scholarly journals New Fathers’ Perinatal Depression and Anxiety—Treatment Options: An Integrative Review

2016 ◽  
Vol 11 (4) ◽  
pp. 863-876 ◽  
Author(s):  
Anthony P. O’Brien ◽  
Karen A. McNeil ◽  
Richard Fletcher ◽  
Agatha Conrad ◽  
Amanda J. Wilson ◽  
...  
Keyword(s):  
Family Relationships ◽  
Help Seeking ◽  
Perinatal Depression ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Behavioral Therapy ◽  
Therapy Group ◽  
Treatment Options ◽  
Future Research ◽  
Depression And Anxiety

More than 10% of fathers experience depression and anxiety during the perinatal period, but paternal perinatal depression (PPND) and anxiety have received less attention than maternal perinatal mental health problems. Few mainstream treatment options are available for men with PPND and anxiety. The aim of this literature review was to summarize the current understanding of PPND and the treatment programs specifically designed for fathers with perinatal depression. Eight electronic databases were searched using a predefined strategy, and reference lists were also hand searched. PPND and anxiety were identified to have a negative impact on family relationships, as well as the health of mothers and children. Evidence suggests a lack of support and tailored treatment options for men having trouble adjusting to the transition to fatherhood. Of the limited options available, cognitive behavioral therapy, group work, and blended delivery programs, including e-support approaches appear to be most effective in helping fathers with perinatal depression and anxiety. The review findings have important implications for the understanding of PPND and anxiety. Future research is needed to address the adoption of father-inclusive and father-specific models of care to encourage fathers’ help-seeking behavior. Inclusion of male-specific requirements into support and treatment options can improve the ability of services to engage new fathers. Psychotherapeutic intervention could assist to address the cognitive differences and dissonance for men adjusting to the role of father, including male identity and role expectations.

The Association Between Problem Recognition, Race/Ethnicity, and Professional Help-Seeking Intentions Across Psychological Disorders

2021 ◽  
pp. 216769682110004
Author(s):  
Ayanda Chakawa ◽  
Steven K. Shapiro
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Help Seeking ◽  
Mental Health Problems ◽  
The United States ◽  
Psychological Disorder ◽  
Future Research ◽  
Problem Recognition ◽  
Professional Help ◽  
Race Ethnicity

While 75% mental health problems emerge by young adulthood, there is a strong reluctance during this developmental stage to seek professional help. Although limitations in mental health literacy, such as incorrect problem recognition, may hinder professional help-seeking intentions, the relationship between these variables has been understudied among young adults in the United States (U.S.) and racial/ethnic differences in help-seeking intentions for specific disorders have not been well explored. Using a vignette-based design, the current study examines the association between psychological disorder recognition and professional help-seeking intentions among 1,585 Black/African American and White/European American young adults. Correctly identifying a psychological disorder was significantly associated with intentions to seek professional help for several disorders and race/ethnicity significantly influenced intentions to seek professional help for some disorders. Implications for ways to address unmet mental health care needs, especially among racially/ethnically diverse young adults, and directions for future research are discussed.

scholarly journals Latina Mothers Recommendations on a Mindfulness-Based Cognitive Behavioral Therapy Group Intervention for Perinatal Depression

2021 ◽  
Author(s):  
Kritzia Merced ◽  
Uma D. Parameswaran ◽  
Susan Dearden ◽  
Ryoko Pentecost ◽  
Gwen Latendresse
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Perinatal Depression ◽  
Behavioral Therapy ◽  
Therapy Group ◽  
Cognitive Behavioral ◽  
Initial Assessment ◽  
Active Listening ◽  
Latina Mothers ◽  
Telehealth Intervention ◽  
Relational Connection

