4.7 Article

The Efficacy and Cost-Effectiveness of Stepped Care Prevention and Treatment for Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis

期刊

SCIENTIFIC REPORTS
卷 6, 期 -, 页码 -

出版社

NATURE PORTFOLIO
DOI: 10.1038/srep29281

关键词

-

向作者/读者索取更多资源

Stepped care is an increasingly popular treatment model for common mental health disorders, given the large discrepancy between the demand and supply of healthcare service available. In this review, we aim to compare the efficacy and cost-effectiveness of stepped care prevention and treatment with care-as-usual (CAU) or waiting-list control for depressive and/or anxiety disorders. 5 databases were utilized from its earliest available records up until April 2015. 10 randomized controlled trials were included in this review, of which 6 examined stepped care prevention and 4 examined stepped care treatment, specifically including ones regarding depressive and/or anxiety disorders. Only trials with self-help as a treatment component were included. Results showed stepped care treatment revealed a significantly better performance than CAU in reducing anxiety symptoms, and the treatment response rate of anxiety disorders was significantly higher in stepped care treatment than in CAU. No significant difference was found between stepped care prevention/treatment and CAU in preventing anxiety and/or depressive disorders and improving depressive symptoms. In conclusion, stepped care model appeared to be better than CAU in treating anxiety disorders. The model has the potential to reduce the burden on existing resources in mental health and increase the reach and availability of service.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Psychology, Clinical

Treating depression with a smartphone-delivered self-help cognitive behavioral therapy for insomnia: a parallel-group randomized controlled trial

Christian S. Chan, Christy Y. F. Wong, Branda Y. M. Yu, Victoria K. Y. Hui, Fiona Y. Y. Ho, Pim Cuijpers

Summary: This study evaluated the efficacy of a self-help smartphone-based CBT-I in alleviating major depression and insomnia. The results showed that participants in the treatment group had significantly lower levels of depression, insomnia, anxiety, and better sleep quality compared to the waitlist control group.

PSYCHOLOGICAL MEDICINE (2023)

Article Criminology & Penology

Be Still and You Will Know: A Mixed-Method Study on Solitude and Consideration of Future Consequences Among Youth in Rehabilitation

Cyanea Y. S. Poon, Christian S. Chan, Pauline P. L. Chau, Chun-Yin Chan

Summary: This study explored the process and influence of solitude as a behavioral intervention among youths in a therapeutic community. The findings revealed that solitude facilitated growth in personal responsibility, perspective-taking, respect for rules, and consideration of future consequences among high-risk youths.

INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY (2023)

Article Psychology, Clinical

Variability in the psychological impact of four waves of COVID-19: a time-series study of 60 000 text-based counseling sessions

Christian S. Chan, Chi-Ting Yang, Yucan Xu, Lihong He, Paul S. F. Yip

Summary: This study examined the psychological impact of COVID-19 in Hong Kong across four waves of outbreaks. The results showed that the pandemic led to increased psychological distress, but the impact may reduce with repeated exposure. The relationship between outbreak severity and help-seekers' concern varied across different waves.

PSYCHOLOGICAL MEDICINE (2023)

Article Psychology, Social

Boredom belief moderates the mental health impact of boredom among young people: Correlational and multi-wave longitudinal evidence gathered during the COVID-19 pandemic

Katy Y. Y. Tam, Christian S. Chan, Wijnand A. P. van Tilburg, Iris Lavi, Jennifer Y. F. Lau

Summary: This study examined the moderating role of boredom beliefs on the association between boredom experience and mental well-being and validated a new measure of boredom beliefs. The results showed that disliking boredom was associated with higher frequency and intensity of boredom. Boredom dislike moderated the negative association between boredom and mental well-being, and normalizing boredom was positively associated with mental well-being. These findings were consistent across two different countries.

JOURNAL OF PERSONALITY (2023)

Article Psychiatry

Clinical guidelines for the use of lifestyle-based mental health care in major depressive disorder: World Federation of Societies for Biological Psychiatry (WFSBP) and Australasian Society of Lifestyle Medicine (ASLM) taskforce

Wolfgang Marx, Sam H. Manger, Mark Blencowe, Greg Murray, Fiona Yan-Yee Ho, Sharon Lawn, James A. Blumenthal, Felipe Schuch, Brendon Stubbs, Anu Ruusunen, Hanna Demelash Desyibelew, Timothy G. Dinan, Felice Jacka, Arun Ravindran, Michael Berk, Adrienne O'Neil

Summary: This study aims to provide clinicians with evidence-based recommendations and implementation considerations for lifestyle-based mental health care for adults with Major Depressive Disorder (MDD). The study conducted systematic literature searches and formed nine recommendations, including physical activity, relaxation techniques, work-directed interventions, sleep, and mindfulness-based therapies. The study also emphasized the importance of implementing this approach with input from allied health professionals and support networks, and delivering interventions using a biopsychosocial-cultural framework.

