1,750 results on '"Psychological interventions"'
Search Results
2. Effects of psychological interventions on clinical outcomes in patients with cardiovascular diseases: A systematic review and meta-analysis
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Nie, Yangfan, Wang, Naijuan, Chi, Meixuan, Li, Anan, Ji, Siying, Zhu, Zhaoying, Li, Shan, and Hou, Yunying
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- 2024
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3. Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study.
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Nordby, Emilie S., Schønning, Viktor, Barnes, Alice, Denyer, Hayley, Kuntsi, Jonna, Lundervold, Astri J., and Guribye, Frode
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PSYCHOTHERAPY , *COGNITIVE psychology , *DEVELOPMENTAL psychology , *MEDICAL sciences , *OPERANT behavior - Abstract
Background: Emotion dysregulation commonly co-occurs with attention-deficit hyperactivity disorder (ADHD), leading to a range of negative outcomes. While psychological interventions have shown promise in bringing about positive changes in emotional and cognitive domains, there is still limited knowledge on the subjective experiences of change among the participants in these interventions. Aim: The present study explores the experiences of adults with ADHD who had participated in a blended digital and face-to-face intervention aimed at improving emotion dysregulation. The study focuses on understanding their experiences of change and identifying contributors to change. Methods: A total of 9 adults with ADHD participated in individual semi-structured, in-depth interviews following their participation in the intervention. The interviews were analyzed using thematic analysis. Results: The thematic analysis resulted in three core themes. The first theme, 'perceiving change', represents changes that the participants experienced, with four subthemes: 1a) being in control, 1b) feeling aware, 1c) accepting oneself and one's emotions and 1d) gaining insight and knowledge. The second theme, 'supporting change', captures factors that supported the participants' changes, with five subthemes: 2a) acquiring skills, 2b) being in it together, 2c) therapist guidance, 2d) finding motivation 2e) putting it into practice. Lastly, the third theme, 'sustaining change', includes aspects important to maintain change, with two subthemes: 3a) working consistently and 3b) giving it time. Conclusions: The findings show that the participants experienced various changes related to the management of their emotions following their participation in the intervention. Change was perceived as a multifaceted process, supported by internal factors such as motivation and engagement, along with external factors such as support from the other group members and the therapists. Taken together, the findings from the study could be important to the development of psychological interventions for adults with ADHD and may provide valuable knowledge to clinicians and policymakers. Trial registration: Registered on 21st November 2022 at ClinicalTrials.gov. ClinicalTrials.gov ID: NCT05644028. [ABSTRACT FROM AUTHOR]
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- 2025
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4. The Role of Sustainable Social Work in Pro-Environmental Behaviors: A Mediation and Moderation Model.
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Ghorbanzadeh, Davood, Varma, Pooja, Kaur, Gaganpreet, Jagawat, Tushar, Kholikov, Azam, and Prasad, Kdv
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PurposeMaterials and methodsResultsDiscussionThis study seeks to investigate the effectiveness of psychological interventions in promoting pro-environmental behaviors by fostering resilience and self-efficacy in Iranian youth. Additionally, based on social cognitive theory, the research examines the role of sustainable youth social work in moderating these relationships.A cross-sectional design was employed to collect data via a survey from 384 Iranian participants, using validated scales. Structural equation modeling was utilized to examine the relationships among the variables.The results demonstrate a notable and substantial impact of psychological interventions on pro-environmental behaviors. Additionally, the findings indicate the mediating role of resilience and self-efficacy in the relationships between psychological interventions and pro-environmental behaviors. Ultimately, sustainable youth social work has emerged as significant moderators, enhancing the impact of psychological interventions on pro-environmental behaviors.The findings from this study carry significant implications for the design and execution of psychological strategies focused on changing environmental behaviors. The study underscores the importance of psychological factors in shaping environmental behavior, thereby enhancing the overall understanding of sustainable behavior development in youth. [ABSTRACT FROM AUTHOR]
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- 2025
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5. Understanding Patients’ Perspectives of the Life Minus Violence-Enhanced Program Prior to Program Participation.
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Sondhu, Monique K., Maharaj, Natasha, Simsion, Daniel D., Loft, Niki, Dunne, Ashley L., and Daffern, Michael
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PSYCHOTHERAPY , *PSYCHIATRIC hospitals , *THEMATIC analysis , *MENTAL health , *PEOPLE with mental illness - Abstract
Offending behavior programs are an important aspect of patients’ recovery in forensic mental health hospitals. Little research has explored patients’ perspectives of offending behavior programs prior to participation to understand their expectations, which may subsequently impact their engagement. The aim of this study was to explore patients’ perspectives of Life Minus Violence-Enhanced (LMV-E) prior to program commencement. Individual interviews were conducted with 10 patients of a forensic mental health hospital, and data were analyzed using reflexive thematic analysis. Results revealed that most participants believed that completing the program would help them progress through the hospital. They described worries they had about the group, related to characteristics of facilitators and confidentiality, and what they hoped from the group. Overall, findings suggest the importance of exploring with patients’ their concerns and hopes prior to their participation in offending behavior programs. This may reduce barriers to engagement and enhance program outcomes. [ABSTRACT FROM AUTHOR]
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- 2025
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6. Efficacy of internet-based cognitive behavioral and interpersonal treatment for depression in Arabic speaking countries: A randomized controlled trial.
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El-Haj-Mohamad, Rayan, Stein, Jana, Stammel, Nadine, Nesterko, Yuriy, Wagner, Birgit, Böttche, Maria, and Knaevelsrud, Christine
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MENTAL health services , *PSYCHOTHERAPY , *PATIENT satisfaction , *MENTAL depression , *RANDOMIZED controlled trials - Abstract
Politically and economically unstable contexts have been associated with increased prevalence rates of depression. Despite high demand, the availability of mental health experts and care systems is limited in Arabic-speaking countries. Internet-based interventions might provide an opportunity to treat patients independently of location. Therefore, we investigated the efficacy of internet-based cognitive behavioral treatment (iCBT) and interpersonal treatment (iIPT) for depression in Arabic-speaking countries. In total, 743 Arabic-speaking adults with depression were randomly allocated to iCBT (n = 243), iIPT (n = 247), or waitlist (n = 253). Depressive, anxiety, and somatoform symptoms, perceived social support and quality of life (QoL) were assessed at pre-, and post-treatment and at three months follow-up. Multiple imputation was performed for missing data. Changes associated with treatment were analyzed using regression in the completer and intention-to-treat sample. Participants in both treatment groups showed lower depressive and anxiety symptom severity, higher QoL, and perceived social support compared to the waitlist group (p <.001). Somatoform symptom severity was significantly lower in participants receiving iIPT compared to waitlist (p <.001). Differences between the two treatments in all outcomes were non-significant (p >.05). Three-month follow-up treatment effects regarding depressive symptoms were indicated. The sample mainly consists of educated, single, female adults. Three-month follow-up results rely on a small subsample and must be interpreted with caution. This is the first randomized controlled trial to demonstrate the efficacy of iCBT and iIPT for depression in Arabic-speaking countries. It provides first indications that internet-based interventions might help specific individuals in this region. • Internet.based interventions seem to be effective in reducing depressive symptoms for people in Arabic-speaking countries. • Internet-based cognitive behavioral and interpersonal treatment seems to be equally effective in reducing depressive symptoms. • Both internet-based interventions, designed for people with depression, increase QoL and perceived social support from different sources. • Dropout rates in both interventions are similarly high. • Overall treatment satisfaction was high. [ABSTRACT FROM AUTHOR]
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- 2025
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7. Psychological Coaching for Performing Artists: Perceptions of and Reflections on Finding Ways to Manage Performance Anxiety.
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Lubert, Veronika J., Nordin-Bates, Sanna M., and Ginsborg, Jane
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PSYCHOTHERAPY ,PERFORMANCE anxiety ,ENTERTAINERS ,PERFORMANCE artists ,SELF-consciousness (Awareness) - Abstract
Performance anxiety is a major issue for performing artists. This qualitative paper extends our recent mixed-methods collective case study showing the beneficial effects of psychological interventions for managing performance anxiety, tailored in individual coaching settings. Here, we report on participants' experiences of being coached, their understanding of how and why the interventions were effective, and the researcher-coach's experiences. Ten performing artists received five individual coaching sessions and were interviewed about their experiences pre- and post-intervention. A qualitative synthesis of transcripts of sessions and interviews, and of the coach's field notes and journal entries, was conducted. Findings suggest that change mechanisms have to be understood in the context of participants' enhanced self-awareness during coaching, and the process of co-creating solutions and building a coaching relationship through mutual understanding and appreciation. While disentangling mechanisms and effects may not always be possible, we discuss useful strategies in coaching performing artists to manage performance anxiety. [ABSTRACT FROM AUTHOR]
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- 2025
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8. Gender-Neutral Pathways to Positive Behavior: Investigating the Role of Self-Actualisation and Academic Achievement in Secondary Education.
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Nasir Zakaria, Gamal Abdul, Yusmaliana, Desfa, Abdullah, Zaimah Hj, Abubakari, Mussa Saidi, Narongrakshakhet, Ibrahem, and Amonov, Barot
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PSYCHOTHERAPY ,SEX discrimination ,SELF-actualization (Psychology) ,ACADEMIC achievement ,MATURATION (Psychology) - Abstract
Self-actualisation and positive behaviour play a principal role in life, especially among students, enabling them to overcome challenges. This study aimed to explore the comparison of self-actualisation between genders and the relationship between self-actualisation scores and academic achievement in producing positive behaviour. A total of 259 secondary-level students, comprising 125 males and 134 females, participated in this quantitative study. Questionnaires were distributed to collect data, and correlation and t-test analyses were conducted. The findings indicated that there was no significant difference in self-actualisation between genders and academic achievement in producing positive behaviour. This indicates that the self-development programs and psychological interventions in schools are important for creating an environment that supports personal growth without gender bias. Similarly, the lack of a significant difference between academic achievement and self-actualization suggests that academic factors are not the only ones influencing students' positive behavior. Instead, other elements, such as emotional support, social involvement, and extracurricular experiences, may play a greater role in shaping students' behavior. [ABSTRACT FROM AUTHOR]
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- 2025
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9. Psychological therapy for the prevention of suicide in prison: study protocol for a randomised controlled trial.
