scholarly journals Psychological Aspects of Diabetes

EMJ Diabetes ◽  
2020 ◽  
pp. 90-98
Author(s):  
Naseer Ahmad Bhat ◽  
Krishna Prasad Muliyala ◽  
Santosh Kumar Chaturvedi
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Aspects ◽  
Self Management ◽  
Diabetes Distress ◽  
Personality Profiles ◽  
Information Processing Speed ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

Diabetes is fundamentally a chronic metabolic disorder, yet it has established psychological connections and consequences. The present article offers an overview of some of the established findings with respect to the psychological aspects of diabetes among adults and adolescents. This narrative review describes the psychological impact of diabetes and the manner in which psychological functioning of the individual affects the development, management, and outcome of diabetes. Diabetes can lead to a great deal of distress, common mental health problems such as anxiety, depression, and sleep disorders, and can increase the risk of suicide. It also affects cognitive functioning across multiple domains such as attention, concentration, memory, executive function, and information processing speed. Diabetes is a burdensome life condition that significantly reduces quality of life. Personality characteristics can have both positive and negative impacts on self-management of diabetes, and some personality profiles, especially the distressed/Type D personality, are indicative of poor prognosis and greater chances of developing medical complications. Psychological interventions such as cognitive behaviour therapy, acceptance and commitment therapy, behavioural activation, and counselling strategies such as educational programmes, problem solving training, and motivational interviewing have proven very effective in coping with diabetes distress, managing comorbid mental health problems, and increasing adherence to self-care and antidiabetic behaviours. Additionally, yogic practices have also shown promising results for self-management of diabetes. Paediatric diabetes especially presents unique psychosocial challenges to patient management and affects academic performance of children and career choices of affected individuals.

scholarly journals Understanding Black and Minority Ethnic service user's experience of racism as part of the assessment, formulation and treatment of mental health problems in cognitive behaviour therapy

2019 ◽  
Vol 12 ◽  
Author(s):  
Andrew Beck
Keyword(s):  
Mental Health ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Cumulative Risk ◽  
Health Problems ◽  
Service Users ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Engagement Process ◽  
Minority Ethnic

AbstractExperiences of racism can be a cumulative risk factor for developing mental health problems. Cognitive Behaviour Therapists working with Black and Minority Ethnic (BME) service users should be confident in their ability to establish the necessary rapport to ask about these experiences and be able to incorporate this information into longitudinal formulations and as part of maintenance cycles. This paper sets out guidelines as to how to do this as part of a wider engagement process.

scholarly journals @Home eTherapy Service for People with Common Mental Health Problems: an Evaluation

2017 ◽  
Vol 46 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Judith Gellatly ◽  
Leanne Chisnall ◽  
Nic Seccombe ◽  
Kathryn Ragan ◽  
Nicola Lidbetter ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Third Sector ◽  
Health Problems ◽  
Initial Assessment ◽  
Successful Implementation ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Common Mental Health Problems

Background: Ensuring rapid access to psychological interventions is a priority of mental health services. The involvement of peer workers to support the delivery of more accessible treatment options such as computerized cognitive behaviour therapy (CCBT) is recognized. Aims: To evaluate the implementation of a third sector remote CCBT @Home eTherapy service for people experiencing common mental health problems supported by individuals with lived experience. Method: Supported CCBT packages with telephone support were delivered over a 30-month period. Self-complete measures identifying levels of depression, anxiety and functioning were administered at each treatment appointment. Results: Over 2000 people were referred to the @Home eTherapy service; two-thirds attended an initial assessment and 53.4% of referrals assigned to CCBT completed treatment. Statistically significant improvements in anxiety, depression and functioning were found, with 61.6% of treated clients meeting recovery criteria. Conclusions: The service meets Improving Access to Psychological Therapies (IAPT) key performance targets, and is comparable to other IAPT services using CCBT. Evidence for the successful implementation of such a service by a third sector organization is provided.

MULTIPLE ACCESS POINTS AND LEVELS OF ENTRY (MAPLE): ENSURING CHOICE, ACCESSIBILITY AND EQUITY FOR CBT SERVICES

2000 ◽  
Vol 28 (4) ◽  
pp. 379-391 ◽  
Author(s):  
Karina Lovell ◽  
David Richards
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Developed Countries ◽  
Evidence Base ◽  
Health Problems ◽  
Behaviour Therapy ◽  
Face To Face ◽  
Cognitive Behaviour ◽  
Traditional Service ◽  
Common Mental Health Problems

Mental health problems contribute 23% to the global burden of disease in developed countries (WHO, 1999). In the U.K., recent legislation attempts to address this by modernizing mental health services so that they provide evidence based, accessible and non-discriminatory services for both serious and common mental health problems. Cognitive behaviour therapy (CBT) has a robust evidence base that fits very well with the thrust of policy. However, CBT's delivery systems are rooted in traditional service models, which pay little attention to the growing evidence base for brief and single-strand treatments over complex or multi-strand interventions. Services characterized by 9-5 working, hourly appointments and face-to-face therapy disenfranchise the majority of people who would benefit from CBT. In this paper we argue that the evidence exists for service protocols that promote equity, accessibility and choice and that CBT services should be organized around multiple levels of entry and service delivery rather than the more usual secondary care referral systems.

