Search results for ‘Subject term:"mental health problems"’ Sort:
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A systematic review of community psychosocial group interventions for adults with intellectual disabilities and mental health conditions
- Authors:
- BOURNE Jane, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 35(1), 2022, pp.3-23.
- Publisher:
- Wiley
Background: People with intellectual disabilities have a high risk of developing mental ill-health. Treatment is often neglected and diagnosis is misattributed to a person's disability. Standard psychosocial interventions can improve a person's well-being. This review aimed to understand what interventions are being delivered, any benefits, and future recommendations. Methods: Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed, and the review registered with PROSPERO-CRD42020160254. Databases searched included: MEDLINE, Embase, and PsycINFO. A framework synthesis approach was used to present the findings. Results: There are limited psychosocial interventions offered for this population. When groups are delivered having a creative element, multiple activities over a short period of time, with breaks and group rules outcomes can be improved. Conclusions: Adaptations and reasonable adjustments should be used specifically to a person's ability. A mixed-method design allows people to share their experiences alongside quantitative data that provides clinical information. (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)
Effects of psychosocial interventions for people with intellectual disabilities and mental health problems: a survey of systematic reviews
- Authors:
- GUSTAFSSON Carina, et al
- Journal article citation:
- Research on Social Work Practice, 19(3), May 2009, pp.281-290.
- Publisher:
- Sage
The aim of this study is to provide a survey of systematic reviews that have evaluated the effects of psychosocial interventions for adult people with intellectual disabilities and/or an autistic syndrome with concurrent mental health problems. Reviews for inclusion were identified through searches of 10 electronic databases. The authors found that 3 out of 126 published reviews met the inclusion criteria for interventions, population, and being considered a systematic review. The results imply a weak scientific support for behavioural therapy, cognitive-behavioural therapy, and some forms of integrated care and support. However, the primary studies included in the reviews have several methodological shortcomings. The results suggest future research initiatives in the direction of more effectiveness studies of good quality and reproduction of high-quality systematic reviews.
A systematic review of the knowledge, attitudes and perceptions of health and social care professionals towards people with learning disabilities and mental health problems
- Authors:
- EE Jonathan, KROESE Biza Stenfert, ROSE John
- Journal article citation:
- British Journal of Learning Disabilities, early cite 25 June 2021,
- Publisher:
- Wiley
Background: People with learning disabilities have poorer access to mental health services. It is important for health and social care professionals to have adequate knowledge and skills combined with positive attitudes to work with this population. This review focuses on the knowledge, attitudes and perceptions of health and social care professionals who provide mental health services to people with learning disabilities. Method: A systematic literature search was carried out to identify quantitative studies published in the English language between 2006 and 2020. Results: Thirteen studies were identified that met the inclusion criteria. The studies identified a lack of knowledge and competency among health and social care professionals to address the mental health needs of people with learning disabilities. Health and social care professionals in these studies viewed people with learning disabilities are more vulnerable and suggested specialist mental health services to cater to their specific mental health needs. Conclusions: Health and social care professionals appear to hold negative views of people with learning disabilities, which adversely influences their willingness to work with them. It is recommended that health and social care professionals receive more training opportunities to increase their skills and develop confidence in providing services to this population. (Edited publisher abstract)
Prevalence of co‐occurring psychiatric disorders in adults and adolescents with intellectual disability: a systematic review and meta‐analysis
- Authors:
- MAZZA Mario G., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(2), 2020, pp.126-138.
- Publisher:
- Wiley
Background: Subjects with intellectual disability (ID) are vulnerable to experience psychiatric disorders. The present authors performed a systematic review and meta‐analysis to estimate the prevalence of co‐occurring psychiatric disorders, excluding co‐occurring autism spectrum disorders, in subjects with intellectual disability. Method: The present authors performed a random‐effects meta‐analysis of the prevalence of psychiatric disorders in adults and adolescents with intellectual disability. Results: Twenty‐two studies were included. The pooled prevalence of any co‐occurring psychiatric disorders in intellectual disability was 33.6% (95% CI: 25.2%–43.1%) with high heterogeneity but no publication bias. Prevalence was lower in population‐based studies, in studies that used ICD criteria for the psychopathology and in studies with low risk of bias. The prevalence was higher in mild, moderate and severe intellectual disability than in profound intellectual disability. Conclusions: Psychiatric disorders are common in subjects with intellectual disability, and the present authors found that clinical and methodological moderators affect the pooled prevalence. (Edited 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 systematic review to investigate dramatherapy group work with working age adults who have a mental health problem
- Authors:
- BOURNE Jane, ANDERSEN-WARREN Madeline, HACKETT Simon
- Journal article citation:
- Arts in Psychotherapy, 61, 2018, pp.1-9.
