Therapeutic Gaming for Adolescent Anxiety

2022 ◽  
pp. 187-227
Author(s):  
Steven Barnes ◽  
Julie Prescott
Keyword(s):  
Mental Health ◽  
Burden Of Disease ◽  
Healthcare Systems ◽  
User Feedback ◽  
Health Conditions ◽  
Intention To Use ◽  
Adolescent Anxiety ◽  
Significant Potential ◽  
Treatment Seekers ◽  
Over Time

Anxiety disorders (AD) are the most prevalent of the mental health conditions and are associated with significant and long-lasting burden of disease both for affected individuals and healthcare systems designed to support them. Despite this, barriers to traditional interventions mean less than half of adolescents experiencing ADs seek-treatment, with less than 20% of treatment-seekers ultimately receiving a scientifically validated intervention. Therapeutic games show significant potential to help reduce AD in adolescents, with some concerns remaining over their abilities to engage users, particularly over time. The chapter presents two studies relating to the development of a new mobile gamified intervention for adolescents with AD. This includes a user-feedback study on currently available games for anxiety and depression, followed by a user-feedback, acceptability, and intention-to-use study of a development version of the new intervention.

Is Telehealth an Effective Way to Increase Accessibility to Counseling Services?

2022 ◽  
pp. 114-137
Author(s):  
Tara Renee Fox
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Health Conditions ◽  
Counseling Services ◽  
Mental Health Conditions ◽  
Delivery Models

Providing telehealth is often a means to increase the accessibility to and availability of clinical mental healthcare services. Due to the COVID-19 pandemic, telehealth has been globally implemented into healthcare systems. Today, almost 390 million individuals have at least one mental illness. There are many challenges to seeking clinical mental healthcare, including availability and accessibility, anonymity, finances and insurance, stigma, and travel and transportation. Due to these barriers, many individuals have untreated mental health conditions, which can burden healthcare systems. By utilizing innovative delivery models such as telehealth technologies, the disparities experienced by individuals when attempting to seek clinical mental healthcare services can decrease.

scholarly journals DETERIORATING HEALTH AMONG OLDER ADULTS AND CORTISOL: LONGITUDINAL EVIDENCE FROM THE MIDUS STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S255-S256
Author(s):  
Julie Ober Allen
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Outcomes ◽  
Physical Health ◽  
Functional Limitations ◽  
Health Data ◽  
Health Conditions ◽  
Diurnal Cortisol ◽  
Health Deterioration ◽  
Over Time

Abstract Various mental and physical health conditions common among older adults have been linked to cortisol dysregulation (i.e., blunting of daily cortisol patterns) in predominantly cross-sectional studies. Researchers have suggested that cortisol dysregulation interferes with regulatory functions throughout the body and brain, disrupting multiple biological systems, and contributing to the development or progression of negative health outcomes over time. Prospective studies are needed to investigate the causal direction of cortisol dysregulation and poor health outcomes. This study examined whether diurnal cortisol patterns predicted subsequent health deterioration using longitudinal data from the National Survey of Midlife in the US (MIDUS). Analysis was restricted to 1,336 participants who provided salivary cortisol (4 samples/day for 4 days) and health data in MIDUS II (2004-2009) and updated health data in MIDUS III (2013-2014) (mean age=56, 45% male, 94% White). We simultaneous modeled multiple measures of diurnal cortisol patterns and their relationships to changes in mental (depressive symptomology) and physical (self-rated physical health, functional limitations, and number of new chronic health conditions) health from MIDUS II to III. All indicators of physical health deterioration were associated with cortisol, though not all measures demonstrated relationships in the expected direction. Mental health change over time was unrelated to cortisol. Older age was also associated with increased functional limitations and more new chronic conditions but improvements in mental health over time. Findings suggest that diurnal cortisol patterns contribute to physical health deterioration over time, independent of age-related decline, but not mental health changes in later life.

