A Psychoeducational Group Intervention for Nurses: Rationale, Theoretical Framework, and Development

2021 ◽  
pp. 107839032110011
Author(s):  
Amanda K. Bailey ◽  
Amanda T. Sawyer ◽  
Patricia Stearnes Robinson
Keyword(s):  
Mental Health ◽  
Compassion Fatigue ◽  
Group Intervention ◽  
Behavioral Therapy ◽  
High Stress ◽  
Well Being ◽  
Theoretical Framework ◽  
Psychoeducational Group ◽  
Self Compassion ◽  
Health And Well Being

OBJECTIVE Nursing is a demanding profession with constant stressors, which makes nurses vulnerable to the detrimental effects of high stress, burnout, and compassion fatigue. There is a need for a multidimensional group intervention facilitated by a licensed mental health professional to improve mental health and well-being in nurses. An intervention called RISE, which is an acronym for resilience, insight, self-compassion, and empowerment, was developed to promote self-care, protect against burnout, and improve indicators of well-being among nurses. We explain the rationale, theoretical framework, and development of RISE. METHODS RISE is based on an integrative theoretical framework of mindfulness, acceptance and commitment therapy, and cognitive-behavioral therapy. It consists of eight psychoeducational group sessions with topics related to the four RISE themes of resilience, insight, self-compassion, and empowerment. RESULTS RISE is a contribution to the literature on well-being interventions for nurses. It will further the understanding of effective interventions to mediate the detrimental effects of stress and burnout in nursing and to improve the mental health and well-being of nurses amid the complex interplay of factors at the individual, unit, and organizational levels. CONCLUSIONS As an approach that combines education with therapeutic process and support to improve coping and well-being inside and outside of the workplace, RISE addresses the underlying causes and effects of high stress, burnout, and compassion fatigue.

scholarly journals Emotional demands, compassion and mental health in social workers

2020 ◽  
Vol 70 (2) ◽  
pp. 89-94
Author(s):  
G Kinman ◽  
L Grant
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Compassion Fatigue ◽  
Social Care ◽  
Compassion Satisfaction ◽  
Well Being ◽  
Targeted Interventions ◽  
Self Compassion ◽  
Health And Social Care ◽  
Emotional Demands

Abstract Background Compassion, described as the act of providing care based on empathy, dignity and respect, is intrinsic to effective health and social care. Although delivering compassionate care has wide-ranging benefits for service users, more insight is needed into its effects on health and social care professionals. The emotional demands of ‘helping’ work can engender compassion fatigue that may impair well-being, whereas compassion satisfaction and feelings of compassion towards the self could be protective. Aims To examine the effects (direct and indirect) of compassion satisfaction, compassion fatigue and self-compassion on mental health in a cohort of social workers. Methods We used validated scales to measure emotional demands, compassion satisfaction and fatigue, and self-compassion and the General Health Questionnaire-12 to assess mental health. We tested the main and moderating effects of emotional demands and the three facets of compassion using hierarchical regression analysis. Results The study sample comprised 306 social workers (79% female). Participants who reported higher levels of compassion satisfaction and self-compassion tended to report better mental health, whereas compassion fatigue was a significant risk factor for well-being. The models explained 44–53% of the variance in mental health symptoms. We found some evidence that compassion satisfaction and self-compassion buffer the negative effects of emotional demand on mental health, contributing 2 and 3%, respectively, to the incremental variance. Conclusions Our findings suggest that evidence-based interventions are needed to reduce compassion fatigue and enhance compassion satisfaction and self-compassion in social care work. We consider ways to accomplish this using targeted interventions.

