mental health interventions

心理健康干预
  • 文章类型: Journal Article
    学校可以在解决青少年心理健康问题方面发挥重要作用。高中生的心理健康主要是文学的重点,而对青少年的重视较少。这篇评论确定了过去十年发表的文章,这些文章描述了对基于中学的心理健康干预措施的评估,并将参与者随机分配到干预或控制条件。14项干预措施符合纳入标准。大约三分之二的干预措施是基于正念或认知行为疗法。许多试验利用了种族多样性,低收入样本。所有干预措施都传递给小组,和三个包含一个父组件。通过使用主动控制条件,五项试验增加了严格性。几乎三分之二的干预措施有效(p<.10)减少了至少一种抑郁症,焦虑,影响,或内化症状结果与对照组相比。本文提供了有关干预特征的信息,功效,理论框架,和可接受性/可行性。
    Schools can play an important role in addressing growing concerns about adolescent mental health. Mental health of high school students has predominantly been the focus in literature with less emphasis on younger adolescents. This review identified articles published in the last decade that described evaluations of middle school-based mental health interventions and randomized participants to an intervention or control condition. Fourteen interventions met the inclusion criteria. About two-thirds of interventions were based on mindfulness or cognitive behavioral therapy. Many trials utilized racially diverse, low-income samples. All interventions were delivered to groups, and three contained a parent component. Five trials increased rigor by using an active control condition. Almost two-thirds of the interventions were effective (p < .10) in reducing at least one depression, anxiety, affect, or internalizing symptom outcome compared to a control group. This article provides information about intervention characteristics, efficacy, theoretical framework, and acceptability/feasibility.
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  • 文章类型: Journal Article
    背景:由于文化和地理因素,东亚太平洋地区(EAP)无家可归(YEH)的青年是最危险的人群之一。有效的心理健康干预措施,主要在西方背景下研究,可能不适用于EAP中的YEH。他们缺乏稳定的住所,扰乱了社交网络,获得精神卫生服务的机会有限,会增加他们对不良精神卫生的易感性,使紧急干预对满足他们的需求至关重要。
    目的:本研究的目的是探索和系统地搜索可用于EAP中YEH的心理健康服务和干预措施的类型及其对整体生活质量和福祉的影响。
    方法:电子数据库(例如,Medline,PsycINFO,PubMed,Scopus)进行了系统搜索(出版日期在1990年1月1日至2023年5月13日之间),以及针对无家可归的其他在线资源。文章进行了筛选,并对纳入研究的质量进行了严格评估。
    结果:在印度尼西亚确定了8项采用不同干预措施的研究(n=2),马来西亚(n=1),韩国(n=3),菲律宾(n=1)。这些主题分为六个类别:艺术,认知行为疗法,生活技能教育,弹性增强,加强家庭,和政府干预/服务。
    结论:这篇综述强调了有效的心理健康干预措施对YEH心理健康结果和EAP生活质量的积极影响,强调迫切需要实施对社会文化敏感的服务。未来的研究应通过涵盖不同EAP地区和人群的综合研究来解决知识差距。优先考虑特定于社会文化的心理措施。
    BACKGROUND: Youth experiencing homelessness (YEH) in East Asian Pacific (EAP) regions represent one of the most at-risk populations due to cultural and geographical factors. Effective mental health interventions, primarily researched in Western contexts, may not fully apply to YEH in EAP. Their lack of stable shelter, disrupted social networks, and limited access to mental health services elevate their susceptibility to adverse mental health, making urgent interventions essential to address their needs.
    OBJECTIVE: The objective of this study is to explore and systematically search the types of mental health services and interventions available for YEH in EAP and their impact on overall quality of life and wellbeing.
    METHODS: Electronic databases (e.g., Medline, PsycINFO, PubMed, Scopus) were systematically searched (publication dates between 1 January 1990 and 13 May 2023), as well as additional online resources specific to homelessness. Articles were screened, and a critical appraisal assessed the quality of the included studies.
    RESULTS: Eight studies with different interventions were identified in Indonesia (n = 2), Malaysia (n = 1), South Korea (n = 3), and the Philippines (n = 1). These were thematically clustered into six categories: art, cognitive behavioural therapy, life skills education, resilience enhancement, family strengthening, and government interventions/services.
