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Bridging the gap: Lessons we have learnt from the merging of psychology and psychiatry for the optimisation of treatments for emotional disorders
- Source :
- Behaviour research and therapy. 62
- Publication Year :
- 2014
-
Abstract
- In recent years the gap between psychological and psychiatric research and practice has lessened. In turn, greater attention has been paid toward how psychological and pharmacological treatments interact. Unfortunately, the majority of research has indicated no additive effect of anxiolytics and antidepressants when combined with psychological treatments, and in many cases pharmacological treatments attenuate the effectiveness of psychological treatments. However, as psychology and psychiatry have come closer together, research has started to investigate the neural and molecular mechanisms underlying psychological treatments. Such research has utilised preclinical models of psychological treatments, such as fear extinction, in both rodents and humans to determine multiple neural and molecular changes that may be responsible for the long-term cognitive and behavioural changes that psychological treatments induce. Currently, researchers are attempting to identify pharmacological agents that directly augment these neural/molecular changes, and which may be more effective adjuncts to psychological treatments than traditional anxiolytics and antidepressants. In this review we describe the research that has led to this new wave of thinking about combined psychological/pharmacological treatments. We also argue that an increased emphasis on identifying individual difference factors that predict the effectiveness of pharmacological adjuncts is critical in facilitating the translation of this preclinical research into clinical practice.
- Subjects :
- medicine.medical_specialty
Psychotherapist
Experimental and Cognitive Psychology
Extinction, Psychological
03 medical and health sciences
Preclinical research
0302 clinical medicine
medicine
Humans
Psychology
Psychiatry
Depressive Disorder
Individual difference
Cognition
Extinction (psychology)
Fear
Anxiety Disorders
Antidepressive Agents
030227 psychiatry
3. Good health
Clinical Practice
Psychotherapy
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Anti-Anxiety Agents
Anxiety
medicine.symptom
030217 neurology & neurosurgery
Clinical psychology
Subjects
Details
- ISSN :
- 1873622X
- Volume :
- 62
- Database :
- OpenAIRE
- Journal :
- Behaviour research and therapy
- Accession number :
- edsair.doi.dedup.....a2bea25a78db5982091e7c50e31e6e15