Who seeks Internet-based interventions for depression in Brazil?

Abstract Specific psychological treatments for depressive disorders delivered on the Internet have shown effectiveness and presented advantages over face-to-face treatments (potentially less expensive, flexible schedules, available in remote areas). This paper aims to describe the characteristics of those who sought help from an online self-guided intervention for depression and to explore hypotheses about predictors of enrollment to the program. Based on a sample of 282 of individuals who filled in screening questionnaires, we verified that the respondents were mainly female, were on average 34.36 years old, were primarily recruited through Facebook, had been previously diagnosed by mental health professionals, presented moderate self-efficacy perception, and had moderately severe symptoms of depression. Respondents who reported comorbid conditions were more likely to attend enrollment interviews, and being in treatment or not did not influence attendance. Such characterization may provide strategies to reach more people and to optimize the design of interventions targeting help-seeking depressed individuals in Brazil.

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Is Digital Treatment the Holy Grail? Literature Review on Computerized and Blended Treatment for Depressive Disorders in Youth

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17010153 ◽

2019 ◽

Vol 17 (1) ◽

pp. 153 ◽

Cited By ~ 1

Author(s):

Sanne P. A. Rasing ◽

Yvonne A. J. Stikkelbroek ◽

Denise H. M. Bodden

Keyword(s):

Mental Health ◽

Mental Health Professionals ◽

Help Seeking ◽

Depressive Disorders ◽

Routine Care ◽

Drop Out ◽

Treatment Modalities ◽

Face To Face ◽

Computerized Treatment ◽

Blended Treatment

Computerized and blended treatments seem to be an attractive treatment for adolescents as an alternative to face-to-face treatment, but mental health professionals seem hesitant to use these treatment modalities. This review provides an overview of factors contributing to and withholding from using computerized or blended treatment in routine care. Three databases were searched with terms related to (1) adolescents, (2) depression, (3) computerized or blended, and (4) treatment. Of the 33 articles identified, 10 focused on unguided computerized treatments, six on guided, two on blended, two compared unguided, blended- and face-to-face treatment to no treatment, and eight studies on games. Further, two articles that were focused on an online monitoring tool and three on intervention characteristics or preferred modes of help-seeking. Evidence for effectiveness, adherence, drop-out, and forming therapeutic relations were suspected to be barriers, but are no reason to reject computerized or blended treatment. Improvement in mental health literacy and the possibility to tailor the intervention are facilitators. However, adolescents’ intention to seek help, acceptability of computerized treatment, symptom severity, time spent by therapist, and other facilities are identified as barriers and they need to be taken into account when using computerized or blended interventions. Nevertheless, computerized and blended are promising treatments for depressed youth.

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Resolving the paradox of increased mental health expenditure and stable prevalence

Australian & New Zealand Journal of Psychiatry ◽

10.1177/0004867419857821 ◽

2019 ◽

Vol 53 (9) ◽

pp. 844-850 ◽

Cited By ~ 4

Author(s):

Graham N Meadows ◽

Ante Prodan ◽

Scott Patten ◽

Frances Shawyer ◽

Sarah Francis ◽

...

Keyword(s):

