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1 – 10 of 321

Abstract

Purpose

This study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach.

Design/methodology/approach

The review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD.

Findings

A total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries.

Research limitations/implications

Despite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD.

Practical implications

This paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD.

Social implications

CBT is a psychological intervention that has been recommended by the literature for the treatment of major depressive disorder (MDD). It is a widely recognized and accepted approach that combines cognitive and behavioral techniques to assist individuals overcome their depressive symptoms and improve their overall mental well-being. This would speculate that effectiveness associated with several aspects and combinations of different approaches in CBT interventions and the impact of different delivery models are essential for clinical practice and appropriate selection of the interventional combinations.

Originality/value

This systematic review focuses on the various studies that explore the effectiveness of face-to-face CBT and ICBT in reducing depressive symptoms among patients with major depressive disorder. These studies were conducted in different countries such as Iran, Australia, Pennsylvania and the USA.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 25 January 2024

Najah Shawish, Mariam Kawafha, Andaleeb Abu Kamel, Dua’a Al-Maghaireh and Salam Bani Hani

This study aims to explore the effects of cat-assisted therapy (Ca-AT) on a patient in their homes, specifically investigating the effects on patient’s memory, behavioral…

Abstract

Purpose

This study aims to explore the effects of cat-assisted therapy (Ca-AT) on a patient in their homes, specifically investigating the effects on patient’s memory, behavioral pathology and ability to perform activities of daily living, independently.

Design/methodology/approach

A case study design was used in patient’s homes using three measuring scales, namely, Mini-Mental State Examination (MMSE), Barthel index (BI) and Behavioral Pathology in Alzheimer’s Disease (AD) Rating Scale.

Findings

The MMSE and BI mean scores were increased, whereas the Behavioral Pathology mean score was decreased. Patient negative behaviors were improved specifically, aggressiveness, anxieties, phobias, and caregiver burden was decreased.

Practical implications

Patients with AD could significantly benefit from Ca-AT in their own homes, and it could decrease caregiving burden.

Originality/value

Ca-AT is a newly developed type of animal-assisted therapy that uses cats to treat patients, especially elderly people with AD, in their homes.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 12 August 2024

Weihong Ning, Ofir Turel and Fred D. Davis

In this current review, we aimed to understand technology addiction interventions and provide guidelines for IS scholars to use IT to prevent or attenuate technology addiction.

Abstract

Purpose

In this current review, we aimed to understand technology addiction interventions and provide guidelines for IS scholars to use IT to prevent or attenuate technology addiction.

Design/methodology/approach

We systematically reviewed articles associated with technology and substance addiction interventions. These articles included review articles, peer-reviewed articles, conference proceedings, and online articles.

Findings

We propose a roadmap for technology addiction intervention development and testing based on the review. Next, we summarize the similarities and differences between substance addiction and technology addiction in terms of antecedents, negative consequences, and neurobiological mechanisms. Based on this, two types of potential interventions for substance addiction were reviewed to explore how they can be used for technology addiction. To conclude, IT-mediated interventions were summarized, and promising avenues for future research were highlighted.

Originality/value

Technology addiction has a broad range of adverse impacts on mental health and well-being. With the knowledge and insight from this review, the Information Systems community can become part of the solution to technology addiction.

Details

Internet Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1066-2243

Keywords

Content available
Article
Publication date: 25 June 2024

Emma O’Neill, Molly Bird and Simon Riches

Auditory hallucinations (“hearing voices”) are a relatively common experience, which is often highly distressing and debilitating. As mental health services are under increasing…

Abstract

Purpose

Auditory hallucinations (“hearing voices”) are a relatively common experience, which is often highly distressing and debilitating. As mental health services are under increasing pressures, services have witnessed a transformative shift with the integration of technology into psychological care. This study aims to narratively synthesise evidence of technology-enhanced psychological assessment and treatment of distressing voices (PROSPERO 393831).

