Mental Health and Cognitive Behavioral Therapy

2021 ◽  
pp. 437-456
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Mental Health Nursing ◽  
Problem Solving Skills ◽  
Healthy Relationships ◽  
Health Nursing

This chapter reveals the important perspectives on mental health, mental illness, and technology utilization; mental health education and mental health nursing; the overview of Cognitive Behavioral Therapy (CBT); CBT, depression, anxiety, and insomnia; CBT and Obsessive-Compulsive Disorder (OCD); and CBT and heart failure. Mental health strengthens the individuals' ability to have healthy relationships; make good life choices; maintain physical health and well-being; handle the natural ups and downs of life; and grow toward individuals' potential. Mental health is associated with higher productivity, better performance, more consistent work attendance, and fewer workplace accidents. CBT is a goal-oriented psychotherapy treatment that takes a practical approach to problem-solving skills. CBT involves recognizing the unhelpful or destructive patterns of thinking and reacting, thus modifying or replacing these patterns with more realistic or helpful ones.

Mental Health and Cognitive Behavioral Therapy

2017 ◽  
pp. 1-26
Author(s):  
Kijpokin Kasemsap
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Mental Health Nursing ◽  
Problem Solving Skills ◽  
Healthy Relationships ◽  
Health Nursing

This chapter reveals the important perspectives on mental health, mental illness, and technology utilization; mental health education and mental health nursing; the overview of Cognitive Behavioral Therapy (CBT); CBT, depression, anxiety, and insomnia; CBT and Obsessive-Compulsive Disorder (OCD); and CBT and heart failure. Mental health strengthens the individuals' ability to have healthy relationships; make good life choices; maintain physical health and well-being; handle the natural ups and downs of life; and grow toward individuals' potential. Mental health is associated with higher productivity, better performance, more consistent work attendance, and fewer workplace accidents. CBT is a goal-oriented psychotherapy treatment that takes a practical approach to problem-solving skills. CBT involves recognizing the unhelpful or destructive patterns of thinking and reacting, thus modifying or replacing these patterns with more realistic or helpful ones.

scholarly journals A Mixed-Methods Study Using a Nonclinical Sample to Measure Feasibility of Ostrich Community: A Web-Based Cognitive Behavioral Therapy Program for Individuals With Debt and Associated Stress

2017 ◽  
Vol 4 (2) ◽  
pp. e12
Author(s):  
Dawn Smail ◽  
Sarah Elison ◽  
Linda Dubrow-Marshall ◽  
Catherine Thompson
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Feasibility Study ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Semistructured Interview ◽  
Financial Difficulty ◽  
Nonclinical Sample ◽  
Health And Well Being

Background There are increasing concerns about the health and well-being of individuals facing financial troubles. For instance, in the United Kingdom, the relationship between debt and mental health difficulties is becoming more evident due to the economic downturn and welfare reform. Access to debt counseling services is limited and individuals may be reluctant to access services due to stigma. In addition, most of these services may not be appropriately resourced to address the psychological impact of debt. This study describes outcomes from an Internet-based cognitive behavioral therapy (ICBT) program, Ostrich Community (OC), which was developed to provide support to those struggling with debt and associated psychological distress. Objective The aim of this feasibility study was to assess the suitability and acceptability of the OC program in a nonclinical sample and examine mental health and well-being outcomes from using the program. Methods A total of 15 participants (who were not suffering from severe financial difficulty) were assisted in working through the 8-week ICBT program. Participants rated usability and satisfaction with the program, and after completion 7 participants took part in a semistructured interview to provide further feedback. Before the first session and after the final session all participants completed questionnaires to measure well-being and levels of depression, stress, and anxiety and pre- and postscores were compared. Results Satisfaction was high and themes emerging from the interviews indicate that the program has the potential to promote effective financial behaviors and improve financial and global psychosocial well-being. When postcompletion scores were compared with those taken before the program, significant improvements were identified on psychometric measures of well-being, stress, and anxiety. Conclusions The OC program is the first ICBT program that targets poor mental health associated with financial difficulty. This feasibility study indicates that OC may be an effective intervention for increasing financial resilience, supporting individuals to become financially independent, and promoting positive financial and global well-being. Further work with individuals suffering from debt and associated emotional difficulties will help to examine clinical effectiveness more closely.