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Pratt, Daniel, Kirkpatrick, Tim, Awenat, Yvonne, Hendricks, Caroline, Perry, Amanda, Carter, Leslie-Anne, Crook, Rebecca, Duxbury, Paula, Lennox, Charlotte, Knowles, Sarah, Brooks, Helen, Davies, Linda, Shields, Gemma, Honeywell, David, Appleby, Louis, Gooding, Patricia, Edge, Dawn, Emsley, Richard, Shaw, Jenny, and Haddock, Gillian
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PSYCHOTHERAPY , *SUICIDE prevention , *SUICIDE risk factors , *COGNITIVE therapy , *SUICIDAL ideation - Abstract
Background: Suicide is the leading cause of preventable death in prisons. Deaths from suicide in prison are significantly, and persistently, elevated compared to those living in the community. Psychological therapies have been shown to be a potentially effective means of alleviating suicidal thoughts, plans and behaviours, but patients located in prison often have no access to evidence-based psychological interventions targeting suicide. The objectives of this programme of research are to investigate the clinical and cost effectiveness of a new psychological therapy programme delivered to male prisoners at risk of suicide. Methods: The PROSPECT trial is a two-armed single blind, pragmatic, randomised controlled trial and will recruit a target sample size of 360 male prisoners, identified as at-risk of suicide, across 4 prisons in the North of England. Participants will be randomised to receive a psychological talking therapy (Cognitive Behavioural Suicide Prevention, CBSP) plus treatment as usual, or treatment as usual alone. Co-primary outcomes (Suicide Ideation and Suicide Behaviours), as well as related secondary outcomes, will be assessed at baseline and at 6-months follow-up. An intention to treat analysis will be conducted with primary stratification based on prison site and lifetime history of suicide attempt (yes/no). A nested qualitative process evaluation will investigate the nature and context in which the intervention is delivered, with specific focus upon the facilitators and barriers to the implementation of the therapy within prisons. Discussion: The key outputs from this trial will be to determine whether a psychological therapy for suicidal prisoners is clinically and cost effective; and to generate a project implementation platform that identifies how best to implement the new intervention across the broader prison estate. Trial registration: ISRCTN (reference ISRCTN14056534 https://www.isrctn.com/ISRCTN14056534; 24th September 2021). Registration confirmed prior to participant recruitment commencing. Modifications to protocol are listed on the study website at ISRCTN. [ABSTRACT FROM AUTHOR]
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- 2024
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10. What psychological interventions are effective for individuals with prolonged post-concussion symptoms of at least 12 months following mild traumatic brain injury? A systematic review.
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Smith, Adele, King, Nigel S., Carrigan, Neil, and Reed, Natasha
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CINAHL database , *PSYCHOTHERAPY , *BEHAVIOR therapy , *BRAIN injuries , *COGNITIVE therapy - Abstract
For some, post-concussion symptoms following a mild traumatic brain injury (mTBI) are prolonged in nature, lasting for a minimum of 12 months and up to many years. There remains limited insight into the effectiveness of psychological interventions for the treatment of prolonged post-concussion symptoms (PrPCS). This systematic review aimed to evaluate the effectiveness of psychological interventions for PrPCS (>12 months post mTBI). A search was performed across five databases (PsychINFO, Medline, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), & PubMed). Two independent researchers assessed the studies against pre-defined eligibility criteria and completed quality appraisals. Ten studies were included in the review and underwent narrative synthesis. Four psychological interventions for PrPCS were found (i.e., Cognitive Behavioural Therapy (CBT), Neurofeedback Therapy, Psychoeducation, & Mindfulness-based therapy). Emerging empirical data tends to support the assertion that psychological interventions can improve PrPCS and quality of life. CBT appears to have the strongest evidence base to date and to be the most effective in improving anxiety, anger, and overall mental well-being. However, the evidence base is still very much in its infancy and requires research with more robust methodological designs to be conducted before any conclusions can be reliably asserted. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Evaluation of outcomes of psychological interventions in terminally ill family caregivers: a brief overview.
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Rezaei, Masoud, Keyvanloo Shahrestanaki, Sahar, Sheikh Milani, Arezoo, Neishabouri, Masoumeh, Khaleghparast, Shiva, and Rajabi, Mohammad Reza
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PSYCHOTHERAPY , *CAREGIVERS , *REMINISCENCE therapy , *BURDEN of care , *PSYCHOLOGICAL factors , *SERVICES for caregivers - Abstract
Background: Family caregivers play a crucial role in supporting patients with incurable diseases, but often experience significant stress and anxiety. This study aimed to investigate the impact of psychological interventions on family caregivers, with a focus on reducing the burden of care, improving mental health and quality of life, and promoting family communication. Method: This study conducted a brief overview of quantitative and qualitative research on assessing the impact of psychological interventions on family caregivers. A comprehensive literature search was conducted in PUBMED, SCOPUS, EMBASE, SCIENCE DIRECT and WEB OF SCIENCE to identify relevant papers, resulting in 20 articles being included. The included studies focused on evaluating the outcomes of psychological interventions on family caregivers. Result: Ultimately, 20 relevant articles were retrieved from a pool of 500 articles, focusing on the evaluation of the primary outcomes of psychological interventions on family caregivers. The review of 20 articles revealed that interventions such as expressive writing and reminiscence therapy had a positive and significant impact on reducing the burden of care and fostering a positive care environment. Additionally, these interventions were found to be effective in improving self-esteem, family communication, and overall wellbeing. Conclusion: The study emphasizes the need for further research to confirm the benefits of these interventions and their role in promoting family resilience. These findings highlight the potential of psychological interventions in alleviating the challenges faced by family caregivers of patients with incurable diseases. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Integration of psychological interventions in multi-sectoral humanitarian programmes: a systematic review.
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Ndlovu, Jacqueline N., Lind, Jonna, Patlán, Andrés Barrera, Upadhaya, Nawaraj, Leku, Marx R., Akellot, Josephine, Skovdal, Morten, Augustinavicius, Jura L., and Tol, Wietse A.
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Background: Every year, millions of people are affected by humanitarian crises. With a growing population of people affected, the need for coordination and integration of services aiming to improve the effectiveness of mental health and psychosocial support also grows. In this study, we examine how psychological interventions in humanitarian settings globally have been implemented through integration into programming outside of formal healthcare delivery through multisectoral integration. Methods: A comprehensive search of six databases and reference checking was undertaken in 2022. We included studies focusing on implementation strategies and implementation outcomes of multi-sectoral, integrated psychological interventions, with no year limits. We extracted data using the software Covidence, and used the software to manage screening and reviewing processes. All studies were critically appraised for quality and rigor using the mixed-methods appraisal tool. Results: Eight studies were included in total. We found that interventions targeted conflict affected, displaced and disaster recovering populations. The interventions demonstrated moderate success in reducing psychological distress and enhancing disaster preparedness. We found that key implementation outcomes investigated and prioritised include acceptability, feasibility, and relevance. The studies reported on integration processes that involved task shifting primarily, with an emphasis on different formats of adaptation, partnership creation and capacity development to maximise effectiveness of integrated interventions. Conclusion: Overall, there is little research being done to rigorously document the processes and experiences of integrating psychological interventions with non-health interventions. This could be an indication that, while multisectoral integration may be more common in practice, little research is being done or reported in this area formally. There is an urgent need for further research into integrated multi-sectoral interventions. This research should aim to understand how social, cultural, and environmental contexts in different ways, and to different degrees, affect what is acceptable and feasible to deliver and how these ultimately influence the impact of integrated interventions. [ABSTRACT FROM AUTHOR]
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- 2024
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13. The relationship between psychological stress and ovulatory disorders and its molecular mechanisms: a narrative review.
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Han, Yichen and Lin, Xiaona
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PSYCHOTHERAPY , *OVARIAN reserve , *PSYCHOLOGICAL stress , *COGNITIVE therapy , *PSYCHOLOGICAL factors - Abstract
This narrative review explores the relationship between psychological stress and ovulatory disorders, focusing on the molecular mechanisms involved. Ovulation is regulated by the hypothalamus-pituitary-ovarian (HPO) axis, and disruptions in this axis can lead to ovulatory dysfunction. Chronic psychological stress affects the HPO axis, resulting in abnormalities in hypothalamus hormone secretion, pituitary hormone release, and ovarian function. These disruptions cause ovulation disorders and menstrual irregularities. The mechanisms by which psychological stress affects ovulation involve alterations in neuropeptides and hormones, activation of the hypothalamic-pituitary-adrenal (HPA) axis, impairment of follicular development, generation of oxidative stress, and the decline in ovarian reserve function. Understanding these mechanisms is crucial for developing interventions to restore reproductive health. Psychological interventions, such as cognitive-behavioral therapy, have shown promise in improving ovulation and pregnancy rates in women with ovulatory disorders. Further research is needed to explore the specific mechanisms of these interventions and optimize treatment strategies. Addressing psychological factors is essential in managing reproductive health and ovulatory disorders. [ABSTRACT FROM AUTHOR]
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- 2024
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14. An integrated approach to the treatment of Rheumatic diseases: the role of psychological interventions.
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Bekarissova, Sholpan, Bekarisov, Olzhas, and Bekaryssova, Dana
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ACCEPTANCE & commitment therapy , *PSYCHOTHERAPY , *COGNITIVE therapy , *MEDICAL sciences , *COGNITIVE psychology - Abstract
Rheumatic diseases are chronic conditions that often result in significant physical and psychological challenges, reducing patients' quality of life and increasing the economic burden on healthcare systems. This study examines the vital role of psychological interventions in the comprehensive treatment of rheumatic diseases. The findings reveal a high prevalence of psycho-emotional disorders such as depression, anxiety, and stress among these patients, which can worsen disease progression and hinder treatment adherence. The review highlights the bidirectional relationship between the central nervous and immune systems, showing how psychological stress influences the pathophysiology of inflammatory diseases. Various psychological interventions are explored, including mind-body therapies, cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based practices such as meditation, yoga, and tai chi. These approaches improve emotional well-being, help reduce pain, and enhance overall quality of life. The article emphasizes a holistic treatment model incorporating pharmacological care, physical rehabilitation, and psychological support. This integrated approach fosters more effective management of rheumatic diseases by addressing their complex nature and promoting better functional outcomes. The study advocates for the seamless incorporation of psychological support into routine clinical practice tailored to the biopsychosocial profile of each patient. Future research should focus on identifying the most effective psychological interventions for different patient groups to enhance the quality of life for individuals with rheumatic diseases. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Responding to Trauma: A Critical Review of Mental Health and Psychosocial Interventions for Refugee Women.
