Search results for ‘Subject term:"mental health problems"’ Sort:
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Complementary health approaches for postpartum depression: a systematic review
- Authors:
- McCLOSKEY Rebecca J., RENO Rebecca
- Journal article citation:
- Social Work in Mental Health, 17(1), 2019, pp.106-128.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Postpartum Depression (PPD) affects approximately 9 - 20% of women. Many women with PPD go undiagnosed and/ or do not follow through on referrals for treatment. Although the most routinely prescribed treatments for PPD are antidepressant medication and psychotherapy, a significant number of women desire non-traditional options. This article provides a systematic review of ten recently published, randomized clinical trials in the examination of the effectiveness of complementary health approaches—the use of non-mainstream products and interventions—on PPD. A search of nine databases of the English language literature from the years 2006 to 2018 was performed. Review criteria included published work, utilization of randomized-controlled trials, and the use of a reliable and valid measurement tool to identify cases of PPD and monitor changes in symptom severity. The studies reviewed focused on the following interventions: aromatherapy, bright light therapy, electroacupuncture, infant massage, iron supplementation, mindfulness training, omega-3 fatty acids, saffron, and yoga. Outcomes demonstrate the feasibility and safety of these approaches, as well as varying degrees of effectiveness. While many were pilot studies using small sample sizes, the results are encouraging and substantiate the need for additional trials. Studies are summarized and limitations and implications for social work and future research are described. (Publisher abstract)
The efficacy of systemic therapy for internalizing and other disorders of childhood and adolescence: a systematic review of 38 randomized trials
- Authors:
- RETZLAFF Ruediger, et al
- Journal article citation:
- Family Process, 52(4), 2013, pp.619-652.
- Publisher:
- Wiley
Systemic therapy (ST) is one of the most widely applied psychotherapeutic approaches in the treatment of children and adolescents, yet few systematic reviews exist on the efficacy of ST with this age group. Parallel to a similar study on adults, a systematic review was performed to analyse the efficacy of ST in the treatment of children and adolescents. All randomised or matched controlled trials (RCT) evaluating ST in any setting with child and adolescent index patients were identified by database searches and cross-references, as well as in existing meta-analyses and reviews. Inclusion criteria were: index patient diagnosed with a DSM-IV or ICD-10 listed psychological disorder, or suffering from other clinically relevant conditions, and trial published by December 2011. Studies were analysed according to their sample, research methodology, interventions applied, and results at end-of-treatment and at follow-up. This article presents findings for internalising and mixed disorders. Thirty-eight trials were identified, with 33 showing ST to be efficacious for the treatment of internalising disorders (including mood disorders, eating disorders, and psychological factors in somatic illness). There is some evidence for ST being also efficacious in mixed disorders, anxiety disorders, Asperger disorder, and in cases of child neglect. Results were stable across follow-up periods of up to 5 years. Trials on the efficacy of ST for externalising disorders are presented in a second article. There is a sound evidence base for the efficacy of ST as a treatment for internalising disorders of child and adolescent patients. (Edited publisher abstract)
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.
Mental health interventions for children in foster care: a systematic review
- Authors:
- HAMBRICK Erin P., et al
- Journal article citation:
- Children and Youth Services Review, 70, 2016, pp.65-77.
- Publisher:
- Elsevier
Children in foster care have high rates of adverse childhood experiences and are at risk for mental health problems. These problems can be difficult to ameliorate, creating a need for rigorous intervention research. Previous research suggests that intervening with children in foster care can be challenging for several reasons, including the severity and complexity of their mental health problems, and challenges engaging this often transitory population in mental health services. The goal of this article was to systematically review the intervention research that has been conducted with children in foster care, and to identify future research directions. This review was conducted on mental health interventions for children, ages 0 to 12, in foster care, using ERIC, CINAHL, PsycINFO, PubMed, ProQuest's Dissertation and Theses Database, Social Services Abstracts, and Social Work Abstracts. It was restricted to interventions that are at least “possibly efficacious” (i.e., supported by evidence from at least one randomised controlled trial). Studies were evaluated for risk of bias. Ten interventions were identified, with diverse outcomes, including mental health and physiological. Six interventions were developed for children in foster care. Interventions not developed for children in foster care were typically adapted to the foster context. Most interventions have yet to be rigorously evaluated in community-based settings with children in foster care. Little research has been conducted on child and family engagement within these interventions, and there is a need for more research on moderators of intervention outcomes and subgroups that benefit most from these interventions. In addition, there is no consensus regarding how to adapt interventions to this population. Future research should focus on developing and testing more interventions with this population, rigorously evaluating their effectiveness in community-based settings, determining necessary adaptations, and identifying which interventions work best for whom
Shared treatment decision-making and empowerment-related outcomes in psychosis: systematic review and meta-analysis
- Authors:
- STOVELL Diana, et al
- Journal article citation:
- British Journal of Psychiatry, 209(1), 2016, pp.23-28.
