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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: 15 December 2023

Inas Saleh Said and Vijay Vyas

The objective of this study is to understand how Arab entrepreneurs in Israel redress the disadvantage of the intersectionality of place and race by setting up their businesses in…

Abstract

Purpose

The objective of this study is to understand how Arab entrepreneurs in Israel redress the disadvantage of the intersectionality of place and race by setting up their businesses in markets beyond their ethnic enclaves as well as by pursuing opportunity entrepreneurship and the role human values play in this process.

Design/methodology/approach

Using the portrait value questionnaire, a survey of Arab entrepreneurs in Israel was conducted. Multiple linear regressions were run to generate the findings.

Findings

The authors find that educated and non-conforming Arab men in Israel, driven by stimulation and universalism, successfully neutralise the intersectional disadvantage of place and race through entrepreneurship.

Research limitations/implications

Care is advised in the generalisation of findings of this research to other intersectional communities as they emerge from the unique context of Arab entrepreneurs in Israel.

Practical implications

Education, stimulation and universalism facilitate entrepreneurial success beyond Arab ethnic enclaves whereas conformity suppresses it.

Social implications

With the right attributes and values, marginalised individuals can emerge from the disadvantage of the intersectionality of place and race.

Originality/value

The study advances the intersectionality discourse from “what it is” and “what it does” to “what can be done about it”. It identifies the attributes and values that help Arab entrepreneurs in Israel to remedy their intersectional disadvantage.

Details

International Journal of Entrepreneurial Behavior & Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1355-2554

Keywords

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