berlin, Germany, conducted a pilot study to compare the impact of mindfulness meditation vs. guided imagery in improving symptoms and self-regulatory capacities for acutely depressed patients.

Participants were randomized to a brief training in mindfulness (n = 19) or guided imagery relaxation (n = 18) in a single session, and then instructed to practice daily for one week.
The investigators collected self-reported measures of the severity of symptoms, difficulties in emotion-regulation, capability for attentional control, ability to open up thinking beyond a narrow focus (de-center), and mindfulness capacity. Data was collected pre- and post-intervention, and at a one-week follow-up.

30 Jul

In a small pilot study, Israeli researchers from Tel Aviv University and Bar-Ilan University examined the impact of guided imagery on Irritable Bowel Syndrome or IBS.

A total of 15 irritable bowel syndrome patients received guided affective imagery and 19 patients served as controls. Symptom severity and irritable bowel syndrome quality of life were measured at baseline and at 8 weeks.

Findings revealed that IBS symptom severity decreased in the guided affective imagery group, as compared with the controls (-1.5 ± 1.9 vs 0.1 ± 1.6, p = 0.04).