Review
Physiology
Jack J. Scala, Ariel B. Ganz, Michael P. Snyder
Summary: By utilizing multi-modal biomarkers and advanced technologies, precision medicine has the potential to revolutionize psychiatric care by providing better diagnostics and treatment decisions. The emerging field of precision psychiatry aims to develop diagnostic tests, monitor treatment efficacy, and reduce ineffective treatments in order to mitigate challenges in mental health care. This narrative-style review summarizes the breakthroughs and challenges in applying precision medicine to mental health.
Review
Pediatrics
Samantha M. Imfeld, Dyan M. Darang, Mandy Neudecker, Molly K. McVoy
Summary: Pediatricians face challenges in treating children with mental health disorders, including limited access to specialized mental healthcare, inadequate training, and support. Some physicians may also hold biases towards mental health disorders, affecting the quality of patient care.
PEDIATRIC RESEARCH
(2021)
Review
Clinical Neurology
Edward A. Hurvitz, Daniel G. Whitney, Brigid Waldron-Perrine, Dayna Ryan, Heidi J. Haapala, Mary Schmidt, Cathryn Gray, Mark D. Peterson
Summary: As individuals with cerebral palsy (CP) age, they face unique challenges in accessing appropriate health care due to insufficient professionals knowledgeable about adult CP care, pediatric care preferences, inadequate information on best practices for adults, and barriers related to social determinants of health.
FRONTIERS IN NEUROLOGY
(2021)
Article
Psychiatry
Karin Lorenz-Artz, Joyce Bierbooms, Inge Bongers
Summary: This study examines the change process within three mental health care teams as they transition to a person-centered Open Dialogue (OD) practice. The research identifies four challenges in adopting person-centered care: understanding and knowledge transfer, (inter)personal process, emotional discomfort, and the need for multi-stakeholder participation and support.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Public, Environmental & Occupational Health
Maria Lanzotti Sampaio, Jose Patricio Bispo Junior
Summary: The study shows a progression towards comprehensive mental health care provision by the RAPS in Brazil. Despite support from policymakers, mental health professionals, and users for a comprehensive view of mental health care, challenges in providing such care include insufficient services, difficulties in user access at all levels of care, fragile integration between services, lack of clear definitions of responsibilities, discontinuity of care, limitations in family support, and fragility in crisis patient care.
Article
Multidisciplinary Sciences
Abdulqadir J. Nashwan, Glenn Ford D. Valdez, Sadeq Al-Fayyadh, Hani Al-Najjar, Hossam Elamir, Muna Barakat, Joseph U. Almazan, Ibtesam O. Jahlan, Hawa Alabdulaziz, Nabil E. Omar, Fade Alawneh, I. Ketut Andika Priastana, Aiman Alhanafi, Bilal Abu-Hussein, Malik Al-Shammari, Marwa M. Shaban, Mostafa Shaban, Hayder Al-Hadrawi, Mohammed B. Al-Jubouri, Sabah A. Jaafar, Shaymaa M. Hussein, Ayat J. Nashwan, Mohammed A. Alharahsheh, Nisha Kader, Majid Alabdulla, Ananth Nazarene, Mohamed A. Yassin, Ralph C. Villar
Summary: This study aims to investigate the prevalence of stigmatization during the COVID-19 pandemic among HCPs in seven different countries. The findings demonstrate high levels of stigmatization against HCPs in all the included seven countries. However, they are still perceived positively by their communities and highly motivated to care for COVID-19 patients.