    CONCLUSIONS: This review highlights effective mental health interventions\' positive impact on YEH mental health outcomes and quality of life in EAP, stressing the urgent need to implement socio-culturally sensitive services. Future research should address knowledge gaps through comprehensive studies covering diverse EAP regions and populations, prioritising socio-culturally specific psychological measures.
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  • 文章类型: Journal Article
    COVID-19大流行对全球大学生的心理健康产生了重大影响。随着大学转向在线教学,学生面临干扰和压力增加,导致精神健康下降,这种下降在大流行后的时代似乎还在继续。为了缓解这个问题,学术机构已经实施了各种干预措施来解决心理健康问题;然而,其中许多干预措施侧重于单一方法,缺乏多样化的交付方法。这个观点引入了多模式自我护理在线课程的概念,生活101:精神和身体自我照顾,并讨论了这种干预措施在提高学生幸福感方面的潜在有效性。该课程结合了基于证据的干预措施,并结合了互动讲座,工作坊,和嘉宾演讲者。在4个学术术语中进行了课程前和课程后调查,以评估该课程对学生的福祉和自我护理实践的影响。调查数据表明,服用Life101的学生取得了积极的成果,包括采用更健康的习惯,降低压力水平,以及增加对自我护理技术的知识和实践。Life101代表了一种新颖的多模态干预措施,以解决当今学生面临的心理健康问题的流行。通过跨校园实施类似的基于证据的多模态教学课程,学术机构可能能够更好地装备学生驾驭挑战,促进他们的整体福祉。
    UNASSIGNED: The COVID-19 pandemic has had a significant impact on the mental health of college students worldwide. As colleges shifted to online instruction, students faced disruptions and increased stressors, leading to a decline in mental health that appears to continue in the postpandemic era. To alleviate this problem, academic institutions have implemented various interventions to address mental health issues; however, many of these interventions focus on a single approach and lack diverse delivery methods. This viewpoint introduces the concept of a multimodal self-care online course, Life101: Mental and Physical Self-Care, and discusses the potential effectiveness of such an intervention in improving students\' well-being. The course combines evidence-based interventions and incorporates interactive lectures, workshops, and guest speakers. Pre- and postcourse surveys were conducted over a span of 4 academic terms to evaluate the impact of this course on the well-being and self-care practices of students. The survey data suggest positive outcomes in students taking Life101, including the adoption of healthier habits, reduced stress levels, and increased knowledge and practice of self-care techniques. Life101 represents a novel multimodality intervention to address the epidemic of mental health issues faced by students today. By implementing similar evidence-based multimodal didactic curricula across campuses, academic institutions may be able to better equip students to navigate challenges and promote their overall well-being.
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  • 文章类型: Journal Article
    COVID-19大流行对儿童和青少年的心理健康和发育轨迹产生了深远的影响,由于强制封锁和其他限制,催化一系列心理和行为问题。本文通过发育性精神病理学的视角探讨了这些影响,它整合了临床心理学和发展科学,以检查整个生命周期中心理障碍的出现和演变。本文重点介绍了与大流行相关的中断如何加剧了焦虑和抑郁等疾病,特别是,由于生活方式的改变和体力活动的减少,儿童肥胖增加。分析包括讨论孤立不仅限制了获得教育和心理资源的机会,而且增加了父母精神疾病和相关家庭压力的风险,从而加剧了忽视问题及其对儿童健康的影响。通过采用发展心理病理学框架,本文认为有必要采取针对性的干预措施来解决这些复杂的遗传相互作用,环境,和心理因素。这些干预措施旨在通过结构化的教育和健康战略支持儿童,在大流行带来的持续挑战中确保他们的福祉。这种方法强调了早期的重要性,涉及父母的多方面策略,教育工作者,和医疗保健提供者为面临前所未有的全球健康危机的儿童促进更健康的发展成果。
    The COVID-19 pandemic has profoundly impacted the mental health and developmental trajectories of children and adolescents, catalyzing a range of psychological and behavioral issues due to enforced lockdowns and other restrictions. This text explores these impacts through the lens of developmental psychopathology, which integrates clinical psychology and developmental science to examine the emergence and evolution of psychological disorders across a lifespan. This paper highlights how pandemic-related disruptions have exacerbated conditions such as anxiety and depression and, notably, increased childhood obesity due to changes in lifestyle and reductions in physical activity. The analysis includes a discussion of how isolation has not only restricted access to educational and psychological resources but also increased the risk of parental mental illness and related familial stress, thereby intensifying issues of neglect and their consequent impact on child health. By employing a developmental psychopathology framework, this paper argues for the necessity of targeted interventions that address these complex interplays of genetic, environmental, and psychological factors. Such interventions aim to support children through structured educational and health-oriented strategies, ensuring their well-being amidst the ongoing challenges posed by the pandemic. This approach underscores the importance of early, multifaceted strategies involving parents, educators, and healthcare providers to foster healthier developmental outcomes for children facing unprecedented global health crises.
