Self-Help Groups for Agoraphobics: Their Role in Coping with Anxiety and Depression

Summary Purpose This pilot study aimed to describe physical performance, self-reported physical activity, health-related quality of life, anxiety and depression in patients who were assigned from Austrian self-help groups for multiple myeloma patients. These parameters were then discussed in the context of clinical decision-making concerning the recommended type of regular physical activity and exercise. Methods Members of the self-help groups were invited to participate. Physical performance and physical activity were assessed with the 6 min walk test (6MWT), handgrip strength test, timed up and go test (TUG), Tinetti performance oriented mobility assessment (POMA), falls efficacy scale (FES), international physical activity questionnaire (IPAQ), health-related quality of life (EORTC QLQ-C30) and the hospital anxiety and depression scale (HADS). Results A total of 40 patients (female:male = 15:25, mean age: 63.8 ± 9.0 years, range 41–80 years) were identified. In total 20 (50%) reached the performance of healthy peers in the tests 6MWT, handgrip strength, TUG and POMA, while 50% showed at least 1 result below the reference value or cut-off-point for each test. Self-reported activity levels were high. Patients showed a tendency to overestimate the risk of falling but a case by case analysis revealed a tendency for underestimating the actual performance in the respective tests (TUG, POMA). Conclusion The performance of healthy peers was reached by a substantial number of the participants in tests of physical performance and they reported high levels of physical activity. Nevertheless, they tended to overestimate the specific risk of falling. Patients with notably impaired physical performance might be suitable to perform regular physical activity and exercise in an individual therapy, whereas those with good physical performance are suited for training in exercise groups; however, individual contraindications and clinical considerations should be noted in a multiprofessional and interdisciplinary setting.

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Psychotherapeutic potential of online self-help groups

Communication & Medicine ◽

10.1558/cam.36741 ◽

2020 ◽

Vol 15 (3) ◽

pp. 293-305

Author(s):

Jesse W.C. Yip

Keyword(s):

Social Support ◽

Data Analysis ◽

Therapeutic Potential ◽

Therapeutic Change ◽

Anxiety And Depression ◽

Therapeutic Effects ◽

Self Help ◽

Self Help Groups ◽

Innovative Moments

Previous research has found that online self-help groups related to healthcare can be therapeutic. These therapeutic effects often stem from social support conveyed by respondents; however, relevant studies appear to have overlooked the therapeutic potential of thread openers’ narratives. This article investigates thread openers’ narratives in 80 threads from four online self-help groups for anxiety and depression. The data analysis focuses on unique outcomes (UOs), referring to opportunities for therapeutic change to occur, which are conceptualized within the framework of innovative moments (IMs). The findings indicate that the presence of IMs is what makes online narratives therapeutic, but that they diminish gradually through interactions with respondents. This decline can arguably be attributed to respondents’ provision of unsolicited support, and this implies that most users do not find resolution for their problem through participating in online self-help groups.

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Introduction to the Forum on Cluttering: Rays of Hope Shine Around the World

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-19-00065 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1566-1567

Author(s):

Isabella Reichel

Keyword(s):

Professional Preparation ◽

Joint Effort ◽

Feedback Training ◽

Successful Communication ◽

Self Help ◽

The World ◽

Common Thread ◽

Evidence Based Treatments ◽

Attention Performance ◽

Self Help Groups

Purpose In the 10 years since the International Cluttering Association (ICA) was created, this organization has been growing in the scope of its initiatives, and in the variety of resources it makes available for people with cluttering (PWC). However, the awareness of this disorder and of the methods for its intervention remain limited in countries around the world. A celebration of the multinational and multicultural engagements of the ICA's Committee of the International Representatives is a common thread running through all the articles in this forum. The first article is a joint effort among international representatives from five continents and 15 countries, exploring various themes related to cluttering, such as awareness, research, professional preparation, intervention, and self-help groups. The second article, by Elizabeth Gosselin and David Ward, investigates attention performance in PWC. In the third article, Yvonne van Zaalen and Isabella Reichel explain how audiovisual feedback training can improve the monitoring skills of PWC, with both quantitative and qualitative benefits in cognitive, emotional, and social domains of communication. In the final article, Hilda Sønsterud examines whether the working alliance between the client and clinician may predict a successful cluttering therapy outcome. Conclusions Authors of this forum exchanged their expertise, creativity, and passion with the goal of solving the mystery of the disconcerting cluttering disorder with the hope that all PWC around the globe will have access to the most effective evidence-based treatments leading to blissful and successful communication.

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