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Taknint, Joelle T., Thomas, Fiona C., Gellatly, Resham, and Ameresekere, Maithri
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Purpose of Review: This is a critical review of English language literature (January 2023—June 2024) on psychological trauma amongst forcibly displaced migrant women. The Mental Health and Psychosocial Support (MHPSS) Framework was used to organize multi-layered mental health interventions. Recent Findings: Findings indicate many promising community-based interventions, often delivered by trained lay facilitators. Interventions address: upstream drivers of mental health such as empowerment and economic security, group-based care focused on social connection and well-being, and trauma focused treatment such as Mindfulness Based Interventions, Cognitive Processing Therapy, and Culturally Adapted Cognitive Behavioral Therapy. Summary: The variety of (primarily short-term) interventions must be complemented by longitudinal evaluation. Clinicians and care systems should partner with those delivering psychosocial interventions outside of clinical settings. Continued research on the impacts of cumulative and intergenerational trauma amongst refugee women, and intervention research that centers the experiences of marginalized groups (e.g., sexual and gender minority refugees) is needed. [ABSTRACT FROM AUTHOR]
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- 2024
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16. A fibromyalgia.
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GÁBOR, SÜTŐ
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PATIENT education ,PSYCHOTHERAPY ,EXERCISE ,FIBROMYALGIA ,CENTRAL nervous system ,PAIN ,GASTROINTESTINAL diseases ,DISEASE complications - Abstract
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- 2024
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17. Psychological Interventions for Insomnia in Patients with Cancer: A Scoping Review.
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Gonzalez, Alyssa Alinda, Jimenez-Torres, Gladys Janice, Rozman de Moraes, Aline, Geng, Yimin, Pawate, Varsha, Khan, Rida, Narayanan, Santhosshi, and Yennurajalingam, Sriram
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INSOMNIA treatment , *PSYCHOTHERAPY , *MEDICAL information storage & retrieval systems , *STRESS management , *CINAHL database , *MINDFULNESS , *PSYCHOEDUCATION , *SYSTEMATIC reviews , *MEDLINE , *MIND & body therapies , *MEDICAL databases , *MEDITATION , *TUMORS , *SOCIAL support , *CANCER patient psychology , *COGNITIVE therapy , *PSYCHOLOGY information storage & retrieval systems , *RELAXATION techniques , *MUSCLE contraction , *DISEASE complications - Abstract
Simple Summary: Insomnia is prevalent in patients with cancer, with rates ranging from 30% to 60%. Addressing insomnia remains important in this population, as it can improve patient quality of life and reduce suffering. However, inconsistent methods of defining insomnia and evaluating potential interventions renders treatment difficult. Furthermore, many factors influence insomnia's presentation, requiring a specialized and individualized approach to its management for each patient. This review sought to use thorough and strict criteria to assess current psychological intervention for insomnia. To this end, we describe current psychological treatment options for insomnia, highlight gaps in the existing research, and offer suggestions for treating insomnia in patients with cancer. Background/Objectives: Insomnia is a frequent and distressing symptom with limited treatment in patients with cancer. Among the available treatments for insomnia, psychological interventions are some of the most assessed. While studies and reviews show promise of interventions improving insomnia in patients with cancer, inconsistent approaches to operationalizing and measuring insomnia combined with the heterogeneity of available treatments render comparisons and synthetization difficult. This review sought to rigorously synthesize psychological interventions for patients with cancer and insomnia by describing current therapies, identifying gaps in the literature, and offering supportive interventions. Methods: A comprehensive search of five databases—Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, EBSCO CINAHL Plus with Full Text, and Cochrane Library—was conducted through 1 August 2024. The review included randomized trials and non-inferiority trials evaluating psychological interventions for patients with various types of cancers. Twenty-one studies were included, and study quality ranged from good to excellent, according to the PEDro scale. Results: The current evidence supports the use of cognitive behavioral therapy (CBT) to treat insomnia over and above psychoeducation alone, mindfulness-based stress reduction, Brief Behavioral Therapy, the Benson Relaxation Technique, progressive muscle relaxation, mindfulness meditation, mind-body bridging, and home-based psychological nursing. Digital, minimal, and internet-based intervention modalities are effective, though professional-delivered CBT proved most effective. Conclusions: CBT remains the most effective psychological intervention for insomnia in this population. Challenges exist regarding the implementation of CBT, so further research is warranted to identify the best psychological interventions for specific settings and subsets of patients with cancer. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Psychological interventions for social anxiety disorder in children and adolescents: A systematic review and network meta-analysis.
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Xian, Jinhua, Zhang, Yan, and Jiang, Bo
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MEDICAL personnel , *PSYCHOTHERAPY , *BEHAVIOR therapy , *CHILD psychiatry , *COGNITIVE therapy , *SOCIAL anxiety , *CHILD psychotherapy - Abstract
Social anxiety disorder (SAD) is a high-prevalence mental disorder among children and adolescents. The aim of this study is to compare and rank the effectiveness of several psychotherapies for SAD among children and adolescents. Only randomized controlled trials (RCTs) were utilized by searching PubMed, Embase, Cochrane Library, and Web of Science. We used network meta-analysis in the Bayesian framework to analyze the data. This study is registered with PROSPERO, number CRD42023476829. In total, 30 RCTs with 1547 individuals were included, and nine psychotherapies with three control conditions were compared and ranked in this study. The findings revealed that internet-delivered cognitive behavioural therapy (surface under the cumulative ranking curve [SUCRA: 71.2 %]), group cognitive behavioural therapy (SUCRA: 68.4 %), and individual cognitive behavioural therapy (SUCRA: 66.0 %) significantly reduced social anxiety symptoms; internet-delivered cognitive behavioural therapy also significantly decreased depression symptoms in these patients (SUCRA: 92.2 %). In addition, group cognitive behavioural therapy can enhance functioning in these patients (SUCRA: 89.6 %). These results suggest that internet-delivered cognitive behavioural therapy is the optimal type of psychotherapy for reducing social anxiety and depression symptoms in children and adolescents with SAD, internet-delivered parent-child interaction therapy and cognitive bias modification of interpretation have relatively poor treatment effects on social anxiety symptoms in children than other psychological interventions, and group cognitive behavioural therapy has better benefits in enhancing the functioning among children and adolescents with SAD. Further studies are needed to ascertain these results due to the limited number of included studies. • Network meta-analysis examines interventions for social anxiety disorder. • Internet-delivered CBT is an optimal psychotherapy for social anxiety disorder. • Group CBT has better benefits in enhancing the functioning. • Findings can provide recommendations for health care professionals and patients. [ABSTRACT FROM AUTHOR]
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- 2024
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19. Effectiveness of psychological interventions in endometriosis: a systematic review with meta-analysis.
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del Pino-Sedeño, Tasmania, Cabrera-Maroto, María, Abrante-Luis, Alejandra, González-Hernández, Yadira, and Ortíz Herrera, M Caridad
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PSYCHOTHERAPY ,FEMALE reproductive organ diseases ,WOMEN'S mental health ,QUALITY of life ,PELVIC pain ,KEGEL exercises - Abstract
Introduction: Endometriosis is a chronic gynecological disease associated with chronic debilitating pain, poor mental health and quality of life. The objective of this paper is to evaluate the effectiveness of psychological interventions aimed at improving the pain, quality of life and mental health of women with endometriosis. Methods: A systematic review (SR) of the literature with meta-analysis (MA) was carried out. MEDLINE, Embase, PsycINFO and CENTRAL were searched to locate Randomized Controlled Trials (RCTs). The risk of bias assessment of each study was conducted using the Cochrane Collaboration's RoB 2.0 tool. Results: Seven RCTs were included (N = 757). The data obtained suggest that psychological interventions reduce dyspareunia [standardized mean difference (SMD): -0.54, 95% CI: −0.86, −0.22] and dyschezia [mean difference (MD): -2.90, 95% CI: −4.55, −1.26] and increase mental health levels (SMD: 0.70, 95% CI: 0. 42, 0.99); they also point to a large reduction in levels of trait anxiety (MD: -6.63, 95% CI: −8.27, −4.99) and depression (MD: -2.49, 95% CI: −3.20, −1.79), and a likely reduction in state anxiety (MD: -9.72, 95% CI: −13.11, −6.33) experienced by women with endometriosis. It was also identified that psychological interventions probably slightly reduce pelvic pain and may increase physical health. However, most of the included studies have a high overall risk of bias or have certain concerns, which limit conclusions about the certainty of the evidence. Discussion: The available evidence indicates that psychological interventions are effective in improving the pain, quality of life and mental health variables of women with endometriosis. Systematic review registration: https://www.crd.york.ac.uk/prospero/, CRD42024516100. [ABSTRACT FROM AUTHOR]
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- 2024
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20. Exploring methodological approaches used in network meta‐analysis of psychological interventions: A scoping review.
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Boonpattharatthiti, Kansak, Ruenin, Garin, Kulwong, Pun, Lueawattanasakul, Jitsupa, Saechao, Chintra, Pitak, Panitan, Caldwell, Deborah M., Chaiyakunapruk, Nathorn, and Dhippayom, Teerapon
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PSYCHOTHERAPY , *EVIDENCE gaps , *GREY literature , *RANDOMIZED controlled trials , *RESEARCH personnel - Abstract
Psychological interventions are complex in nature and have been shown to benefit various clinical outcomes. Gaining insight into current practices would help identify specific aspects that need improvement to enhance the quality of network meta‐analysis (NMA) in this field. This scoping review aimed to explore methodological approaches in the NMA of psychological interventions. We searched PubMed, EMBASE, and Cochrane CENTRAL in September 2023. We included NMAs of psychological interventions of randomized controlled trials that reported clinical outcomes. Three independent researchers assessed the eligibility and extracted relevant data. The findings were presented using descriptive statistics. Of the 1827 articles identified, 187 studies were included. Prior protocol registration was reported in 130 studies (69.5%). Forty‐six studies (24.6%) attempted to search for gray literature. Ninety‐four studies (50.3%) explicitly assessed transitivity. Nearly three‐quarters (143 studies, 76.5%) classified treatment nodes by the type of psychological intervention, while 13 studies (7.0%) did so by lumping different intervention types into more broader intervention classes. Seven studies (3.7%) examined active components of the intervention using component NMA. Only three studies (1.6%) classified interventions based on factors affecting intervention practices, specifically intensity, provider, and delivery platform. Meanwhile, 29 studies (15.5%) explored the influential effects of these factors using meta‐regression, subgroup analysis, or sensitivity analysis. The certainty of evidence was assessed in 80 studies (42.8%). The methodological approach in NMAs of psychological interventions should be improved, specifically in classifying psychological interventions into treatment nodes, exploring the effects of intervention‐related factors, and assessing the certainty of evidence. [ABSTRACT FROM AUTHOR]
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- 2024
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21. Active components and mechanisms of action of psychological interventions in bipolar disorder: A systematic literature review.