Design/methodology/approach

This review was carried out according to the preferred reporting items for systematic reviews and meta-analyses. Embase, MEDLINE, PsycINFO and Web of Science were searched until 30th May 2023. The Effective Public Health Practice Project (EPHPP) tool assessed methodological quality of studies.

Findings

Searching identified 9,254 titles. Fourteen studies (two assessment studies, twelve treatment studies, published 2010–2022, n = 1,578) were included in the review. Most studies were conducted in the UK, the USA or Canada. Technologies included avatar therapy, mobile apps, virtual reality, a computerised Web-based programme and a mobile-assisted treatment. Overall, technology-enhanced psychological assessments and treatments appear feasible, acceptable and effective, with avatar therapy the most used intervention. EPHPP ratings were “strong” (n = 8), “moderate” (n = 5) and “weak” (n = 1).

Originality/value

To the best of the authors’ knowledge, this is the first systematic review to investigate these technologies, specifically for distressing voices. Despite the relatively small number of studies, findings offer promising evidence for the clinical benefits of these technologies for enhancing mental health care for individuals with distressing voices. More high-quality research on a wider range of technologies is warranted.

Details

Mental Health and Digital Technologies, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2976-8756

Keywords

Article
Publication date: 16 May 2024

Michael Lester, Faith Scanlon and Ashley Batastini

Studies evaluating the external validity of theoretically informed (risk-need-responsivity [RNR]) cognitive behavioral therapy (CBT) programs have not systematically assessed…

Abstract

Purpose

Studies evaluating the external validity of theoretically informed (risk-need-responsivity [RNR]) cognitive behavioral therapy (CBT) programs have not systematically assessed antisocial personality traits as a source of variability in outcomes. The purpose of this brief report is to examine antisocial traits as a potential source of variability in outcomes.

Design/methodology/approach

Using longitudinal, program-evaluation data (a sample of incarcerated men who were exposed to RNR-informed CBT), the authors examined how antisocial personality traits, attitudes toward treatment and dosage impacted treatment outcomes. A linear regression assessed the relationship between antisocial personality traits and attitudes toward treatment. A latent profile analysis identified participants with elevated antisocial traits and negative attitudes toward treatment. Treatment dosage groups (0, 5, 10 and 15 weeks) were used to assess treatment response per pro-criminal attitudes, skills and rates of recidivism.

Findings

Antisocial traits predicted negative attitudes toward treatment. Elevated antisocial traits and negative treatment attitudes predicted less change in criminal attitudes among those who completed 15 weeks of treatment; higher dosage did not significantly improve rates of recidivism. Variable-centered post hoc analyses largely corroborated these findings. These results suggest RNR-informed CBT may need to be modified for justice-involved persons with elevated antisocial traits.

Originality/value

Few studies have empirically examined the sources of variability in treatment effects for justice-involved persons with antisocial personality traits. This brief report provides a structured examination of factors that may impact treatment outcomes in this population, and therefore aims to inform future research on the effectiveness of empirically supported interventions for people in the legal system.

Details

Journal of Criminal Psychology, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2009-3829

Keywords

Content available
Article
Publication date: 21 May 2024

Alessandra Girardi, Lorraine Higham, Sarrah Fatima, Elanor Webb, Pieter Snyman, Paul Wallang and Kieran C. Breen

Social avoidance disorders can be disruptive to the individual as they begin to over-manage their lives, at times avoiding social and work commitments. A potential therapeutic…

Abstract

Purpose

Social avoidance disorders can be disruptive to the individual as they begin to over-manage their lives, at times avoiding social and work commitments. A potential therapeutic approach is exposure therapy and a virtual reality (VR) treatment approach, gameChange VR, has been developed. This provides an opportunity to test their fears in virtual environments. This study aims to investigate the feasibility of using this VR approach to treat people with social avoidance problems within a secure mental health setting.

Design/methodology/approach

Nine participants completed the gameChange VR sessions. Participants received 30-minute VR sessions for up to six weeks using selected scenarios at five levels of difficulty. Patients’ comments and behaviours were noted and clinical staff also provided feedback on their observations of patients’ use and experience with VR.