Mental Health ◽

Help Seeking ◽

Depressive Disorders ◽

Psychological Treatment ◽

Antidepressant Medication ◽

Simulation Modelling ◽

Psychological Treatments ◽

Self Help ◽

Comprehensive Service ◽

Mental Health Expenditure

A doubling of Australian expenditure on mental health services over two decades, inflation-adjusted, has reduced prevalence of neither psychological distress nor mental disorders. Low rates of help-seeking, and inadequate and inequitable delivery of effective care may explain this partially, but not fully. Focusing on depressive disorders, drawing initially on ideas from the work of philosopher and socio-cultural critic Ivan Illich, we use evidence-based medicine statistics and simulation modelling approaches to develop testable hypotheses as to how iatrogenic influences on the course of depression may help explain this seeming paradox. Combined psychological treatment and antidepressant medication may be available, and beneficial, for depressed people in socioeconomically advantaged areas. But more Australians with depression live in disadvantaged areas where antidepressant medication provision without formal psychotherapy is more typical; there also are urban/non-urban disparities. Depressed people often engage in self-help strategies consistent with psychological treatments, probably often with some benefit to these people. We propose then, if people are encouraged to rely heavily on antidepressant medication only, and if they consequently reduce spontaneous self-help activity, that the benefits of the antidepressant medication may be more than offset by reductions in beneficial effects as a consequence of reduced self-help activity. While in advantaged areas, more comprehensive service delivery may result in observed prevalence lower than it would be without services, in less well-serviced areas, observed prevalence may be higher than it would otherwise be. Overall, then, we see no change. If the hypotheses receive support from the proposed research, then implications for service prioritisation and delivery could include a case for wider application of recovery-oriented practice. Critically, it would strengthen the case for action to correct inequities in the delivery of psychological treatments for depression in Australia so that combined psychological therapy and antidepressant medication, accessible and administered within an empowering framework, should be a nationally implemented standard.

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An Initial Investigation of Suicide Attempt Disclosures Among US Veterans

Crisis ◽

10.1027/0227-5910/a000727 ◽

2020 ◽

pp. 1-7

Author(s):

Brooke A. Ammerman ◽

Sarah P. Carter ◽

Heather M. Gebhardt ◽

Jonathan Buchholz ◽

Mark A. Reger

Keyword(s):

Suicide Attempt ◽

Mental Health Professionals ◽

Help Seeking ◽

Psychiatric Treatment ◽

Small Sample Size ◽

Romantic Partners ◽

Small Sample ◽

Professional Care ◽

Patient Disclosure ◽

Previous Suicide Attempt

Abstract. Background: Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. Aims: The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. Method: Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing their suicide attempt to others. Results: Veterans disclosed their suicide attempt to approximately eight individuals. Mental health professionals were the most cited recipient of their most helpful disclosure; romantic partners were the most common recipient of their least helpful disclosures. Positive reactions within the context of the least helpful disclosure experience were positively associated with a sense of connection with the disclosure recipient. Positive reactions within the most helpful disclosure experience were positively associated with the likelihood of future disclosure. No reactions were associated with having sought professional care or likelihood of seeking professional care. Limitations: The results are considered preliminary due to the small sample size. Conclusion: Findings suggest that while positive reactions may influence suicide attempt disclosure experiences broadly, additional research is needed to clarify factors that drive the decision to disclose a suicide attempt to a professional.

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Prevalence and Recognition of Depressive Disorders in General Medical Inpatients

The International Journal of Psychiatry in Medicine ◽

10.2190/wr82-6x7y-4uxc-0tf9 ◽

1988 ◽

Vol 17 (4) ◽

pp. 341-349 ◽

Cited By ~ 21

Author(s):

Michiel W. Hengeveld ◽

Frans A. J. M. Ancion ◽

Harry G. M. Rooijmans

Keyword(s):

Depressive Disorder ◽

Depressive Disorders ◽

Length Of Hospital Stay ◽

University Hospital ◽

Psychiatric Consultation ◽

Consultant Psychiatrist ◽

Symptoms Of Depression ◽

Medical Inpatients ◽

Medical Wards ◽

Depressive Patients

The Beck Depression Inventory (BDI) was administered to 220 of 340 patients consecutively admitted to three general medical wards of a University Hospital, whose length of hospital stay was more than five days. At least mild symptoms of depression (BDI ≥ 13) were reported by 70/220 (32%) of the patients. Alternate BDI depressive patients underwent psychiatric consultation. The psychiatric consultant established a DSM-III depressive disorder in 10/33 (30%) of these patients. Only 3/10 (30%) of the DSM-III depressive patients had been referred to the consultant psychiatrist by their physician.