- Publisher:
- Elsevier
This study investigated the effects of dramatherapy group work with adults between the ages of 18 and 65 years, who have mental health problems. A systematic review was undertaken using a meta-ethnography to synthesise the existing relevant research. Database searches identified 111 records, from which 12 were included in the review. There was a combined total of n = 194 participants from eleven of the studies; plus one study that did not give exact participant numbers. The included studies were either qualitative or mixed method, with a variety of designs: case studies, interviews, focus groups, observations, questionnaires, evaluations, and use of a variety of measurement tools. There was a range of populations, including: adults with intellectual disabilities, adult offenders, community service users, and in-patients. Participants were from a number of different settings. Overall findings were encouraging and included; improvements in social interaction, improved self- awareness, empowerment and social interaction. No negative effects were reported. (Edited publisher abstract)
A synthesis of the evidence on peer research with potentially vulnerable adults: how this relates to dementia
- Authors:
- DI LORITO Claudio, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(1), 2017, pp.58-67.
- Publisher:
- Wiley
Background: This study aims to identify the benefits, the risks and the practical challenges and to develop a model of good practice in peer research with people with dementia. Methods: The review conducted searches on PsycInfo, PubMed and Google Scholar for empirical investigations or discussion papers on peer research. Given the limited literature in the field of dementia, studies with groups who share similar demographics (older people), experience of stigma (mental health service users) and exclusion from research (people with learning disabilities) were included. No restrictions on language and publication date were applied. Analysis: Three themes were identified: the potential benefits, the potential risks and the practical challenges of peer research. The authors the developed a model of good practice. The European Working Group of People with Dementia reviewed the authors' paper and added to the findings. Results: Seven papers were included in the evidence synthesis. Potential benefits of peer research included enriched data and empowering people with dementia. Potential risks included power differentials between researchers and issues of representativeness. The practical issues for good practice included the training of peer researchers, defining involvement and roles, working with cognitive impairment and considering resource implications. The European Working Group of People with Dementia emphasised the importance of equality issues. Conclusion: Involving people with dementia in peer research can generate several benefits, including empowerment and opportunities for inclusion for the peer researchers and the research participants living with dementia, challenging academics' traditional views on research processes and gathering enhanced research data. There remains a need for further research on the impact of peer research in dementia studies. (Edited publisher abstract)
The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review
- Authors:
- JAMES Chris W., STACEY James M.
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.17-24.
- Publisher:
- Emerald
Purpose: Recent governmental policy has emphasised the need for greater choice and inclusion for people with learning disabilities. Accordingly, learning disabilities services are increasingly offering a greater choice of psychological interventions to people with learning disabilities. A growing body of research has examined the use of psychodynamic interventions for people with learning disabilities. The purpose of the this paper is to identify, outline, and evaluate research on the efficacy of psychodynamic approaches with people with learning disabilities and to consider the implications for clinical practice. Design/methodology/approach: A systematic search identified 13 relevant studies. A qualitative review of these studies was carried out. Findings: Overall, the reviewed studies offer some preliminary support for the use of psychodynamic approaches with people with learning disabilities. Research limitations/implications – A number of methodological issues are identified (particularly concerning the influence of extraneous variables and the generalisability of findings) and further, larger scale and more robust, research is required. Practical implications: Learning disabilities services should consider providing psychodynamic psychotherapy for people with a mild learning disability experiencing mental health, behavioural, and/or offending problems. Originality/value: This paper provides an up-to-date, comprehensive review of the literature on the efficacy of psychodynamic psychotherapy for people with a learning disability that will be of use to services providing therapeutic support to people with a learning disability and to people commissioning those services. (Publisher abstract)
Individuals with developmental disabilities and their caregivers
- Authors:
- MCCALLION Philip, NICKLE Tara
- Journal article citation:
- Journal of Gerontological Social Work, 50(S1), 2008, pp.245-266.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Adults with developmental disabilities, such as Down’s syndrome or learning disability, are surviving for longer and the number of older Americans with such disabilities is expected to double by 2020. Many will be in the care of their parents and, as they age, siblings. Effective intervention to counter problem behaviours and mental health problems, and to promote positive ageing, is vital and this review examines the literature in the field. The evidence base (generally of group interventions for ‘future planning’) is small and methodologically weak, making it difficult to draw reliable conclusions. Although some positive outcomes are reported, further and more robust research is needed. The paper concludes with a ‘treatment resource appendix’ directed at American social workers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).