Recurrence

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: This review supersedes the original Cochrane review first published in 2008 (Huertas-Ceballos 2008).Between 4% and 25% of school-aged children complain of recurrent abdominal pain (RAP) severe enough to interfere with their daily activities. No organic cause for this pain can be found on physical examination or investigation for the majority of such children. Although many children are managed by reassurance and simple measures, a large range of psychosocial interventions involving cognitive and behavioural components have been recommended.

Author(s): 
Abbott, Rebecca A.
Martin, Alice E.
Newlove-Delgado, Tamsin V.
Bethel, Alison
Thompson-Coon, Joanna
Whear, Rebecca
Logan, Stuart
Publication Title: 
Clinical Psychology Review

OBJECTIVE: To identify studies of non-pharmacological interventions provided following recovery from depression, and to evaluate their efficacy in preventing further episodes. METHOD: We identified relevant randomised controlled trials from searching MEDLINE, Embase, PsycINFO, CENTRAL, and ProQuest, searching reference and citation lists, and contacting study authors. We conducted a meta-analysis of relapse outcomes. RESULTS: There were 29 eligible trials. 27 two-way comparisons including 2742 participants were included in the primary analysis.

Author(s): 
Clarke, Katherine
Mayo-Wilson, Evan
Kenny, Jocelyne
Pilling, Stephen
Publication Title: 
JAMA psychiatry

IMPORTANCE: Relapse prevention in recurrent depression is a significant public health problem, and antidepressants are the current first-line treatment approach. Identifying an equally efficacious nonpharmacological intervention would be an important development. OBJECTIVE: To conduct a meta-analysis on individual patient data to examine the efficacy of mindfulness-based cognitive therapy (MBCT) compared with usual care and other active treatments, including antidepressants, in treating those with recurrent depression.

Author(s): 
Kuyken, Willem
Warren, Fiona C.
Taylor, Rod S.
Whalley, Ben
Crane, Catherine
Bondolfi, Guido
Hayes, Rachel
Huijbers, Marloes
Ma, Helen
Schweizer, Susanne
Segal, Zindel
Speckens, Anne
Teasdale, John D.
Van Heeringen, Kees
Williams, Mark
Byford, Sarah
Byng, Richard
Dalgleish, Tim
Publication Title: 
PloS One

OBJECTIVE: Mindfulness-based interventions (MBIs) can reduce risk of depressive relapse for people with a history of recurrent depression who are currently well. However, the cognitive, affective and motivational features of depression and anxiety might render MBIs ineffective for people experiencing current symptoms. This paper presents a meta-analysis of randomised controlled trials (RCTs) of MBIs where participants met diagnostic criteria for a current episode of an anxiety or depressive disorder.

Author(s): 
Strauss, Clara
Cavanagh, Kate
Oliver, Annie
Pettman, Danelle
Publication Title: 
Clinical Psychology Review

BACKGROUND: The investigation of treatment mechanisms in randomized controlled trials has considerable clinical and theoretical relevance. Despite the empirical support for the effect of mindfulness-based cognitive therapy (MBCT) in the treatment of recurrent major depressive disorder (MDD), the specific mechanisms by which MBCT leads to therapeutic change remain unclear. OBJECTIVE: By means of a systematic review we evaluate how the field is progressing in its empirical investigation of mechanisms of change in MBCT for recurrent MDD.

Author(s): 
van der Velden, Anne Maj
Kuyken, Willem
Wattar, Ulla
Crane, Catherine
Pallesen, Karen Johanne
Dahlgaard, Jesper
Fjorback, Lone Overby
Piet, Jacob
Publication Title: 
The British Journal of Dermatology

BACKGROUND: Homoeopathic therapies are routinely used for the management of skin diseases. However, there is a lack of evidence-based data on their effectiveness. OBJECTIVES: To assess the evidence for the efficacy of homoeopathic treatments in dermatology. METHODS: We designed a systematic review of the controlled clinical trials (January 1962-April 2011) investigating homoeopathic therapies for the treatment of cutaneous diseases.

Author(s): 
Simonart, T.
Kabagabo, C.
De Maertelaer, V.
Publication Title: 
International Journal of Immunopathology and Pharmacology

Controlling environmental factors, chemoprophylaxis, immunoprophylaxis and surgery are considered possible means of preventing recurrent acute otitis media (RAOM), but there are no available data concerning the paediatric use of complementary and alternative medicine (CAM). We evaluated the uses of CAM (homeopathy and/or herbal medicine) as means of preventing AOM in children with a history of RAOM.

Author(s): 
Marchisio, P.
Bianchini, S.
Galeone, C.
Baggi, E.
Rossi, E.
Albertario, G.
Torretta, S.
Pignataro, L.
Esposito, S.
Principi, N.
Publication Title: 
Cephalalgia: An International Journal of Headache

OBJECTIVE: To assess whether there is evidence that acupuncture is effective in the treatment of recurrent headaches. DESIGN: Systematic review. STUDY SELECTION: Randomized or quasi-randomized clinical trials comparing acupuncture with any type of control intervention for the treatment of recurrent headaches. DATA SOURCES: Electronic databases (Medline, Embase, Cochrane Field for Complementary Medicine, Cochrane Controlled Trials Register), personal communications and bibliographies.

Author(s): 
Melchart, D.
Linde, K.
Fischer, P.
White, A.
Allais, G.
Vickers, A.
Berman, B.
Publication Title: 
Cellular and Molecular Neurobiology

This review extends a prior meta-analysis of acupuncture's utility for treating opioid detoxification, addressing the efficacy of acupuncture when combined with allopathic therapies. Both English and Chinese databases were searched for randomized trials comparing acupuncture combined with opioid agonist treatment versus opioid agonists alone for treating symptoms of opioid withdrawal. The methodological quality of each study was assessed with Jadad's scale (1-2 = low; 3-5 = high).

Author(s): 
Liu, Ting-ting
Shi, Jie
Epstein, David H.
Bao, Yan-Ping
Lu, Lin
Publication Title: 
BMJ clinical evidence

INTRODUCTION: Low back pain affects about 70% of people in resource-rich countries at some point in their lives. Acute low back pain can be self-limiting; however, 1 year after an initial episode, as many as 33% of people still have moderate-intensity pain and 15% have severe pain. Acute low back pain has a high recurrence rate; 75% of those with a first episode have a recurrence. Although acute episodes may resolve completely, they may increase in severity and duration over time.

Author(s): 
McIntosh, Greg
Hall, Hamilton

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