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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. 28 no. 6
Type: Research Article
ISSN: 2042-8308

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. 28 no. 6
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 10 June 2024

Mo’tasem M. Aldaieflih, Rabia H. Haddad and Ayman M. Hamdan-Mansour

This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among…

Abstract

Purpose

This study aims to examine the predictive power of childhood adversity and severity of positive symptoms on suicidality, controlling for selected sociodemographics factors, among hospitalized patients diagnosed with schizophrenia in Jordan.

Design/methodology/approach

This study used a descriptive-explorative design. The study was conducted at two major psychiatric hospitals in Jordan. The targeted sample was 66 patients diagnosed with schizophrenia. Data was collected using a structured format in the period February–April 2024.

Findings

A two-step multiple hierarchical regression analysis was conducted. In the first model, childhood adversity and the severity of positive symptoms were entered. In the second model, sociodemographic variables were entered. The analysis revealed that the first model (F = 5.35, p = 0.007) was statistically significant. The second model (F = 717, p < 0.001) was statistically significant. Furthermore, the analysis revealed that childhood adversity was not a significant predictor for suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality. The analysis revealed that childhood adversity was not a significant predictor of suicidality. However, positive symptoms and patients’ demographics (age, number of hospitalizations and length of being diagnosed with schizophrenia) were significant predictors of suicidality.

Research limitations/implications

One limitation of this study is related to the sample and the setting where there were only 66 patients recruited from governmental hospitals within inpatient wards. Thus, the upcoming studies should include more participants from private hospitals and different hospital settings including outpatient and emergency departments.

Practical implications

The research provides empirical insights that positive symptoms, age hospitalization and schizophrenia diagnosis length were significant predictors of suicidality. At the same time, childhood adversity was not a significant predictor of suicidality.

Social implications

The current research contributes to expanding mental health studies. Moreover, this study enlarges the body of knowledge in the academic world and clinical settings. It supports the disciplines of psychology, mental health and social sciences by increasing knowledge of the complicated relationships among childhood adversity, positive symptoms and suicidality.

Originality/value

This paper fulfills an identified need to study childhood adversity with comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health covariates.

Details

Mental Health and Social Inclusion, vol. 28 no. 6
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 28 November 2019

Wafaa H. Shafee

This study aims to identify the challenges of Muslim women in terms of their dress code in Western society by including their clothing needs in the strategies of the fashion…

Abstract

Purpose

This study aims to identify the challenges of Muslim women in terms of their dress code in Western society by including their clothing needs in the strategies of the fashion industry and marketing. The study focuses on wardrobe choices that have helped overcome these challenges and facilitated Muslim women’s integration into western society.

Design/methodology/approach

Descriptive statistics were used in this study through a questionnaire that was distributed among 265 randomly selected Muslim women in London, UK. The results have been presented in charts showing the percentages and frequencies of the different behaviors and challenges that were faced by Muslim women in the west.

Findings

The majority of the study sample preferred to use a variety of modern fashion trends from global brands to integrate with the community. The essential criteria for the Muslim women’s clothing choices include head hair cover and conservative full-length clothes that are non-transparent that cover the neck and chest area.

Originality/value

A study has investigated the clothing needs and behaviors of Muslim women in the west for their community integration. It analyzed the results and linked them with the role and contributions of designers, producers and fashion marketers in accepting the western society of Muslims and their integration with its members.

Details

Journal of Islamic Marketing, vol. 11 no. 5
Type: Research Article
ISSN: 1759-0833

Keywords

Article
Publication date: 25 January 2023

Ben-Atar Ella, Ben-Asher Smadar and Druker Shitrit Shirley

Online violence has been rampant in the past decade, intensifying the victims’ suffering owing to its rapid dissemination to vast audiences. This study aims to focus on online…

Abstract

Purpose

Online violence has been rampant in the past decade, intensifying the victims’ suffering owing to its rapid dissemination to vast audiences. This study aims to focus on online gender-based violence directed against young Bedouin women who have left their male-dominated home territory for academic studies. This study examined how the backlash against these students, intended to stop changes in traditional gender roles, is reflected in offensive TikTok videos.

Design/methodology/approach

This research is based on a qualitative-thematic analysis of 77 questionnaires and 30 semistructured in-depth interviews with first-year female Bedouin students aged 18–21 years.

Findings

The backlash was widespread, with young Bedouin men using offensive videos as “proof” that women have violated codes of honor and morality. The videos exhibited four types of gender-based violence: claims of immoral behavior, aggressive captions that take the footage out of context, allegations of immodest clothing and digital photo editing that produced fabricated results. Examining participants' reactions to the videos, this study revealed two patterns of response: passive acceptance of the situation and an active approach that included reaching out to powerful Bedouin men for solutions.

Originality/value

This research enriches the literature on online gender-based violence, particularly against women in traditional societies, and suggests practical steps: developing online media literacy in traditional societies, adopting a proactive approach and nurturing social self-competence in women who have been victims of online gender-based violence.

Details

Journal of Information, Communication and Ethics in Society, vol. 21 no. 1
Type: Research Article
ISSN: 1477-996X

Keywords

Open Access

Abstract

Details

Learning and Teaching in Higher Education: Gulf Perspectives, vol. 9 no. 1
Type: Research Article
ISSN: 2077-5504

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