scholarly journals Standalone Smartphone Cognitive Behavioral Therapy–Based Ecological Momentary Interventions to Increase Mental Health: Narrative Review (Preprint)

2020 ◽  
Author(s):  
Marta Anna Marciniak ◽  
Lilly Shanahan ◽  
Judith Rohde ◽  
Ava Schulz ◽  
Carolin Wackerhagen ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Problems ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Clinical Samples ◽  
Daily Lives ◽  
Mental Health Support ◽  
Ecological Momentary

BACKGROUND A growing number of psychological interventions are delivered via smartphones with the aim of increasing the efficacy and effectiveness of these treatments and providing scalable access to interventions for improving mental health. Most of the scientifically tested apps are based on cognitive behavioral therapy (CBT) principles, which are considered the gold standard for the treatment of most mental health problems. OBJECTIVE This review investigates standalone smartphone-based ecological momentary interventions (EMIs) built on principles derived from CBT that aim to improve mental health. METHODS We searched the MEDLINE, PsycINFO, EMBASE, and PubMed databases for peer-reviewed studies published between January 1, 2007, and January 15, 2020. We included studies focusing on standalone app-based approaches to improve mental health and their feasibility, efficacy, or effectiveness. Both within- and between-group designs and studies with both healthy and clinical samples were included. Blended interventions, for example, app-based treatments in combination with psychotherapy, were not included. Selected studies were evaluated in terms of their design, that is, choice of the control condition, sample characteristics, EMI content, EMI delivery characteristics, feasibility, efficacy, and effectiveness. The latter was defined in terms of improvement in the primary outcomes used in the studies. RESULTS A total of 26 studies were selected. The results show that EMIs based on CBT principles can be successfully delivered, significantly increase well-being among users, and reduce mental health symptoms. Standalone EMIs were rated as helpful (mean 70.8%, SD 15.3; n=4 studies) and satisfying for users (mean 72.6%, SD 17.2; n=7 studies). CONCLUSIONS Study quality was heterogeneous, and feasibility was often not reported in the reviewed studies, thus limiting the conclusions that can be drawn from the existing data. Together, the studies show that EMIs may help increase mental health and thus support individuals in their daily lives. Such EMIs provide readily available, scalable, and evidence-based mental health support. These characteristics appear crucial in the context of a global crisis such as the COVID-19 pandemic but may also help reduce personal and economic costs of mental health impairment beyond this situation or in the context of potential future pandemics.

scholarly journals User Experience of Cognitive Behavioral Therapy Apps for Depression: An Analysis of App Functionality and User Reviews (Preprint)

2018 ◽  
Author(s):  
Katarzyna Stawarz ◽  
Chris Preist ◽  
Debbie Tallon ◽  
Nicola Wiles ◽  
David Coyle
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
User Experience ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
User Reviews ◽  
Mental Well Being ◽  
Health And Well Being

