Dissertations / Theses: 'Mental health; Psychological interventions'

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Donaghay-Spire, Eloise G. "An exploration of psychological interventions in the acute inpatient mental health setting." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12867/.

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Literature suggests that individuals experiencing acute mental health difficulties can benefit from psychological input, with calls to increase psychological provision in inpatient mental health settings in the United Kingdom (UK). Despite this, there is limited research to support this demand, which may in part be due to inherent difficulties in conducting research in this setting. Using an interview design and narrative analysis, this paper explored staff members’ and service-users’ experiences of inpatient psychological interventions in National Health Service (NHS) inpatient mental health settings. Evidence was found to support the use of direct, indirect and strategic interventions for individuals, groups, families and staff teams. Formulation and the therapeutic relationship were conceptualised as common features of such input. Connections between inpatient psychology and change within the stories suggested that interventions can help people make sense of a crisis, improve relationships and contribute to meaningful recovery. Barriers were also presented, suggesting that psychological input in this setting might not be right for everybody. This paper demonstrates that psychological input in the acute inpatient mental health setting is perceived as meaningful and can lead to changes. There is also a sense that this provision can be challenging, highlighting the need for further research.

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Walsh, Kathryn Amy. "Shame, mental health and substance use : an exploration of psychological processes and interventions." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7688/.

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This thesis is presented in two volumes; the research component (Volume One) and the clinical component (Volume Two). Volume One presents three research papers focusing on understanding interventions and change processes for people with severe and enduring mental health problems. The first paper is a meta-analysis evaluating the use of Acceptance and Commitment Therapy for people with severe and enduring mental health problems. The second is an empirical study examining the role of shame and psychological flexibility in the relationship between mental health and substance use in people with severe and enduring mental health problems. The third is a report written to disseminate the research findings to the research participants and health care professionals. Volume Two consists of five clinical practice reports (CPRs); CPR 1 formulates a lady presenting obsessive-compulsive disorder, CPR 2 is a service evaluation, CPR 3 presents a single case experiment evaluating a cognitive-behavioural intervention for a man diagnosed with obsessive-compulsive disorder, CPR 4 presents a case study of a compassion-focused intervention, and the abstract of CPR five, an oral case presentation, presents a case study of a man presenting with psychosis.

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Spedding, Maxine F. "Perinatal psychological distress in the South African context: The road to task shifting evidence based interventions." Doctoral thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25454.

