scholarly journals Child Disaster Mental Health Interventions: Therapy Components

2014 ◽  
Vol 29 (5) ◽  
pp. 494-502 ◽  
Author(s):  
Betty Pfefferbaum ◽  
Jennifer L. Sweeton ◽  
Pascal Nitiéma ◽  
Mary A. Noffsinger ◽  
Vandana Varma ◽  
...  

AbstractChildren face innumerable challenges following exposure to disasters. To address trauma sequelae, researchers and clinicians have developed a variety of mental health interventions. While the overall effectiveness of multiple interventions has been examined, few studies have focused on the individual components of these interventions. As a preliminary step to advancing intervention development and research, this literature review identifies and describes nine common components that comprise child disaster mental health interventions. This review concluded that future research should clearly define the constituent components included in available interventions. This will require that future studies dismantle interventions to examine the effectiveness of specific components and identify common therapeutic elements. Issues related to populations studied (eg, disaster exposure, demographic and cultural influences) and to intervention delivery (eg, timing and optimal sequencing of components) also warrant attention.PfefferbaumB, SweetonJL, NitiémaP, NoffsingerMA, VarmaV, NelsonSD, NewmanE. Child disaster mental health interventions: therapy components. Prehosp Disaster Med. 2014;29(5):1-9.

10.2196/16228 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e16228 ◽  
Author(s):  
Shireen Patel ◽  
Athfah Akhtar ◽  
Sam Malins ◽  
Nicola Wright ◽  
Emma Rowley ◽  
...  

Background The prevalence of mental health disorders continues to rise, with almost 4% of the world population having an anxiety disorder and almost 3.5% having depression in 2017. Despite the high prevalence, only one-third of people with depression or anxiety receive treatment. Over the last decade, the use of digital health interventions (DHIs) has risen rapidly as a means of accessing mental health care and continues to increase. Although there is evidence supporting the effectiveness of DHIs for the treatment of mental health conditions, little is known about what aspects are valued by users and how they might be improved. Objective This systematic review aimed to identify, appraise, and synthesize the qualitative literature available on service users’ views and experiences regarding the acceptability and usability of DHIs for depression, anxiety, and somatoform disorders. Methods A systematic search strategy was developed, and searches were run in 7 electronic databases. Qualitative and mixed methods studies published in English were included. A meta-synthesis was used to interpret and synthesize the findings from the included studies. Results A total of 24 studies were included in the meta-synthesis, and 3 key themes emerged with descriptive subthemes. The 3 key themes were initial motivations and approaches to DHIs, personalization of treatment, and the value of receiving personal support in DHIs. The meta-synthesis suggests that participants’ initial beliefs about DHIs can have an important effect on their engagement with these types of interventions. Personal support was valued very highly as a major component of the success of DHIs. The main reason for this was the way it enabled individual personalization of care. Conclusions Findings from the systematic review have implications for the design of future DHIs to improve uptake, retention, and outcomes in DHIs for depression, anxiety, and somatoform disorders. DHIs need to be personalized to the specific needs of the individual. Future research should explore whether the findings could be generalized to other health conditions.


2014 ◽  
Vol 2 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Betty Pfefferbaum ◽  
Jennifer L. Sweeton ◽  
Elana Newman ◽  
Vandana Varma ◽  
Mary A. Noffsinger ◽  
...  

2014 ◽  
Vol 2 (1) ◽  
pp. 46-57 ◽  
Author(s):  
Betty Pfefferbaum ◽  
Jennifer L. Sweeton ◽  
Elana Newman ◽  
Vandana Varma ◽  
Pascal Nitiéma ◽  
...  

2004 ◽  
Vol 19 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Paul Bolton ◽  
Alice M. Tang

AbstractThis paper describes a short, ethnographic study approach for understanding how people from non-Western cultures think about mental health and mental health problems, and the rationale for using such an approach in designing and implementing mental health interventions during and after disasters. It describes how the resulting data can contribute to interventions that are more acceptable to local people, and therefore, more effective and sustainable through improved community support.


2014 ◽  
Vol 38 (2) ◽  
pp. 49-51 ◽  
Author(s):  
Rebecca McGuire-Snieckus

SummaryOptimism is generally accepted by psychiatrists, psychologists and other caring professionals as a feature of mental health. Interventions typically rely on cognitive–behavioural tools to encourage individuals to ‘stop negative thought cycles’ and to ‘challenge unhelpful thoughts’. However, evidence suggests that most individuals have persistent biases of optimism and that excessive optimism is not conducive to mental health. How helpful is it to facilitate optimism in individuals who are likely to exhibit biases of optimism already? By locating the cause of distress at the individual level and ‘unhelpful’ cognitions, does this minimise wider systemic social and economic influences on mental health?