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Serbetci, Duygu, Koh, Zhao Hui, Murray, Greg, and Tremain, Hailey
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PSYCHOTHERAPY , *PATIENT compliance , *BIPOLAR disorder , *DATABASES - Abstract
Objective: The efficacy of psychological interventions for bipolar disorder (BD) is well established, but much remains unknown about how change occurs. The primary objective of this exploratory study was to audit what is known about active components and mechanisms of action of psychological interventions for BD. Method: We conducted a systematic review (PROSPERO CRD42022323276). Two independent reviewers screened references from four databases and extracted data from eligible studies. Results: We included four component studies, six studies with mediation analyses and 26 studies presenting subjective experiences of how psychological interventions bring change. Ten mediators were examined across six studies, with only one putative mediator, medication adherence, tested in more than one study. Some initial support for mediation of varied outcomes by control over thoughts, positive non‐verbal behaviour, self‐esteem, post‐trauma growth and medication adherence. Some preliminary support was found in two components, human support and IPT. Studies exploring participant experiences of therapeutic change enumerated a range of potential active components, mechanisms of action and contextual factors potentially warranting investigation in future research. However, the evidence base for active components and mechanisms of action in psychological interventions for BD is unsatisfactory. Findings were inconsistent, studies homogenous with significant methodological limitations and statistical approaches failed to meet quality criteria. Conclusions: Preliminary identification of potential components and mechanisms via qualitative analyses and the insights emerging from this review will inform future research aimed at investigating how psychological interventions work in BD. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Intrusive thoughts and memories in adolescents with major depressive disorder or post‐traumatic stress disorder.
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Kralj, Aleksandra, Payne, Alexandra, Holzhauer‐Conti, Olivia, Young, Judith, and Meiser‐Stedman, Richard
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COMPETENCY assessment (Law) , *POST-traumatic stress disorder , *PSYCHOTHERAPY , *CHILD psychopathology , *INTERVIEWING , *AT-risk people , *SAMPLE size (Statistics) , *EMOTIONS , *DESCRIPTIVE statistics , *OBSESSIVE-compulsive disorder , *AUTOBIOGRAPHICAL memory , *TEENAGERS' conduct of life , *RESEARCH methodology , *COGNITIVE therapy , *COMPARATIVE studies , *MENTAL depression , *THOUGHT & thinking , *COGNITION , *PSYCHOSOCIAL factors , *ADOLESCENCE - Abstract
Objectives: Research in adults suggests that intrusive memories and intrusive thoughts (often referred to as intrusive cognitions) are common in members of the general population and are often seen in clinical disorders. However, little is known about the experience of intrusive cognitions in adolescents, particularly in adolescents with major depressive disorder (MDD) and post‐traumatic stress disorder (PTSD). The present study sought to gather fundamental data on these phenomena (i.e., frequency, characteristics and appraisals of intrusive cognitions) in adolescents with MDD and PTSD. Methods: Adolescents aged 11–18 with MDD (n = 11), PTSD (n = 13) and a non‐clinical control group (n = 25) completed structured interviews concerning their intrusive memories and thoughts. Results: Intrusive thoughts were common in all three groups but were particularly frequently experienced in the MDD group. Intrusive memories were expectedly very common in the PTSD group but also experienced by over half of the adolescents with MDD. Both clinical groups reported more negative emotions in response to their intrusive thoughts or memories and appraised these cognitions more negatively than the non‐clinical group. Conclusion: Intrusive memories and thoughts are common experiences in adolescents with MDD and PTSD. Emotions and appraisals relating to these cognitions may be targets for psychological intervention in this age group. However, small sample sizes limit the conclusions that can be drawn. Replication is needed with larger numbers of clinical participants. [ABSTRACT FROM AUTHOR]
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- 2024
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23. Conceptualizing sustainable consumption priming: A scoping review.
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Hao, Jianyu, Plangger, Kirk, and West, Douglas
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SUSTAINABLE consumption ,PRIMING (Psychology) ,CONSUMER behavior ,MARKETING strategy ,MARKETING & psychology - Abstract
While many psychological interventions encourage sustainable consumption by altering attitudes, these modified attitudes often do not result in sustainable choices leading to the need to test alternative interventions to facilitate sustainable consumption, such as priming. Priming uses stimuli that trigger nonconscious processing that influences decisions. Despite its popularity, studies that employ priming strategies in sustainable consumption research are widely dispersed across several conceptual domains. This article unpacks and summarizes different approaches to priming sustainable behavior by delineating theoretical and methodological perspectives in various contexts across diverse consumer characteristics. The method employed is a scoping review of 74 articles published over 23 years (2000–2022). The resulting review (1) provides an overview of priming in sustainable consumption, (2) highlights knowledge gaps, (3) identifies knowledge clusters, and (4) proposes a research agenda for future investigations. Primarily, this paper provides an integrated map that deconstructs how researchers have explored priming interventions to promote sustainable consumption and to enable the best, or at least, better practice. [ABSTRACT FROM AUTHOR]
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- 2024
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24. An Awareness, Courage, and Love Online Group Intervention for Chinese Older Adults in the Post-Pandemic Era: Study Protocol for a Randomised Controlled Trial.
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Chan, Stephen Cheong-Yu, Huang, Qi-Lu, Ho, Wing-Shan, Chan, Rachel, Yeung, Crystal, Wong, Serena, and Tsai, Mavis
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PREVENTION of mental depression ,ANXIETY prevention ,EVALUATION of medical care ,PSYCHIATRIC treatment ,STATISTICAL sampling ,INTERNET ,LONELINESS ,TREATMENT effectiveness ,RANDOMIZED controlled trials ,LONGITUDINAL method ,SOCIAL skills ,GROUP process ,WELL-being ,PATIENT aftercare ,OLD age - Abstract
Background. Social connections not only contribute to psychological and emotional well-being but also positively impact physical health, with social isolation and loneliness linked to early mortality and detrimental health outcomes. Objectives. This study aims to evaluate an online Awareness, Courage, and Love (ACL) group intervention designed to enhance social connectedness and subjective well-being while reducing loneliness, depression, and anxiety among older adults. Methods. This randomised controlled trial (RCT) will involve an intervention group receiving a 2 h ACL session via videoconferencing. Eligible participants selected after screening will be assigned randomly to either a treatment or waitlist-control group. Participants in both conditions will complete the assessments at three time points, including baseline, post-intervention, and one-month follow-up. Tools for assessing the concerned variables include the Inclusion of Other in the Self Scale, de Jong Gierveld Loneliness Scale, Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder 2-item (GAD-2) Scale, and World Health Organisation—Five Well-Being Index (WHO-5). Conclusions. This study will offer a robust framework for investigating the impact of the online ACL intervention on loneliness and social connectedness among Chinese older adults. The result of this study will reach theoretical, empirical, practical, and teaching significance on mental health care strategies for Chinese older adults. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Substance Use Within Trials of Psychological Interventions for Psychosis: Sample Inclusion, Secondary Measures, and Intervention Effectiveness.
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Halsall, Lauren, Ushakova, Anastasia, Jones, Steven, Chowdhury, Samin, and Goodwin, Laura
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ALCOHOLISM treatment ,SUBSTANCE abuse treatment ,PSYCHOTHERAPY ,MEDICAL information storage & retrieval systems ,DUAL diagnosis ,TREATMENT effectiveness ,PSYCHOEDUCATION ,SYSTEMATIC reviews ,MEDLINE ,MEDICAL databases ,PSYCHOSES ,COGNITIVE therapy ,PSYCHOLOGY information storage & retrieval systems - Abstract
Introduction Current clinical guidelines recommend that patients with co-occurring psychosis and alcohol or substance use disorders (A/SUD) receive evidenced-based treatment for both disorders, including psychological intervention for psychosis. However, the efficacy of such treatments for individuals with co-occurring psychosis and A/SUD is unclear. Study Design Randomized controlled trials (RCTs) of psychological interventions for psychosis were systematically reviewed, to investigate how alcohol and substance use has been accounted for across sample inclusion and secondary measures. Findings from trials including individuals with co-occurring alcohol or substance use issues were then narratively summarized using the Synthesis Without Meta-Analysis guidelines, to indicate the overall efficacy of psychological interventions for psychosis, for this comorbid population. Study Results Across the 131 trials identified, 60.3% of trials excluded individuals with alcohol or substance use issues. Additionally, only 6.1% measured alcohol or substance use at baseline, while only 2.3% measured alcohol or substance use as a secondary outcome. Across trials explicitly including individuals with alcohol or substance use issues, insufficient evidence was available to conclude the efficacy of any individual psychological intervention. However, preliminary findings suggest that psychoeducation (PE) and metacognitive therapy (MCT) may be proposed for further investigation. Conclusion Overall, co-occurring alcohol and substance use issues have been largely neglected across the recent RCTs of psychological interventions for psychosis; highlighting the challenges of making treatment decisions for these individuals using the current evidence base. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Effectiveness of cognitive behavior therapy-based eclectic approach in treating suicidal thoughts and behaviors across psychiatric diagnoses
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Sampurna Chakraborty, Diya Chatterjee, and Susmita Halder
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psychiatric disorders ,psychological interventions ,suicidal behavior ,suicidal ideation ,suicide ,Psychiatry ,RC435-571 - Abstract
Mental illness is a risk factor for suicide; however, evidence suggests that treating suicidal ideation as a secondary phenomenon when focusing on the primary mental illness may result in poorer treatment outcomes. Different psychotherapy modalities have been found effective in reducing suicidal risk when it has been tailored to focus on suicidal cognitions and behaviors separate from the management of the psychiatric complaints. The current study focuses on thirteen cases with a diverse spectrum of psychiatric disorders and a wide age range with unique individual suicidal cognitions’ and behaviors’ presentations. The intervention was systematically used to target the suicidal cognitions specifically for better treatment outcomes. Patients reported high suicidal ideation, measured on the Beck Scale for Suicide Ideation (BSS) and special score index of Suicide Constellation (S-CON) on The Rorschach – A Comprehensive System by John E. Exner. Intervention on the patients focused on identifying perceived unsolvable problems and tailoring the therapy as per their suicidal ideation, emotional pain, and problem-solving skills and deficits. Individually tailored therapy was found to reduce suicidal ideation on postintervention BSS scores and the S-CON index for most patients. The findings of the case series may help understand the need for identifying the individual factors and motivating components of suicidal ideation and thereafter how conceptualizing and modifying and tailoring therapeutic techniques accordingly may lead to better treatment outcomes.
