Applying the Science of Habit Formation to Evidence-Based Psychological Treatments for Mental Illness

2021 ◽  
pp. 174569162199575
Author(s):  
Allison G. Harvey ◽  
Catherine A. Callaway ◽  
Garret G. Zieve ◽  
Nicole B. Gumport ◽  
Courtney C. Armstrong

Habits affect nearly every aspect of our physical and mental health. Although the science of habit formation has long been of interest to psychological scientists across disciplines, we propose that applications to clinical psychological science have been insufficiently explored. In particular, evidence-based psychological treatments (EBPTs) are interventions targeting psychological processes that cause and/or maintain mental illness and that have been developed and evaluated scientifically. An implicit goal of EBPTs is to disrupt unwanted habits and develop desired habits. However, there has been insufficient attention given to habit-formation principles, theories, and measures in the development and delivery of EBTPs. Herein we consider whether outcomes following an EBPT would greatly improve if the basic science of habit formation were more fully leveraged. We distill six ingredients that are central to habit formation and demonstrate how these ingredients are relevant to EBPTs. We highlight practice points and an agenda for future research. We propose that there is an urgent need for research to guide the application of the science of habit formation and disruption to the complex “real-life” habits that are the essence of EBPTs.

2020 ◽  
Author(s):  
Allison Harvey ◽  
Catherine A. Callaway ◽  
Garret G. Zieve ◽  
Nicole B. Gumport ◽  
Courtney C. Armstrong

Habits impact nearly every domain of our physical and mental health. While the science of habit formation has long been of interest to psychological scientists across disciplines, we propose that applications to clinical psychological science have been insufficiently explored. More specifically, evidence-based psychological treatments (EBPTs) are the gold standard treatment for many mental illnesses. An implicit goal of EBPTs is to eliminate unwanted habits and develop desired habits. Yet, there has been insufficient attention given to habit formation principles, theory and measures in the development and delivery of EBTPs. Herein we consider if outcomes following the receipt of an EBPT would greatly improve if the basic science of habit formation were more fully leveraged. We distill seven ingredients that are central to habit formation and demonstrate how these are relevant to EBPTs. We highlight practice points and an agenda for future research. Finally, implications for providers, systems of care, training and research are offered. We propose that there is an urgent need for research to guide the application of the science of habit formation and elimination to the complex “real-life” habits that are the essence of EBPTs.


GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.


Author(s):  
C. Richard Spates ◽  
Sophie Rubin

In this chapter we review the empirical foundation for Eye Movement Desensitization and Reproessing Therapy (EMDR) for posttraumatic stress disorder. We present a brief description of the therapy, critically review recent primary and meta-analytic investigations concerning its efficacy and effectiveness, offer a summary of recent primary investigations that addressed the mechanism of action for EMDR, and based on this overall review, we suggest limitations with recommendations for future research. Recent empirical investigations of the efficacy of EMDR have improved along a number of important dimensions, and these along with the few completed effectiveness trials, position this therapy among evidence-based frontline interventions for PTSD. What is less thoroughly researched, and thus less well understood, are putative models of its theoretical mechanism of action. In addition to continuing specific improvements in research concerning efficacy and effectiveness, we recommend more and higher quality empirical studies of its mechanism of action.


Author(s):  
David A. Jones

This chapter is about the psychological processes through which individuals evaluate and respond to an organization’s CSR practices. To advance scholarly research and evidence-based practice, directions are outlined for future inquiry informed by an integrated review of findings across three independent streams of “micro-CSR” research conducted among employees, job seekers, and consumers. In a section on CSR evaluations, it is described how individuals cognitively process information to form CSR perceptions and CSR appraisals, and the types of CSR initiatives and evaluative-constructs studied among each stakeholder group are summarized. In the next section, research is reviewed on responses to CSR, and recent findings about psychological mechanisms and boundary conditions are organized within three categories of care-based, self-protective, and relational-status (C-S-R) considerations. In a last section, research is described on stakeholders’ CSR awareness, the non-trivial implications that follow from evidence of low CSR awareness among all three stakeholder groups, and suggestions for future research.


Author(s):  
Catherine N. Dulmus ◽  
Albert R. Roberts

This entry focuses on serious mental illness among adults, including those having serious and persistent mental illness. Social work's historic and current roles in service delivery are reviewed, its present trends in the field (including the recovery movement, evidence-based practices, comorbidity, and the integration of physical and mental health), as well as the service delivery system and the current needs and challenges it faces, are discussed.


2012 ◽  
Vol 47 (3) ◽  
pp. 222-234 ◽  
Author(s):  
Shae-Leigh Vella ◽  
Nagesh Pai

Objective: Caring for someone with serious mental illness such as schizophrenia or bipolar disorder can result in considerable consequences for the caregiver. Carers often experience a range of negative emotions, impacts upon their physical and mental health, as well as financial strain. Resultant from these impacts, carers utilise medical services at a higher rate than their non-caregiving counterparts. Further, these consequences of caregiving can also impact upon the patient, resulting in an increase in psychopathology and relapse. Although the notion of burden has been studied for approximately 60 years, many flaws and inadequacies remain; most notably, a lack of agreement on the definition of the construct along with the poor psychometric properties of the burden assessment instruments. Method: This article reviews and evaluates the measures of burden of care that have been utilised with carers of people with a serious mental illness. A systematic search was conducted and all articles that had measured burden of care in schizophrenia or bipolar disorder in the database PUBMED were reviewed to ascertain the measure utilised. Results: Ten different measures were subsequently identified and eight were reviewed; two were excluded on the basis that they had only been utilised once. Conclusions: It was apparent that many of the measures lacked a strong theoretical basis and sound psychometric properties. Further, some of the measures lacked utility, feasibility and specificity. The article concludes with recommendations for future research.


