There are many effective psychological therapies to help teenagers with depression, anxiety or other mental health problems. Unfortunately, for various reasons, most teenagers never get access to a professional therapist. To overcome this problem, some researchers are exploring the potential of brief, “single-session” interventions that can be delivered cheaply and easily to many at-risk teenagers outside of a clinical context. In The Journal of Child Psychology and Psychiatry, Jessica Schleider and John Weisz at Harvard University present extremely promising results from their trial of a 30-minute computer session teaching depressed and anxious teenagers that personality is malleable.
The clocks have gone back and there’s a chill in the air. It’s well known that during these darker months, a significant minority of us experience unwelcome negative changes to our mood (at least if you believe in the notion of Seasonal Affective Disorder or SAD, which not all experts do). Now an intriguing study in Psychiatry Research has explored the link this condition may have with another psychiatric diagnosis, Obsessive Compulsive Disorder (OCD).
The results suggest that people with OCD are more likely than average to experience seasonal effects on their mood, and that for these seasonally sensitive people with OCD, their “compulsions” are worse in the colder months.
By Alex Fradera
“In the dark, in the quiet, in the lonely stillness, the aggrieved struggle to rescue sleep from vigilance.” This arresting sentence introduces a new review of insomnia in Behaviour Research and Therapy that addresses a troubling fact observed in sleep labs across the world: poor sleep is not sufficient to make people consider themselves to have the condition… and poor sleep may not even be necessary. The paper, by Kenneth Lichstein at the University of Alabama, explores the implications of “Insomnia Identity”: how it contributes to health problems, and may be an obstacle to recovery.
In the UK, more and more of our children are learning mindfulness at school. The Mindfulness in Schools project claims that over 4000 of our teachers are now trained in the practice. However, some experts are concerned that the roll-out of mindfulness has raced ahead of the evidence base, which paints a mixed picture.
Following their recent failure to find any benefits of a school mindfulness programme for teenagers (contrary to some earlier more positive findings), a research team led by Catherine Johnson at Flinders University has now reported in Behaviour Research and Therapy the results of their latest school trial, which included new features in the mindfulness intervention, such as parental involvement and better designed homework materials, intended to maximise the programme’s effectiveness. However, once again the mindfulness programme led to no observable benefits.
By Alex Fradera
The latest version of psychiatry’s principal diagnostic manual (the DSM-V) defines Hoarding Disorder as a psychopathology where the collection of items significantly impacts the person’s functioning, as they find it difficult and indeed painful to discard the items, creating congestion within the home and encouraging poor hygiene and accidents. However not only objects, but also living things can be collected pathologically, popularly enshrined in the notion of a “cat lady”. According to the psychiatric manual, this is just a special case of hoarding. But a team of psychologists from the Brazilian state of Rio Grande do Sul has investigated people who hoard animals, and in their new paper in Psychiatry Research they make the case that it ought to be considered a distinct illness.
A person diagnosed with psychogenic amnesia complains of serious memory problems, sometimes even forgetting who they are, without there being any apparent physical reason for their symptoms – in other words, their condition seems to be purely psychological.
It’s a fascinating, controversial diagnosis with roots dating back to Freud’s, Breuer’s and Charcot’s ideas about hysteria and how emotional problems sometimes manifest in dramatic physical ways. Today, some experts doubt that psychogenic amnesia is a real phenomenon, reasoning that there is either an undetected physical cause or the patient is fabricating their memory symptoms.
In a new paper in Brain, a team of British neuropsychologists has reported their findings from a study of 53 patients diagnosed with psychogenic amnesia – one of the largest ever studies of its kind. Michael Kopelman at Kings College, London, and his colleagues conclude that the prognosis (that is, the scope and speed of recovery) for psychogenic amnesia is better than previously realised and that there appear to be four main categories of the condition.
By Alex Fradera
Secrets burden minds. To understand how, researchers have previously focused on the act of concealment during one-off social interactions, showing that keeping a secret is draining and can increase anxiety. But what about the longer-term toll? A new paper in Attitudes and Social Cognition describes ten studies on the impact of secrecy day-on-day, showing how the burden of a secret peppers our waking life with reminders and periods of brooding.
By Emma Young
Hallucinating voices isn’t always distressing. While the experience is commonly associated with schizophrenia, some people – an estimated 5 to 15 per cent of the general population – hear voices that aren’t real without finding it upsetting or debilitating (they may even welcome it) and in the absence of any of the other symptoms of psychosis, such as delusions or confusion.
Now new open-access research published in Brain has revealed a perceptual advantage for this group of people: they can detect hard-to-comprehend speech sounds more quickly and easily than people who have never hallucinated a voice.
Researchers reported recently that MDMA (3,4-Methylenedioxymethamphetamine; also known as Ecstasy) can act as a catalyst for psychotherapy, apparently improving outcomes for clients with previously intractable PTSD (post-traumatic stress disorder). Now a study from the same group in Journal of Psychopharmacology has uncovered what may be the key psychological mechanism: lasting positive personality change, especially increased trait Openness to Experience and reduced trait Neuroticism.
Speculating as to how MDMA might facilitate these trait changes, the research team, led by Mark Wagner at the Medical University of South Carolina, and including Ann Mithoefer and Michael Mithoefer who’ve conducted a lot of the recent pioneering research on MDMA-assisted psychotherapy, observed that “Qualitatively, a consistent subjective theme emerged, with our subjects reporting a profound cathartic experience, often described as going to a ‘place’ (in their mind) where they had never been before”.
Fussy eating – also referred to as “selective eating” in scholarly research – is incredibly common among children, with upper estimates placing the prevalence at 50 per cent. Despite this, many parents understandably fret when their kids avoid a lot of foods, won’t try new things and/or will only eat certain meals. They worry whether their child is getting enough vitamins and if their child’s fussiness is some kind of precursor to later more serious eating problems.
A new, small study in Eating Behaviors is the first to document how fussy eating develops in the same individuals over time into early adulthood and may provide a crumb (sorry) of comfort for anxious parents. It’s true that 60 per cent of fussy eating children in the study were also fussy eaters at age 23, but fussy eating young adults were no more likely to report signs of eating disorder than their non-fussy peers.