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  • 文章类型: Journal Article
    预防和早期干预是改善年轻人心理健康和幸福感的重要策略。建立韧性是这些战略的关键组成部分,特别是在农村地区面临有据可查的心理健康差距的年轻人中。这项研究旨在调查在线心理健康论坛如何有助于增强年轻农村用户的个人韧性。
    对澳大利亚农村用户(18-25岁)在在线同伴支持心理健康论坛上发表的论坛帖子样本(n=1,000)进行了定性分析。分析以有关农村复原力指标的文献中得出的主题为指导。
    对论坛帖子的分析显示了论坛用户农村韧性的证据。在线同伴支持论坛为个人建立社交联系提供了虚拟空间,体验归属感,分享信息,获取知识,并提供相互支持。有迹象表明论坛用户的自我效能感有所提高,因为他们展示了他们实施策略以更好地管理他们的心理健康的能力。
    这些发现极大地有助于我们理解在线论坛如何增强对生活在农村社区的年轻人有益的复原力因素。在预防和早期干预方面,这项研究说明了论坛设计和用户活动与弹性结果之间的复杂联系,为潜在的因果机制提供有价值的见解。因此,它强调将此类数字干预措施纳入精神卫生服务生态系统的组成部分的重要性。
    UNASSIGNED: Prevention and early intervention are crucial strategies for improving young people\'s mental health and well-being. Building resilience is a key component of these strategies, especially among young individuals in rural areas who face well-documented mental health disparities. This study aimed to investigate how online mental health forums can contribute to enhancing individual resilience in young rural users.
    UNASSIGNED: A sample of forum posts (n = 1,000) made by Australian rural users (18-25 years) on an online peer support mental health forum were qualitatively analyzed. The analysis was guided by themes derived from the literature on indicators of rural resilience.
    UNASSIGNED: Analysis of forum posts showed evidence of rural resilience in forum users. Online peer support forums offered a virtual space for individuals to establish social connections, experience a sense of belonging, share information, acquire knowledge, and offer mutual support. There were indications of increased self-efficacy among forum users, as they demonstrated their ability to implement strategies for better managing their mental health.
    UNASSIGNED: These findings significantly contribute to our understanding of how online forums can enhance resilience factors that are beneficial for young people living in rural communities. In the context of prevention and early intervention, this study illustrates the intricate connections between forum design and user activity with resilience outcomes, providing valuable insights into the underlying causal mechanisms. Consequently, it emphasizes the importance of incorporating such digital interventions as integral components of mental health service ecosystems.
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  • 文章类型: Journal Article
    目标:青少年罪犯的神经发育和精神健康障碍发生率高于一般人群,以及健康治疗的重大障碍。结合认知修复疗法(CRT)和社会认知修复疗法(SCRT)的治疗已显示出对功能改善和社会发展的益处。然而,关于青少年罪犯在监禁环境中的团体治疗计划的信息有限。这项试点研究探讨了针对青少年拘留中存在认知缺陷和心理健康问题的青少年罪犯的团体治疗计划的有效性和可行性。
    方法:School-LinkAdvantage试点研究为在押的年轻罪犯设计并测试了一项为期10周的联合CRT和SCRT的团体治疗计划。封闭小组结合了互动活动,重点是情感识别和调节技能,优化执行功能,理解价值观,探索信仰系统,改善关系,和安全规划。
    结果:在澳大利亚青年司法中心招募的22名男性参与者中,12完成了各方面的治疗方案,反映了在一个典型的具有挑战性的人群队列中54.5%的完成率。结果表明,存储和检索信息的能力显着提高,识别信息,和控制情绪。计划和组织技能也显示出相当大的发展。
    结论:这项初步研究表明,联合CRT和SCRT团体治疗方案有可能有效地针对在押的年轻罪犯与心理健康障碍相关的认知挑战。这些有希望的结果表明,探索对不同人群具有更高的文化敏感性的随机对照试验。
    OBJECTIVE: Young offenders experience higher rates of neurodevelopmental and mental health disorders than the general population, and significant access barriers to health treatment. Treatment combining Cognitive Remediation Therapy (CRT) and Social Cognition Remediation Therapy (SCRT) has demonstrated benefits for functional improvements and social development. However, there is limited information regarding group treatment programs in custodial settings for young offenders. This pilot study explores the effectiveness and feasibility of a group treatment program for youth offenders with cognitive deficits and mental health concerns in youth detention.