2016 ◽  
Vol 33 (S1) ◽  
pp. S42-S42
Author(s):  
M. Probst

BackgroundPhysiotherapy can improve the health of people with serious mental illness (SMI) but many are inactive. Adopting theoretically-based evidence considering the motivational processes linked to the adoption and maintenance of an active lifestyle can assist physiotherapists in facilitating lifestyle changes in people with SMI.PurposeWithin the Self-Determination Theory (SDT) and the Trans-Theoretical Model (TTM) (stages of change) frameworks, we investigated differences in motives for physical activity between different diagnostic SMI groups.MethodsAll participants with SMI from 15 different centers completed the Behavioral Regulation in Exercise Questionnaire 2 (BREQ-2), the International Physical Activity Questionnaire (IPAQ) and the Patient-centered Assessment and Counseling for Exercise (PACE) questionnaire.ResultsOverall 294 persons with SMI (190♀) (43.6 ± 13.6years) agreed to participate. People with affective disorders had higher levels of introjected regulations than people with schizophrenia. No significant differences were found for other motivational regulations. Moreover, no significant differences were found according to gender, setting and educational level. Multivariate analyses showed significantly higher levels of amotivation and external regulations and lower levels of identified and intrinsic regulations in the earlier stages of change. Strongest correlations with the IPAQ were found for motivational regulations towards walking.ConclusionsOur results suggest that in all people with SMI the level of identified and intrinsic motivation may play an important role in the adoption and maintenance of health promoting behaviours.ImplicationsThe study provides a platform for future research to investigate the relationships between autonomy support, motivational regulations and physical and mental health variables within physiotherapy interventions for this population.Disclosure of interestThe author has not supplied his declaration of competing interest.


2014 ◽  
Vol 40 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Alison Luciano ◽  
Robert E. Drake ◽  
Gary R. Bond ◽  
Deborah R. Becker ◽  
Elizabeth Carpenter-Song ◽  
...  

2020 ◽  
pp. ebmental-2020-300225
Author(s):  
Allison G. Harvey ◽  
Hannah S. Lammers ◽  
Michael R. Dolsen ◽  
Alice C. Mullin ◽  
Heather E. Hilmoe ◽  
...  

QuestionThe context for the implementation of evidence-based psychological treatments (EBPTs) often differs from the context in which the treatment was developed, which necessitates adaptations. In this systematic review we build on, and add to, prior approaches by examining the method used to guide such adaptations. In particular, we sought to elucidate the extent to which an empirical process is used.Study selection and analysisWe focused on publications describing adaptations made to EBPTs for adults diagnosed with a mental illness. We searched PubMed, PsycINFO, Embase and Web of Science from database inception to July 2018. Two raters independently coded the articles for the method used to conduct the adaptation, the reason for and nature of the adaptation, and who made the adaptation.FindingsThe search produced 20 194 citations, which yielded 152 articles after screening. The most commonly used methods for planned adaptations were literature review (57.7%), clinical intuition (47.0%) and theory (38.9%). The use of data from stakeholder interviews ranked fourth (21.5%) and the use of other types of data (eg, pilot study, experiment, survey, interview) ranked last at fifth (12.1%). Few publications reporting ad hoc adaptations were identified (n=3).ConclusionsThis review highlights a need to (a) educate providers and researchers to carefully consider the methods used for the treatment adaptation process, and to use empirical methods where possible and where appropriate, (b) improve the quality of reporting of stakeholder interviews and (c) develop reporting standards that articulate optimal methods for conducting treatment adaptations.


Crisis ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 202-206 ◽  
Author(s):  
Karl Andriessen ◽  
Dolores Angela Castelli Dransart ◽  
Julie Cerel ◽  
Myfanwy Maple

Abstract. Background: Suicide can have a lasting impact on the social life as well as the physical and mental health of the bereaved. Targeted research is needed to better understand the nature of suicide bereavement and the effectiveness of support. Aims: To take stock of ongoing studies, and to inquire about future research priorities regarding suicide bereavement and postvention. Method: In March 2015, an online survey was widely disseminated in the suicidology community. Results: The questionnaire was accessed 77 times, and 22 records were included in the analysis. The respondents provided valuable information regarding current research projects and recommendations for the future. Limitations: Bearing in mind the modest number of replies, all from respondents in Westernized countries, it is not known how representative the findings are. Conclusion: The survey generated three strategies for future postvention research: increase intercultural collaboration, increase theory-driven research, and build bonds between research and practice. Future surveys should include experiences with obtaining research grants and ethical approval for postvention studies.


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