Abstract Background: Perinatal depression affects 5-15% of childbearing women. However, literature suggest that Latina women are twice as likely to experience symptoms of depression during pregnancy. Group telehealth-based interventions are a promising approach to increasing access and reducing barriers to mental health services. However, little is known about the experience that childbearing Latinas have with navigating this approach. This paper aimed to explore Latina mothers’ perspectives and recommendations in using a telehealth modality to deliver a mindfulness-based cognitive behavioral therapy (MBCBT) group intervention.Methods: Fourteen pregnant or postpartum women participated in focus groups and individual interviews. Interview topics included perinatal depression, knowledge and content of interventions, and the feasibility and acceptability of the telehealth approach. Data were recorded, transcribed, and analyzed using a grounded theory approach.Results: Three broad themes emerged; (1) accessibility to telehealth, (2) relational connection through technology, and (3) and technological issues affecting access (i.e., level of familiarity with portal, video quality, etc.). Enhancers promoting participation in the telehealth intervention included reduced scheduling concerns and no need for childcare. Barriers included mistrust of providers’ engagement, concerns about privacy, and potential for lack of relational connection through technology. Conclusion: Specific recommendations were provided to increase participation and effectiveness of telehealth groups among Latinas. Recommendations included conducting an initial assessment of women’s familiarity with and access to technology, having a tech-trained individual available to troubleshoot, as well as provider’s intentionality in conveying active listening and relational empathy (i.e., using eye contact during telehealth intervention, avoid limited distractions).Trial Registration: NCT03932760

scholarly journals Development of an Internet-Based Cognitive Behavioral Therapy Self-Help Program for Arabic-Speaking Immigrants: Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Tomas Nygren ◽  
Matilda Berg ◽  
Ali Sarkohi ◽  
Gerhard Andersson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Focus Groups ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Behavioral Therapy ◽  
Treatment Options ◽  
Cognitive Behavioral ◽  
Care Providers ◽  
Self Help ◽  
Arabic Speaking

BACKGROUND Recent years have seen an increase in Arabic-speaking immigrants in Sweden and other European countries, with research showing this group to suffer from elevated levels of various forms of psychological disorders. There is a lack of treatment options for immigrants with mild to moderate mental health problems, with barriers including lack of accessible services and concerns that problems will not be understood by health care providers. OBJECTIVE This study aims to describe the process of developing a transdiagnostic internet-based cognitive behavioral therapy self-help program in Arabic for mild to moderate symptoms of common psychological problems such as anxiety, depression, and insomnia. METHODS The iterative development process, including feedback from 105 pilot users as well as 2 focus groups, is described. RESULTS Overall, the modules were rated as acceptable by the pilot users, with overall ratings ranging from 3 to 4 points on average for the respective modules on a 5-point Likert scale. Feedback from the 2 focus groups was overall positive with regard to the content and structure of the program but also included suggestions for improving the Arabic translation as well as the usability of the material. CONCLUSIONS An internet-based self-help program that is deemed acceptable by an Arabic-speaking audience can be successfully developed, thus providing increased access to psychological help for an at-risk population. However, further research regarding the efficacy of this type of intervention is warranted.

Cognitive–Behavioral Treatment of Depression in Men

2014 ◽  
Vol 9 (2) ◽  
pp. 94-102 ◽  
Author(s):  
Jason S. Spendelow
Keyword(s):  
Help Seeking ◽  
Behavioral Treatment ◽  
Behavioral Therapy ◽  
Empirical Support ◽  
Cognitive Behavioral ◽  
Public Health Issue ◽  
Future Research ◽  
Cognitive Behavioral Treatment ◽  
Negative Effects ◽  
Recommended Treatment

Depression is a significant public health issue and many researchers have suggested that modifications to conventional cognitive–behavioral therapy (CBT) are required to address infrequent help-seeking in men and counter negative effects of traditional masculinity on therapeutic engagement. This narrative review summarizes recommended alterations to CBT in the areas of therapeutic setting, process, and content. Key themes from this literature include a focus on behavioural interventions, and harmful cognitions that orginate from the traditional male gender stereotype. This literature is marked by limited empirical support for many of the recommended treatment modifications, and several options for future research are outlined.