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- 2024
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27. Perspective psihologice asupra închisorii eficiente. De la retribuţie la reabilitare în mediul corecţional //Psychological perspectives on effective prison. From retribution to rehabilitation in correctional settings
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Andreea Luciana URZICĂ and Andreea Mădălina AIFTINCĂI
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effective prison ,reducing criminal recidivism ,rehabilitation ,psychological interventions ,correctional setting. ,Law in general. Comparative and uniform law. Jurisprudence ,K1-7720 - Abstract
This article aims to provide an overview regarding some key aspects addressing the understanding of the necessity for effective prisons. It starts from the premise that the goal to have efficient prisons concretely translates into an optimal, simultaneous achievement of the functions for which this (prison) framework is created – deliver of punishment, reducing criminal recidivism, preserving human dignity and restorative justice/repairing injustice. In explaining the issues addressed, it is worth mentioning that the proposed intervention has been defined according to how societies understood the roots of criminal behavior. We also bring to the fore a number of specific factors that facilitate or hinder psychological adjustment to prison life. In addition, we briefly describe some interventions whose main purpose is to reduce criminal recidivism. Last but not least, we discuss the role of psychologists in setting up effective prisons.
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- 2024
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28. Missing outcome data in randomised clinical trials of psychological interventions: a review of published trial reports in major psychiatry journals
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Sophie Juul, Pascal Faltermeier, Johanne Juul Petersen, Markus Harboe Olsen, Rebecca Kjaer Andersen, Caroline Barkholt Kamp, Faiza Siddiqui, Sebastian Simonsen, Lawrence Mbuagbaw, Lehana Thabane, and Janus Christian Jakobsen
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Missing outcome data ,Randomised clinical trials ,Psychological interventions ,Psychiatry ,RC435-571 - Abstract
Abstract Background Missing outcome data can pose a serious threat to the validity of randomised clinical trial results. We aimed to study the extent of missing outcome data in randomised clinical trials of psychological interventions. Methods We performed a retrospective study of randomised clinical trial reports of psychological interventions published in World Psychiatry, JAMA Psychiatry, Lancet Psychiatry, American Journal of Psychiatry, British Journal of Psychiatry, or Psychotherapy and Psychosomatics from 2017 to 2022. We assessed the proportion of missing outcome data, whether missing data patterns differed between types of outcomes, participants, intervention lengths, and psychological intervention types, how missing outcome data were handled in the statistical analyses, and whether trialists discussed missing outcome data in the discussion section of the manuscript. Results We identified 182 randomised clinical trials (233 primary outcomes), of which 206 outcomes (88.4%) were assessed at high risk of bias due to missing data. The overall mean percentage of missing outcome data was 18.3% (95% confidence interval (CI): 16.7–20%) for all outcomes. The percentages of missing data were 18.9% (95% CI: 17.1–20.6%; 180 outcomes) for symptom severity scales and 1.8% (95% CI: 2.3–3.3%; 6 outcomes) for ‘hard’ binary outcomes. Trials including participants with borderline personality disorder had the highest percentage of missing outcome data (33.1%; 95% CI: 22.3–43.9%) compared with other psychiatric disorders. Fisher’s exact test showed that intervention lengths and psychological intervention types were associated with the proportion of missing outcome data (p
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- 2024
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29. Stroke and Sexual Health: A Systematic Review of Psychological Interventions Aimed at Improving Sexual Health of Stroke Survivors.
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Brandão, Rita, Vasconcelos, Priscila, Pereira, Raquel, and Quinta-Gomes, Ana Luísa
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PSYCHOTHERAPY , *POLICY sciences , *RESEARCH funding , *QUESTIONNAIRES , *MANUSCRIPTS , *DESCRIPTIVE statistics , *SYSTEMATIC reviews , *MEDLINE , *STROKE rehabilitation , *MEDICAL databases , *QUALITY of life , *ONLINE information services , *SEXUAL health , *PSYCHOLOGY information storage & retrieval systems , *WELL-being - Abstract
To systematically review the existing literature on the efficacy of psychological interventions aimed at improving the sexual health of stroke survivors. A database search was conducted at MEDLINE (PubMed), Web of Science, EBSCO (APA PsycINFO and APA PsycArticles), and The Cochrane Library. PRISMA guidelines for systematic reviews were followed. Manuscripts were screened according to inclusion and exclusion criteria. The risk of bias was assessed using the ROBINS-I, Cochrane Collaboration's Risk of Bias Tool, and the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies (JBI-CACS). From an initial 1053 publications identified, five studies were included in the present study. The study designs of the selected studies included randomized controlled trials, quasi-experimental studies, a cross-sectional study, and a case study. The predominant intervention model used in most studies was the PLISSIT model. No studies using a digital-delivered format were identified. This research underscores the potential benefits of tailored interventions for promoting sexual health in stroke survivors and highlights areas for future research. [ABSTRACT FROM AUTHOR]
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- 2025
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30. The Effectiveness of Low-Intensity Psychological Interventions for Comorbid Depression and Anxiety in Patients with Long-Term Conditions: A Real-World Naturalistic Observational Study in IAPT Integrated Care.
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Lee, Chi Tak, Harty, Siobhan, Adegoke, Adedeji, Palacios, Jorge, Gillan, Claire M., and Richards, Derek
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ANXIETY treatment , *PSYCHOTHERAPY , *HEALTH services accessibility , *MENTAL health services , *SCIENTIFIC observation , *QUESTIONNAIRES , *TREATMENT effectiveness , *RETROSPECTIVE studies , *PSYCHOEDUCATION , *GROUP psychotherapy , *TREATMENT duration , *CHRONIC diseases , *MEDICAL records , *ACQUISITION of data , *COGNITIVE therapy , *INTEGRATED health care delivery , *MENTAL depression , *COMORBIDITY , *PATIENTS' attitudes , *PATIENT participation - Abstract
Background: Low-intensity psychological interventions may be a cost-effective, accessible solution for treating depression and anxiety in patients with long-term conditions, but evidence from real-world service settings is lacking. This study examined the effectiveness of low-intensity psychological interventions provided in the Improving Access to Psychological Therapies programme in England for patients with and without long-term conditions. Methods: A retrospective analysis was conducted on patients (total N = 21,051, long-term conditions n = 4024) enrolled in three low-intensity psychological interventions, i.e. Internet-delivered cognitive behavioural therapy (iCBT), guided self-help (GSH), and psychoeducational group therapy (PGT) within a Talking Therapies service from 2016 to 2020. Primary outcomes included pre–post-treatment changes in depression (Patient Health Questionnaire-9) and anxiety (Generalised Anxiety Disorder-7). Results: Overall, both cohorts significantly improved on all outcomes post-treatment, with large effect sizes. Patients with long-term conditions experienced a greater reduction in depression while those without experienced a greater reduction in anxiety, but these differences were marginal (< 1 score difference on both measures). No difference between the cohorts was shown when comparing the differential effectiveness across interventions, but those engaging in iCBT showed greater reduction in depression and anxiety than those in GSH and PGT, while those in GSH improved more than PGT. Conclusions: Low-intensity psychological interventions, particularly iCBT, were effective in treating depression and anxiety in patients with long-term conditions in a real-world service setting. Our large-scale study supports the continued and increased implementation of low-intensity psychological interventions for this subpopulation via integrated care. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Psychological interventions targeting mental health and stress among females with cardiac disease: a scoping review.
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Susinski, Stephanie, Bouchard, Karen, Stragapede, Elisa, Dozois, Sophie, Sterling, Evan, and Tulloch, Heather
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MENTAL illness , *PSYCHOTHERAPY , *PSYCHOLOGICAL literature , *MENTAL depression , *PSYCHOLOGICAL stress - Abstract
Interventions that target mental health symptoms and stress among those with established cardiac disease have included predominately male samples despite female patients reporting greater severity of these symptoms. The aim of this scoping review was to synthesize the published literature on psychological interventions for females with cardiac disease. We conducted a systematic search of peer-reviewed randomized clinical trials (RCTs) published in the English language from 2003 to 2023, in three databases: Medline (Ovid), PsycInfo (Ovid), and CINAHL (EBSCO). Articles that included female samples, a control or comparison group, implemented psychological interventions, and measured depression, anxiety, or stress as an outcome were included in the review. Nine articles describing eight RCTs of psychological interventions, with a total of 1587 female patients with cardiac disease, were included. Interventions were most successful at reducing stress (75% of studies measuring stress reported efficacy), while symptoms of depression and anxiety were less responsive to intervention (∼30% of studies targeting these symptoms reported improvements) in comparison to a control condition. This scoping review highlights that further advancement in knowledge is required to better address the needs of females with cardiac disease and distress, particularly depression and anxiety. [ABSTRACT FROM AUTHOR]
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- 2024
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32. Psychological interventions for children whose parent(s) have borderline personality disorder: a systematic review.
