scholarly journals Feasibility and Preliminary Effectiveness of a Peer-Developed and Virtually Delivered Community Mental Health Training Program (Emotional CPR): Pre-Post Study

10.2196/25867 ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. e25867
Author(s):  
Amanda L Myers ◽  
Caroline Collins-Pisano ◽  
Joelle C Ferron ◽  
Karen L Fortuna

Background The COVID-19 pandemic has led to a global mental health crisis, highlighting the need for a focus on community-wide mental health. Emotional CPR (eCPR) is a program and practice developed by persons with a lived experience of recovery from trauma or mental health challenges to train community members from diverse backgrounds to support others through mental health crises. eCPR trainers have found that eCPR may promote feelings of belonging by increasing supportive behaviors toward individuals with mental health problems. Thus, clinical outcomes related to positive and negative affect would improve along with feelings of loneliness. Objective This study examined the feasibility and preliminary effectiveness of eCPR. Methods We employed a pre-post design with 151 individuals, including peer support specialists, service users, clinicians, family members, and nonprofit leaders, who participated in virtual eCPR trainings between April 20, 2020, and July 31, 2020. Instruments were administered before and after training and included the Herth Hope Scale; Empowerment Scale; Flourishing Scale (perceived capacity to support individuals); Mindful Attention Awareness Scale; Active-Empathic Listening Scale (supportive behaviors toward individuals with mental health challenges); Social Connectedness Scale (feelings of belonging and connection with others); Positive and Negative Affect Schedule; and University of California, Los Angeles 3-item Loneliness Scale (symptoms and emotions). The eCPR fidelity scale was used to determine the feasibility of delivering eCPR with fidelity. We conducted 2-tailed paired t tests to examine posttraining improvements related to each scale. Additionally, data were stratified to identify pre-post differences by role. Results Findings indicate that it is feasible for people with a lived experience of a mental health condition to develop a program and train people to deliver eCPR with fidelity. Statistically significant pre-post changes were found related to one’s ability to identify emotions, support others in distress, communicate nonverbally, share emotions, and take care of oneself, as well as to one’s feelings of social connectedness, self-perceived flourishing, and positive affect (P≤.05). Findings indicated promising evidence of pre-post improvements (not statistically significant) related to loneliness, empowerment, active-empathetic listening, mindfulness awareness, and hope. Nonprofit leaders and workers demonstrated the greatest improvements related to loneliness, social connectedness, empathic listening, and flourishing. Peer support specialists demonstrated the greatest improvements related to positive affect, and clinicians demonstrated the greatest improvements related to mindfulness awareness. Conclusions Promising evidence indicates that eCPR, a peer-developed and peer-delivered program, may increase feelings of belonging while increasing supportive behaviors toward individuals with mental health problems and improving clinical outcomes related to positive and negative affect and feelings of loneliness.

2020 ◽  
Author(s):  
Amanda L Myers ◽  
Caroline Collins-Pisano ◽  
Joelle C Ferron ◽  
Karen L Fortuna

