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Group psychoeducative cognitive-behaviour therapy for mixed anxiety and depression with older adults
- Authors:
- BAINS Manreesh Kaur, et al
- Journal article citation:
- Aging and Mental Health, 18(8), 2014, pp.1057-1065.
- Publisher:
- Taylor and Francis
Objectives: This research evaluated the effectiveness of a low-intensity group psychoeducational approach to treat older adults with co-morbid anxiety and depression. Method: Patients attended six sessions of a manualised cognitive-behavioural group. Validated measures of anxiety, depression and psychological well-being were taken at assessment, termination and six-week follow-up from patients, who also rated the alliance and their anxiety/depression at each group session. Staff rated patients regarding their functioning at assessment, termination and six-week follow-up. Outcomes were categorised according to whether patients had recovered, improved, deteriorated or been harmed. Effect sizes were compared to extant group interventions for anxiety and depression. Results: Eight groups were completed with 34 patients, with a drop-out rate of 17%. Staff and patient rated outcome measures showed significant improvements (with small effect sizes) in assessment to termination and assessment to follow-up comparisons. Over one quarter (26.47%) of patients met the recovery criteria at follow-up and no patients were harmed. Outcomes for anxiety were better than for depression with the alliance in groups stable over time. Conclusion: The intervention evaluated shows clinical and organisational promise. The group approach needs to be further developed and tested in research with greater methodological control. (Edited publisher abstract)
Co-morbid bipolar and alcohol use disorders: a treatment-focused review
- Authors:
- PRISCIANDAROA James J., MYRICK D. Hugh
- Journal article citation:
- Journal of Dual Diagnosis, 6(2), April 2010, pp.171-188.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Treatment of bipolar disorders or alcohol misuse is quite difficult. However, these are commonly combined, making diagnosis and treatment increasingly complex, and are often associated with poor outcomes. This article concisely reviews the diagnosis, epidemiology, consequences, and neurobiological similarities of these two conditions among individuals with dual diagnoses, and reviews the pharmacological and psychosocial treatment of bipolar and alcohol use disorders both alone and in combination. The article highlights how dual diagnosis is often complicated by the fact that intoxication and withdrawal states can mimic psychiatric illness, and, furthermore, the neuroadaptive changes associated with the chronic use of alcohol may cause alterations in neurotransmission, thereby inducing a psychiatric illness. In closing, evidence for the effectiveness of treatments for individuals with dual diagnoses (i.e., divalproex, atypical antipsychotics, naltrexone, cognitive-behavioural therapy, and integrated group therapy) is discussed, and areas for future treatment development and evaluation are identified.
Adaption the Incredible Years child dinosaur social, emotional, and problem-solving intervention to address comorbid diagnoses
- Authors:
- WEBSTER-STRATTON Carolyn, REID J. Jamila
- Journal article citation:
- Journal of Children's Services, 3(3), November 2008, pp.17-30.
- Publisher:
- Emerald
Young children who are referred to mental health agencies because of oppositional defiant disorder (ODD) and conduct problems (CP) frequently have comorbid diagnoses or symptoms such as attention deficit disorder (ADD) with or without hyperactivity (ADHD), language/learning and developmental, or autism spectrum disorders. Research has show that the Incredible Years Child Dinosaur programme offered to children with comorbid issues is successful at reducing behaviour problems and increasing social and emotional competence. This article examines the was the Incredible Years Child Dinosaur programme is tailored to address the individual goals of each child so that the intervention is developmentally and therapeutically appropriate. It discusses group composition, as well as the importance of specific content and teaching methods for children with ADHD, academic and language delays and mild autism.
Domestic violence and chemical dependency co-morbidity: promoting eclectic responses to concomitant mental health concerns
- Author:
- MCWHIRTER Paula T.
- Journal article citation:
- International Journal of Mental Health Promotion, 9(1), February 2007, pp.34-42.
- Publisher:
- Taylor and Francis
This article describes an eclectic, cross-problem group intervention designed to acknowledge the specific needs of women who have experienced problems of both chemical dependency and domestic violence. Group participants were made up of women voluntarily enrolled in a residential psychiatric hospital in a large metropolitan city in the Southwest of the USA. Program evaluation data suggest a positive effect for the proposed intervention, providing support for creating and maintaining policies among mental health provider organisations to recognise and address common co-morbidity.
Stabilizing group treatment for Complex Posttraumatic Stress Disorder related to childhood abuse based on psycho-education and cognitive behavioral therapy: a pilot study
- Authors:
- DORREPAAL Ethy, et al
- Journal article citation:
- Child Abuse and Neglect, 34(4), April 2010, pp.284-288.
- Publisher:
- Elsevier
Child abuse is highly prevalent among psychiatric patients, which, occurring in dependant family relationships and disrupting normal childhood development may result in Complex Post Traumatic Stress Disorder (Complex PTSD). This pilot study tests a Stabilising Group Treatment practice, designed for the management of the long-term pathological condition of child abuse, that is, Complex PTSD, where evidence-based treatment for this subgroup of PTSD patients is largely lacking. This stabilising treatment aims at improving Complex PTSD using psycho-education and cognitive behavioural interventions. Participants included 36 female outpatients with a history of childhood abuse, Complex PTSD and severe co-morbidity. The participants entered a 20 week treatment with pre-, post-, and follow-up-assessments. Improvement was found for PTSD and borderline symptoms. Post-treatment 64% no longer met criteria for Complex PTSD, and after 6 months 78% of patients no longer met the criteria. The authors conclude that this small study suggests both the feasibility of investigating treatment outcome and the initial efficacy of stabilising group treatment in severely ill patients with Complex PTSD related to childhood abuse.