Article
Health Care Sciences & Services
Maga Jackson-Triche, Don Vetal, Eva -Marie Turner, Priya Dahiya, Christina Mangurian
Summary: During the COVID-19 pandemic, a chatbot program was implemented at a large academic medical center to provide behavioral health assessment and treatment for the workforce. The chatbot successfully guided employees to appropriate services based on their needs. This technology has the potential to be scaled and used in other medical settings.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Nursing
Nanteza Gladys Kigozi-Male, James Christoffel Heunis, Michelle Catherine Engelbrecht
Summary: This study aimed to assess the mental health knowledge and attitudes towards mental health patients and mental health care among primary health care (PHC) nurses in South Africa. The survey revealed that many nurses had insufficient knowledge about the employment, recovery, and help-seeking behavior of people with mental health problems, and they tended to have negative attitudes towards mental health patients and mental health care. Therefore, efforts should be made to address the knowledge deficits and negative attitudes of nurses towards mental health in order to integrate mental health services effectively.
Article
Public, Environmental & Occupational Health
Yvonne Kayiteshonga, Vincent Sezibera, Lambert Mugabo, Jean Damascene Iyamuremye
Summary: Despite the high prevalence of mental disorders among the general population and genocide survivors in Rwanda, the utilization of available mental health services remains low. A comprehensive approach is needed to prevent mental illness and promote mental healthcare services.
Article
Psychiatry
Anna Kagstrom, Ondrej Pesout, Matej Kucera, Laura Jurikova, Petr Winkler
Summary: As the prevalence of mental health conditions increases worldwide, the importance of mental health literacy (MHL) grows. This study aims to develop and validate a Universal mental health literacy scale for adolescents (UMHL-A) to assess MHL among children ages 10 to 14. Through literature review, item generation, and validation procedures, the scale's face and content validity, factor structure and construct validity, and convergent validity were tested. The UMHL-A scale, consisting of 17 items measuring four components of MHL, shows methodological advantages and comprehensive coverage compared to existing measures. Further research is needed for its global application and validity.
PSYCHIATRY RESEARCH
(2023)
Article
Psychiatry
Joeri Vermeulen, Ronald Buyl, Florence D'haenens, Dennis Demedts, Sandra Tricas-Sauras, Ihsane Haddani, Maaike Fobelets
Summary: This paper presents the development, face, and content validation of the DDads questionnaire in Belgium to identify the awareness, knowledge, and attitudes of the general population towards paternal perinatal depression. The questionnaire consists of three main components and after validation, it was found to have good content validity and face validity.
FRONTIERS IN PSYCHIATRY
(2021)
Editorial Material
Psychiatry
Michael Spitzer, Itai Dattner, Sigal Zilcha-Mano
Summary: Science faces challenges in developing precise mental health treatments, but digital twins (DTs) have the potential to revolutionize the field. Mental health digital twins (MHDTs) are virtual representations of individuals' mental states and processes that guide professionals in diagnosing and treating patients. The example of the working alliance between therapists and patients demonstrates the merits of MHDTs.
FRONTIERS IN PSYCHIATRY
(2023)
Editorial Material
Biochemistry & Molecular Biology
Alex S. S. Keuroghlian, JoAnne Keatley, Simran Shaikh, Asa E. E. Radix
Summary: Gender-affirming care for transgender and gender diverse individuals should be inclusive, community-led, and evidence-informed to promote mental health and overall well-being.
Article
Nursing
Chiu-Yueh Hsiao, Huei-Lan Lu, Chin-Kuai Chiu, Yun-Fang Tsai
Summary: Family involvement is crucial for the recovery of mental illness patients, and the attitudes of mental health nurses towards this involvement are not extensively studied. This study conducted a descriptive, correlational study with 162 mental health nurses in Taiwan to examine factors affecting their attitudes. The results showed that mental health nurses generally had positive attitudes towards involving families in care, and age, clinical experiences, and workplace were key factors influencing their attitudes. Competence in working with families and job satisfaction were the most significant factors associated with positive attitudes towards family involvement. Understanding these attitudes is essential for targeted interventions to improve nurses' attitudes and implement family engagement in mental healthcare.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2023)
Article
Nursing
Judy Wu, David Long, Nada Hafez, Jacqueline Maloney, Yan Lim, Hasina Samji
Summary: This study assessed levels of climate concern among Canadian adolescents using the Youth Development Instrument (YDI) and collaborated with adolescents to adapt an existing climate anxiety scale. The findings showed that most adolescents expressed climate change concern, but a smaller proportion reported experiences of climate anxiety. The study provided evidence of construct validity and reliability for the use of the adapted climate anxiety scale in adolescent populations.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2023)
Article
Psychology, Clinical
Gary P. Brown, Jaime Delgadillo, Hudson Golino
Summary: The Dysfunctional Attitude Scale is an important tool for measuring depression-related enduring beliefs and plays a central role in cognitive behavioral research and theory. By analyzing the DAS, a richer and more precise structure has been identified, which has implications for predicting who is prone to depression or recurrence.