Cognitive behaviour therapy for adolescent offenders with mental health problems in custody

2011 ◽  
Vol 34 (3) ◽  
pp. 433-443 ◽  
Author(s):  
Paul Mitchell ◽  
Kirsty Smedley ◽  
Cassandra Kenning ◽  
Amy McKee ◽  
Debbie Woods ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Health Problems ◽  
Adolescent Offenders ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

scholarly journals Need to Culturally Adapt and Improve Access to Evidence-Based Psychosocial Interventions for Canadian South-Asians: A Call to Action

2020 ◽  
pp. 1-11
Author(s):  
Farooq Naeem ◽  
Tasneem Khan ◽  
Kenneth Fung ◽  
Lavanya Narasiah ◽  
Jaswant Guzder ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Emotional Health ◽  
South Asians ◽  
Psychosocial Interventions ◽  
Health Problems ◽  
Evidence Based ◽  
Psychosocial Determinants ◽  
Culturally Adapted ◽  
Cognitive Behaviour

Research into social determinants of mental and emotional health problems highlighted the need to understand the cultural factors. Mental health of immigrants is influenced by a variety of cultural, psychological, social, and economic factors. There is some evidence to suggest that South Asian people have higher rates of mental and emotional health problems than the rest of the Canadian population. Limited research also suggests that psycho-social factors are highly likely to be responsible for these high rates of mental health problems. These psychosocial factors may be impeding access and engagement with the services. These socially determined emotional and mental health problems are more likely to respond to psychosocial interventions than biological treatments. Evidence-based psychosocial interventions such as Cognitive Behaviour Therapy (CBT) and Acceptance and Commitment Therapy (ACT) might offer the way forward. CBT can be offered in a low-cost, low intensity format in a variety of settings, thus addressing the attached stigma. However, these interventions need to be culturally adapted, as these are underpinned by a Western value system. CBT has been culturally adapted and found to be effective in this group elsewhere. This opinion paper describes the need to enhance research on psychosocial determinants of the mental and emotional health problems, status, and the psychosocial determinants of health amongst South Asians in Canada to inform our understanding of the cultural specificity of psychosocial interventions.

scholarly journals The ‘Everyday Work’ of Living with Multimorbidity in Socioeconomically Deprived Areas of Scotland

2014 ◽  
Vol 4 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Rosaleen O'Brien ◽  
Sally Wyke ◽  
Graham G.C.M. Watt ◽  
Bruce Guthrie ◽  
Stewart W. Mercer
Keyword(s):  
Mental Health ◽  
Everyday Life ◽  
Mental Health Problems ◽  
Health Problems ◽  
Socioeconomic Deprivation ◽  
Self Management ◽  
The Everyday ◽  
The Impact ◽  
Life Work ◽  
Deprived Areas

Background Multimorbidity is common in patients living in areas of high socioeconomic deprivation and is associated with poor quality of life, but the reasons behind this are not clear. Exploring the ‘everyday life work’ of patients may reveal important barriers to self-management and wellbeing. Objective To investigate the relationship between the management of multimorbidity and ‘everyday life work’ in patients living in areas of high socioeconomic deprivation in Scotland, as part of a programme of work on multimorbidity and deprivation. Design Qualitative study: individual semi-structured interviews of 14 patients (8 women and 6 men) living in deprived areas with multimorbidity, exploring how they manage. Analysis was continuous and iterative. We report the findings in relation to everyday life work. Results The in-depth analysis revealed four key themes: (i) the symbolic significance of everyday life work to evidence the work of being ‘normal’; (ii) the usefulness of everyday life work in managing symptoms; (iii) the impact that mental health problems had on everyday life work; and (iv) issues around accepting help for everyday life tasks. Overall, most struggled with the amount of work required to establish a sense of normalcy in their everyday lives, especially in those with mental–physical multimorbidity. Conclusions Everyday life work is an important component of self-management in patients with multimorbidity in deprived areas, and is commonly impaired, especially in those with mental health problems. Interventions to improve self-management support for patients living with multimorbidity may benefit from an understanding of the role of everyday life work.

