Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychological functioning of people living with chronic pain: a meta-analytic review
- Authors:
- BURKE Anne L.J., MATHIAS Jane L., DENSON Linley A.
- Journal article citation:
- British Journal of Clinical Psychology, 54(3), 2015, pp.345-360.
- Publisher:
- Wiley
Objectives: This meta-analysis synthesised the literature from a general chronic pain (CP) perspective to systematically identify and compare the psychological problems most commonly associated with CP. Methods: Four databases were searched from inception to December 2013 (PsychINFO, The Cochrane Library, Scopus, and PubMed) for studies comparing the psychological functioning of adults with CP to healthy controls. Data from 110 studies were meta-analysed and Cohen's d effect sizes calculated. Results: The CP group reported experiencing significant problems in a range of psychological domains (depression, anxiety, somatisation, anger/hostility, self-efficacy, self-esteem and general emotional functioning), with the largest effects observed for pain anxiety/concern and somatisation; followed by anxiety and self-efficacy; and then depression, anger/hostility, self-esteem and general emotional functioning. Conclusions: This study demonstrates that individuals with CP are more likely to experience physically focussed psychological problems than other psychological problems and that, unlike self-efficacy, fear of pain is intrinsically tied to the CP experience. This challenges the prevailing view that, for individuals with CP, problems with depression are either equal to, or greater than, problems with anxiety, thereby providing important information to guide therapeutic targets. (Edited publisher abstract)
The use of cognitive behaviour therapy to treat depression in people with learning disabilities: a systematic review
- Authors:
- JENNINGS Caroline, HEWITT Olivia
- Journal article citation:
- Tizard Learning Disability Review, 20(2), 2015, pp.54-64.
- Publisher:
- Emerald
Purpose: This paper is to identify, outline and evaluate current research on the effectiveness of cognitive behavioural therapy (CBT) for depression for people with a learning disability. The clinical, service and research implications are considered. Design/methodology/approach: A systematic search was conducted on the databases AMED, MEDLINE, PsychINFO and CINAL. Five relevant articles were identified for critical review. Findings: There is a limited but promising evidence base for the use of CBT for depression with people with learning disabilities. Research limitations/implications: The current review identified a number of methodological issues and future research should attempt to overcome these (e.g. small sample sizes and lack of controls). In particular, research should focus on determining the relative contribution of cognitive and behavioural techniques in producing a change in depressive symptoms. Practical implications: Services (including those provided as part of Improving Access to Psychological Therapies) should be offering CBT-based interventions for people with learning disabilities who are experiencing depression. (Edited publisher abstract)
Does music therapy improve mental health in adults? A review
- Authors:
- LEE Jungup, THYER Bruce A.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 23(5), 2013, pp.591-603.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The current review provides a summarized synthesis and evaluation of studies addressing the effects of music therapy (MT) alone or MT added to standard care on mental health among adults. Potential studies were identified through electronic bibliographic databases and manual searches. Studies were included for review if (1) the study methodology involved a randomized control trial, (2) the study outcome included a measure of mental health, (3) the study sample included adults ages 18 and older, and (4) the study was published in an English language peer-reviewed journal since 2006. Applying these criteria, the search yielded 593 studies, 9 of which were ultimately retained for review. These studies generally found MT to be more effective than no treatment or than standard care alone. Long-term studies were few, and results suggest no meaningful differences over time. (Publisher abstract)
Poverty and common mental disorders in low and middle income countries: a systematic review
- Authors:
- LUND Crick, et al
- Journal article citation:
- Social Science and Medicine, 71(3), August 2010, pp.517-528.
- Publisher:
- Elsevier
In spite of high levels of poverty in low and middle income countries (LMIC), and the high burden posed by common mental disorders (CMD), it is only in the last two decades that research has emerged that empirically addresses the relationship between poverty and CMD in these countries. Evidence from the 115 studies carried out in 33 different countries included in the review indicates that there is a relatively consistent association between common mental disorders (CMD) and some measures of poverty but not others. The variability in associations across poverty indicators are discussed in relation to measurement and population factors.
Common mental health problems at work: what we now know about successful interventions: a progress review
- Author:
- SEYMOUR Linda
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2010
- Pagination:
- 19p., bibliog.