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The Symptoms of Depression in Endocrine Disorders

CNS Spectrums ◽

10.1017/s109285290001155x ◽

1999 ◽

Vol 4 (4) ◽

pp. 51-61 ◽

Cited By ~ 2

Author(s):

Burton Hutto

Keyword(s):

Differential Diagnosis ◽

Clinical Picture ◽

Depressive Disorders ◽

Depressive Illness ◽

Endocrine Disorders ◽

Endocrine Disorder ◽

Presenting Symptoms ◽

Symptoms Of Depression

AbstractMany endocrine disorders present with symptoms of depression, thus differentiating primary depressive disorders from such endocrine conditions can be challenging. Awareness of the typical clinical picture of endocrine disorders is of primary importance. This article discusses a variety of common and uncommon endocrine disorders and the symptomatology that might suggest a depressive illness, and reviews literature on how endocrinopathies can mimic depression. Emphasis is also placed on the role that stress can play in the pathogenesis of endocrine disorders. Psychiatrists should be familiar with the range of presenting symptoms for endocrine disorders, and they should not rely on the presence or absence of stressors to guide their differential diagnosis between depression and endocrine disorder.

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Implementing Psychological Interventions Through Nonspecialist Providers and Telemedicine in High-Income Countries: Qualitative Study from a Multistakeholder Perspective

JMIR Mental Health ◽

10.2196/19271 ◽

2020 ◽

Vol 7 (8) ◽

pp. e19271

Author(s):

Daisy Radha Singla ◽

Sasha Lemberg-Pelly ◽

Andrea Lawson ◽

Nika Zahedi ◽

Tyla Thomas-Jacques ◽

...

Keyword(s):

Mental Health ◽

Lived Experience ◽

Mental Health Professionals ◽

Psychological Treatment ◽

Primary Objective ◽

Anxiety Symptoms ◽

High Income ◽

Barriers And Facilitators ◽

Psychological Treatments ◽

Stakeholder Groups

Background Task sharing has been used worldwide to improve access to mental health care, where nonspecialist providers—individuals with no formal training in mental health—have been trained to effectively treat perinatal depressive and anxiety symptoms. Little formative research has been conducted to examine relevant barriers and facilitators of nonspecialist providers and the use of telemedicine in treatment service delivery. Objective The primary objective of this study was to examine the main barriers and facilitators of nonspecialist provider–delivered psychological treatments for perinatal populations with common mental health disorders, such as depression and anxiety, from a multistakeholder perspective. Methods This study took place in Toronto, Canada. In total, 33 in-depth interviews were conducted with multiple stakeholder groups (women with lived experience and their significant others, as well as health and mental health professionals). Qualitative data were quantified to estimate commonly endorsed themes within and across stakeholder groups. Results Psychological treatments delivered by nonspecialist providers were considered acceptable by the vast majority of participants (30/33, 90%). Across all stakeholder groups, nurses (20/33, 61%) and midwives (14/33, 42%) were the most commonly endorsed cadre of nonspecialist providers. The majority of stakeholders (32/33, 97%) were amenable to nonspecialist providers delivering psychological treatment via telemedicine (27/33, 82%), although concerns were raised about the ability to establish a therapeutic alliance via telemedicine (16/33, 48%). Empathy was the most desired characteristic of a nonspecialist provider (61%). Patient and patient advocate stakeholders were more likely to emphasize stigma as an important barrier to accessing psychological treatments (7/12, 58%), compared to clinicians (2/9, 22%) and spouses (1/5, 20%). Clinician stakeholders were more likely to emphasize the importance of ensuring nonspecialist providers were trained to deliver psychological treatments (3/9, 33%), compared to other stakeholder groups. Conclusions These results can inform the design, implementation, and integration of nonspecialist-delivered interventions via telemedicine for women with perinatal depressive and anxiety symptoms in high-income country contexts.

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Postnatal Depression in Malaysia: Perspectives of Stakeholder on Awareness Medium

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v20i2.1696 ◽

2021 ◽

Vol 20 (2) ◽

Author(s):

Aishah Siddiqah Alimuddin ◽

Tuti Iryani Mohd Daud ◽

Umi Adzlin Silim ◽

Mohd Abdul Wahab Fatoni Mohd Balwi ◽

Ani Amelia Zainuddin ◽

...