BACKGROUND Hundreds of mental health apps are available to the general public. With increasing pressures on health care systems, they offer a potential way for people to support their mental health and well-being. However, although many are highly rated by users, few are evidence-based. Equally, our understanding of what makes apps engaging and valuable to users is limited. OBJECTIVE The aim of this paper was to analyze functionality and user opinions of mobile apps purporting to support cognitive behavioral therapy for depression and to explore key factors that have an impact on user experience and support engagement. METHODS We systematically identified apps described as being based on cognitive behavioral therapy for depression. We then conducted 2 studies. In the first, we analyzed the therapeutic functionality of apps. This corroborated existing work on apps’ fidelity to cognitive behavioral therapy theory, but we also extended prior work by examining features designed to support user engagement. Engagement features found in cognitive behavioral therapy apps for depression were compared with those found in a larger group of apps that support mental well-being in a more general sense. Our second study involved a more detailed examination of user experience, through a thematic analysis of publicly available user reviews of cognitive behavioral therapy apps for depression. RESULTS We identified 31 apps that purport to be based on cognitive behavioral therapy for depression. Functionality analysis (study 1) showed that they offered an eclectic mix of features, including many not based on cognitive behavioral therapy practice. Cognitive behavioral therapy apps used less varied engagement features compared with 253 other mental well-being apps. The analysis of 1287 user reviews of cognitive behavioral therapy apps for depression (study 2) showed that apps are used in a wide range of contexts, both replacing and augmenting therapy, and allowing users to play an active role in supporting their mental health and well-being. Users, including health professionals, valued and used apps that incorporated both core cognitive behavioral therapy and non-cognitive behavioral therapy elements, but concerns were also expressed regarding the unsupervised use of apps. Positivity was seen as important to engagement, for example, in the context of automatic thoughts, users expressed a preference to capture not just negative but also positive ones. Privacy, security, and trust were crucial to the user experience. CONCLUSIONS Cognitive behavioral therapy apps for depression need to improve with respect to incorporating evidence-based cognitive behavioral therapy elements. Equally, a positive user experience is dependent on other design factors, including consideration of varying contexts of use. App designers should be able to clearly identify the therapeutic basis of their apps, but they should also draw on evidence-based strategies to support a positive and engaging user experience. The most effective apps are likely to strike a balance between evidence-based cognitive behavioral therapy strategies and evidence-based design strategies, including the possibility of eclectic therapeutic techniques.

scholarly journals Standalone Smartphone Cognitive Behavioral Therapy–Based Ecological Momentary Interventions to Increase Mental Health: Narrative Review

10.2196/19836 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e19836
Author(s):  
Marta Anna Marciniak ◽  
Lilly Shanahan ◽  
Judith Rohde ◽  
Ava Schulz ◽  
Carolin Wackerhagen ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Problems ◽  
Behavioral Therapy ◽  
Well Being ◽  
Cognitive Behavioral ◽  
Clinical Samples ◽  
Daily Lives ◽  
Mental Health Support ◽  
Ecological Momentary

Background A growing number of psychological interventions are delivered via smartphones with the aim of increasing the efficacy and effectiveness of these treatments and providing scalable access to interventions for improving mental health. Most of the scientifically tested apps are based on cognitive behavioral therapy (CBT) principles, which are considered the gold standard for the treatment of most mental health problems. Objective This review investigates standalone smartphone-based ecological momentary interventions (EMIs) built on principles derived from CBT that aim to improve mental health. Methods We searched the MEDLINE, PsycINFO, EMBASE, and PubMed databases for peer-reviewed studies published between January 1, 2007, and January 15, 2020. We included studies focusing on standalone app-based approaches to improve mental health and their feasibility, efficacy, or effectiveness. Both within- and between-group designs and studies with both healthy and clinical samples were included. Blended interventions, for example, app-based treatments in combination with psychotherapy, were not included. Selected studies were evaluated in terms of their design, that is, choice of the control condition, sample characteristics, EMI content, EMI delivery characteristics, feasibility, efficacy, and effectiveness. The latter was defined in terms of improvement in the primary outcomes used in the studies. Results A total of 26 studies were selected. The results show that EMIs based on CBT principles can be successfully delivered, significantly increase well-being among users, and reduce mental health symptoms. Standalone EMIs were rated as helpful (mean 70.8%, SD 15.3; n=4 studies) and satisfying for users (mean 72.6%, SD 17.2; n=7 studies). Conclusions Study quality was heterogeneous, and feasibility was often not reported in the reviewed studies, thus limiting the conclusions that can be drawn from the existing data. Together, the studies show that EMIs may help increase mental health and thus support individuals in their daily lives. Such EMIs provide readily available, scalable, and evidence-based mental health support. These characteristics appear crucial in the context of a global crisis such as the COVID-19 pandemic but may also help reduce personal and economic costs of mental health impairment beyond this situation or in the context of potential future pandemics.

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