WORLD JOURNAL OF BIOLOGICAL PSYCHIATRY (2023)

Article Psychology, Social

Political distrust, perceived threat, and intentions to engage in normative and violent collective action: A mixed-methods study

Robyn Gulliver, Christian S. Chan, Katy Y. Y. Tam, Iris S. K. Lau, Ying Yi Hong, Winnifred R. Louis

Summary: This study examines the influence of distrust and perceived threat on intentions to engage in normative and violent collective action. The results reveal that perceived threat to Hong Kong values and distrust of political institutions contribute to engagement in collective action and support for defensive violent action. Additionally, distrust and threat have direct effects on normative and violent collective action intentions.

EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY (2023)

Article Psychology, Educational

Whatever will bore, will bore: The mere anticipation of boredom exacerbates its occurrence in lectures

Katy Y. Y. Tam, Wijnand A. P. Van Tilburg, Christian S. Chan

Summary: This study found that anticipating a lecture to be boring may exacerbate the actual experience of boredom in students. Merely expecting an event to be boring may be enough to cause boredom to occur.

BRITISH JOURNAL OF EDUCATIONAL PSYCHOLOGY (2023)

Article Psychology, Clinical

Revisiting the Factor Structure of the Insomnia Severity Index Among Survivors of the 2013 Super Typhoon Haiyan

Yingxin Liang, Charlie E. Labarda, Christian S. Chan

Summary: This study examined the factor structure and longitudinal relationships of the Insomnia Severity Index (ISI) in a postdisaster context. The results supported a two-factor model, with severity and impact of insomnia, and found that severity of insomnia predicted the impact of insomnia, which in turn was associated with longer-term symptoms of stress.

PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY (2023)

Article Psychology, Developmental

The Indirect Effect of Sleep on the Association Between Protracted Social Stressors and Psychological Distress Among Hong Kong Young People

Kaiwen Bi, Christian S. Chan, Yunyu Xiao, Paul S. F. Yip

Summary: This study examined the relationship between stress from social unrest, financial circumstances, and the COVID-19 pandemic and psychological distress among Hong Kong youth and young adults. It found that all three forms of stress were associated with poor sleep and psychological distress. The study highlights the importance of prioritizing sleep improvement in mental health interventions during times of societal change.

JOURNAL OF ADOLESCENT HEALTH (2023)

Review Nursing

Traditional Chinese medicine-based integrated health interventions for depression: A systematic review and meta-analysis

Jiayin Ruan, Shucheng Chen, Jiagui Liang, Fiona Yan Yee Ho, Teris Cheung, Janice Yuen Shan Ho, Wai Chi Chan, Haiyong Chen, Dennis Cheuk Wing Au, Rebecca Wing Yan Lee, Yim Wah Mak, Wing Fai Yeung

Summary: This study conducted a systematic review and meta-analysis and found that TCM-based integrated health interventions were effective in relieving depression. However, due to the low quality of the included studies, future rigorous randomized controlled trials are needed to provide more robust evidence.

JOURNAL OF CLINICAL NURSING (2023)

Article Clinical Neurology

Developing and validating a parser-based suicidality detection model in text-based mental health services

Zhongzhi Xu, Christian S. Chan, Jerry Fung, Christy Tsang, Qingpeng Zhang, Yucan Xu, Florence Cheung, Weibin Cheng, Evangeline Chan, Paul S. F. Yip

Summary: This study developed a novel parser-based algorithm (PBSD) to detect suicidal ideation in online text-based counseling. The algorithm utilizes sentence parsing and syntax rules to minimize false alarms. Results showed that PBSD significantly outperforms the baseline model in accuracy and successfully reduces false alarms caused by lexicon matching.

JOURNAL OF AFFECTIVE DISORDERS (2023)

Article Political Science

All we need is love? Irreconcilable political incongruence in families after the 2019 social unrest in Hong Kong

Branda Yee-Man Yu, Calvin Lam, Christian S. Chan

Summary: Political disagreement within families can have negative effects on familial relationships, but the long-term consequences are not well studied. This study examined the impact of familial political incongruence two years after the 2019 social unrest in Hong Kong and explored the role of family contact frequency and types in explaining this association.

POLITICAL PSYCHOLOGY (2023)

Article Psychology, Experimental

Lay beliefs about boredom: A mixed-methods investigation

Katy Y. Y. Tam, Wijnand A. P. van Tilburg, Christian S. Chan

Summary: This study investigated people's beliefs about boredom using a mixed-methods approach. A reliable and valid scale, the Boredom Beliefs Scale (BBS), was developed and validated. The study identified three lay boredom beliefs: boredom functionality, boredom dislike, and boredom normalcy.

MOTIVATION AND EMOTION (2023)

Article Psychology, Multidisciplinary

Bystanders, protesters, journalists: A qualitative examination of different stakeholders' motivations to participate in collective action

Robyn E. Gulliver, Christian S. Chan, Wendy W. L. Chan, Katy Y. Y. Tam, Winnifred R. Louis

Summary: Both bystanders and journalists play important roles in mobilizing and supporting social movements, but there are few studies comparing their motivations and perspectives on social movement goals. This study compares the motivations of bystanders, journalists, and protesters in engaging or standing aside from social unrest. The study finds that barriers to bystander participation include lack of consensus, low efficacy perceptions, and negative views of violent actions. Journalists' collective identity prevents overt protest participation, but their emotional responses generate tensions between their role obligations and desire to intervene.

JOURNAL OF PACIFIC RIM PSYCHOLOGY (2023)

暂无数据