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Inadequate public health resources coupled with a chronically overburdened health system leave a large proportion of South Africans unable to access mental health care. Low-income pregnant women with common mental disorders (CMDs) are arguably more vulnerable to falling through the treatment gap, given the low rates of detection during pregnancy and the numerous additional barriers to care. The direct and indirect financial and personal costs associated with perinatal mental illness are substantial, while the high prevalence rates of perinatal CMDs make this an area in need of urgent attention. Integrating task shifting approaches into perinatal primary health care services is a promising solution. The first chapter introduces the thesis, providing context to the studies that are presented in later chapters and an overview of the research questions that informed them. The second chapter constitutes a systematic review of the literature relevant to the studies. Chapters 3 to 6 report on the findings of the studies, briefly described in the abstract below. The prevalence and risk factors associated with perinatal psychological distress - a plausible precursor for common mental disorders (CMDs) - are not widely understood in under-resourced settings. The first study (Chapter 3) investigates the prevalence and predictors of psychological distress in the antenatal period. Data were collected from 664 pregnant women who reported for antenatal care to any one of 11 Midwife and Obstetric Units (MOU) across the greater Cape Town area. Psychological distress was measured using the Symptom Response Questionnaire (SRQ-20; cut-off value of 7/8), while data pertaining to risk factors were collected via a demographic questionnaire, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and the Multidimensional Scale of Perceived Social Support (MSPSS). The prevalence of antenatal psychological distress was 38.6%. Risk factors included low socio-economic status (SES) (OR = 1.45, 95% CI: 1.24-1.68); recent physical abuse and/or rape (OR = 1.94, 95% CI: 1.57-2.40); complications during a previous delivery (OR = 1.18, 95% CI: 1.01-1.38); having given birth before (OR = 1.61, 95% CI: 1.21-2.14). The high prevalence rate of psychological distress is consistent with those found in other South African studies of perinatal CMDs. Appropriate, context-specific, and effective interventions are better served by investigating a broader range of symptoms associated with perinatal CMDs in these settings. The second study (Chapter 4) examines the mental health literacy (MHL) of pregnant women, including their perceptions of the causes of mental illness during pregnancy and best treatment approaches. Understanding the factors that represent barriers to accessing care is important to the development of accessible interventions. Globally, low levels of mental health literacy have often been identified as one such treatment barrier. However, little is known about how pregnant women perceive and understand mental illness during this time, particularly in South Africa. A convenience sample of 262 pregnant women attending routine antenatal appointments at a Midwife and Obstetrics Unit (MOU) were recruited to participate in the study. Participants were presented with one of five possible vignettes, depicting a woman with perinatal mental illness, as defined by the DSM 5, including ante- and postnatal depression, panic disorder, substance dependence and schizophrenia. Participants were then asked to provide a diagnosis and completed two scales assessing aspects of mental health literacy. The results from this study showed that more than three quarters of respondents (77.4%) did not identify the signs and symptoms described in the vignettes as those consistent with mental illness. More than half of all participants (57.5%) were of the view that all the disorders depicted were "typical of a weak character", while stress was the most widely held explanation for symptoms of all disorders. Participants were most confident in the therapeutic potential of psychological services, especially consulting with a counsellor or social worker. These were closely followed by lifestyle and self-help options as the most endorsed means to addressing psychiatric symptoms during pregnancy. Notably, seeking help from a spiritual or religious advisor was comparably as popular among participants as seeking help from a psychologist or social worker. Given the elevated prevalence of perinatal mental illness, these findings are cause for concern. Developing socio-culturally nuanced understandings of how perinatal mental illness is perceived should be emphasized as central to the development of successful interventions. The third study (Chapters 5 and 6) investigates the feasibility and acceptability of, as well as the preliminary responses to an adapted Problem Solving Therapy (PST) intervention to treat psychological distress. Given the large treatment gap that exists in public mental health, support for task shifting evidence based mental health treatments is growing. However, the gaps in our knowledge are threefold. First, most research has used lay counsellors to deliver interventions. No research has used Registered Counsellors (RC) to conduct interventions. Second, very little is known about the potential outcomes of task shifting an adapted PST intervention to reduce symptoms of psychological distress. Third, data regarding the feasibility and acceptability of such interventions in South African Midwife and Obstetric Units (MOUs) is very limited. Results from the study are presented in two chapters. Chapter 5 focuses on the intervention participants. Thirty-eight women who screened positive for high CMD symptoms on the Edinburgh Postnatal Depression Scale (EPDS) at their first antenatal visit were recruited to participate in the intervention. Of these, 22 completed the preand post-intervention interviews. Using mixed methods, preliminary responses to the threesession PST intervention, as well as participants' perceptions of the intervention's feasibility and acceptability were explored. Primary outcomes included psychological distress as measured by the Symptom Response Questionnaire (SRQ-20) and CMD symptoms, as measured by the EPDS. A short semi-structured post-intervention interview was also conducted approximately three months after each participant's last session. On the primary outcome measures, significant reductions were seen on EPDS scores (z = -3.0, p < 0.01) as well as the SRQ-20 scores (z = -3.5, p = <0.01). Several significant reductions were also seen on secondary outcomes. Reductions in impairment to functioning were also noted, with all three Sheehan disability scales reflecting less disruption to work (z = -2.3, p = 0.02), social life (z = -3.3, p < 0.01), as well as family and home responsibilities (z = -2.5, p = 0.01). Perceived Stress Scale scores were also significantly reduced (z = -3.4, p < 0.01). Significant changes were seen on two problem-solving styles, with reduced 'negative problem orientation' scores (z = -3.1, p < 0.01) and 'avoidant style' scores (z = -3.0, p < 0.01) Participants felt that the intervention was feasible and acceptable. The intervention's acceptability lay primarily in the opportunity for participants to talk confidentially to a non-judgmental and empathic person about their problems. The intervention materials seemed to serve as an extension of the therapeutic process. Factors that were identified by participants as representing potential barriers to the intervention included lack of transport or money, work commitments and stigma. Chapter 6 explores the intervention's feasibility and acceptability from the perspectives of 6 stakeholders who were involved with the project. Semi-structured interviews were conducted with each stakeholder. Data from the interviews showed that the stakeholders felt that the intervention was helpful to patients and a valuable resource for the facility to have. Some expressed concern about how stigma associated with mental illness might be a barrier to patients who need mental health care. To the staff, the project's value seemed to lie primarily in the support it provided in managing emotionally distressed patients. Having a resource to refer patients to appeared to provide overburdened staff with some relief. None of the stakeholders reported that the screening and referral procedures added to their workload. Some stakeholders felt detection of psychological problems among patients was compromised without mental health screening. Staff felt that a walk-in counselling service would serve to improve future interventions. Limitations to the first study included its cross-sectional design and use of a screening tool to measure the prevalence of psychological distress. The second study was limited by the employment of vignettes to collect data. While they are useful tools to elicit population-specific responses, their adaption for those purposes means that they are not standardised. The study was further limited by the use of a convenience sample. Finally, the third study was limited by a small sample size owing to low retention rates. However, low retention rates are not uncommon among antenatal and low-income populations, where structural barriers to accessing care are often more pronounced. The lack of a comparison group was an additional limitation. In conclusion, data from this study support task shifting evidence based treatments to Registered Counsellors to treat the highly prevalent antenatal psychological distress. Difficulties distinguishing CMD symptoms from normal pregnancy experiences may influence the uptake of counselling services and represent a barrier to care. Improving mental health literacy may be a necessary supplement to future interventions. Future research should focus on evaluating real-world models of integrated mental health in primary care settings. How psycho-education programmes might impact upon the uptake of services at antenatal care facilities will also contribute to broadening our knowledge of developing effective and appropriate interventions.