Findings

Overall, patients felt that the gameChange VR helped them to build their confidence and reduce their overall anxiety as they became more comfortable with the equipment. Both patients and staff generally found the intervention easy to use and the staff reported an overall high level of engagement among the participants. The key issues raised largely related to technical and safety issues.

Originality/value

While a previous study was carried out using gameChange VR with an outpatient cohort, this was the first using an inpatient group in a secure mental health setting. It has demonstrated that the intervention is viable in this setting, although further studies are required to identify the specific patient population that would benefit optimally from the therapy.

Details

Mental Health and Digital Technologies, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2976-8756

Keywords

Article
Publication date: 12 July 2024

Francis Onyemaechi Okafor

The purpose of this paper is to draw attention to inherent barriers to help-seeking, particularly those caused by increased globalization and diversification of our societies. It…

Abstract

Purpose

The purpose of this paper is to draw attention to inherent barriers to help-seeking, particularly those caused by increased globalization and diversification of our societies. It explores the underutilization of mental health resources by ethnic minority groups while highlighting some alternative treatment approaches with growing evidence bases.

Design/methodology/approach

Using a literature review and comparative analysis of relevant studies, the author makes a case for increased adoption of alternative therapies; citing the evidence base for the most promising treatments which include exercise therapy, mindfulness-based therapies, yoga for depression and spirituality-based therapies. It further compares the efficacy and advantages of these therapies with common mainstream therapies.

Findings

In comparison, some alternative treatment modules are just as effective, if not better than traditional, mainstream therapies for certain ailments. In conclusion, the paper calls for increased research on the efficacy of alternative therapies; and beckons service providers to explore the potential for these therapies to bridge the gap in treatment towards a more inclusive and client-centered mental health care.

Originality/value

The author provides a plethora of thought-provoking ideas in this article. For instance, he tendered a different outlook on barriers to treatment by differentiating between accessibility challenges versus underutilization. He also highlights the critical impact of Eurocentrism as a contributor to barriers to treatment utilization.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 1 August 2024

Ryan M. Carrick, Taylor Brinkley, Cheyenne Harvey, Ashtin Johnson, Taylor Penney, Tanner Kate Sauls and Pamalyn J. Kearney

Due to the projected increase in the older adult population, occupational therapy providers will have an increasing role in supporting health outcomes for older adults in the…

Abstract

Purpose

Due to the projected increase in the older adult population, occupational therapy providers will have an increasing role in supporting health outcomes for older adults in the coming years. The purpose of this systematic review was to determine the effectiveness of occupational interventions to promote home safety in older adults.

Design/methodology/approach

This systematic review followed the Preferred Reporting Items of Systematic reviews (PRISMA) guidelines. Articles were double screened by separate researchers, then exported and managed in EndNote. The Risk of Bias Table determined certainty of evidence for themes.

Findings

Three main preliminary themes were identified from the 17 included articles. Themes include multimodal interventions (n= 6), exercise interventions (n= 9) and home modifications (n = 2). None of the articles explicitly defined home safety, but distal outcomes related to safety included: increased strength, balance improvement and functional mobility.

Research limitations/implications

Importantly, an absent consensus for a definition of home safety limits the results of this systematic review while at the same time providing opportunity for future research.

Practical implications

Exercise combined with nutrition provided the strongest intervention evidence for physical functionality. Additionally, home modifications alone may be insufficient to result in improved home safety.

Social implications

An occupational therapy’s (OT) holistic approach benefits older adults through evidenced-based interventions improving home safety, independence in functional tasks and overall quality of life.

Originality/value

Findings provide clinicians with information on the effectiveness of interventions within the scope of OT that can be implemented within the home to promote home safety.