scholarly journals Psychological Aspects of Contraception, Unintended Pregnancy, and Abortion

2014 ◽  
Vol 1 (1) ◽  
pp. 239-247 ◽  
Author(s):  
Julia R. Steinberg ◽  
Lisa R. Rubin
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Reproductive Health ◽  
Unintended Pregnancy ◽  
Maternity Leave ◽  
Mental Health Problems ◽  
Family Care ◽  
Health Problems ◽  
Psychological Aspects ◽  
Unintended Pregnancies

The knowledge of important biopsychosocial factors linking women’s reproductive health and mental health is increasing. This review focuses on psychological aspects of contraception, unintended pregnancy, and abortion because these are common reproductive health experiences in U.S. women’s lives. This review addresses the mental-health antecedents and consequences of these experiences, mostly focusing on depression and depressive symptoms before and after unintended pregnancy and contraception. As mental-health antecedents, depressive symptoms predict contraceptive behaviors that lead to unintended pregnancy, and mental-health disorders have been associated with having subsequent abortions. In examining the mental-health consequences, most sound research does not find abortion or contraceptive use to cause mental-health problems. Consequently, evidence does not support policies based on the notion that abortion harms women’s mental health. Nevertheless, the abortion-care setting may be a place to integrate mental-health services. In contrast, women who have births resulting from unintended pregnancies may be at higher risk of postpartum depression. Social policies (e.g., paid maternity leave, subsidized child care) may protect women from mental-health problems and stress of unplanned children interrupting employment, education, and pre-existing family care responsibilities.

Cognitive Behaviour Therapy: Standards for Training and Clinical Practice

2006 ◽  
Vol 23 (4) ◽  
pp. 227-238 ◽  
Author(s):  
◽  
Julie Barrington
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Mental Health Problems ◽  
Psychological Treatment ◽  
Public Funding ◽  
Public Mental Health ◽  
Behavioural Therapy ◽  
Clinical Psychologists ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

AbstractThe purpose of this article is to open discussion on the appropriate standards for training and practice in cognitive behavioural therapy (CBT) for clinical psychologists. CBT has in recent years become increasingly popular as a brief and effective psychological treatment for mental health problems. Public funding has become available for the provision of CBT for a prescribed number of sessions to people diagnosed with specific psychiatric disorders, and there has been an increasing shift in public mental health services toward more short-term and structured episodic care interventions, many of which are CBT-based. There has also been a corresponding increase in health professionals seeking CBT training and offering psychological services described as CBT. However, there is a lack of formal nationally agreed standards for clinical psychologists in relation to training and practice in CBT, and ethical concerns have been raised about the provision of ‘stand-alone’ brief training to professionals who do not have an undergraduate psychology degree and hence may not have an understanding of the theory and research that underlies CBT. Issues raised in this article include training and practice considerations such as levels of competence, diversity and complexity of CBT, treatment length, ethical considerations and barriers to best practice.

Self-management of medication for mental health problems by homeless young people

2006 ◽  
Vol 15 (3) ◽  
pp. 163-170 ◽  
Author(s):  
Eimear Muir-Cochrane ◽  
Jennifer Fereday ◽  
Jon Jureidini ◽  
Andrew Drummond ◽  
Philip Darbyshire
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Health Problems ◽  
Self Management

Cognitive behaviour therapy training in a developing country: a pilot study in Tanzania

2011 ◽  
Vol 4 (4) ◽  
pp. 139-151 ◽  
Author(s):  
Lydia Stone ◽  
Fiona Warren
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Cognitive Behaviour Therapy ◽  
Mental Health Problems ◽  
Treatment Strategies ◽  
Outcome Evaluation ◽  
Capital City ◽  
Behaviour Therapy ◽  
Training Course ◽  
Cognitive Behaviour

Abstract:Cognitive behaviour therapy (CBT) has been found to be effective in treating mental health problems in the UK, but little has been done to evaluate the potential of CBT in developing countries. This paper aims to discuss the development and implementation of a CBT training course for clinicians working in Tanzania's main psychiatric hospital in the capital city, Dodoma. A 12-session training course in CBT was delivered to nine clinicians. An outcome evaluation was conducted using multiple measures and methods, taken before and after the training. Information on cultural adaptations of the training was obtained. All participants completed the course, but there were several obstacles to full completion of the evaluation measures. Despite this, there were significant improvements in clinicians’ basic understanding of CBT concepts, and their ability to apply the CBT model to formulate and recommend treatment strategies in response to a clinical case. Qualitative information indicated the potential of developing CBT training and implementation further. As a pilot study, this investigation shows the promise that CBT holds for mental health services in Tanzania. Further research into the training and clinical effectiveness of CBT in Tanzania is indicated.

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