COGNITIVE THERAPY AND RESEARCH
(2023)
Review
Health Policy & Services
Chris Gaskell, Melanie Simmonds-Buckley, Stephen Kellett, C. Stockton, Erin Somerville, Emily Rogerson, Jaime Delgadillo
Summary: This review evaluates the effectiveness of routinely delivered psychological therapies in inpatient, outpatient, and university-based clinics. Large pre-post treatment effects were found for depression, anxiety, and other outcomes, supporting the effectiveness of these therapies. The findings provide important benchmarks for service evaluations in different settings.
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
(2023)
Article
Psychology, Clinical
Danilo Moggia, Brian Schwartz, Julian A. Rubel, Dirk Zimmermann, Britta Kastel, Wolfgang Lutz
Summary: This study examined the contributions of therapists and patients to the therapeutic bond and its association with treatment outcome. The results showed that the different components of the therapeutic bond had significant effects on treatment outcome, particularly at the within- and between-therapist, and within-patient levels.
PSYCHOTHERAPY RESEARCH
(2023)
Article
Psychology, Clinical
Jennifer Sweetman, Peter Knapp, Dean McMillan, Caroline Fairhurst, Jaime Delgadillo, Catherine Hewitt
Summary: This study aims to explore risk factors for non-attendance at the initial two appointments following referral to Improving Access to Psychological Therapy (IAPT) services. The study found that the odds of attending an assessment appointment were higher for self-referrals compared to GP referrals. Factors such as the service, referral source, presenting problem, and anxiety severity were also associated with treatment appointment attendance.
PSYCHOTHERAPY RESEARCH
(2023)
Article
Psychology, Clinical
Julia Giesemann, Jaime Delgadillo, Brian Schwartz, Bjoern Bennemann, Wolfgang Lutz
Summary: This paper aims to improve dropout prediction in psychological interventions by comparing machine learning algorithms, sample sizes, and resampling methods. Results showed that resampling methods can enhance the performance of ML algorithms, with down-sampling being recommended as the fastest and most accurate method. Furthermore, a minimum sample size of 300 cases is necessary for optimal prediction accuracy.
PSYCHOTHERAPY RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Jaime Delgadillo, Sanja Budimir, Michael Barkham, Elke Humer, Christoph Pieh, Thomas Probst
Summary: This study aimed to investigate and model the interactions between various risk and protective factors for suicidal ideation during the COVID-19 pandemic. Bayesian network analyses were used to analyze cross-sectional data collected in Austria and the United Kingdom. The results showed high predictive accuracy of the Bayesian network models, explaining almost 50% of the variability in suicidal ideation. 15 interrelated risk and protective factors were identified, with 7 factors replicated in both countries.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Psychology, Clinical
Nick Firth, Michael Barkham, Jaime Delgadillo, Andrew Bell, Alicia O'Cathain
Summary: This study investigated the effects of therapist, clinic, and neighborhood on the effectiveness of psychological interventions. The results showed that both neighborhood and clinic had a significant impact on treatment outcomes. The neighborhood effect was mainly explained by socioeconomic factors, while the clinic effect could not be fully explained by deprivation.
