Search results for ‘Subject term:"mental health problems"’ Sort:
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The effectiveness of mental health interventions for adult female survivors of sexual assault: a systematic review
- Authors:
- PARCESEPE Angela M., et al
- Journal article citation:
- Aggression and Violent Behavior, 25(Part A), 2015, pp.15-25.
- Publisher:
- Elsevier
Objective: Sexual assault is a common global problem and is associated with poor mental health. Given the high prevalence of sexual assault, it is important to understand which interventions may help survivors. This systematic review examines the effectiveness of mental health interventions for adult female survivors of sexual assault, focusing on 1) methods used to study the interventions; 2) effectiveness of interventions compared to no treatment; and 3) comparative effectiveness of interventions. Methods: Published scientific literature was searched to identify manuscripts that investigated the effects of mental health interventions on adult female survivors of sexual assault. Articles were included if they: were in English, Spanish, or French; were published between January 1985 and December 2012; evaluated a mental health intervention; implemented the intervention with adult female survivors of sexual assault; evaluated the effectiveness of the intervention on mental health symptoms or diagnoses; and included a comparison group. Findings: Cognitive-behavioural interventions, exposure interventions, and eye movement desensitisation and reprocessing interventions were typically more effective at improving mental health than no treatment. Statistical tests of comparative effectiveness did not demonstrate that one intervention was significantly more effective than another. Conclusions: Health providers should refer survivors of sexual assault to mental health treatments shown to be effective. Additional research on comparative effectiveness of mental health interventions is warranted. (Edited publisher abstract)
The effectiveness of self help technologies for emotional problems in adolescents: a systematic review
- Authors:
- AHMEAD Muna, BOWER Peter
- Journal article citation:
- Child and Adolescent Psychiatry and Mental Health, 2(20), July 2008, Online only
- Publisher:
- BioMed Central
Emotional problems may develop in adolescence as a result of physiological, psychological and social changes, and though these may not reach clinical thresholds they can affect functioning and may develop into more severe disorders. There are barriers that can prevent access to treatment from health professionals, and one possible solution may lie in self-help modes of delivery based on information technology, paper, audio or videotape. This review of 14 studies identifies small or medium, but non-significant, effects for self-help technology (nearly half delivered through bibliotherapy) on attitudes towards self, social cognition and emotional symptoms. However, the findings should be considered as preliminary because of the small number, heterogeneity and relatively poor quality of the studies. The use of self-help technologies for adolescents with emotional problems cannot be recommended until more high quality evidence is available.
Personal social networks and disorders: a literature review and implications for practice and future research
- Authors:
- TRACY Elizabeth M., BIEGEL David E.
- Journal article citation:
- Journal of Dual Diagnosis, 2(2), 2006, pp.59-88.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This literature review aimed to examine the literature on social networks and dual disorders, and the separate literatures on social networks in relation to mental illness and substance abuse respectively and to consider implications for practice and research. Papers selected for review included empirical studies of social networks and/or social support of adults with diagnosed substance use and/or mental disorders. Thirty-six studies met the criteria for review which is organized around three themes: structural characteristics of social networks, network composition, and the impact of social networks on treatment and recovery. The results found that social networks function both as a predictor as well as an outcome of mental illness and substance use. Understanding and assessment of social networks is important to understanding addictive behaviours. The review highlights the need for further research in the following areas: the role of social networks in readiness for treatment, entry into and participation in treatment, and support for recovery; the impact of treatment and peer support programs on social networks; social networks in relation to a wider range of mental disorders (e.g., depression, anxiety and post traumatic stress disorder); and the impact of race, ethnicity, and gender on social networks of adults with dual disorders. In addition, the role that families play in treatment and recovery as well as the impact of clients' dual disorders upon family members needs examination. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Integrated versus non-integrated management and care for clients with co-occuring mental health and substance use disorders: a qualitative systematic review of randomised controlled trials
- Authors:
- DONALD Maria, DOWER Jo, KAVANAGH David
- Journal article citation:
- Social Science and Medicine, 60(6), March 2005, pp.1371-1383.
- Publisher:
- Elsevier
Ten articles were identified for inclusion in this systematic review, which compares the use of integrated and non-integrated treatment approaches with this ‘challenging client group’. The findings do not demonstrate clear evidence of the superior efficacy of integrated treatments, but the many limitations of the studies need to be considered in understanding the implications of this finding. It is difficult to engage and retain members of this group in intervention research, and the complexity and variability of their problems make control particularly difficult. Much remains to be investigated with regard to the management and care of people with co-occurring mental health and substance use disorders, especially for specific combinations of dual diagnosis, and giving consideration to the level of inter-relatedness between the disorders.