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Mesquita, Soraia and Figueiredo, Bárbara
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PSYCHOTHERAPY , *BORDERLINE personality disorder , *RANDOMIZED controlled trials , *CHILD psychiatry , *MENTAL illness - Abstract
ObjectiveMethodsResultsDiscussionParents with borderline personality disorder (BPD) can present with negative parenting and parent–child dysfunctional interactions. This can adversely impact their children, leading to internalising and externalising problems. No reviews of psychological interventions for these children have been found. The present systematic review aims to identify and describe the characteristics, outcomes and evidence of psychological interventions for children of parent(s) with BPD.Five databases were searched in addition to unpublished clinical trials. Of the 2243 records screened, 24 records were identified, of which 19 were studies, reporting on 17 different psychological interventions.Most studies had low-moderate quality and were case studies/case series. More than half of the psychological interventions were multi-strategic, long-term, with mothers and their infants, and based on a psychodynamic model. Results revealed some improvements in parent, parent–child relationship and child outcomes. However, only one psychological intervention presented evidence of effectiveness.Psychological interventions for children of parent(s) with BPD are scarce and no conclusions can be made about them. To establish evidence-based psychological interventions for these children, future research should consider conducting effectiveness studies, namely large-scale randomised controlled trial studies, with strong quality, and including the fathers and older children. This systematic review could aid clinicians and researchers in treating and studying psychological interventions for this at-risk group. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Psychosocial interventions for post-treatment haematological cancer survivors: An integrative review.
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Raphael, Deborah, Frey, Rosemary, Moeke-Maxwell, Tess, and Gott, Merryn
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PSYCHOTHERAPY , *PSYCHOLOGICAL distress , *CANCER survivors , *CINAHL database , *DATABASE searching - Abstract
AbstractPurposeMethodsResultsConclusionsImplications for cancer survivorsTo synthesize literature regarding the implementation and evaluation of psychosocial interventions designed to reduce distress in post-treatment haematological cancer survivors.An integrative review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched were Medline, Cinahl, PsychInfo, WoS, and EMBASE, during November 2022.The total number of eligible studies was 14. The interventions comprised four main intervention categories: care planning, psychological therapy-based, supported self-care/self-management, and survivorship clinic visits. Overall psychosocial interventions were shown to improve outcomes for haematological cancer survivors.Psychosocial interventions may play a role in reducing distress for post-treatment haematological cancer survivors and have shown improvements in both psychological and physical outcomes. However, the evidence base was limited and heterogeneous indicating the need for more research.Psychosocial interventions for haematological cancer survivors have the potential to reduce psychosocial distress during the post-treatment period. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Socio-emotional skills programs for high school adolescents: A systematic review of the articles published between 2013 and 2023.
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Navarro de Vasconcellos, Ana Paula, Liviano Wahba, Liliana, and Marques Viana Ulisses, Sofia
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SOCIAL emotional learning , *PSYCHOTHERAPY , *TEACHERS , *HIGH schools , *SCHOOL year - Abstract
This systematic review aimed to synthesize and describe the main characteristics and results of Social and Emotional Learning programs implemented in high schools, or the equivalent in other countries, addressing adolescents aged between 14 and 18. Independent reviewers conducted this review following the PRISMA 2020 guidelines. The following databases were consulted: PubMed, Medline, Scielo, and LILACS, considering publications between 2013 and 2023. From the 1,290 records initially identified, 10 articles met the inclusion criteria. The studies were assessed according to their objectives, methodological designs, theoretical frameworks, characteristics, strategies, and primary outcomes. The results revealed various programs' characteristics, strategies, and criteria adopted to assess post-intervention outcomes. The interventions in 70% of the studies lasted less than one school year, with 8 to 26 sessions (80% of which were held weekly). School teachers facilitated 70% of the interventions, and 80% adopted interactive and experiential strategies. All studies adopted a quantitative design using various instruments with pre and post-test. Most (70%) aimed to assess the interventions' effectiveness and effects; however, only two studies (20%) conducted a follow-up six months after the intervention ended. The studies show that school-based Social and Emotional Learning programs are valid strategies for promoting mental health among high school adolescents. Future studies are suggested to verify the effectiveness and efficacy of programs in more depth, consolidating flexible interventions to meet the specificities of different populations, contexts, and cultures and using structured criteria for evaluating their results. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Comorbidity of bipolar disorder and borderline personality disorder: Phenomenology, course, and treatment considerations.
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Temes, Christina M., Boccagno, Chelsea, Gold, Alexandra K., Kobaissi, Hadi, Hsu, Ingrid, Montinola, Sofia, and Sylvia, Louisa G.
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BORDERLINE personality disorder , *PSYCHOTHERAPY , *PERSONALITY disorders , *BIPOLAR disorder , *COMORBIDITY - Abstract
Aim: Bipolar disorder (BD) and borderline personality disorder (BPD) are both serious psychiatric conditions that elevate the risk for harmful outcomes. Although these conditions represent distinct diagnostic entities, existing research suggests that approximately 20% of individuals with BD meet the criteria for comorbid BPD. Individuals with comorbid BD/BPD appear to have a markedly more severe and phenomenologically distinct clinical course when compared with those with BD alone. However, treatments have generally not been tested in this specific population, and currently, no formal treatment guidelines exist for this subgroup of patients. Method: In the current paper, we review the epidemiological and descriptive research characterizing those with comorbid BD/BPD and discuss the impact of this comorbidity on psychosocial treatment. We also review current findings on evidence‐based treatments for BD and BPD that show promise in treating those with comorbid BD/BPD. Results: In our review of the literature, we highlight the importance of recognizing this comorbidity and discuss avenues for developing and integrating evidence‐based treatment approaches for this understudied clinical population. Conclusions: Although formal trials of interventions targeted to comorbid BD/BPD are limited, there is promising evidence regarding the possibility of using or integrating existing evidence‐based approaches for this population. There are also several areas of clinical practice improvement and future research directions that stem from this literature. [ABSTRACT FROM AUTHOR]
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- 2024
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36. Effectiveness of Psychological Counseling Intervention in High-Risk Pregnancies in Italy.
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Burgio, Sofia, Cucinella, Gaspare, Perino, Antonio, Baglio, Giovanni, Crifasi, Laura, Krysiak, Robert, Kowalcze, Karolina, and Gullo, Giuseppe
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HIGH-risk pregnancy , *PSYCHOTHERAPY , *MENTAL health counseling , *MENTAL depression , *CHILDBIRTH , *PRENATAL depression , *PRENATAL bonding - Abstract
Background: The longitudinal study examines the effectiveness of a psychological support treatment for high-risk pregnancies using a between-groups design. It assesses the treatment's impact on depression and fear of COVID-19 at three time points, and on prenatal attachment between the 20th and 24th weeks of gestation (T0), postnatal attachment 15–20 days after birth (T1), and three months after birth (T2). Additionally, the study evaluates the treatment's effectiveness on PTSD related to childbirth and parental distress at T1 and T2. Methods: The study involved 117 parents experiencing high-risk pregnancies from a Sicilian hospital: 84 mothers (40 in the experimental group, 44 in the control group) and 33 fathers (19 in the experimental group, 14 in the control group). Results: ANOVA results showed that the psychological treatment was effective for maternal variables such as postnatal attachment and parental distress, and for paternal variables such as depression, prenatal attachment, PTSD symptoms, and parental distress (ANOVA, p < 0.05). Conclusions: The study highlights the growing evidence for providing continuous psychological support to couples with high-risk pregnancies, emphasizing that this support should extend beyond childbirth to assist families through this transition. [ABSTRACT FROM AUTHOR]
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- 2024
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37. The effectiveness of psychological interventions for people experiencing homelessness: A systematic review and meta‐analysis.
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Bodley‐Scott, Elizabeth, Ward, Rebecca J., Tarabay, Jennifer, Fagbamigbe, Adeniyi Francis, Barker, Stephanie, and Maguire, Nick
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PSYCHOTHERAPY , *SUBSTANCE abuse , *POST-traumatic stress disorder , *MOTIVATIONAL interviewing , *MENTAL health , *CINAHL database , *TREATMENT effectiveness , *META-analysis , *ANXIETY , *SYSTEMATIC reviews , *MEDLINE , *HOMELESS persons , *QUALITY of life , *HEALTH behavior , *SOCIAL skills , *HOMELESSNESS , *COGNITIVE therapy , *PSYCHOSOCIAL factors , *PSYCHOLOGY information storage & retrieval systems , *WELL-being , *ANTISOCIAL personality disorders , *MENTAL depression - Abstract
Homelessness is a complex social, economic and psychological issue, and compared with the general population, people experiencing homelessness suffer disproportionately from mental health and substance use issues. Evidence suggests that psychological interventions can improve the quality‐of‐life of people experiencing homelessness. A systematic review and meta‐analysis were conducted on studies identified in five databases. Global studies published before July 2023 were included. A total of 35 studies were identified from 30 independent trials conducted in five countries. Outcomes were divided into six domains: substance use, mental health, psychological wellbeing, health behaviour, antisocial behaviour and social outcomes. A meta‐analysis was performed on data from 22 studies investigating outcomes of substance use, abstinence, anxiety, depression and PTSD. Evidence demonstrates the effectiveness of psychological interventions for a range of outcomes affecting people experiencing homelessness. Cognitive behaviour therapy and motivational interviewing were deemed particularly effective across a range of outcomes and were also considered a cost‐effective option. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement. [ABSTRACT FROM AUTHOR]
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- 2024
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38. Psychological Well-being of Patients in Reproductive Medicine Center: Clinicians' Perspectives.