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
(2023)
Article
Psychology, Clinical
Chris Gaskell, Stephen Kellett, Melanie Simmonds-Buckley, Joe Curran, Jack Hetherington, Jaime Delgadillo
Summary: This study retrospectively analyzed the effects of a UK tertiary care psychotherapy service over a 10-year period using the Outcome Questionnaire-45 (OQ-45). The study found that the baseline distress of the patients was higher than comparative norms, and the treatment effect was lower than available benchmarks. Different psychotherapy modalities varied in duration but had similar outcomes. Overall, the rating is 7 out of 10.
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
(2023)
Review
Psychology, Clinical
Michael Barkham, Kim De Jong, Jaime Delgadillo, Wolfgang Lutz
Summary: This study provides a review of routine outcome monitoring (ROM) and its components and outcomes, along with recommendations. The results show that patients support ROM when its purpose is clear and integrated with therapy. Greater frequency of data collection, use of graphs, specific feedback, and alerts are helpful. ROM has significant effects on patient outcomes, with an approximate 8% advantage over standard care. Clinical support tools (CSTs) further enhance the effects for not-on-track patients, but successful implementation and cultural adaptations are major challenges.
PSYCHOTHERAPY RESEARCH
(2023)
Article
Psychology, Clinical
Danilo Moggia, Bjoern Bennemann, Brian Schwartz, Miriam I. Hehlmann, Charles C. Driver, Wolfgang Lutz
Summary: Psychotherapy can be improved by studying how it works and for whom. In this study on cognitive-behavior therapy for depression, the relationship between resource activation, problem-coping experiences, and symptoms was examined. The results showed that resource activation had a significant effect on symptom improvement, and the effects were moderated by depression and self-efficacy levels. For patients with mild-moderate depression and high self-efficacy, promoting resource activation is recommended, while promoting problem-coping experiences is recommended for patients with severe depression and low self-efficacy.
PSYCHOTHERAPY RESEARCH
(2023)
Article
Psychiatry
Stephen Kellett, Charlotte Bee, Jess Smithies, Vikki Aadahl, Melanie Simmonds-Buckley, Niall Power, Caroline Duggan-Williams, Neil Fallon, Jaime Delgadillo
Summary: This study compared the efficacy and acceptability of cognitive-behavioural guided self-help (CBT-GSH) versus cognitive-analytic guided self-help (CAT-GSH). The results showed that patients were more likely to choose CAT-GSH, and there were no significant differences in the primary outcome measures at 8 weeks and 24 weeks between the two treatments. Therefore, CAT-GSH could be offered as a broader analytically informed self-help option for anxiety patients.
BRITISH JOURNAL OF PSYCHIATRY
(2023)
Article
Multidisciplinary Sciences
Aurelio Lopez Malo Vazquez de Lara, Parash Mani Bhandari, Yin Wu, Brooke Levis, Brett Thombs, Andrea Benedetti
Summary: This study investigated heterogeneity in an individual participant data meta-analysis by analyzing prediction regions. The results showed that the point estimates of sensitivity and specificity did not differ importantly as more studies were added to the model, but the correlation between these measures increased. Subgroup analysis by sex did not reveal important contributions for observed heterogeneity, but the shape of the prediction regions differed.
SCIENTIFIC REPORTS
(2023)
Article
Psychology, Clinical
Danilo Moggia, David Saxon, Wolfgang Lutz, Gillian E. Hardy, Michael Barkham
Summary: Two prediction algorithms were developed to recommend person-centered experiential therapy (PCET) or cognitive-behavioral therapy (CBT) for patients with depression. The full data model provided better prediction results, while the routine data model showed similar performance in the training and test samples. Targeted matching resulted in larger effects for patients with the strongest treatment match.
PSYCHOTHERAPY RESEARCH
(2023)
Article
Psychology, Clinical
Rachel Lee, Dean Mcmillan, Jaime Delgadillo, Rachael Alexander, Mike Lucock
Summary: This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder. The results indicated that participants who experienced sudden gains showed more improvement in panic symptoms and had significantly higher cognitive change scores in the pre-gain session compared to the control session.
BEHAVIOURAL AND COGNITIVE PSYCHOTHERAPY
(2023)