    METHODS: The School-Link Advantage pilot study designed and tested a 10-week group treatment program combining CRT and SCRT for young offenders in custody. The closed groups incorporated interactive activities focussed on emotional recognition and regulation skills, optimizing executive functioning, understanding values, exploring belief systems, improving relationships, and safety planning.
    RESULTS: Of the 22 male participants recruited in an Australian Youth Justice Centre, 12 completed all aspects of the treatment program, reflecting a 54.5% completion rate in a typically challenging to engage population cohort. Results demonstrated significant improvements in the ability to store and retrieve information, recognize information, and control emotions. Planning and organizing skills also showed considerable development.
    CONCLUSIONS: This pilot study suggests that a combined CRT and SCRT group treatment program has the potential to effectively target cognitive challenges associated with mental health disorders in young offenders in custody. These promising outcomes suggest exploring randomized controlled trials with increased cultural sensitivity for diverse populations.
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  • 文章类型: Journal Article
    精神病理学的网络方法,评估个体症状之间的关联,最近已被用于评估精神障碍的治疗方法。虽然存在各种在干预研究中进行网络分析的选择,目前缺少对各种方法的概述和评估。因此,我们对干预研究中的网络分析进行了综述.如果研究建立了症状网络,分析了之前收集的数据,在治疗精神障碍期间或之后,并获得了有关治疗效果的信息。对纳入的56项研究进行了方法学和分析策略的回顾。大约一半的研究基于随机试验的数据进行了网络干预分析,而另一半比较了治疗组之间的网络。大多数研究估计了横截面网络,即使有重复的措施。除五项研究外,其他所有研究都在小组层面上调查了网络。这篇综述强调,当前的方法学实践限制了通过干预研究中的网络分析可以获得的信息。我们讨论了某些方法论和分析策略的优势和局限性,并提出需要进一步的工作才能在干预研究中充分利用网络方法的潜力。
    The network approach to psychopathology, which assesses associations between individual symptoms, has recently been applied to evaluate treatments for mental disorders. While various options for conducting network analyses in intervention research exist, an overview and an evaluation of the various approaches are currently missing. Therefore, we conducted a review on network analyses in intervention research. Studies were included if they constructed a symptom network, analyzed data that were collected before, during or after treatment of a mental disorder, and yielded information about the treatment effect. The 56 included studies were reviewed regarding their methodological and analytic strategies. About half of the studies based on data from randomized trials conducted a network intervention analysis, while the other half compared networks between treatment groups. The majority of studies estimated cross-sectional networks, even when repeated measures were available. All but five studies investigated networks on the group level. This review highlights that current methodological practices limit the information that can be gained through network analyses in intervention research. We discuss the strength and limitations of certain methodological and analytic strategies and propose that further work is needed to use the full potential of the network approach in intervention research.
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  • 文章类型: Journal Article
    目的:间皮瘤是一种无法治愈的,石棉相关癌症预后不良。对于患有这种疾病的患者和护理人员如何管理他们的心理健康和福祉需求知之甚少。本文报告了间皮瘤患者和非正式护理人员以及他们认为最有用的干预措施的发现。
    方法:对英国间皮瘤患者(n=10)和(非正式)照顾者(n=11)进行深入访谈。我们使用反身主题分析方法对数据进行了归纳分析。
    结果:参与者描述了帮助他们心理健康的更小和更大的行动和策略的重要性。这包括花更多的时间与家人和朋友和去度假。参与者表示支持他们心理健康旅程的专业人士不仅包括专科护士和心理健康专业人员,还包括法律和石棉支持小组的专业人员。后者表明了这一人口的独特需求和所需的支持。接触石棉是间皮瘤的原因,导致了与这种癌症一起生活的社会正义方面。参与者报告了集体行动对他们的心理健康和福祉的重要性。数据表明,患者和护理人员可能有不同的心理健康和福祉要求,需要在不同的时间以不同的方式管理这些。
    结论:研究结果对护士和其他从事医疗保健工作的关键专业人员有影响,支持此客户端组的社区和法律设置,对于那些患有间皮瘤的人来说,他们想要了解如何提高自己的健康。
    OBJECTIVE: Mesothelioma is an incurable, asbestos related cancer with a poor prognosis. Little is known about how patients and carers living with the condition manage their mental health and wellbeing needs. This paper reports findings on interventions being used by patients and informal carers living with mesothelioma and those which they find most helpful.