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Wang, Xiaoran, Yu, Hongzhang, Zeng, Wenfeng, Hong, Yi, Huang, Feifei, Yang, Xu, and Wang, Yunxia
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INFERTILITY treatment , *PSYCHOTHERAPY , *MENTAL health , *REPRODUCTIVE health , *QUALITATIVE research , *PSYCHOLOGICAL distress , *RESEARCH funding , *PHYSICIANS' attitudes , *DESCRIPTIVE statistics , *HUMAN reproductive technology , *THEMATIC analysis , *PSYCHOLOGICAL stress , *CONCEPTUAL structures , *SOCIAL support , *GROUNDED theory , *DATA analysis software , *WELL-being , *INTEGRATED health care delivery - Abstract
Objectives: This qualitative study aimed to comprehend the psychological well-beings and available interventions of current Chinese infertile patients, as well as investigate more integrated and effective patient support interventions, if necessary. Background: It is well known that infertility is a difficult struggle. Assisted reproductive technologies (ART) provide patients with the hope of having a child, but they also cause them pain and stress. There is a dearth of research on the mental health of infertile patients, particularly in developing nations such as China. Method: Individual interviews were conducted with eight experienced clinicians at the Reproductive Medicine Center from five different hospitals. On the basis of the grounded theory, interviews were transcribed and recursively analysed with the NVivo 12 Plus software by a research team. Results: 73 categories were created, which were then grouped into 12 subthemes that were combined to form the following themes: Theme I: Psychological Distress; Theme II: Sources of Distress; Theme III: Protective Factors; and Theme IV: Interventions. Conclusions: The themes of subjective experience identified in the study reveal infertile patients' emotional disturbance and resources of distress, consistent with previous related studies. Despite limitations such as the relatively small number of participants and the exclusively self-report nature of qualitative study, the findings of the study imply the importance of emotional and physical support networks for infertile patients at Reproductive Medicine Centers, consistency of psychological awareness and adequate professional supports. [ABSTRACT FROM AUTHOR]
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- 2024
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39. The Role of Nurses in the Implementation of Positive Behavior Support in a Secure Forensic Setting.
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Nowell, Chloe, Mackie, Seth, Alves-Costa, Filipa, and Theobald, Delphine
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PSYCHOTHERAPY , *NURSES' attitudes , *LEARNING disabilities , *THEMATIC analysis , *NURSES - Abstract
Positive Behavior Support (PBS) is a framework that attempts to help reduce challenging behaviors displayed by service users however, little is known about the role of nurses and their perceptions of PBS. This qualitative study aimed to explore nurses’ perceptions and their roles in the PBS implementation in two forensic learning disabilities units in London. 19 nursing staff with experience implementing PBS were interviewed. Six themes were derived from thematic analysis, with findings in line with previous research. Recommendations highlighted introducing protected time for nursing staff to discuss PBS on the ward and providing more structured training and informed supervision. [ABSTRACT FROM AUTHOR]
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- 2024
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40. Psihooncologia pentru pacienţii adulţi și pediatrici. Abordări esenţiale.
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Niță, Elisabeta, Licu, Monica, and Mititelu, Magdalena
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PSYCHOTHERAPY , *PSYCHOLOGICAL adaptation , *QUALITY of life , *GROUP identity , *THERAPEUTICS - Abstract
Psycho-oncology is an interdisciplinary branch of psychology and oncology that focuses on the interactions between the psychological, emotional and social aspects of cancer patients and their medical treatment. It plays an essential role in the care of both adults and children/ adolescents diagnosed with cancer, aiming to improve the quality of life and adaptation to the disease. In adults, psycho-oncology addresses the challenges of diagnosis, treatment, and survivorship, including the management of anxiety, depression, and issues related to identity and social roles. It also involves support in the decision-making process regarding treatment and helps to resolve emotional and psychosocial conflicts that may arise during the illness. In pediatrics, psycho-oncology focuses on supporting children/adolescents and their families during cancer treatment. Children/adolescents may have difficulty understanding the illness and treatment, and psychological adjustment may be more complex due to developmental stage. Psycho-oncological interventions for children include adapted communication techniques, therapeutic play etc. along with support for parents, which are essential to ensure a healthy psychosocial adjustment. Both fields emphasize the importance of a multidisciplinary approach, integrating the efforts of oncologists, psychologists, social workers and other specialists, to provide holistic care. Recent research indicates that psycho-oncology interventions can significantly improve treatment outcomes, quality of life, and even patients survival. [ABSTRACT FROM AUTHOR]
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- 2024
41. Article RETRACTED due to manipulation by the authors The role of sport psychology in improving the performance of badminton athletes: a systematic review
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Bafirman Bafirman, Rezha Arzhan Hidayat, Muhamad Ichsan Sabillah, Dally Rahman, Fiky Zarya, Yovhandra Ockta, and Rifqi Festiawan
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sport psychology ,athlete performance ,badminton ,psychological interventions ,mental resilience ,Sports ,GV557-1198.995 - Abstract
Abstract. Sports psychology plays a vital role in improving the performance of badminton athletes. Psychological factors such as motivation, competitive anxiety, concentration, and mental resilience have been identified as critical influences on athlete performance. This study aims to systematically review the existing literature to identify and analyze the role of sports psychology in improving badminton athlete performance. The researcher searched for journal articles, books, and research reports relevant to sports psychology and badminton from various electronic databases through a systematic literature review approach. Specific inclusion criteria were applied to select studies that explicitly addressed the effect of psychological interventions on the performance of badminton athletes. Data analysis was conducted qualitatively to synthesize findings from the literature chosen. The literature review revealed that psychological techniques, including goal setting, relaxation techniques, visualization, and mental toughness coaching, positively impact the performance of badminton athletes. Findings suggest that psychological training integrated into athlete training programs can increase motivation, reduce competitive anxiety, strengthen concentration, and build mental resilience, all critical factors in athletic achievement. Sports psychology is a critical element in the training of badminton athletes, with significant potential to improve athlete performance. Psychological interventions tailored to the individual needs of athletes hold promise in optimizing athletic potential and achieving competitive success. Future research is needed to understand better how to best integrate these psychological techniques into the training of badminton athletes and to design more effective training programs that take full advantage of the role of sports psychology.
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- 2024
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42. Individual psychological interventions and therapies for posttraumatic stress disorder and posttraumatic stress symptoms in young children: a systematic review
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Nina Moner, Andrea Soubelet, Philippine Villard, and Florence Askenazy
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Psychological interventions ,treatment ,therapies ,young children ,preschoolers ,posttraumatic stress disorder ,Psychiatry ,RC435-571 - Abstract
Context: Treatments for posttraumatic stress disorder (PTSD) in young children (ages 0–6) should be adapted to their developmental characteristics: to their cognitive, social, and emotional abilities, to their specific trauma reactions and adjustments, and finally, to their degree of dependency on adults. Due to the lack of official recommendations for the treatment of PTSD in young children and considering the high prevalence of PTSD among this population, there is a growing need for targeted psychological interventions and psychotherapies for the youngest children with PTSD or posttraumatic symptoms.Objective: To provide an update on effective psychological interventions available for the treatment of PTSD and posttraumatic symptoms in young children (under the age of 6).Design: Systematic review of automated searches conducted using the search engines Google Scholar, Science Direct, PsycInfo, and PubMed.Results: This review identified 17 articles reporting on the efficacy of an individual therapy for treating PTSD or posttraumatic stress symptoms in young children. The therapies identified are TF-CBT, CPP, PCIT, DET, early pathway, EMI and EMDR.Conclusion: No treatment can currently be identified as a level-one evidence-based treatment (Well-Established Treatment) in children younger than 6 years old with PTSD or posttraumatic symptoms. Further research is essential to validate existing findings on the effectiveness of trauma-focused therapies in young children in order to establish internationally recognized recommendations.
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- 2024
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43. Interventions to support the psychological empowerment of nurses: a scoping review
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Liebin Huang, Ming Liu, Xin Wang, and Meihua Hsu
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nurses ,empowerment ,psychological empowerment ,psychological interventions ,scoping review ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundEstablishing an empowering work environment is significantly contributing to nurse’s job satisfaction, performance, retention, and organizational success. This study aimed to conduct a scoping review to chart and synthesize current research on interventions to support nurses’ psychological empowerment.MethodsTen databases were searched, including PubMed/Medline, Web of Science, Scopus, Embase, EBSCOhost, Cochrane Library, CNKI, Wanfang, VIP, and OpenGrey, following the Joanna Briggs Institute’s methodology for scoping reviews. The search encompassed literature from its inception to 5 September 2024. The selection of studies followed predetermined inclusion and exclusion criteria. A manualized systematic quality assessment method was applied to the included studies, and the extracted data were charted using a series of tables.ResultsEleven studies were included. Seven studies reported the theoretical framework used. The interventions are all educational and are divided into two main sections: theoretical learning and applied practice. The duration of the interventions spanned a wide range of hours. The intervention format was based on offline training. The participants included both nurse managers and nurses. The evaluation measures were mostly multiple time points using the Spreitzer Psychological Empowerment Instrument. The interventions were generally effective, although some studies reported different results.ConclusionResearch on psychological empowerment interventions for nurses is still in the developmental phase, with preliminary evidence validating their positive effects. Future research should focus on conducting randomized controlled studies with larger sample sizes, selecting appropriate theoretical frameworks to design interventions, enriching the content and form of interventions, and strengthening evaluation measures to improve the quality of psychological empowerment interventions for nurses.Systematic review registrationOSF, https://doi.org/10.17605/OSF.IO/W7ZG6.
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- 2024
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44. Effects of psychological interventions on fear of cancer recurrence: A systematic review and network meta‐analysis
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Jie Chen, Yanhong Sun, Ying Shao, Aifeng Meng, Yamei Bai, Xiaoli Li, Zhiyan Zhou, Hui Wang, and Xiaoxu Zhi
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cancer ,fear of cancer recurrence ,network meta‐analysis ,psychological interventions ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract The study aimed to systematically compare the effects of psychological interventions on relieving fear of cancer recurrence (FCR) by a systematic review and network meta‐analysis (NMA). The relevant randomized controlled trials were searched from China National Knowledge Infrastructure, Wanfang Database, VIP Database for Chinese Technical Periodicals, Chinese Biomedical Literature Database, Cochrane Library, Pubmed, Web of Science, CINAHL, PsycINFO, and Embase. The retrieval time was from the establishment of each database to January 23, 2024. Review Manager 5.4 software was used to evaluate the quality of each literature that met the inclusion and exclusion criteria. Stata16.0 was used for NMA. Standardized mean differences (SMDs) of patients' FCR outcomes and 95% confidence intervals (CIs) were used to determine the effects. Inconsistency test, network map, surface under the cumulative rankings curve (SUCRA), comparison‐adjusted funnel plot were performed. A total of 41 articles were included, with 4056 patients and 15 psychological interventions. Six psychological interventions (NT, Narrative Therapy; ACT, Accept and Commitment Therapy; GT, Therapy based on Gratitude‐Expanded Behavior Theory; Blend Cognitive Behavior Therapy; PERMA, PERMA Therapy; CBT, Cognitive Behavior Therapy) were effective in alleviating FCR in the short term compared with usual care, whereas the effects of ACT, GT, and CBT were sustained up to more than 3 months postintervention. NT ranked as most likely to alleviate FCR, (SUCRA: 89.8%, SMD: −2.89, 95% CI: −4.08 to −1.69), followed by ACT (SUCRA: 88.1%, SMD: −2.83, 95% CI: −4.38 to −1.27) in short‐term effects. GT ranked as most likely to alleviate FCR in long‐term effects (SUCRA: 100%, SMD: −3.35, 95% CI: −4.21 to −2.50), followed by ACT (SUCRA: 88.9%, SMD: −1.64, 95% CI: −2.36 to −0.91). However, most of the quality of evidence for pairwise comparison was rated as “very low” to “low.” The evidence can help inform evidence‐based practice and guide healthcare providers in deciding on the most effective psychological interventions for FCR, which should also be viewed with caution due to the low level of the quality.
