Archive

Joyce S, Shand F, Tighe J, et al. BMJ Open 2018;8:e017858. doi:10.1136/ bmjopen-2017-017858 This systematic review of 17 studies investigated the resilience-increasing potential of cognitive behavioural therapy (CBT)-based interventions, mindfulness-based interventions and mixed Interventions (those combining CBT and Mindfulness training). All three types of intervention were found to be moderately effective at increasing resilience on standardised scales. https://gallery.mailchimp.com...

Carsley, D., Khoury, B. & Heath, N.L. Mindfulness (2018) 9: 693. https://doi.org/10.1007/s12671-017-0839-2 This systematic review included 24 studies and 3977 participants.  Overall, mindfulness interventions were found to have a small to moderate significant effects compared with control interventions.  They were most effective when delivered during late adolescence (15-18 years) using combinations of mindfulness activities. Elements of successful design are probably worth noting when ...

Luby JJ, Barch DM, Whalen D, et al.  American J Psychiatry. Published Online:20 Jun 2018https://doi.org/10.1176/appi.ajp.2018.18030321 Parent Child Interaction Therapy (PCIT) has been shown to be an effective therapy for childhood behaviour problems.  However, it’s value in treating childhood depression has never previously been evaluated.  This randomised controlled trial of 229 parent-child dyads (children were aged 3-7 years) found that PCIT-E (a modified version of PCIT) improved chi...

Curtis S, Thorn P, Alison M, et al. Int. J. Environ. Res. Public Health 2018, 15, 950; doi:10.3390/ijerph15050950 This systematic review of perspectives of families and young people provides useful guidance for people caring for young people who self-harm. Key themes included talking and listening, referral/connection to adults, referral to formal organisations, reduction of stigma, assurance of confidentiality and improved interaction within the family environment. This is a useful article t...

McCauley E, Berk MS, Asarnow JR, et al. JAMA Psychiatry. Published online June 20, 2018. doi:10.1001/jamapsychiatry.2018.1109 This multisite randomised controlled trial including 173 highly suicidal predominantly female adolescents found that Dialectical Behaviour Therapy (DBT) was better than individual or group supportive therapy for reducing the frequency of recurrent suicide attempts in the short term.  Differences between treatment and control interventions were less apparent by 6 mont...

Telfer MM, Tollit MA, Pace CC and Pang KC. Med J Aust || doi: 10.5694/mja17.01044 Published online: 18 June 2018 This article summarises recently developed Australian standards of care and treatment guidelines for transgender and diverse children and adolescents. It includes guidance on working with pre-pubertal children, mental health care, medical and surgical interventions, fertility preservation and speech therapy. A worthwhile read for clinicians working with this group as well as fam...

Shearer J, Papanikolaou N, Meiser-Stedman R, et al. J Clin Psychol Psychiatry. Published 02 December 2017. https://doi.org/10.1111/jcpp.12851 This cost-efectiveness analysis of a 11 week course of cognitive therapy for PTSD (CT-PTSD) vs waitlist found that the incremental cost-effectiveness ratio at 3 years was £2,205 per QALY with a 60%–69% probability of CT‐PTSD being cost‐effective compared to usual care at the UK £20,000 to £30,000 per QALY decision threshold. https://onlinel...

Humphreys KL, McLaughlin KA, Sheridan MA et al. J Clin Psychol Psychiatry. 59(7): 811-821. https://doi.org/10.1111/jcpp.12865  This 10 year follow-up study of children who had experienced severe early deprivation by 22 months found that by 12 years of age, 40% exhibited adaptive functioning, with a greater proportion (56%) doing so if they had received foster care than if they had received care as usual (23%). Foster placement before 20 months of age resulted in greater likelihood of achiev...

Lange, Anne-Mette et al. Journal of the American Academy of Child & Adolescent Psychiatry , Published online June 2018 This multi-centre randomised controlled trial found that parent training was superior to treatment as usual for parent rated ADHD symptoms, improving parent self-efficacy and reducing perceived family stress.   Effects persisted until 36 weeks following the intervention.  Interestingly, there were no differences between treatment and control groups in teacher ratings o...

Rasmussen LJ, Moffitt TE, Eugen-Olsen J, et al.  J Child Psychol Psychiatry. Published online May 2018. doi:10.1111/jcpp.12928 This investigation from the Dunedin Longitudinal Study demonstrates that early childhood adversity, lower IQ and poorer childhood self-control are associated with a long-term increase in the inflammatory marker soluble urokinase plasminogen activator receptor (suPAR) in participants aged 38 years.   The authors hypothesize that suPAR may be a useful adult inflammat...