Self-help interventions for adjustment disorder problems: a randomized waiting-list controlled study in a sample of burglary victims

2016 ◽  
Vol 45 (5) ◽  
pp. 397-413 ◽  
Author(s):  
Rahel Bachem ◽  
Andreas Maercker
2017 ◽  
Vol 89 (2) ◽  
pp. 451-460 ◽  
Author(s):  
Jonas Eimontas ◽  
Zivile Rimsaite ◽  
Goda Gegieckaite ◽  
Paulina Zelviene ◽  
Evaldas Kazlauskas

2000 ◽  
Vol 109 (4) ◽  
pp. 282-287 ◽  
Author(s):  
Stanley Heshka ◽  
Frank Greenway ◽  
James W Anderson ◽  
Richard L Atkinson ◽  
James O Hill ◽  
...  

2015 ◽  
Vol 2 (2) ◽  
pp. e15 ◽  
Author(s):  
Andreas Maercker ◽  
Rahel C Bachem ◽  
Louisa Lorenz ◽  
Christian T Moser ◽  
Thomas Berger

Background Adjustment disorders (also known as mental distress in response to a stressor) are among the most frequently diagnosed mental disorders in psychiatry and clinical psychology worldwide. They are also commonly diagnosed in clients engaging in deliberate self-harm and in those consulting general practitioners. However, their reputation in research-oriented mental health remains weak since they are largely underresearched. This may change when the International Statistical Classification of Diseases-11 (ICD-11) by the World Health Organization is introduced, including a new conceptualization of adjustment disorders as a stress-response disorder with positively defined core symptoms. Objective This paper provides an overview of evidence-based interventions for adjustment disorders. Methods We reviewed the new ICD-11 concept of adjustment disorder and discuss the the rationale and case study of an unguided self-help protocol for burglary victims with adjustment disorder, and its possible implementation as an eHealth intervention. Results Overall, the treatment with the self-help manual reduced symptoms of adjustment disorder, namely preoccupation and failure to adapt, as well as symptoms of depression, anxiety, and stress. Conclusions E-mental health options are considered uniquely suited for offering early intervention after the experiences of stressful life events that potentially trigger adjustment disorders.


2001 ◽  
Vol 29 (3) ◽  
pp. 333-343 ◽  
Author(s):  
Graeme E. Whitfield ◽  
Chris J. Williams ◽  
David A. Shapiro

This open study measured the proportion of routine referrals from primary care to a psychiatric sector team with symptoms of anxiety and/or low mood who chose to take up the option of attending a self-help room to use the CBT self-help manual Mind over mood during a 6-week waiting list period. It assessed changes in psychological health, dysfunctional attitudes and degree of hopelessness during the period of use of the self-help manual, as well as patient satisfaction with it. Twenty-two of 42 consecutive referrals attended the room (mean 3.55 sessions – SD 1.71). The Beck Hopelessness Scale (BHS), the General Health Questionnaire (GHQ), and Dysfunctional Attitudes Scale (DAS), as well as measures of patient participation and satisfaction, were completed at the beginning and end of the 6-week period for those patients who attended the room. All three scale scores fell significantly over the study period, and the DAS and BHS scores at 6 weeks were negatively correlated with the number of sessions attended. The patients generally judged that the self-help intervention was acceptable and effective, and that their knowledge in a number of key areas had been improved. Conclusions regarding effectiveness are limited by the absence of control group data; nonetheless, this study does suggest that the provision of a self-help room containing Mind over mood is useful for patients with anxiety and low mood on a waiting list for a psychiatric outpatient assessment.


2020 ◽  
Vol 11 ◽  
Author(s):  
Evaldas Kazlauskas ◽  
Jonas Eimontas ◽  
Miranda Olff ◽  
Paulina Zelviene ◽  
Gerhard Andersson

1981 ◽  
Vol 138 (3) ◽  
pp. 185-193 ◽  
Author(s):  
D. Mawson ◽  
I. M. Marks ◽  
L. Ramm ◽  
R. S. Stern

SummaryDuring 2 weeks on a waiting list 12 patients with morbid grief did not improve significantly. They were then randomly allocated either to guided mourning treatment, in which they were encouraged to face cues concerning their bereavement or to control treatment in which they were asked to avoid such cues. Each treatment comprised six 1½ hour sessions over 2 weeks. At week 4 guided mourning patients had improved significantly more than had controls on 3 measures, with a supportive trend on 4 measures. Improvement though modest was maintained to 10–28 weeks follow-up. Control patients did not improve significantly or show any trend to do so.


2004 ◽  
Vol 32 (3) ◽  
pp. 275-290 ◽  
Author(s):  
Patrick A. Vogel ◽  
Tore C. Stiles ◽  
K. Gunnar Götestam

Thirty-five outpatients (25 women, 10 men) with a DSM-III-R principal diagnosis of OCD accepted exposure treatment at a psychiatric outpatient clinic. They were randomly assigned to one of two individual treatments for a 6-week exposure therapy treatment based on a treatment manual or to a 6-week waiting list condition. The 12 patients assigned to the waiting list were subsequently randomly assigned to one of the active treatments. Both treatment groups received in vivo or imaginal exposure in each of the 10 twice-weekly treatment sessions held after two assessment sessions. One group (n=16) received cognitive therapy interventions for comorbidity problems or to alter beliefs underlying patients' OCD. The other group (n=19) received relaxation training as an attention placebo control. Both groups received relapse prevention follow-up contacts. Twenty-seven patients completed intensive treatment. Both treatments overall showed satisfactory levels of clinical improvement and large effect sizes. ANCOVAS for treatment completers showed non-significantly lower levels of OCD symptoms, depression and state anxiety in the treatment condition that did not include cognitive interventions. The patients receiving additional cognitive therapy showed significantly lesser dropout than those in the other treatment condition, but there were no significant differences in the intention-to-treat analyses.


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