    METHODS: In-depth interviews with patients (n = 10) and (informal) carers (n = 11) living with mesothelioma in the UK. We analysed our data inductively using a reflexive thematic analysis approach.
    RESULTS: Participants described the importance of both smaller and larger actions and strategies which helped with their mental health. This included spending more time with family and friends and going on holidays. Professionals who participants said supported their mental health journey included not only specialist nurses and mental health professionals but also legal and Asbestos Support Group professionals. The latter demonstrates the unique needs and support required for this population. Exposure to asbestos as the cause of mesothelioma, has led to a social justice aspect of the experience of living with this cancer. Participants reported the importance of collective action to their mental health and wellbeing. The data indicate that patients and carers may have distinct mental health and wellbeing requirements and need to manage these in different ways at different times.
    CONCLUSIONS: Findings have implications for nurses and other key professionals working in healthcare, community and legal settings supporting this client group, and for those living with mesothelioma who want to understand ways to enhance their own wellbeing.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    执法人员通常首先响应涉及行为卫生紧急情况的电话。然而,对于行为健康状况的人来说,与执法部门的接触更加危险和致命。共同响应的模型,其中执法和行为健康专业人员一起响应电话,是为改善对行为健康危机的反应而开发的顶级计划之一。当前的研究描述了新泽西州共同应对试点计划的定性过程评估:“减少暴力和升级事件的替代反应”(一起到达)。评估的重点是共同响应团队对具体部署和总体计划实施的看法的经验。半结构化访谈是在连续10次相遇后进行的(每次三次访谈;2022年2月至3月)。转录本由两名训练有素的研究人员独立进行转录和主题分析。一旦进行了主题分析,研究人员达成共识,并制定了SWOT分析报告。专题分析产生了六个主要主题:交流、人员配备,培训,资源,社区外展,以及与未成年人的部署。总的来说,参与者对该计划充满热情,但是他们分享了许多关于该程序可以改进的方法的意见。样本量,简短的后续窗口,缺乏对其他环境的概括性是最有限的因素之一。进一步的研究应包括有效性评估,并扩展到城市和郊区社区以及彩色社区。未来的研究还应探讨反应后的影响,包括后续护理的可及性。当前的研究提供了有关试行共同应对模型以应对行为健康危机的见解。
    Law enforcement personnel are often first to respond to calls involving behavioral health emergencies. However, encounters with law enforcement are more dangerous and lethal for people with behavioral health conditions. Co-responding models, wherein law enforcement and behavioral health professionals respond to calls together, are among the top programs developed to improve responding to behavioral health crises. The current study describes a qualitative process evaluation of a co-responding pilot program in New Jersey: \"Alternative Responses to Reduce Instances of Violence & Escalation\" (ARRIVE Together). The evaluation centered on the experience of the co-responding team as to their perceptions of specific deployments and of the program implementation overall. Semi-structured interviews were conducted following 10 consecutive encounters (three interviews per encounter; February-March 2022). Transcripts were transcribed and thematically analyzed by two trained researchers independently. Once thematically analyzed, researchers determined a consensus and developed a SWOT analysis report. Thematic analysis produced six major themes: communication, staffing, training, resources, community outreach, and deployments with minors. Overall, participants were enthusiastic about the program, but they shared numerous observations about ways in which the program could be improved. Sample size, the brief follow-up window, and lack of generalizability to other contexts were among the most limiting factors. Further research should include an effectiveness evaluation and extend to urban and suburban communities and communities of color. Future research should also explore after-response affects including accessibility to follow-up care. The current study gives insight into piloting a co-responding model for approaching behavioral health crisis calls.
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