BACKGROUND The COVID-19 pandemic has led to a global mental health crisis, highlighting the need for a focus on community-wide mental health. Emotional CPR (eCPR) is a program and practice developed by persons with a lived experience of recovery from trauma or mental health challenges to train community members from diverse backgrounds to support others through mental health crises. eCPR trainers have found that eCPR may promote feelings of belonging by increasing supportive behaviors toward individuals with mental health problems. Thus, clinical outcomes related to positive and negative affect would improve along with feelings of loneliness. OBJECTIVE This study examined the feasibility and preliminary effectiveness of eCPR. METHODS We employed a pre-post design with 151 individuals, including peer support specialists, service users, clinicians, family members, and nonprofit leaders, who participated in virtual eCPR trainings between April 20, 2020, and July 31, 2020. Instruments were administered before and after training and included the Herth Hope Scale; Empowerment Scale; Flourishing Scale (perceived capacity to support individuals); Mindful Attention Awareness Scale; Active-Empathic Listening Scale (supportive behaviors toward individuals with mental health challenges); Social Connectedness Scale (feelings of belonging and connection with others); Positive and Negative Affect Schedule; and University of California, Los Angeles 3-item Loneliness Scale (symptoms and emotions). The eCPR fidelity scale was used to determine the feasibility of delivering eCPR with fidelity. We conducted 2-tailed paired <i>t</i> tests to examine posttraining improvements related to each scale. Additionally, data were stratified to identify pre-post differences by role. RESULTS Findings indicate that it is feasible for people with a lived experience of a mental health condition to develop a program and train people to deliver eCPR with fidelity. Statistically significant pre-post changes were found related to one’s ability to identify emotions, support others in distress, communicate nonverbally, share emotions, and take care of oneself, as well as to one’s feelings of social connectedness, self-perceived flourishing, and positive affect (<i>P</i>≤.05). Findings indicated promising evidence of pre-post improvements (not statistically significant) related to loneliness, empowerment, active-empathetic listening, mindfulness awareness, and hope. Nonprofit leaders and workers demonstrated the greatest improvements related to loneliness, social connectedness, empathic listening, and flourishing. Peer support specialists demonstrated the greatest improvements related to positive affect, and clinicians demonstrated the greatest improvements related to mindfulness awareness. CONCLUSIONS Promising evidence indicates that eCPR, a peer-developed and peer-delivered program, may increase feelings of belonging while increasing supportive behaviors toward individuals with mental health problems and improving clinical outcomes related to positive and negative affect and feelings of loneliness.


Author(s):  
Milica Mitrović ◽  
Jelena Opsenica Kostić ◽  
Damjana Panić

Infertility is a medical problem, but it can have significant consequences for mental health. Emotional problems caused by infertility are very common, so infertility can be called a life crisis. Therefore, it is very important to identify protective and risk factors that would determine the psychological adjustment to infertility. The aim of this study was to examine the differences in perceived social support, relationship satisfaction, and positive and negative affect between women undergoing IVF treatment and women who do not have fertility problems. The research also aims to examine whether perceived social support and relationship satisfaction were significant predictors of positive and negative affect in both groups. The study included 292 women – 163 who were undergoing the IVF treatment at the time of assessment and 129 without fertility problems who made up the control group. The following instruments were applied: the Multidimensional Scale of Perceived Social Support, the Relationship Satisfaction Scale, and the Serbian Inventory of Affect based on PANAS. The results show statistically significant differences between the examined groups in the level of negative affect, which is more pronounced in the group of women undergoing IVF treatment. Regarding positive affect, there is a trend of a more frequent experience of positive emotions in the women from the control group. Perceived social support and relationship satisfaction are significant predictors of both positive and negative affect for the women undergoing IVF treatment. As for the control group, the results of the regression analysis show that perceived social support and relationship satisfaction are significant predictors of negative affect, while in the case of positive affect, relationship satisfaction stands out as a significant predictor. The results indicate that perceived social support and relationship satisfaction can be important protective factors when it comes to psychological adjustment to infertility, which can serve as a guideline for mental health professionals who work with infertile couples.


2020 ◽  
Author(s):  
Jasmin M. Alves ◽  
Alexandra G. Yunker ◽  
Alexis DeFendis ◽  
Anny H. Xiang ◽  
Kathleen A. Page

AbstractWe investigated how emotional responses (positive and negative affect), physical activity (PA), and sedentary behaviors related to anxiety among US children during the COVID-19 pandemic. Sixty-four typically-developing children (63% girls) age 9-15 years old completed two virtual visits during height of “stay-at-home” measures between April 22 – July 29, 2020. Children completed 24-hour PA recalls, state portion of State-Trait Anxiety Inventory for Children (STAIC), and the shortened 10-item Positive and Negative Affect Schedule for Children (PANAS-C). Children reported state anxiety scores that were more than 5 standard deviations greater than values from healthy pediatric populations prior to the pandemic. Children with higher positive affect and who reported more time in PA reported less state anxiety. Sedentary and leisure screen time were positively correlated with negative affect. Our findings suggest that maintaining positive affect, engaging in PA, and limiting leisure screen time may be important for child mental health during stressful periods.Statement of RelevanceThere is increasing concern regarding how the COVID-19 pandemic may impact the psychological and physical health of children. To date, studies on mental health during the pandemic in children are limited. We investigated links between activity levels and psychological outcomes in children during the height of the “stay-at-home” measures. We found that children had anxiety scores that were more than 5 standard deviations greater than normative values from healthy pediatric populations prior to the pandemic, and 94% of children exceeded the American Academy of Pediatrics recommendations on leisure screen time. Positive affect and physical activity were associated with reduced anxiety levels in children during the pandemic. These findings highlight the important mental health benefits of maintaining positive affect, engaging in physical activity, and limiting leisure screen time for children, especially during stressful periods.