The Minds Behind the Technology

2021 ◽  
pp. 481-492
Author(s):  
Jessica Carson
Keyword(s):  
Mental Health ◽  
High Stress ◽  
Well Being ◽  
Self Report ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Hyperactivity Disorder ◽  
Entrepreneurial Culture ◽  
History Of ◽  
Health And Well Being

Over the past few years, there has been a surge of interest in entrepreneur mental health and well-being. Research has shown 72% of entrepreneurs self-report a lifetime history of mental health concerns (depression, substance abuse, attention-deficit/hyperactivity disorder, and bipolar), and countless others incur varying degrees of emotional, physical, and spiritual distress. While many have been quick to declare a mental health “crisis” or “epidemic” among entrepreneurs, the reality may not be so simple. Entrepreneurs with mental health challenges may in fact have a competitive advantage—they may self-select into entrepreneurial work as a result of the adaptive qualities conferred onto them by their diagnosis. This article explores the myriad reasons for these high rates (from self-selection to diathesis–stress), including the hypermasculinized nature of entrepreneurial culture, the high-stress nature of entrepreneurial work, and the hidden superpowers embedded in the genetics of entrepreneurs. To conclude, the ways in which the entire ecosystem can become healthier through self-understanding and self-care are discussed.

scholarly journals A Mixed-Methods Study Using a Nonclinical Sample to Measure Feasibility of Ostrich Community: A Web-Based Cognitive Behavioral Therapy Program for Individuals With Debt and Associated Stress

2017 ◽  
Vol 4 (2) ◽  
pp. e12
Author(s):  
Dawn Smail ◽  
Sarah Elison ◽  
Linda Dubrow-Marshall ◽  
Catherine Thompson
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Feasibility Study ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Semistructured Interview ◽  
Financial Difficulty ◽  
Nonclinical Sample ◽  
Health And Well Being

Background There are increasing concerns about the health and well-being of individuals facing financial troubles. For instance, in the United Kingdom, the relationship between debt and mental health difficulties is becoming more evident due to the economic downturn and welfare reform. Access to debt counseling services is limited and individuals may be reluctant to access services due to stigma. In addition, most of these services may not be appropriately resourced to address the psychological impact of debt. This study describes outcomes from an Internet-based cognitive behavioral therapy (ICBT) program, Ostrich Community (OC), which was developed to provide support to those struggling with debt and associated psychological distress. Objective The aim of this feasibility study was to assess the suitability and acceptability of the OC program in a nonclinical sample and examine mental health and well-being outcomes from using the program. Methods A total of 15 participants (who were not suffering from severe financial difficulty) were assisted in working through the 8-week ICBT program. Participants rated usability and satisfaction with the program, and after completion 7 participants took part in a semistructured interview to provide further feedback. Before the first session and after the final session all participants completed questionnaires to measure well-being and levels of depression, stress, and anxiety and pre- and postscores were compared. Results Satisfaction was high and themes emerging from the interviews indicate that the program has the potential to promote effective financial behaviors and improve financial and global psychosocial well-being. When postcompletion scores were compared with those taken before the program, significant improvements were identified on psychometric measures of well-being, stress, and anxiety. Conclusions The OC program is the first ICBT program that targets poor mental health associated with financial difficulty. This feasibility study indicates that OC may be an effective intervention for increasing financial resilience, supporting individuals to become financially independent, and promoting positive financial and global well-being. Further work with individuals suffering from debt and associated emotional difficulties will help to examine clinical effectiveness more closely.

Characteristics of Canadian Veterans reimbursed for cannabis for medical purposes: Life After Service Survey 2016

2021 ◽  
Author(s):  
Julián Reyes Vélez ◽  
Anika Tabassum ◽  
Antonio Bolufe-Rohler ◽  
Alexander Alvarez ◽  
Kai Liu ◽  
...  
Keyword(s):  
Mental Health ◽  
Low Income ◽  
Military Service ◽  
Stress Disorder ◽  
High Stress ◽  
Well Being ◽  
Veterans Affairs ◽  
Initial Number ◽  
Community Belonging ◽  
Health And Well Being

LAY SUMMARY This research explored the demographic, military service, and health characteristics associated with cannabis for medical purposes (CMP) reimbursements among Veterans Affairs Canada (VAC) clients and respondents of the Life After Service Survey 2016 (LASS). Of the initial number of indicators selected contained in LASS 2016 survey, some specific variables were significantly associated with CMP reimbursement, from which physical/mental health and well-being indicators, such as anxiety, posttraumatic stress disorder (PTSD), depression, bowel ulcer, traumatic brain injury, chronic pain, needing help with tasks, psychological distress, and having three of more conditions of the PTSD diagnosis, were positively associated with CMP. Moreover, unemployment, having low income (< $5,000), a difficult adjustment, being very dissatisfied with life, having low social support, a weak community belonging, and reporting high stress also increased the odds of being reimbursed. These results will help to identify a preliminary profile of VAC clients with higher need for CMP reimbursement.