- Place of publication:
- London
This report examines recent international research evidence on how to help people with depression and anxiety to stay in work or to return after a period of ill health. In 2005 the British Occupational Health Research Foundation published a systematic evidence review of published evidence for effective interventions that help people with depression and anxiety to remain in or return to work. This paper presents the results of an update of that review, examining papers in English from the international literature published between 2004 and the end of 2008. The paper reviews the findings of the updated evidence against the backdrop of recent developments in policy and practice, as well as an increasing understanding and concern about the human and economic costs associated with mental health problems and work. A number of key messages for research, policy and practice are presented. In particular, the evidence confirms that people with common mental health problems do not have to be completely well to return to work, and that, for many, going back to work actually helps their recovery.
Mental health implications of detaining asylum seekers: systematic review
- Authors:
- ROBJANT Katy, HASSAN Rita, KATONA Cornelius
- Journal article citation:
- British Journal of Psychiatry, 194(4), April 2009, pp.306-312.
- Publisher:
- Cambridge University Press
The number of asylum seekers, refugees and internally displaced people worldwide is rising. Western countries are using increasingly restrictive policies, including the detention of asylum seekers, and there is concern that this is harmful. In order to investigate mental health outcomes among adult, child and adolescent immigration detainees a systematic review was conducted through a systematic search of databases and a supplementary manual search of references. Ten studies were identified. All reported high levels of mental health problems in detainees. Anxiety, depression and post-traumatic stress disorder were commonly reported, as were self-harm and suicidal ideation. Time in detention was positively associated with severity of distress. There is evidence for an initial improvement in mental health occurring subsequent to release, although longitudinal results have shown that the negative impact of detention persists. This area of research is in its infancy and studies are limited by methodological constraints. Findings consistently report high levels of mental health problems among detainees. There is some evidence to suggest an independent adverse effect of detention on mental health.
Investigating the prevalence of anxiety and depression during the first COVID‐19 lockdown in the United Kingdom: systematic review and meta‐analyses
- Authors:
- DETTMANN Luca Marie, ADAMS Sally, TAYLOR Gemma
- Journal article citation:
- British Journal of Clinical Psychology, early cite February 2022,
- Publisher:
- Wiley
Background: The COVID-19 pandemic has had a significant impact on mental health. Specifically, the stringent lockdown restrictions have heightened anxiety and depression. Therefore, monitoring and supporting the mental health of the population during these unprecedented times is an immediate priority. Methods: In this systematic review and meta-analyses, articles that explored the prevalence of anxiety and depression during the first COVID-19 lockdown in the United Kingdom were included. We searched the databases Embase, Medline (PubMed), Web of Science, and PsycINFO for cross-sectional studies. We conducted meta-analyses of prevalence rates using a random-effects model, and the heterogeneity of studies was examined using the I2 index. Results: Fourteen studies involving 46,158 participants were included in the review. The studies use clinical cut-off scores on anxiety and depression measures to define cases. While the prevalence of anxiety was 31.00% (95% CI = 26.00 to 35.00), the prevalence of depression was 32.00% (95% CI = 29.00 to 35.00). The prevalence of anxiety pre-pandemic was 4.65%, indicating a 26.35% increase. Whereas the prevalence of depression pre-pandemic was 4.12%, indicating a 27.88% increase. Moreover, participants experienced a slightly greater prevalence of depression than anxiety by 1.00%. Conclusions: To conclude, the first COVID-19 lockdown in the United Kingdom increased the prevalence of anxiety and depression among the general population, compared to pre-pandemic data. Hence, it is vital that policymakers and mental health services maximize their efforts to monitor mental health and provide interventions to support those in need. (Edited publisher abstract)
Efficacy and effectiveness of psychological interventions on co‐occurring mood and anxiety disorders in older adults: a systematic review and meta‐analysis
- Authors:
- WUTHRICH Viviana M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 36(6), 2021, pp.858-872.