70-LB: Fat Mass and Obesity-Associated rs9939609 Gene Variant Is Related to Fasting Glucose in Children with Mental Health Conditions

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 70-LB
Author(s):  
ALEJANDRA M. WIEDEMAN ◽  
YING FAI NGAI ◽  
AMANDA M. HENDERSON ◽  
CONSTADINA PANAGIOTOPOULOS ◽  
ANGELA M. DEVLIN
Keyword(s):  
Mental Health ◽  
Fat Mass ◽  
Fasting Glucose ◽  
Health Conditions ◽  
Gene Variant ◽  
Mental Health Conditions

Mental health recovery and its correlates: Perspectives from 2 countries (Preprint)

2020 ◽  
Author(s):  
Huiting Xie
Keyword(s):  
Mental Health ◽  
United States ◽  
Self Efficacy ◽  
The United States ◽  
Mental Illnesses ◽  
Health Conditions ◽  
Mental Health Recovery ◽  
Mental Health Conditions ◽  
Serious Mental Illnesses ◽  
Promote Mental Health

BACKGROUND Many people are affected by mental health conditions, yet its prevalence in certain populations are not well documented. OBJECTIVE The aim of this study is to describe the attributes of people with mental health conditions in U.S and SG in terms of: perception of mental health recovery and its correlates such as strengths self-efficacy, resourcefulness and stigma experience. With the findings, not only could the knowledge base for mental health recovery in both countries be enhanced but interventions and policies relating to self-efficacy, resourcefulness and de-stigmatization for mental health recovery could be informed. METHODS A A cross-sectional, descriptive study with convenience sample of 200 community dwelling adults were selected, 100 pax from the United States (U.S) and 100 pax from Singapore (SG). Adults with serious mental illnesses without substance abuse impacting on their recovery were recruited. Participants completed self-administered questionaires measuring their mental health recovery, strengths self-efficacy, resourcefulness and stigma experience. RESULTS This study offered the unique opportunity to examine mental health recovery as well as its correlates such as strengths self-efficacy, resourcefulness and stigma experience from both the United States and Singapore. While the perception of mental health recovery and positive attributes like strengths self-efficacy and resourcefulness remained strong in participants with serious mental illnesses across both countries, people with serious mental illnesses in both countries still experienced negative perception like stigma. The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries. CONCLUSIONS The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries.

scholarly journals Global Sensory Impairment Independently Predicts Decreased Social Function Over Time

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 414-414
Author(s):  
Anna Huang ◽  
Kristen Wroblewski ◽  
Ashwin Kotwal ◽  
Linda Waite ◽  
Martha McClintock ◽  
...  
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Cognitive Function ◽  
Social Engagement ◽  
Social Function ◽  
Ordinal Logistic Regression ◽  
Sensory Function ◽  
Sensory Impairment ◽  
Over Time

Abstract The classical senses (vision, hearing, touch, taste, and smell) play a key role in social function by allowing interaction and communication. We assessed whether sensory impairment across all 5 modalities (global sensory impairment [GSI]) was associated with social function in older adults. Sensory function was measured in 3,005 home-dwelling older U.S. adults at baseline in the National Social Life, Health, and Aging Project and GSI, a validated measure, was calculated. Social network size and kin composition, number of close friends, and social engagement were assessed at baseline and 5- and 10-year follow-up. Ordinal logistic regression and mixed effects ordinal logistic regression analyzed cross-sectional and longitudinal relationships respectively, controlling for demographics, physical/mental health, disability, and cognitive function (at baseline). Adults with worse GSI had smaller networks (β=-0.159, p=0.021), fewer close friends (β=-0.262, p=0.003) and lower engagement (β=-0.252, p=0.006) at baseline, relationships that persisted at 5 and 10 year follow-up. Men, older people, African-Americans, and those with less education, fewer assets, poor mental health, worse cognitive function, and more disability had worse GSI. Men and those with fewer assets, worse cognitive function, and less education had smaller networks and lower engagement. African-American and Hispanic individuals had smaller networks and fewer close friends, but more engagement. Older respondents also had more engagement. In summary, GSI independently predicts smaller social networks, fewer close friends, and lower social engagement over time, suggesting that sensory decline results in decreased social function. Thus, rehabilitating multisensory impairment may be a strategy to enhance social function as people age.

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