- Publisher:
- Cambridge University Press
Background: In the UK almost 60% of people with a diagnosis of schizophrenia who use mental health services say they are not involved in decisions about their treatment. Guidelines and policy documents recommend that shared decision-making should be implemented, yet whether it leads to greater treatment-related empowerment for this group has not been systematically assessed. Aims: To examine the effects of shared decision-making on indices of treatment-related empowerment of people with psychosis. Method: A systematic review and meta-analysis of randomised controlled trials (RCTs) of shared decision-making concerning current or future treatment for psychosis (PROSPERO registration CRD42013006161) was conducted. Primary outcomes were indices of treatment-related empowerment and objective coercion (compulsory treatment). Secondary outcomes were treatment decision-making ability and the quality of the therapeutic relationship. Results The authors identified 11 RCTs. Small beneficial effects of increased shared decision-making were found on indices of treatment-related empowerment (6 RCTs; g = 0.30, 95% CI 0.09–0.51), although the effect was smaller if trials with >25% missing data were excluded. There was a trend towards shared decision-making for future care leading to reduced use of compulsory treatment over 15–18 months (3 RCTs; RR = 0.59, 95% CI 0.35–1.02), with a number needed to treat of approximately 10 (95% CI 5–∞). No clear effect on treatment decision-making ability (3 RCTs) or the quality of the therapeutic relationship (8 RCTs) was found, but data were heterogeneous. Conclusions: For people with psychosis the implementation of shared treatment decision-making appears to have small beneficial effects on indices of treatment-related empowerment, but more direct evidence is required. (Edited publisher abstract)
A systematic review of studies examining effectiveness of therapeutic communities
- Authors:
- MAGOR-BLATCH Lynne E., et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 35(4), 2014, pp.168-184.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to systematically review quantitative research since 2000 on the effectiveness of residential therapeutic communities (TCs) for the treatment of substance-use disorders with reference to substance-use, crime, mental health and social engagement outcomes. Design/methodology/approach: A systematic search with broad inclusion criteria resulted in the review of 11 studies. The studies investigated community-based TCs, as well as TCs modified for prisoners, prisoners transitioning to community living and TCs for individuals with co-occurring substance-use and mental health issues. Findings: Results were analysed by comparing the findings of the studies under investigation, of which three studies investigated within-subjects outcomes, four compared TC treatment with a no-treatment control condition and four compared TC treatment with another treatment condition. Conclusion: consistent with previous systematic reviews of TCs, outcomes varied across studies but indicated TCs are generally effective as a treatment intervention, with reductions in substance-use and criminal activity, and increased improvement in mental health and social engagement evident in a number of studies reviewed. Research limitations/implications: Variability in outcomes suggests further TC research and research syntheses focusing on a second key research question in the evaluation of complex interventions – how the intervention works – could play an important role in understanding TC effectiveness, and for whom it is effective and in what contexts. Practical implications: Although there is some variability in treatment populations included in this review, evidence reported in other studies suggests individuals with severe substance-use disorders, mental health issues, forensic involvement and trauma histories, will benefit from TC treatment. This is supported by the literature which has found a general relationship between severity of substance use and treatment intensity (Darke et al., 2012; De Leon et al., 2008) with outcomes further enhanced by self-selection into treatment and appropriate client-treatment matching (see De Leon, 2010; De Leon et al., 2000, 2008). The weight of evidence gleaned from multiple sources of research, including randomised control trials and field outcome studies (De Leon, 2010) suggests TCs are an important and effective treatment for clients in improving at least some aspects of their quality of life, specifically mental health and social engagement, and in reducing harmful behaviours, including substance-use and crime. Variability in treatment setting and populations reflect the real-world setting in which TC treatment is delivered, providing a multifaceted treatment modality to a complex population in variable circumstances. Originality/value: The strength of the current study is that it provided a broad evaluation of TC effectiveness across a range of outcomes (substance-use, criminal activity, mental health and social engagement), and is therefore valuable in updating the current literature and providing context for future research in this area. It aimed to address a key question in evaluating complex interventions: whether they are effective as they are delivered. Findings suggest that TC treatment is generally effective for the populations of concern in reducing substance use and criminal activity and contributing to some improvement in mental health and social engagement outcomes. (Publisher abstract)
A review of the efficacy and effectiveness of cognitive-behaviour therapy and short-term psychodynamic therapy in the treatment of major depression: implications for mental health social work practice
- Authors:
- O'NEAL Paul D., JACKSON Alun, MCDERMOTT Fiona
- Journal article citation:
- Australian Social Work, 67(2), 2014, pp.197-213.
- Publisher:
- Taylor and Francis
A systematic review of the literature regarding the efficacy and effectiveness of cognitive-behaviour therapy and short-term psychodynamic therapy in the treatment of major depression in adults was conducted. This search of electronic databases (PsycArticles, PsycINFO, Social Services Abstracts and PsycLIT) was conducted between August and October 2011 and resulted in full text review of 13 publications. On balance the evidence, largely derived from randomised controlled trials, supported cognitive-behaviour therapy as the more efficacious treatment. The evidence for the efficacy of short-term psychodynamic therapy was somewhat fragmented due to the paucity of controlled studies, with the evidence base for short-term psychodynamic therapy relying heavily upon meta-analyses. There was comparable evidence for the effectiveness of cognitive-behaviour therapy and short-term psychodynamic therapy on the basis of standardised clinical outcome measures. More high-quality randomised controlled trials are required to assess the efficacy of short-term psychodynamic therapy for treating major depression, while the methodological challenges of meta-analyses need to be acknowledged where this methodology forms the primary evidence base for efficacy studies. (Publisher abstract)
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.