Keyword(s):

Postnatal Depression ◽

Cultural Context ◽

Help Seeking ◽

Qualitative Approach ◽

University Hospital ◽

Educational Video ◽

Educational Tool ◽

Purposive Sampling ◽

Face To Face ◽

Local Setting

INTRODUCTION: Postnatal depression is a highly prevailing illness, yet underdiagnosed. Untreated, it carries a transgenerational impact, and therefore promoting awareness for it has to be of high priority. This research explored the elements of an educational tool to develop awareness for postnatal depression as preferred by stakeholders. MATERIALS AND METHOD: A descriptive qualitative approach using semi-structured face-to-face interviews were conducted, where nine participants were recruited via purposive sampling from a university hospital in Malaysia. Interviews with each participant were audio-recorded and transcribed to verbatims. Emergent themes were identified during the analysis. RESULTS: Four consistent themes regarding elements for an educational tool were derived as follows: Foundations of the tool, Illness circumstances, Support bases, and Matters of perspective. CONCLUSION: An educational video within the local setting should involve the usage of a short emotionally driven video, highlighting illness- and treatment-related content, and addressing the preference and concerns of women within the religious and cultural context. The use of edutainment as an educational tool is replicable and has a high outreach even to those who are illiterate. The findings can be used in the tailored development of an educational video on postnatal depression which will benefit local women by creating awareness and encouraging early help-seeking.

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General practice trainee strategies for seeking in-consultation assistance from supervisors, and their perceptions of patient-related barriers to help-seeking: a survey study

10.21203/rs.3.rs-19806/v1 ◽

2020 ◽

Author(s):

Nancy Sturman ◽

Amanda Tapley ◽

Mieke van Driel ◽

Elizabeth Holliday ◽

Jean Ball ◽

...

Keyword(s):

General Practice ◽

Help Seeking ◽

Survey Study ◽

Just In Time ◽

Workplace Interventions ◽

Face To Face ◽

Frequency Of Use ◽

Educational Implications ◽

Perceived Change ◽

Electronic Messaging

Abstract Background General practice (GP) trainees may seek supervisor assistance when hesitant to complete patient consultations independently. Trainees describe patient-related barriers to this in-consultation help-seeking, despite its key role in supervisory oversight. Little is known, however, about trainee strategies for seeking assistance, or the frequency and associations of trainee concerns about these barriers. Methods Australian GP trainees rated their frequency of use of five specific strategies for obtaining in-consultation assistance, perceived change in patient impressions of their competence after this assistance, and relative trainee comfort presenting patients outside, compared to within, patients’ hearing. Statistical analyses included descriptive statistics and multivariable logistic regression. Results Responses were received from 778 Australian GP trainees (response rate 89%). Help-seeking strategies did not differ between trainees at different training stages, except for greater use of electronic messaging in later stages. In-consultation assistance was most commonly provided by phone between trainee and supervisor consulting rooms, or outside the trainee’s patient’s hearing. Supervisor assistance in the trainee’s room face-to-face with the patient was reported as either never or rarely obtained by 12% of respondents. More trainees (25%) perceived that patient impressions of their competence increased after help-seeking than perceived that these impressions decreased (19%). Most trainees (55%) preferred to present patients outside their hearing. Trainee age was the only variable associated with both patient-related barriers. Conclusion Supervisors appear to have considerable influence over trainee help-seeking barriers and strategies, including whether or not face-to-face in-consultation supervision is sought. In-consultation supervision may actually increase trainee perceptions of patient impressions of their competence. Many supervisors and trainees may benefit from additional educational and workplace interventions to facilitate comfortable and effective trainee help-seeking in front of patients. More work is required to understand the clinical and educational implications of different help-seeking strategies when trainees require ‘just in time’ supervisor assistance.

