Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-13T00:52:37.230Z Has data issue: false hasContentIssue false
  • English
  • Français

Kaleidoscope

Published online by Cambridge University Press:  02 January 2018

Derek K. Tracy ,
Dan W. Joyce  and
Sukhwinder S. Shergill
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

We open with some major and significant randomised controlled trials exploring interventions in resource-poor societies. Two papers by the same team writing in the Lancet explore the use of non-specialist ‘lay counsellor’ health workers to deliver brief psychological interventions for excessive alcohol consumption and depression in India. Male harmful drinkers in ten primary health centres were randomised to receive either enhanced usual care (EUC), or EUC and Counselling for Alcohol Problems (CAP). The active intervention produced significantly greater remission and abstinence rates, with an incremental cost per additional remission of $217. A Healthy Activity Program (HAP) for moderately to severely depressed men and women was evaluated in a different cohort, with a parallel design of EUC compared with EUC plus therapy. Once again, the active intervention produced significant improvements, with reductions in depression symptomatology and remission, as well as decreased illness consequences such as days out of work and intimate partner violence. Both interventions were reported to be acceptable to patients and practical for delivery in primary care settings.

Type
Columns
Information
The British Journal of Psychiatry , Volume 210 , Issue 3 , March 2017 , pp. 237 - 238
Copyright
Copyright © Royal College of Psychiatrists, 2017 

References

1 Nadkarni, A, Weobong, B, Weiss, HA. Counselling for Alcohol Problems (CAP), a lay counsellor delivered brief psychological treatment for harmful drinking in men, in primary care in India: a randomised controlled trial. Lancet 2017; 389: 186–95.Google Scholar
2 Patel, V, Weobong, B, Weiss, HA. The Healthy Activity Program (HAP), a lay counsellor delivered brief psychological treatment for severe depression, in primary care in India: a randomised controlled trial. Lancet 2017; 389: 176–85.Google Scholar
3 Rahman, A, Hamdani, SU, Awan, NR, Bryant, RA, Dawson, KS, Khan, MF, et al. Effect of a multicomponent behavioral intervention in adults impaired by psychological distress in a conflict-affected area of Pakistan. A randomized clinical trial. JAMA 2016; 316: 2609–17.Google Scholar
4 Chibanda, D, Weiss, HA, Verhey, R, Simms, V, Munjoma, R, Rusakaniko, S, et al. Effect of a primary care-based psychological intervention on symptoms of common mental disorders in Zimbabwe. A randomized clinical trial. JAMA 2016; 316: 2618–26.Google Scholar
5 Liu, H, Petukhova, MV, Sampson, NA, Aguilar-Gaxiola, S, Alonso, J, Andrade, LH, et al. Association of DSM-IV posttraumatic stress disorder with traumatic experience type and history in the World Health Organization World Mental Health Surveys. JAMA Psychiatry 4 Jan 2017 (https://dx.doi.org/10.1001/jamapsychiatry.2016.3783).Google Scholar
6 Miyamoto, K, Osada, T, Setsuie, R, Takeda, M, Tamura, K, Adachi, Y, et al. Causal neural network of metamemory for retrospection in primates. Science 2017; 355: 188–93.Google Scholar
7 Forrester, A, Samele, C, Slade, K, Craig, T, Valmaggia, L. Demographic and clinical characteristics of 1092 consecutive police custody mental health referrals. J Forensic Psychiatry Psychol 26 Dec 2016 (https://dx.doi.org/10.1080/14789949.2016.1269357).Google Scholar
8 Tracy, DK, Joyce, DW, Shergill, SS. Kaleidoscope Br J Psychiatry 2016; 209: 355–6.Google Scholar
9 Drysdale, AT, Grosenick, L, Downar, J, Dunlop, K, Mansouri, F, Meng, Y, et al. Resting-state connectivity biomarkers define neurophysiological subtypes of depression. Nature Med 2017; 23: 28–38.Google Scholar
10 Gomez, J, Barnett, MA, Natu, V, Mezer, A, Palomero-Gallagher, N, Weiner, KS, et al. Microstructural proliferation in human cortex is coupled with the development of face processing. Science 2017; 355: 68–71.Google Scholar
11 Adams, AJ, Banister, SD, Irizarry, L, Trecki, J, Schwartz, M, Gerona, R. ‘Zombie’ outbreak caused by the synthetic cannabinoid AMB-FUBINACA in New York. N Eng J Med 2017; 376: 235–42.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.