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Hemmings, Adrian. "Counselling in primary care : is it as effective as routine treatment from GPs?" Thesis, University of Sussex, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388974.

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Harleston, Dionne M. "Brief psychological interventions for in-patients with co-existing mental health and substance use disorders." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/4800/.

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Aims: This study sought to test the feasibility and impact of a brief intervention for clients with coexisting mental health and substance misuse difficulties in an in-patient psychiatric setting. Methods: 11 participants were recruited to the study from three in-patient psychiatric ward. A case series design encompassing a pre-intervention baseline assessment period, a brief integrated motivational intervention and post intervention assessment (immediately following the intervention and approximately one month after). Analysis was undertaken using the reliable change index (RCI) (Jacobson and Traux, 1991) and analysis of themes from a brief post intervention semi-structured interview. Results: Analysis of the eight of the 11 cases followed up (4 intervention and 4 non-intervention cases) showed no significant difference between the groups who reported little change in process or outcome variables following the intervention. In contrast, a number of cases from both groups reported reduced substance use. Discussion: The brief integrated motivation intervention appeared to be feasible for those patients whose length of stay spanned the intervention. Difficulties in implementation such as attrition due to discharge and follow up in the community were identified along with the need for more sensitive measures for this population. Issues for implementation and future research are discussed.

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Hämmerli, Katja. "Psychological interventions for involuntary childlessness : four empirical studies regarding the evaluation and efficacy of psychological interventions for mental health and pregnancy rate among infertile patients = psychologische Interventionen bei ungewollter Kinderlosigkeit /." Bern : [s.n.], 2009. http://www.zb.unibe.ch/download/eldiss/09haemmerli_k.pdf.

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Perle, Jonathan. "Attitudes Toward Psychological Tele-Health: Current and Future Psychologists' Opinions of Internet-Based Interventions." NSUWorks, 2011. http://nsuworks.nova.edu/cps_stuetd/58.