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Media Alternatif Whatsapp (WA) Mengatasi Permasalahan Pembelajaran pada Situasi Pendemi Covid 19 di Kelas PGMI Semester IV

At-Thullab : Jurnal Pendidikan Guru Madrasah Ibtidaiyah ◽

10.30736/atl.v4i2.215 ◽

2020 ◽

Vol 4 (2) ◽

pp. 93

Author(s):

Nazri Adlani ◽

Maria Hanifah

Keyword(s):

Qualitative Method ◽

Learning Problems ◽

Electronic Book ◽

Discussion Paper ◽

Face To Face ◽

The Public ◽

Remote Areas ◽

Paper Making ◽

Technological Advances ◽

Evaluation Of Learning

This study discusses about whatsapp (WA) alternatives media to overcome learning problems in COVID 19 situation. The research was implemented at IAIN Takengon Semester IVth PGMI Class. This research is motivated by learning that stopped due to the COVID 19 epidemic, understanding of technological advances that are still limited in remote areas of the Indonesian homeland, whatsapp as a medium used by the public, in general, has spread throughout the groundbreaking homeland. The research method used was a descriptive qualitative method with a triangulation of research instruments. The results obtained were divided into three sub-topics. (1) The steps of the learning process using the WA feature are the same as learning in class face to face, namely greetings, delivery of learning objectives, delivery of motivation, opening with an attendance, applying learning methods, and closing by praying and giving assignments or further material. (2) WA features that can be used in learning and its use processes are short messages, videos, pictures, file documents, and voice messages. (3) Evaluation of learning that can be done using WA media, namely Question and Answer, working on the pretest/posttest with the specified time, then sending the results of the work through the personal WA, Presentation, and Discussion; Paper Making; Electronic Book Analysis Making.

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Depression and anxiety in individuals with amyotrophic lateral sclerosis: a systematic review

Trends in Psychiatry and Psychotherapy ◽

10.1590/2237-6089-2015-0030 ◽

2016 ◽

Vol 38 (1) ◽

pp. 1-5 ◽

Cited By ~ 13

Author(s):

Tatiana Lins Carvalho ◽

Lilian Maria Sanguinett de Almeida ◽

Camila Maria Araújo Lorega ◽

Mirella Francyne Oliveira Barata ◽

Maria Lúcia Brito Ferreira ◽

...

Keyword(s):

Systematic Review ◽

Amyotrophic Lateral Sclerosis ◽

Depressive Disorders ◽

Depression And Anxiety ◽

Inclusion Criteria ◽

Eligibility Criteria ◽

Symptoms Of Depression ◽

Two Stages ◽

Different Levels ◽

Lateral Sclerosis

Introduction Studies assessing symptoms of depression and anxiety in individuals with amyotrophic lateral sclerosis (ALS) have reported contradictory results. The objective of this systematic review is to identify the prevalence of these mood disorders in the literature. Methods We searched the PubMed, HighWire, MEDLINE, SciELO, LILACS and ScienceDirect databases. Literature was selected for review in two stages, according to eligibility criteria. The first stage involved searching databases and checking titles and abstracts. The second step consisted of reading complete articles and excluding those that did not meet the inclusion criteria. The inclusion criteria were articles written in Portuguese, English or Spanish, published in the last five years and involving people with ALS diagnosed according to the El Escorial criteria. Results The database searches returned a total of 1,135 titles and abstracts and then 1,117 of these were excluded. Eighteen articles were selected for review. The 12-item Amyotrophic Lateral Sclerosis Depression Inventory (ADI-12) was the only instrument designed specifically to assess depression in ALS, but it was only used in three studies. No instruments specifically designed for anxiety in ALS were used. A large number of studies found presence and slight increase of anxiety disorders. There was considerable large variation in the results related to depressive disorders, ranging from moderate depression to an absence of symptoms. Conclusions Patients with ALS may exhibit symptoms of depression and anxiety at different levels, but there is a need for studies using specific instruments with larger samples in order to ascertain the prevalence of symptoms in ALS and the factors associated with it.

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