Psychotherapy for Psychopathology During Pregnancy and the Postpartum Period

2015 ◽  
Author(s):  
Amy Wenzel ◽  
Scott Stuart ◽  
Hristina Koleva
Keyword(s):  
Randomized Controlled Trials ◽  
Large Scale ◽  
Behavioral Therapy ◽  
Treatment Retention ◽  
Future Research ◽  
Controlled Trials ◽  
Depression And Anxiety ◽  
Randomized Controlled ◽  
Medication Exposure ◽  
Perinatal Women

Psychotherapy is often the treatment of choice for perinatal women who wish to limit their fetus’s or infant’s medication exposure. The vast majority of empirical research that has examined psychotherapy for perinatal women has focused on depression. Interpersonal psychotherapy (IPT) and cognitive behavioral therapy (CBT) have been examined in several studies to determine their efficacy in perinatal depression and anxiety. Recent research has begun to examine the manner in which psychotherapies can be delivered in alternative formats (e.g., teletherapy) in order to overcome problems with treatment retention and compliance. Suggestions for future research include large-scale randomized controlled trials that compare two active approaches to psychotherapy, mediation studies to uncover the mechanisms of change associated with the successful treatment of perinatal women, and randomized controlled trials evaluating the efficacy of psychotherapy for mental health disorders other than depression.

A Systematic Meta-Review of Internet-Based Cognitive Behavioral Therapy (ICBT)

2018 ◽  
Author(s):  
Quincy J. J. Wong ◽  
Alison L. Calear ◽  
Helen Christensen
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Is Implementation ◽  
Treatment And Prevention ◽  
Meta Review ◽  
Adolescents And Adults ◽  
Meta Analyses

Internet-based cognitive behavioral therapy (ICBT) is the provision of cognitive behavioral therapy (CBT) using the Internet as a platform for delivery. The advantage of ICBT is its ability to overcome barriers to treatment associated with traditional face-to-face CBT, such as poor access, remote locations, stigmas around help-seeking, the wish to handle the problem alone, the preference for anonymity, and costs (time and financial). A large number of randomized controlled trials (RCTs) have tested the acceptability, efficacy, and cost-effectiveness of ICBT for anxiety disorders, mood disorders, and associated suicidality. A meta-review was conducted by searching PsycINFO and PubMed for previous systematic reviews and meta-analyses of ICBT programs for anxiety, depression, and suicidality in children, adolescents, and adults. The results of the meta-review indicated that ICBT is effective in the treatment and prevention of mental health problems in adults and the treatment of these problems in youth. Issues of adherence and privacy have been raised. However, the major challenge for ICBT is implementation and uptake in the “real world.” The challenge is to find the best methods to embed, deliver, and implement ICBT routinely in complex health and education environments.

scholarly journals Mental Illness Self-Stigma in Young People: A Scoping Review Protocol

2021 ◽  
Author(s):  
Rachel S Taylor ◽  
Nicola Cogan ◽  
Pamela Jenkins ◽  
Xi Liu ◽  
Paul S Flowers ◽  
...  
Keyword(s):  
Mental Illness ◽  
Young People ◽  
Scoping Review ◽  
Help Seeking ◽  
Best Practice ◽  
Negative Impact ◽  
Future Research ◽  
Primary Research ◽  
Screening Process ◽  
Negative Stereotypes

Background: Self-stigma (the internalisation of negative stereotypes) is known to reduce help-seeking behaviours and treatment adherence in people who have a mental illness, resulting in worsening health outcomes. Moreover, self-stigma diminishes self-esteem and self-efficacy, and leads to higher levels of depression. Half of all lifetime cases of mental illness have manifested by the age of 14, and therefore young people are vulnerable to the negative impact of suffering mental illness self-stigma. While literature in this field has been flourishing in recent years, mental illness self-stigma remains poorly understood in youth. It is important that we seek to understand what is currently known about mental illness self-stigma in young people, and subsequently use this information to guide future research to advance knowledge of this topic. To date, a scoping review which maps the available literature on mental illness self-stigma in young people has yet to be conducted. Here, we outline the protocol for a scoping review on mental illness self-stigma in young people. Methods: This protocol outlines the process of conducting a scoping review of primary research concerning mental illness self-stigma in young people. The Joanna Briggs Institute guidance on best practice for conducting a scoping review will utilised throughout. A systematic search of appropriate databases will be conducted which will allow for a two-step screening process and data charting. Inclusion criteria for this review dictates that eligible studies will i) include a population within the age range of 10-35 (or mean age within this range), ii) include the term self-stigma or internalised stigma relating to mental health/illness/disorder, iii) be primary research, iv) be published post-2009 (following the seminal study by Moses, 2009) and v) be published in English. Discussion: The findings of the scoping review outlined in this protocol will be used to inform future research which aims to explore self-stigmatising attitudes and beliefs of young people experiencing mental illness. This research will result in co-produced, impactful resources for young people on the topic of mental illness self-stigma with the aim of raising awareness and stigma reduction.