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Over the past 20 years, with the development and expansion of computer- and internet-based services (e.g., psychoeducational, intervention, and testing programs), the integration of technology with the treatment of mental health disorders has sparked one of the most debated topics in the mental health profession. With no clear end for this debate in sight, many believe that clinicians wish to reach a consensus and adopt a universal stance on computer-based psychological services so that discussion and research can be shifted to make meaningful contributions for the future. Although paramount, many licensed psychologists have yet to state their stance of whether they believe that internet-based therapeutic methods can be helpful; with fewer having declared whether they would be willing to utilize such techniques if given the opportunity. For this reason, the current study aimed to create a multi-focused survey to explore the attitudes of currently licensed and future clinicians (current Ph.D. or Psy.D. doctoral candidates) to explore differences in their acceptance of tele-health therapeutic interventions. An online survey was created to assess such attitudes across various domains of tele-health, as well as assess acceptance or rejection of such modalities. Clinical training directors, faculty, and students from around the United States, as well as members from the APA Division 12 (clinical psychology) were invited to participate. Binary logistic regression, percentages, and descriptive statistics were utilized to examine the data. Data indicated that no significant differences between currently licensed and future psychologists exist in their endorsement of tele-health modalities. However, it was found that cognitive-behavioral-, cognitive-, behavioral-, and systems-oriented psychologists were significantly more endorsing, and willing to utilize tele-health modes of interventions than were dynamic/analytic, or existential-oriented therapists. Data was further analyzed by gender, age, and the interaction of age * orientation. Results of this study will aid in creating a consensus as to the utilization of tele-health practices and help drive research by demonstrating which modalities (e.g., web camera, e-mail, etc.) and orientations should be the focus of research.

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Orang, Tahereh [Verfasser]. "Continuous Intimate Partner Violence : Mental health consequences and feasibility of psychological interventions : the case of Iran / Tahereh Orang." Konstanz : Bibliothek der Universität Konstanz, 2018. http://d-nb.info/1166054241/34.

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Murray, Lucy Carmel. "How do health visitors identify, manage and refer infant mental health problems?" Thesis, University of Leicester, 2009. http://hdl.handle.net/2381/7848.

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A range of electronic databases and two journals were subjected to a detailed literature search, focusing on studies evaluating psychological interventions with children aged 0-5 years of age. Outcome studies, utilising experimental design, were included for critical review. The search strategy revealed predominantly attachment-informed intervention studies, prompting a review of this aspect of the literature. A total of twelve studies were identified for closer scrutiny: five with a preventative focus; four describing interventions with clinical populations and three detailing large-scale intervention programmes. This review found evidence that early interventions are effective in altering maternal sensitivity and insecure patterns of attachment. Moreover, interventions were effective in reducing the effects of postnatal depression on attachment security, reducing the incidence of placement breakdown in fostered and adopted children and preventing behaviour difficulties in school-age children. These findings indicate a burgeoning evidence base for attachment-based intervention models for the prevention or treatment of infant or child psychopathology.

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Grant, Sean Patrick. "Development of a CONSORT extension for social and psychological interventions." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:c1bd46df-eb3f-4dc6-9cc1-38c26a5661a9.

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Background: Defined by their mechanisms, social and psychological interventions are those interventions that work through mental processes and social phenomena. They are often complex and challenging to evaluate, so understanding randomised controlled trials (RCTs) of these interventions requires detailed reports of the interventions tested and the methods used to assess them. However, reports of these RCTs often omit important information. Poor reporting hinders critical appraisal and synthesis of RCTs in systematic reviews, thereby impeding the effective transfer of research evidence to policy and practice. The Consolidated Standards for Reporting Trials (CONSORT) Statement is a reporting guideline that has contributed to improvements in the quality of RCT manuscripts in journals publishing medical research. However, studies have shown persistent deficiencies in the reporting quality of social and psychological intervention trials. A new CONSORT extension for these interventions may be needed given their distinct and complex features. This DPhil thesis reports on a project to develop and disseminate an official CONSORT Extension for Social and Psychological Interventions: CONSORT-SPI. Structure: Following a preface, this DPhil thesis includes eight chapters. Chapter 1 provides an overview of the conceptual rationale that prompted the CONSORT-SPI project. Chapter 2 details the project protocol, which consists of a five-phase methodology that follows current best practices for reporting guideline development and dissemination. Chapter 3 discusses systematic literature reviews to assess reporting guidelines for and the reporting quality of publications of social and psychological intervention RCTs. Chapter 4 discusses an online, international Delphi process to generate a prioritised list of possible items to include in the CONSORT-SPI extension. Chapter 5 discusses a formal consensus meeting to select reporting items to add to or modify for the CONSORT-SPI Extension checklist. Chapter 6 involves drafts of the CONSORT-SPI checklist as well as a template for the Explanation and Elaboration (E&E) document providing detailed advice and examples of good reporting for each checklist item. These drafts have not yet been circulated to co-authors or other members of the project team; their purpose in this thesis is to give an indication of how previous project phases have led into initial prototypes of the checklist and E&E, which will undergo further development and revision by the project team before publication. Chapter 7 proposes a coordinated dissemination and implementation strategy informed by theoretical frameworks and tools used to guide the implementation of clinical guidelines and empirically-supported interventions. The final chapter summarises the information gained from the CONSORT-SPI project to date, assesses strengths and limitations of the project methodology, and discusses implications for future research. Conclusion: A CONSORT-SPI Extension could improve the reporting quality of social and psychological intervention RCTs. This extension could also facilitate better critical appraisal of this body of research and its use in evidence-based decision-making. With successful dissemination and implementation, the guideline will hopefully contribute to the improvement of intervention evaluations—as well as the methodology underpinning these studies—within the social and behavioural sciences.

