Search results for ‘Subject term:"mental health problems"’ Sort:
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Feeling down and understanding depression
- Authors:
- CRONIN Peter, PEYTON Liam, CHAPLIN Eddie
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 11(1), 2017, pp.2-7.
- Publisher:
- Emerald
This paper offers the view of two people with learning disabilities lived experience of depression. The paper also offers and insight into some of the strategies they use to manage and encourage positive mental health. (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)
Cognitive behavioural therapy and the impact of internalised societal discourses in people with intellectual disabilities: a case example
- Authors:
- GERRY Louise, CRABTREE Jason
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(1), 2013, pp.59-65.
- Publisher:
- Emerald
Cognitive behaviour therapies (CBT) are being seen as the treatment of choice for people with intellectual disabilities. And, the authors suggest, as the focus of national services change, more people with learning disabilities are likely to access mainstream health services such as Improving Access to Psychological Therapies in which CBT is often the primary mode of therapy. With this in mind they describe a cautionary case that demonstrates some of the potential dilemmas and challenges that can be experienced when working with clients with intellectual disabilities. The challenges stem from using an approach that locates problems within people rather than as being generated and maintained through social relations and social discourses. The case describes work with Mark, a young man with intellectual disabilities who accessed services for support with his low mood. It appears from this case example that there is the potential for therapeutic techniques used in CBT to promote questions that invite, generate and reinforce feelings of incompetence and inability in people with intellectual disabilities. The authors discuss the use of narrative techniques as a means of avoiding locating the problem as being within clients with intellectual disabilities; the implications that this has for the use of CBT with this client group are considered.
Hidden meanings
- Author:
- RUSSELL Oliver
- Journal article citation:
- Community Care, 6.2.97, 1997, pp.18-19.
- Publisher:
- Reed Business Information
Discusses the problem of diagnosing depression in people with learning difficulties.
Effectiveness of a life story intervention for adults with intellectual disability and depressive and trauma‐related complaints
- Authors:
- BEERNINK Janny, WESTERHOF Gerben J.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(6), 2020, pp.1340-1347.
- Publisher:
- Wiley
Introduction: People with intellectual disability have a higher chance of developing mental disorders than the general population. Yet, few evidence‐based interventions exist. This article evaluates My Lifestory, a narrative intervention tailored to people with intellectual disability and depressive or trauma‐related complaints. Method: A quasi‐experimental research design was adopted with an experimental condition (My Lifestory) and a matched control condition (care as usual). Measurements took place before the intervention, at the end of the intervention and at follow‐up two months later. Measurements focused on psychiatric complaints, well‐being, life satisfaction, mastery, and purpose in life. Results: Participants in the intervention condition improved more in psychiatric complaints, well‐being, life satisfaction, and purpose in life, but not in mastery, than participants in the control condition. Effect sizes were large in the intervention condition and small in the control condition. Discussion: Despite some limitations, this study adds to the evidence base of this narrative intervention. (Edited publisher abstract)
Computer‐assisted cognitive behavioural therapy: the experiences of adults who have an intellectual disability and anxiety or depression
- Authors:
- COONEY Patricia, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(6), 2018, pp.1032-1045.
- Publisher:
- Wiley
Background: Despite its evidence base in the general population, computerized cognitive behavioural therapy (cCBT) has not yet been adapted for use with people with intellectual disability. This study aimed to explore the experiences of adults with an intellectual disability who played a cCBT programme. Method: Twenty‐four adults (with a mild or moderate intellectual disability and clinically significant anxiety or depression) who were in the treatment arm of a pilot randomized controlled trial evaluating the cCBT programme were individually interviewed. Thematic analysis was used to analyse and report themes within the data. Results: Participants found playing the programme to be an enjoyable and novel experience and that it was challenging and helpful. It allowed them to develop and reflect on relationships and increased their awareness of thoughts, feelings and behaviours. Conclusions: Combining technology with CBT is an effective way to reduce barriers to accessing mental health interventions and technology for this population. (Edited publisher abstract)
The relationship between problem-solving ability and self-harm amongst people with mild intellectual disabilities
- Authors:
- REES Joanna, LANGDON Peter E.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(4), 2016, p.387–393.