Psihologija ◽  
2012 ◽  
Vol 45 (4) ◽  
pp. 395-407 ◽  
Author(s):  
Zdenka Novovic ◽  
Aleksandra Kovac ◽  
Veljko Djuric ◽  
Miklos Biro

Research regarding the illusion of control was dominated by the studies examining the effect of depressive affect on the overestimation of control over uncontrollable events. However, the relative contributions of high Negative Affect (NA) and low Positive Affect (PA), as underlying dimensions of depressive states, has remained unclear. This study researched how both PA and NA had affected the illusion of control. Two weeks before illusion induction, trait PA and NA of 54 first-year university students were assessed, and just before and after illusion induction task their state forms were estimated. The induction consisted of solving unsolvable tasks and obtaining positive feedback for all the answers. The illusion of control was significantly correlated with all three PA scores, and none of the NA. After controlling for trait measures, the PA after illusion induction remained the only significant predictor of illusion. The relation of positive affect and illusory judgement in maintaining mental health were discussed.


2014 ◽  
Vol 18 (4) ◽  
pp. 188-197 ◽  
Author(s):  
Daniel Barrett ◽  
Janette Benson ◽  
Rhiannon Foster ◽  
Alan Leader

Purpose – The purpose of this paper is to describe the conceptual basis and development of Prosper: an emerging and evolving self-directed network and movement for people with lived experience of mental health problems in South West London. Design/methodology/approach – The conceptual principles from which Prosper emerged – co-production, recovery and social movement approaches – are outlined. The ways in which these ideas were translated into action, the guiding principles and operation of Prosper are then described. Findings – An evolving self-directed network and movement has been developed that comprises around 150 “members” and a wider network of 20 service user groups across South West London. As well as open forums, collective actions fall under the themes of “create” (peer support, outreach, campaigns, training) and “collaborate” (partnership working with user-led organisations and a Recovery College, peer support networks, supporting the development of personal health budgets and local commissioning, and consultancy). This network has initially been funded by South West London and St George's Mental Health Trust with a view to it becoming an independent entity. Originality/value – The innovative and evolving social network and movement for people with lived experience of mental health problems that is continuously influenced and changed by the skills, ideas and energy of its growing and developing membership could act as a useful model for others to follow.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 287-287
Author(s):  
Deepan Guharajan ◽  
Roee Holtzer

Abstract Aging populations are at increased risk to experience mobility disability, which is associated with falls, frailty, and mortality. Previous studies have not examined the concurrent associations of both positive and negative affect with gait velocity. We examined whether individual differences in positive and negative affect predicted dual-task performance decrements in velocity in a dual-task (DT) paradigm in non-demented older adults. We hypothesize that positive affect would be associated with lower DT costs, and negative affect would be associated with higher DT costs. Participants (N = 403; mean age, = 76.22 (6.55); females = 56%) completed the Positive and Negative Affect Schedule (PANAS) and a DT paradigm that involved three task conditions: Single-Task-Walk (STW), Alpha (cognitive interference requiring participants to recite alternate letters of the alphabet), and Dual-Task-Walk (DTW) requiring participant to perform the two single tasks concurrently. Gait velocity was assessed via an instrumented walkway. As expected, results of a linear mixed effects model (LME) showed a significant decline in gait velocity (cm/s) from STW to DTW (estimate = -11.79; 95%CI = -12.82 to -10.77). LME results further revealed that negative affect was associated with greater decline in gait velocity from STW to DTW (ie., worse DT cost) (estimate = -0.38; 95%CI = -0.73 to -0.03). Positive affect did not, however, predict DT costs in gait velocity (estimate = -0.09; 95%CI = -0.23 to 0.05). These findings suggest that increased negative affect interferes with the allocation of attentional resources to competing task demands inherent in the DT paradigm.