2019 ◽  
Author(s):  
Shireen Patel ◽  
Athfah Akhtar ◽  
Sam Malins ◽  
Nicola Wright ◽  
Emma Rowley ◽  
...  

BACKGROUND The prevalence of mental health disorders continues to rise, with almost 4% of the world population having an anxiety disorder and almost 3.5% having depression in 2017. Despite the high prevalence, only one-third of people with depression or anxiety receive treatment. Over the last decade, the use of digital health interventions (DHIs) has risen rapidly as a means of accessing mental health care and continues to increase. Although there is evidence supporting the effectiveness of DHIs for the treatment of mental health conditions, little is known about what aspects are valued by users and how they might be improved. OBJECTIVE This systematic review aimed to identify, appraise, and synthesize the qualitative literature available on service users’ views and experiences regarding the acceptability and usability of DHIs for depression, anxiety, and somatoform disorders. METHODS A systematic search strategy was developed, and searches were run in 7 electronic databases. Qualitative and mixed methods studies published in English were included. A meta-synthesis was used to interpret and synthesize the findings from the included studies. RESULTS A total of 24 studies were included in the meta-synthesis, and 3 key themes emerged with descriptive subthemes. The 3 key themes were initial motivations and approaches to DHIs, personalization of treatment, and the value of receiving personal support in DHIs. The meta-synthesis suggests that participants’ initial beliefs about DHIs can have an important effect on their engagement with these types of interventions. Personal support was valued very highly as a major component of the success of DHIs. The main reason for this was the way it enabled individual personalization of care. CONCLUSIONS Findings from the systematic review have implications for the design of future DHIs to improve uptake, retention, and outcomes in DHIs for depression, anxiety, and somatoform disorders. DHIs need to be personalized to the specific needs of the individual. Future research should explore whether the findings could be generalized to other health conditions.


2021 ◽  
Vol 12 ◽  
Author(s):  
Eliane M. Boucher ◽  
Haley E. Ward ◽  
Amelia C. Mounts ◽  
Acacia C. Parks

Digital mental health interventions (DMHI) are scalable and cost-effective strategies for increasing access to mental health care; however, dropout rates associated with digital interventions are high, particularly for open-access digital interventions. While some studies have focused on predictors of dropout from digital mental health programs, few studies have focused on engagement features that might improve engagement. In this perspective article, we discuss whether monetary incentives (MI) are one avenue to increasing user engagement in DMHI. We begin by reviewing the literature on the effects of MI for behavior change in health domains (e.g., dietary behaviors, substance use, and medication adherence). Then, drawing on a pilot study we conducted to test the effects of different levels of MI on usage and improvement in subjective well-being among users of a DMHI (Happify), we discuss the potential applications of MI for DMHI, the potential drawbacks of financial incentives in this context, and open questions for future research.


Author(s):  
Anil Batra

E-Mental Health Interventions for Harmful Alcohol Use: Research Methods and Questions 2.5 million yearly deaths and 4.6% of the global burden of disease are attributable to the harmful use of alcohol, according to the World Health Organization in 2011. Brief interventions have become increasingly valuable in the management of individuals with alcohol-related problems. The availability and uptake of these brief interventions is however limited. This so-called treatment gap may be narrowed through accessible, effective, and inexpensive treatment programmes. E-mental health interventions would be one promising approach for developing such treatment options, if they are shown to be effective. In this dissertation, the (cost-)effectiveness of two interventions based on cognitive behavioural therapy is subjected to research in three consecutive studies. The two interventions are a non-therapist involved Internet-based self-help programme, and a therapist led Internet therapy, based on textual-chat interaction. The aim of this dissertation is twofold. First, there is a clinical aim: to identify effective and cost-effective e-mental health interventions for harmful alcohol use. Second, there is a methodological aim: to address methodological challenges in the design, execution, and analysis of e-mental health randomized controlled trials. In the coming years, it is expected that the development and dissemination of e-mental health interventions will advance. This dissertation hopes to contribute valuably to the current knowledge base, upon which future research and interventions will build.


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