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Post Stroke Emotionalism – when uncontrolled crying is not depression

Oct 8, 2019 | 0 Comments

This is an interesting case report that was published in the Primary Care Companion for CNS disorders. [1] The authors describe a case of Post Stroke Emotional Incontinence, a rare sequelae of a stroke that can be confused with depression. Diagnosis and therapeutic interventions are discussed. 1          Martinho SM, Poças A. Crying But Not…

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Cognitive-behavioural chronic disease management program (CB-CDMP) reduces hospital admissions and bed-occupancy in patients with frequent admissions with chest pain

Oct 6, 2019 | 0 Comments

This is a study that was published in 2007. [1] 271 patients with chronic refractory angina patients were enrolled in CB-CDMP. Total hospital admissions were reduced from 2.40 admissions per patient per year to 1.78 admissions per patient per year (P<0.001). The rising trend of total hospital bed day occupancy prior to enrollment fell from…

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CBT based intervention in elderly COPD patients is cost-effective, reduces depressive symptoms and ED attendances

Oct 6, 2019 | 0 Comments

This is a study that was published in 2010. [1] This study measured the effectiveness of a non-exercise-based four-week cognitive-behavioural intervention, delivered in a group setting for elderly patients with severe COPD. The intervention used a cognitive-behavioural format to address understanding of COPD and medication, anxiety, panic and depression, activity pacing, relaxation, breathing retraining and…

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CBT based counselling significantly reduces their uptake of primary and secondary care services in patients with chronic medical conditions

Oct 6, 2019 | 0 Comments

A study that was published in 2005. [1] Frequent attenders and patients with diabetes, hypertension and asthma were invited to take part in the study and received eight 90-minute small-group counselling sessions, conducted by trained counsellors. The counselling followed a cognitive behavioural therapy (CBT) approach, with the aim of developing personal responsibility. Psychological outcomes were…

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Psychoeducational interventions are effective in reducing angina frequency and medication use

Oct 6, 2019 | 0 Comments

This is a meta-analysis by the McMaster University Faculty of Health Sciences that was published in 2008. [1] The authors investigated the effectiveness of psychoeducational interventions for improving symptoms, HRQL and psychological well-being in stable angina patients. Seven trials with a total of 949 participants. Those who received psychoeducation experienced nearly 3 angina episodes less…

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Teaching patients to better self-manage their bipolar disorder slows the decline in physical health-related quality of life

Oct 6, 2019 | 0 Comments

A randomized controlled trial that was published in 2008. [1] Persons with bipolar disorder cardiovascular disease were recruited from a large Department of Veterans Affairs mental health facility and randomly assigned to be managed according to the bipolar disorder medical care model (BCM) or usual care. BCM care consisted of four self-management sessions on bipolar…

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Cognitive behavioural therapy delivered by respiratory nurses is clinically effective and cost-effective for patients with chronic obstructive pulmonary disease and symptoms of anxiety

Oct 5, 2019 | 0 Comments

This is a randomised controlled trial that was published in 2018. [1] A total of 236 patients with a diagnosis of mild to very severe COPD took part in the trial. Each patient was screened for anxiety using the HADS-Anxiety Subscale. This is a questionnaire that asks patients about their feelings of anxiety and depression…

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Psychological interventions reduce length of stay and health care costs

Oct 5, 2019 | 0 Comments

This is a meta-analysis that was published in 1999. [1] The authors analysed the impact of psychological interventions on the use of medical services by examining the outcome of 91 studies published between 1967 and 1997. Psychological treatments included psychotherapy, behavioural medicine, and psychiatric consultation. Psychological interventions in hospitals and other settings reduced the length…

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Referral to a psychological therapy service is associated with reduced utilisation of healthcare and sickness absence by people with common mental health problems

Oct 5, 2019 | 0 Comments

A paper published by the Department of Health Care Management and Policy at the University of Surrey in 2011. [1] This study looked at the impact of Improving Access to Psychological Therapies (IAPT), a programme designed to reduce disease burden to the individual and economic burden to the society of common mental health problems (CMHP).on…

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Psychiatric comorbidity increases the costs associated with medical admissions by 40%

Oct 2, 2019 | 0 Comments

A retrospective study published in 2018. [1] The study included 338,162 inpatient episodes discharged between 2011 and 2014 at a German university hospital. Psychiatric comorbidities were associated with an increase in hospital costs per episode of 40% and an increase of reimbursement per episode of 28%, representing marginal effects of 1344 € and 1004 €,…

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