Details

Quality in Ageing and Older Adults, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1471-7794

Keywords

Article
Publication date: 3 September 2024

Jonathan Tolcher, Ian Lambie, Kahn Tasker and Tamara Loverich

Adolescents with harmful sexual behaviors (AHSB) who drop out of treatment are more likely to continue offending than are those who complete treatment; therefore, it is important…

Abstract

Purpose

Adolescents with harmful sexual behaviors (AHSB) who drop out of treatment are more likely to continue offending than are those who complete treatment; therefore, it is important to identify factors that heighten the risk of dropout, so they can be detected early. The purpose of this paper is to present the predictors of treatment dropout derived from a community sample of AHSB in New Zealand.

Design/methodology/approach

Pretreatment data on 100 males (aged 12–16) in community-based treatment for harmful sexual behavior were analyzed. Data on 50 adolescents who dropped out were matched by age and ethnicity to 50 adolescents who completed treatment. Pretreatment variables were identified using the Estimate of Risk of Adolescent Sexual Offence Recidivism. The degree to which these variables influenced treatment dropout was tested using logistic regression.

Findings

Compared to those who completed treatment, adolescents who dropped out were more likely to have a prior history of personal victimization, to deny or minimize their behavior, to have been mandated to attend treatment and to have engaged in noncontact offences.

Practical implications

Screening for a prior history of personal victimization, denial or minimization, mandated treatment and noncontact offences may facilitate the prediction of dropout risk more confidently. Addressing these pretreatment risk variables has the potential to improve treatment completion rates.

Originality/value

To the best of the authors’ knowledge, this paper is the first to highlight treatment dropout predictors in a New Zealand community sample.

Details

The Journal of Forensic Practice, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2050-8794

Keywords

Abstract

Purpose

This systematic review (SR) aims to evaluate and summarize the effectiveness of using eye movement desensitization and reprocessing (EMDR) intervention among individuals diagnosed with post-traumatic stress disorder (PTSD), as well as to highlight the standardized EMDR-based interventional protocol.

Design/methodology/approach

This SR is guided according to preferred reporting items for SRs and meta-analyses standards. Several online databases were used in searching for eligible studies in peer-reviewed journals relevant to the study keywords. The included studies were SRs and clinical trials that used EMDR interventions among patients experiencing PTSD symptoms, older than 18 years and were published in English language from 2015 to 2022. Three researchers independently contributed to study selections, data extraction and study evaluations from different aspects, including quality assessment, risk of bias and study synthesis.

Findings

A total of eight published studies met the inclusion criteria and were included in this SR; four articles were randomized controlled trials and four were SR and meta-analysis studies. In all included studies, the EMDR was used as a primary psychotherapy intervention for PTSD symptoms. The results of this extensive and comprehensive review showed that EMDR is an effective psychotherapeutic intervention to reduce and control the severity of symptoms among individuals with PTSD.

Research limitations/implications

It is important to acknowledge several limitations inherent in this study. First and foremost, it is noteworthy to mention that only studies conducted in the English language were included in this review, potentially restricting the overall scope and diversity of the findings. Furthermore, the number of studies incorporated into this review was limited, which may have implications for the comprehensiveness and generalizability of the results. Finally, it is worth noting that certain studies within this review had a relatively small sample size, which could potentially limit the statistical power and precision of the conclusions drawn.

Practical implications

This paper, a review of the literature, gives an overview of EMDR effectiveness, provides baseline information and plays a significant role in decreasing the gap in Jordanian literature regarding using EMDR as the strongest evident psychotherapy approach for PTSD treatment to help psychiatrists, psychologists and psychiatric nurses in the health-care sectors to design comprehensive strategies to enhance and improve the quality of health care and patients’ status.

Social implications

EMDR intervention offers significant alternative treatment opportunities for individuals suffering from PTSD, depression and anxiety. The implementation of EMDR for depression, anxiety and PTSD improves patient outcomes as compared to standard therapeutic modalities in PTSD.

Originality/value

This SR gives an overview and explains strong supportive evidence for the effectiveness of EMDR interventions among individuals with PTSD. Therefore, EMDR therapy could be assumed as one standard treatment option for PTSD, aiming at reducing treatment duration and cost of treatment and restoring the mental well-being and functionality of those suffering from PTSD.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

1 – 10 of 321