Are computer-based treatment programs effective at reducing symptoms of substance misuse and mental health difficulties within adults? A systematic review
- Authors:
- DUGDALE Stephanie, et al
- Journal article citation:
- Journal of Dual Diagnosis, 15(4), 2019, pp.291-311.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Comorbid substance misuse and mental health difficulties are recognized as a leading contributor to disease burden worldwide. Amid cuts to health care services, computer-based interventions may provide support for patients experiencing these difficulties. The aims of this systematic review were to identify and investigate the efficacy of these computer-based interventions at improving substance misuse and mental health outcomes. Methods: A systematic search was conducted of CINAHL Plus, PsycARTICLES, PsycINFO, Medline, Web of Science, and the Cochrane Library. Gray literature was also searched for relevant papers. Data were extracted from 33 papers, which met eligibility criteria by reporting a computer-based intervention designed to treat substance misuse and mental health in adults. Quality assessments were conducted on these papers. Results: Computer-based interventions generally led to an improvement of substance misuse and mental health outcomes within groups and when compared against waitlist control and psychoeducation. Computer-based interventions were effective at improving dual diagnosis outcomes, and improvements to mental health outcomes specifically were maintained for up to nine months. However, the combined effect of computer-based interventions and therapist support was found to be more effective than the effects of computer-based interventions alone. Conclusions: Many papers were limited by high attrition rates commonly attributed to “digital” interventions. Future research should consider systematically recruiting a range of participants, including those potentially affected by the digital divide, and incorporating methods within research to maintain engagement. This review was also limited by the heterogeneity of the papers reported, many of which differed between targeting dual diagnosis and targeting either substance misuse or mental health respectively, with outcomes investigating other difficulties out of curiosity. (Publisher abstract)
Improving the emotional and behavioural health of looked-after children and young people (LACYP): research review 2
- Authors:
- DICKSON Kelly, et al
- Publisher:
- Centre for Excellence and Outcomes in Children and Young People's Services
- Publication year:
- 2009
- Pagination:
- 116p., bibliog.
- Place of publication:
- London
On the basis of a systematic review and analysis of key data this review aimed to draw out 'what works?' messages on improving the emotional and behavioural health of looked after children. The review focused on the interventions of enhanced foster care, multi-systemic therapy and mentoring. It looked at the views of looked after children and young people on what they felt constituted emotional and behavioural health. It examined the accessibility, acceptability and effectiveness of enhanced foster care, multi-systemic therapy and mentoring. The third research question was to find out what was known about the contribution made to improve emotional behavioural of looked after children and young people by the attitudes, skills and abilities of foster, residential and kinship carers and birth families and interventions to support this contribution. The review's main findings and conclusions on each of these review questions are summarised in the final chapter.
International differences in home treatment for mental health problems: results of a systematic review
- Authors:
- BURNS T., et al
- Journal article citation:
- British Journal of Psychiatry, 181(11), November 2002, pp.375-382.
- Publisher:
- Cambridge University Press
It is perceived that North American home treatment studies reveal greater success in reducing days in hospital than do European studies. There are difficulties in extrapolating findings internationally. North American studies demonstrate greater differences in days in hospital but patients in their experimental services seem to spend no fewer days in hospital, implying a disparity in control services.
Routinely administered questionnaires for depression and anxiety: systematic review
- Authors:
- GILBODY Simon M., et al
- Journal article citation:
- British Medical Journal, 17.2.01, 2001, pp.406-409.
- Publisher:
- British Medical Association
Examines the effect of routinely administered psychiatric questionnaires on the recognition, management, and outcome of psychiatric disorders in non-psychiatric settings. Nine randomised studies were identified that examined the use of common psychiatric instruments in primary care and general hospital settings. Overall, studies of routine administration of psychiatric measures did not show an effect on patient outcome. Concludes that the routine measurement of outcome is a costly exercise. Little evidence shows that it is of benefit in improving psychosocial outcomes of those with psychiatric disorder managed in non-psychiatric settings.
Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies
- Authors:
- FROST Rachael, et al
- Journal article citation:
- British Journal of General Practice, early cite 11 February 2019,
- Publisher:
- Royal College of General Practitioners
Background Depressive symptoms are common in later life and increase both the risk of functional and cognitive decline and the use of healthcare services. Despite older people expressing preferences for talking therapies, they are less likely to be referred than younger adults, particularly when aged ≥80 years. Aim To explore how healthcare professionals (HCPs) manage older people in relation to depression and referrals to psychological therapies. Design and setting Systematic review and thematic synthesis of qualitative studies. Method MEDLINE, Embase, PsycINFO, CINAHL, and the Social Sciences Citation Index (inception–March 2018) were searched for studies exploring HCPs’ views regarding management of late-life depression across all settings. Studies of older people’s views or depression management across all ages were excluded. Results In total, 27 studies, were included; these predominantly focused on the views of GPs and primary and community care nurses. Many HCPs felt that late-life depression was mainly attributable to social isolation and functional decline, but treatments appropriate for this were limited. Clinicians perceived depression to have associated stigma for older adults, which required time to negotiate. Limited time in consultations and the complexity of needs in later life meant physical health was often prioritised over mental health, particularly in people with frailty. Good management of late-life depression appeared to depend more on the skills and interest of individual GPs and nurses than on any structured approach. Conclusion Mental ill health needs to be a more-prominent concern in the care of older adults, with greater provision of psychological services tailored to later life. This may facilitate future identification and management of depression. (Edited publisher abstract)
Treatment effectiveness with dually diagnosed adolescents: a systematic review
- Authors:
- BENDER Kimberly, SPRINGER David W., KIM Johnny S.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 6(3), August 2006, pp.177-205.
- Publisher:
- Oxford University Press
The treatment of dually diagnosed adolescents is challenging for many reasons, including complex treatment needs, poor treatment engagement and retention, and a lack of sustainable treatment outcomes. Although a large percentage of adolescents are diagnosed with both substance abuse and mental health diagnoses, research is only beginning to identify effective treatments for this population. The current study systematically reviews randomized clinical trials of interventions for dually diagnosed adolescents. Results examining both between-group effect sizes and within group changes indicate the efficacy of several treatment modalities in improving specific aspects of treatment needs but highlight family behaviour therapy and individual cognitive problem-solving therapy as showing large effect sizes across externalizing, internalizing, and substance-abuse outcomes in dually diagnosed youth. The study further discusses the complexities of systematically evaluating the currently limited state of research on dually diagnosed youth. Finally, preliminary guidelines for treating dually diagnosed adolescents are derived from a review of those treatments shown to be most effective.