2021 ◽  
pp. 135910532110499
Author(s):  
Jingxin Zhao ◽  
Jing Ge ◽  
Qianyu Li

This study examined the roles of grandparent-child cohesion and friendship quality in left-behind children’s positive and negative affect compared with non-left-behind children. Data from 557 participants indicated that grandparent-child cohesion and friendship quality predicted children’s emotional adaptation. Friend trust and support and intimate exchange had a stronger predictive effect on positive affect among non-left-behind children. Moreover, the interaction effects between grandparent-child cohesion and friendship quality on children’s positive affect supported the reinforcement model, while the interaction effects on negative affect supported the reinforcement model among left-behind children but supported the compensation model among non-left-behind children.


2021 ◽  
pp. 0192513X2110444
Author(s):  
Mehmet Çetin ◽  
Bayram Dede ◽  
Özgür Kökalan ◽  
Ezgi Dede

This research aimed to examine the effects of daily work–family conflict and work–family enrichment on daily positive and negative affect levels of employees during the first phases of the COVID-19 pandemic in Turkey. The multilevel structure of the research design makes this study original. 730 day-level data were collected from 146 respondents during five consecutive workdays. One week later, a larger survey was delivered for assessing the person-level variables. The results indicated that both forms of work–family conflict significantly decreased positive affect and increased negative affect. Both types of work–family enrichment significantly increased positive affect; but only daily work to family enrichment significantly decreased daily negative affect. Findings also revealed that positive affect levels of respondents increase while negative affect levels decrease with time. On the days employees worked from distance, lower levels of positive and negative affect were experienced.


2016 ◽  
Vol 16 (3-4) ◽  
pp. 215-244
Author(s):  
Virginia A. Periss ◽  
David F. Bjorklund

Adherence to religious belief may serve to promote group cohesion and cooperation by decreasing the costs associated with social exchange. Consistent with this, organized religious ideologies, unlike secular or spiritual based ideologies, have been argued to facilitate cooperation among individuals living in large-scale societies. In the current study, we examined whether hypothetical adults’ explanations of natural events focused on religious ideologies were more effective at eliciting positive-affect compared to spiritual or natural explanations. Results revealed that religious cues were more effective than spiritual cues in eliciting perceptions of positive-affect, but only when participant religiosity was taken into account. Participants high in religiosity favored the religious cues over the spiritual and natural cues, whereas participants high in spirituality showed no preferences. Conversely, participants low in religious belief demonstrated not only a positive bias towards the natural explanations, but also rated the adults expressing the supernatural explanations, in particular the religious explanations, as having greater negative-affect. From an evolutionary perspective, we interpreted the results as providing support that some forms of supernatural thinking, typical of organized religion, are more effective at eliciting feelings of positive and negative affect compared to supernatural beliefs not rooted in organized religion.


2000 ◽  
Vol 87 (1) ◽  
pp. 227-233 ◽  
Author(s):  
Steven A. Kvaal ◽  
Shobhana Patodia

The Positive and Negative Affect Scale (PANAS), a brief measure of Positive and Negative Affect, may be useful in assessing mood of medical patients because it does not include somatic items frequently confounded with medical conditions. In previous research Positive and Negative Affect have been independent and uncorrelated, and Negative Affect but not Positive Affect has been positively correlated with somatic symptoms. However, relationships between variables may vary in different populations, and there is relatively little information on Positive and Negative Affect in medical patients. In the current study, the PANAS was used to assess the relationships among Positive Affect, Negative Affect, and somatic symptoms and pain in a medically ill hospital population. Positive and Negative Affect scores were positively correlated and for patients reporting pain, Positive Affect scores were positively correlated with pain intensity. Results from this and other studies indicate that Positive and Negative Affect are independent but in some populations may be correlated; positive affects such as hopefulness may co-occur with both somatic complaints and psychological distress.


Sign in / Sign up

Export Citation Format

Share Document