- Publisher:
- Wiley
Background: The purpose of this study was to investigate the relationship between depression, hopelessness, problem-solving ability and self-harming behaviours amongst people with mild intellectual disabilities (IDs). Methods: Thirty-six people with mild IDs (77.9% women, Mage = 31.77, SD = 10.73, MIQ = 62.65, SD = 5.74) who had a history of self-harm were recruited. Participants were asked to complete measures of depression, hopelessness and problem-solving ability. Results: Cutting was most frequently observed, and depression was prevalent amongst the sample. There was a significant positive relationship between depression and hopelessness, while there was no significant relationship between self-harm and depression or hopelessness. Problem-solving ability explained 15% of the variance in self-harm scores. Conclusions : Problem-solving ability appears to be associated with self-harming behaviours in people with mild IDs. (Publisher abstract)
Prader Willi syndrome: systematic review of the prevalence and nature of presentation of unipolar depression
- Authors:
- WALTON Catherine, KERR Mike
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(3), 2016, pp.172-184.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to assess the prevalence and nature of presentation of unipolar depression in individuals with Prader-Willi syndrome (PWS). Design/methodology/approach: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) (2009) checklist for systematic reviews was followed where possible. Findings: Seven studies were included in the qualitative synthesis from a total of 261 records identified. The quality of the studies was then assessed: scores for each study design ranged from between 3 and 6 of a possible score total of 6. The frequency of depression ranged between studies from 4 to 22 per cent. four studies showed over 50 per cent of patients appeared to suffer from psychotic symptoms. Low mood, anhedonia and irritability were described as features of depression, although no fixed pattern of psychopathology arose from across the studies (excluding psychosis). This review has provided evidence to suggest that depression is a frequent occurrence in the PWS population. One study found that the incidence of depression differed between the genetic subtypes, raising questions regarding the relationship between genotype and behavioural phenotypes. A high proportion of individuals with depression suffered from psychotic symptoms. Research limitations/implications: The small number of heterogeneous studies included in this study precluded meta-analysis of the results. This highlights the need for further original research in this field. Practical implications: An increased awareness of the frequency of depressive symptoms within the PWS population will aid in the timely diagnosis and management of the disorder which will reduce psychiatric morbidity. The noted high proportion of psychotic symptoms associated with depression should raise the index of suspicion with clinicians and aid appropriate management decisions. Originality/value: This review has provided preliminary evidence for the nature of presentation of unipolar depression in PWS. It has highlighted the possibility of an increased propensity towards depression with psychotic symptoms. There is some suggestion of a differing presentation and course of unipolar depression between the common genetic subtypes of PWS which warrants further investigation. (Publisher abstract)
A review of risk factors associated with suicide in adults with intellectual disability
- Authors:
- MOLLISON Emma, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(5), 2014, pp.302-308.
- Publisher:
- Emerald
Purpose: As recently as the 1980's it was still a widely held belief that individuals with intellectual disability (ID) did not have the cognitive capacity to experience mental health problems and this acted as a “buffer” against suicidal behaviour. The literature review examines the evidence relating to risk factors for individuals with intellectual disabilities. Design/methodology/approach: The literature review covered the time period 1993-2013 and returned 117 studies, 77 of which related to individuals with ID, 37 of which related to adults. Following screening titles and abstracts 28 articles were removed. A total of nine studies were found to be eligible for inclusion in the review. A further two studies examining suicide in adolescents (up to adulthood) with ID were also considered. From the eligible studies the following information was considered: study design, sample size, strengths, limitations and the risk factors associated with an increased risk of suicide. Findings: The suicide risk factors identified during the review were found to be in keeping with the general population and included a diagnosis of clinical depression, history of self-harm, unemployment, loneliness, unemployment, an increased need for support from others, early onset mental illness and being treatment resistive. (Edited publisher abstract)
Improving Access to Psychological Therapies for people with learning disabilities
- Author:
- LEYIN Alan
- Journal article citation:
- Tizard Learning Disability Review, 16(5), 2011, pp.29-37.
- Publisher:
- Emerald
The Improving Access to Psychological Therapies (IAPT) programme was established with a focus on relieving distress caused by depression and anxiety disorders, provision of talking therapies such as cognitive behaviour therapy, and fair and equitable access to all community groups. This article considers the applicability of the IAPT service in meeting the mental health needs of people with learning disabilities. It discusses mainstream psychological interventions for people with learning disabilities, removing barriers and improving access, and whether people with learning disabilities are getting access to IAPT. The author argues that although the IAPT service is well established for the mainstream population, there are deficits and barriers at many levels for people with learning disabilities, and that action needs to be taken to remove existing barriers for people with learning disability, to develop local visions, knowledge, skills and service structures to best meet their needs, and to develop appropriate systems to monitor uptake and outcomes. The article also discusses what is meant by "reasonable adjustments" in the context of IAPT and the need to be aware that IAPT may not be relevant to all people with learning disabilities.