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- 2024
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45. PSYCHOLOGICAL INTERVENTIONS FOR MENTAL HEALTH IN AGING POPULATIONS
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Fatima Alnaimat, Yazan Ahmad Dabbah, and Abdel Rahman Feras AlSamhori
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aging ,mental health ,psychological interventions ,Medicine - Abstract
The global elderly population is growing exponentially; with that comes the burden of mental health disorders and the associated comorbidities that these elderly suffer from. Psychological interventions have been proposed to offload that burden and decrease the severity or incidence of mental health disorders. The purpose of this study is to systematically evaluate the current literature on psychological interventions for mental health disorders. The current literature suggests sufficient evidence backed by extensive literature supporting psychological interventions in older adults. This aspect of care should be investigated and incorporated into treatment plans for mental health disorders as well as a form of prevention of other organic diseases that could lead to mental health disorders.
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- 2024
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46. Mapping the needs of healthcare workers caring for COVID-19 patients using the socio-ecological framework: a rapid scoping review
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Pinelopi Konstantinou, Vaso Theofanous, Maria Karekla, and Angelos P. Kassianos
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COVID-19 ,Healthcare workers ,Needs ,Challenges ,Psychological interventions ,Socio-ecological models ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Undoubtedly, the mental health of healthcare workers (HCWs) was negatively affected because of caring for patients during the COVID-19 pandemic. However, literature is limited on mapping the challenges and needs of HCWs during COVID-19 pandemic. A widely used framework in public health for mapping evidence includes the socio-ecological models, suggesting behavior can be influenced by individual, interpersonal, organizational, and community factors. The aim of this rapid scoping review was to use the socio-ecological model to map and compile lessons learnt from the literature regarding primarily the challenges and needs and secondly available psychological interventions for HCWs caring for COVID-19 patients. PubMed, CINAHL and Scopus databases were searched, with 21 studies finally included examining challenges and needs of HCWs and 18 studies presenting psychological interventions. Organizational-level challenges and needs such as inadequate staff preparation and supplies of protective equipment, flexible work policies and paid rest periods were the most reported. Individual-level challenges and needs included COVID-19-related fears and reduced mental health, whereas interpersonal-related needs included support provision. Community-level challenges included societal stigma. Certain psychological interventions were found to be promising for HCWs, but these were utilized to address only individual-level challenges and needs. Given that well-being entails an interaction of factors, multi-level interventions addressing multiple socio-ecological levels (interpersonal, organizational, community) and that place HCWs in their social context should be administrated to increase and maintain intervention’ effects long-term and possibly aid in better coping with future pandemics.
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- 2024
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47. Psychological interventions for early-phase schizophrenia: protocol for a systematic review and network meta-analysis [version 2; peer review: 2 approved, 1 approved with reservations]
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Lena Feber, Georgia Salanti, Mathias Harrer, Nurul Husna Salahuddin, Wulf-Peter Hansen, Josef Priller, Irene Bighelli, and Stefan Leucht
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Study Protocol ,Articles ,Schizophrenia ,Psychological Interventions ,Early Phase ,First Episode ,Network meta-analysis - Abstract
Introduction Treating the early phase of schizophrenia is crucial for preventing further episodes and improving quality of life, functioning, and social inclusion. Pharmacotherapies are first-line treatments, but have limitations. There is consensus on the need for non-pharmacological interventions for individuals in the early phase of schizophrenia. Several psychological interventions have shown promising effects; however, their comparative effectiveness remains largely unknown. To address this issue, a network meta-analysis will be performed. We aim to develop a hierarchy of existing psychological treatments concerning their efficacy and tolerability, which will inform treatment guidelines. Protocol Randomized controlled trials (RCTs) investigating psychological interventions for first-episode psychosis, first-episode schizophrenia, or early phase schizophrenia will be included. The primary outcome will be overall schizophrenia symptoms (measured up to 6 and 12 months, and at the longest follow-up) and relapse as a co-primary outcome. Secondary outcomes are premature discontinuation; change in positive, negative, and depressive symptoms of schizophrenia; response; quality of life; overall functioning; satisfaction with care; adherence; adverse events; and mortality. The study selection and data extraction are performed by two independent reviewers. We will assess the risk of bias of each study using the Cochrane Risk of Bias tool 2 and evaluate the confidence in the results using Confidence in Network Meta-Analysis (CINeMA). Subgroup and sensitivity analyses will be conducted to explore heterogeneity and assess the robustness of our findings. Discussion This systematic review and network meta-analysis aims to compare multiple existing psychological interventions, establishing which are best for symptom reduction, relapse prevention, and other important outcomes in early phase schizophrenia. Our results may provide practical guidance concerning the most effective psychological intervention to reduce symptom severity and the societal burden associated with the disorder.
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- 2024
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48. A brief report: A rehabilitation journey in a professional elite ballet dancer.
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Roncaglia, Irina
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BALLET dancers , *PSYCHOTHERAPY , *ACTIVE listening , *ACHILLES tendon rupture , *SELF-esteem , *REHABILITATION , *TREATMENT programs - Abstract
Purpose: This brief report aims to present and reflect on the lessons learnt from practice with an individual case professional dancer who sought comprehensive psychological support as a result of a trauma-injury ruptured Achilles tendon during a live performance. Method & Results: A professional elite ballet dancer received a total of 12 sessions delivered weekly lasting 60 minutes each session. Rehabilitation post-surgery included physiotherapy, strength and conditioning, pilates, nutrition and psychological support as part of a comprehensive package. Quantitative data through the PANAS questionnaire (Watson et al., 1988) was administered at baseline, midpoint and at the end of the sessions. Three main themes emerged as acquired skills through psychological interventions: 1) self-confidence and self-esteem, 2) a renewed sense of belonging, and 3) a sense of autonomy. Discussion & Conclusions: A dancers' centred approach in providing psychological support for a comprehensive rehabilitation program where transdisciplinary interlinked approaches benefited the recovery from injury to full recovery. Reflections highlight the importance of positive person-centred psychological models of practice, the Rogerian foundations of authenticity, non-judgemental and guiding principles of recovery and the clinician positionality, active listening and compassion. [ABSTRACT FROM AUTHOR]
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- 2024
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49. People with Inflammatory Bowel Disease Prefer Cognitive Behavioral Therapy for Fatigue Management: A Conjoint Analysis.
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Emerson, Catherine, Skvarc, David, Mikocka-Walus, Antonina, Olive, Lisa, Gibson, Peter R., and Fuller-Tyszkiewicz, Matthew
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COGNITIVE therapy , *INFLAMMATORY bowel diseases , *FATIGUE (Physiology) , *CONJOINT analysis , *PSYCHOTHERAPY - Abstract
Background: Psychological interventions are a promising area for fatigue management in patients with inflammatory bowel disease (IBD). However, most interventions trialled to date have been pilots with limited direct input from patients about the type of intervention they want. Thus, this study aimed to explore patient preferences for a psychological IBD fatigue intervention. Methods: An international online cross-sectional survey was conducted with adults with self-reported IBD. A conjoint analysis was employed to elicit, through a series of forced-choice scenarios, patient preferences for a fatigue intervention. For this study, the attributes manipulated across these forced-choice scenarios were type of intervention, modality of delivery, and duration of intervention. Results: Overall, 834 people with IBD were included in analysis. Respondents ranked the type of psychological intervention as most important for overall preference (with cognitive-behavioral therapy (CBT) preferred over the other approaches), followed by modality of delivery, but placed very little importance on how long the intervention runs for. Patients with IBD appear to most strongly preference a short online CBT intervention for managing their IBD-related fatigue. Conclusion: This study helps provide therapists and program developers clear direction on patient preferences when it comes to developing new psychological programs that address fatigue in IBD. [ABSTRACT FROM AUTHOR]
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- 2024
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50. Experiences of self-recovery among adults with bipolar disorder: a narrative review.
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Carey-Hock, Emilie
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BIPOLAR disorder , *LIFESTYLES , *SELF-management (Psychology) , *PSYCHOEDUCATION , *DESCRIPTIVE statistics , *SYSTEMATIC reviews , *THEMATIC analysis , *MEDLINE , *CONVALESCENCE , *QUALITY of life , *MEDICAL databases , *DISEASE relapse , *SOCIAL support , *PATIENTS' attitudes , *WELL-being , *PSYCHOLOGY information storage & retrieval systems - Abstract
Why you should read this article: • To understand the psychosocial factors that influence recovery in people with bipolar disorder • To read about experiences of self-recovery in people with bipolar disorder • To recognise the shift in management of bipolar disorder towards supporting patients with self-recovery. Bipolar disorder is a potentially lifelong and disabling condition characterised by episodes of mania or hypomania and episodes of depressed mood. In recent decades the focus of management has shifted towards supporting patients towards self-recovery. The author of this article conducted a narrative review of the qualitative literature to explore the experiences of self-recovery among adult patients with bipolar disorder. Six themes emerged from the thematic synthesis – relapse prevention, acceptance, social and professional support, lifestyle, psychological therapy and psychoeducation. Understanding the psychosocial factors that influence recovery in bipolar disorder can guide recovery-oriented interventions, potentially leading to enhanced well-being and quality of life for patients. [ABSTRACT FROM AUTHOR]
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- 2024
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