- Publisher:
- Wiley
Objectives: Co‐occurring mood and anxiety disorders are common in older adult populations and are associated with worse long‐term outcomes and poorer treatment response than either disorder alone. This systematic review and meta‐analysis aimed to examine the efficacy and effectiveness of psychological interventions for treating co‐occurring mood and anxiety disorders in older adults. Method: The study was registered (PROSPERO CRD4201603834), databases systematically searched (MEDLINE, PSYCINFO, PubMed and Cochrane Reviews) and articles screened according to PRISMA guidelines. Inclusion: Participants aged ≥60 years with clinically significant anxiety and depression, psychological intervention evaluated against control in randomised controlled trial, changes in both anxiety and depression reported at post‐treatment. Results: Four studies were included (total n = 255, mean age range 67–71 years). Overall, psychological interventions (cognitive behavioural therapy, mindfulness) resulted in significant benefits over control conditions (active, waitlist) for treating depression in the presence of co‐occurring anxiety (Hedges' g = −0.44), and treating anxiety in the presence of depression (Hedges' g = −0.55). However, conclusions are limited; the meta‐analysis was non‐significant, few studies were included, several were low quality and there was high heterogeneity between studies. Benefits at follow‐up were not established. Conclusion: Co‐occurring anxiety and mood disorders can probably be treated simultaneously with psychological interventions in older adults with moderate effect sizes, however, more research is needed. Given comorbidity is common and associated with worse clinical outcomes, more high‐quality clinical trials are needed that target the treatment of co‐occurring anxiety and mood disorders, and report changes in diagnostic remission for both anxiety and mood disorders independently. (Edited publisher abstract)
Inequalities and the mental health of young people: a systematic review of secondary school-based cognitive behavioural interventions
- Authors:
- KAVANAGH J, et al
- Publisher:
- University College London. Institute of Education. EPPI-Centre
- Publication year:
- 2009
- Pagination:
- 114p.
- Place of publication:
- London
This review aimed to increase what is known about promoting good mental health and mental health inequalities. It focused on the role of interventions based on the techniques of cognitive behavioural therapy (CBT) for preventing and reducing suicidality, depression and anxiety in young people. A further aim of the study was to use the systematic review as a case study to applying an ‘equity lens’ to a review topic, by building on work completed in an earlier systematic map and methodological review. Results of the review found that CBT delivered to young people in secondary schools can reduce the symptoms of depression and anxiety. No evidence was found to assess the impact of CBT on suicidal thinking or behaviour. Few studies provided any useful data that might be used to examine the impact of CBT-based interventions on inequalities in mental health. No studies presented data relevant to evaluating the differential impact of interventions according to differences in the participants’ gender, age, religion, education or social capital. Although conclusions about impact of CBT on inequalities are therefore tentative, there are suggestions that it might be less effective for people who are more socio-economically disadvantaged.
Prevention programmes for children of parents with a mood/anxiety disorder: systematic review of existing programmes and meta‐analysis of their efficacy
- Authors:
- HAVINGA Petra J., et al
- Journal article citation:
- British Journal of Clinical Psychology, 60(2), 2021, pp.212-251.
- Publisher:
- Wiley
Objectives: To systematically describe the characteristics and techniques of prevention programmes for children of parents with mood/anxiety disorders. In addition, recruitment approaches and difficulties were identified and a meta‐analysis was conducted to examine the efficacy of these prevention programmes. Methods: Randomized controlled trials assessing the efficacy of a prevention programme for children (6–25 years) of parents with mood and/or anxiety disorders were included. A systematic literature search was conducted in PubMed, PsychINFO, and CENTRAL from the earliest record to March 2019. In addition, programme manuals of identified prevention programmes were requested for a content analysis. Results: Twenty‐two articles containing eight unique prevention programmes involving 1,325 subjects were identified. Programmes varied in the number and types of techniques, but all provided psychoeducation. Results suggested that recruitment via clinicians was more successful than recruitment via health maintenance organization databases. In a meta‐analysis, a significant risk difference was found in favour of prevention programmes on the risk of developing a depressive/anxiety disorder in offspring at short‐term (9–18 months follow‐up; RR = 0.37, 95% CI [0.21; 0.66]) and long‐term follow‐up (24 months or longer follow‐up; RR = 0.71, 95% CI [0.57; 0.87] and on symptom levels in offspring at post‐intervention (SMD = −0.19, 95% CI [−0.36; −0.02]) and at 12‐months follow‐up (SMD = −0.31, 95% CI [−0.57; −0.06]). Conclusions: The prevention programmes combined psychoeducational elements with skills training and/or cognitive‐behavioural therapy elements. The recruitment process and the content of these programmes are sometimes insufficiently described. Nevertheless, they appear to be effective, indicating a need to further examine how these programmes exactly work and for whom. (Edited publisher abstract)