scholarly journals User Experience of Cognitive Behavioral Therapy Apps for Depression: An Analysis of App Functionality and User Reviews (Preprint)

2018 ◽  
Author(s):  
Katarzyna Stawarz ◽  
Chris Preist ◽  
Debbie Tallon ◽  
Nicola Wiles ◽  
David Coyle
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
User Experience ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
User Reviews ◽  
Mental Well Being ◽  
Health And Well Being

BACKGROUND Hundreds of mental health apps are available to the general public. With increasing pressures on health care systems, they offer a potential way for people to support their mental health and well-being. However, although many are highly rated by users, few are evidence-based. Equally, our understanding of what makes apps engaging and valuable to users is limited. OBJECTIVE The aim of this paper was to analyze functionality and user opinions of mobile apps purporting to support cognitive behavioral therapy for depression and to explore key factors that have an impact on user experience and support engagement. METHODS We systematically identified apps described as being based on cognitive behavioral therapy for depression. We then conducted 2 studies. In the first, we analyzed the therapeutic functionality of apps. This corroborated existing work on apps’ fidelity to cognitive behavioral therapy theory, but we also extended prior work by examining features designed to support user engagement. Engagement features found in cognitive behavioral therapy apps for depression were compared with those found in a larger group of apps that support mental well-being in a more general sense. Our second study involved a more detailed examination of user experience, through a thematic analysis of publicly available user reviews of cognitive behavioral therapy apps for depression. RESULTS We identified 31 apps that purport to be based on cognitive behavioral therapy for depression. Functionality analysis (study 1) showed that they offered an eclectic mix of features, including many not based on cognitive behavioral therapy practice. Cognitive behavioral therapy apps used less varied engagement features compared with 253 other mental well-being apps. The analysis of 1287 user reviews of cognitive behavioral therapy apps for depression (study 2) showed that apps are used in a wide range of contexts, both replacing and augmenting therapy, and allowing users to play an active role in supporting their mental health and well-being. Users, including health professionals, valued and used apps that incorporated both core cognitive behavioral therapy and non-cognitive behavioral therapy elements, but concerns were also expressed regarding the unsupervised use of apps. Positivity was seen as important to engagement, for example, in the context of automatic thoughts, users expressed a preference to capture not just negative but also positive ones. Privacy, security, and trust were crucial to the user experience. CONCLUSIONS Cognitive behavioral therapy apps for depression need to improve with respect to incorporating evidence-based cognitive behavioral therapy elements. Equally, a positive user experience is dependent on other design factors, including consideration of varying contexts of use. App designers should be able to clearly identify the therapeutic basis of their apps, but they should also draw on evidence-based strategies to support a positive and engaging user experience. The most effective apps are likely to strike a balance between evidence-based cognitive behavioral therapy strategies and evidence-based design strategies, including the possibility of eclectic therapeutic techniques.

Self-compassion and empathy in caregiver and comparison groups: Differences in negative components

2019 ◽  
Author(s):  
Monica Beals ◽  
Melissa Birkett
Keyword(s):  
Comparison Group ◽  
Well Being ◽  
Positive Outcomes ◽  
Personal Distress ◽  
Self And Other ◽  
Self Compassion ◽  
Descriptive Information ◽  
Supportive Behavior ◽  
Comparison Groups ◽  
Health And Well Being

Self-compassion and empathy are positively associated with mental health, physical health, and well-being. Caregivers higher in self-compassion and empathy show increased caring and supportive behavior. Cultivating self-compassion and empathy have been suggested to enhance positive outcomes, however descriptive information about these constructs is lacking for caregiver and comparison groups. The current study examined self-compassion and empathy among caregivers (self-identified parents of at least one child under 18 years of age; n=335) and a comparison group (n=215). Caregivers had higher scores of total self-compassion and empathy, with lower scores of self-judgement, isolation, and overidentification (self-compassion subscales), and personal distress (empathy subscale). Describing self-compassion and empathy in caregiver and comparison groups has implications for key health outcomes and highlights differences in self- and other-directed constructs in a diverse sample of adults.

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