scholarly journals Associations between dimensions of Mental Health Literacy and adolescent help-seeking intentions

2021 ◽  
Author(s):  
Claire Goodfellow ◽  
Anna Macintyre ◽  
Lee Knifton ◽  
Edward Sosu
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Mental Health Problem ◽  
Health Problem ◽  
Treatment Efficacy ◽  
Help Seeking ◽  
Mental Health Literacy ◽  
Mental Health Problems ◽  
Future Research ◽  
Informal Help

Background: Adolescence is a critical period for the development of mental health problems. However low mental health literacy (MHL) may impede help-seeking for these problems. Although MHL is a multidimensional construct and adolescent help-seeking can be through formal and informal means, little is known about how dimensions of MHL influence these help-seeking intentions. This study examines associations between dimensions of MHL and formal and informal help-seeking intentions among adolescents. It also investigates whether informal help-seeking mediates the association between dimensions of MHL and formal help-seeking, and whether these associations are moderated by gender. Methods: A cross-sectional survey including measures of MHL, and help-seeking intentions was distributed to participants in ten schools (12-18 years) across Scotland (n = 734). Data were analysed using Confirmatory Factor Analyses (CFA) and Structural Equation Modelling (SEM). Results: CFA identified two distinct dimensions of MHL: ability to identify a mental health problem, and knowledge of treatment efficacy. Only knowledge of treatment efficacy was associated with increased intention to seek formal and informal help. Ability to identify a mental health problem was negatively associated with both forms of help-seeking intention. Informal help-seeking mediated the association between both forms of MHL and formal help-seeking. Gender did not moderate associations between MHL and help-seeking. Conclusions: Distinct dimensions of MHL have disparate associations with adolescent help-seeking intention. Care should be taken when providing MHL interventions to ensure that adaptive forms of MHL are equally promoted. Future research should investigate possible mechanisms by which discrete forms of MHL influence adolescent help-seeking.

scholarly journals Natural Compounds as Medical Strategies in the Prevention and Treatment of Psychiatric Disorders Seen in Neurological Diseases

2021 ◽  
Vol 12 ◽  
Author(s):  
Esra Küpeli Akkol ◽  
Irem Tatlı Çankaya ◽  
Gökçe Şeker Karatoprak ◽  
Elif Carpar ◽  
Eduardo Sobarzo-Sánchez ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Behavioral Therapy ◽  
Neurological Diseases ◽  
Treatment Options ◽  
Experimental Studies ◽  
Natural Compounds ◽  
Depression And Anxiety ◽  
Low Efficiency

Psychiatric disorders are frequently encountered in many neurological disorders, such as Alzheimer’s and Parkinson diseases along with epilepsy, migraine, essential tremors, and stroke. The most common comorbid diagnoses in neurological diseases are depression and anxiety disorders along with cognitive impairment. Whether the underlying reason is due to common neurochemical mechanisms or loss of previous functioning level, comorbidities are often overlooked. Various treatment options are available, such as pharmacological treatments, cognitive-behavioral therapy, somatic interventions, or electroconvulsive therapy. However oral antidepressant therapy may have some disadvantages, such as interaction with other medications, low tolerability due to side effects, and low efficiency. Natural compounds of plant origin are extensively researched to find a better and safer alternative treatment. Experimental studies have shown that phytochemicals such as alkaloids, terpenes, flavonoids, phenolic acids as well as lipids have significant potential in in vitro and in vivo models of psychiatric disorders. In this review, various efficacy of natural products in in vitro and in vivo studies on neuroprotective and their roles in psychiatric disorders are examined and their neuro-therapeutic potentials are shed light.

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