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Lewis, Sophie. "Mental health through a spiritual lens : recognising its role in psychological interventions and in how we make sense of our difficulties." Thesis, University of Hull, 2017. http://hydra.hull.ac.uk/resources/hull:16049.

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This portfolio thesis has three parts. Part one comprises a systematic literature review, wherein the effectiveness of psychological interventions that integrate religion or spirituality are considered. Part two is an empirical research paper, wherein the role of spirituality is explored when individuals are making sense of hearing voices. Part three collates the appendices, containing supporting documentation and information for the systematic literature review and empirical research paper, as well as epistemological and reflective statements.

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Paterson, Charlotte. "Psychological intervention for acute mental health inpatient care : a meta-analysis and feasibility study." Thesis, Edinburgh Napier University, 2018. http://researchrepository.napier.ac.uk/Output/1256371.

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Psychological intervention has been recommended to address some of the common problems reported in acute psychiatric inpatient services, such as having nontherapeutic environments, minimal provision of therapeutic interactions and activities and highreadmission rates. There is a small evidence base investigating the effectiveness of acute inpatient psychological therapy, however, this has never been reviewed or synthesised. Robust investigation of cross-diagnostic inpatient psychological intervention is alsoabsent, and whether this is feasible is unknown. Informed by the Medical Research Council (MRC) framework, this thesis examined and synthesised the current evidence base of controlled trials of psychological therapy for acute psychiatric inpatients for the first time. It also tested the feasibility of implementing and evaluating cross-diagnostic psychologically informed acute mental health care in comparison to treatment as usual. The latter was largely based on the Woodhaven Approach, which is theory-driven psychological model of care. The model offers psychological intervention for acute inpatients and targets mechanisms of psychological dysfunction identified by the Interacting Cognitive Subsystems model (ICS). This thesis, therefore, comprises two main studies: 1) a meta-analysis, and 2) a feasibility study. The meta-analysis focused on the effectiveness of brief inpatient psychological therapyon psychotic symptoms, risk of readmissions, and emotional distress (depression and anxiety). Results showed that in randomised and single-blind studies psychological intervention had little effect on psychotic symptoms. Other outcomes, however, showed more promising results. For example, although not significant, robust evidence suggests that brief psychological therapy may reduce emotional distress and risk of readmission for some acute inpatients. The feasibility study aimed to test the feasibility of implementing and evaluating a cross diagnostic psychological model of acute inpatient care, and gather preliminary clinical outcome data. Using a framework of methodological issues, the feasibility study showed that some aspects of the trial processes were run successfully, i.e. some clinical outcomes had good completion rates, some intervention components were successfully implemented and some outcomes produced effects which favoured the intervention group over the control group. However, other aspects of the trial processes were problematic and required amendment before progressing to a full trial. Key issues identified by the feasibility study include problematic eligibility criteria, poor implementation of some intervention components, poor engagement, poor completion of follow-up questionnaires and therefore poor trial retention. The feasibility study also highlighted methodological issues which have not yet been addressed, but are important in planning a future definitive trial, i.e. randomisation and assessor blinding. This thesis has provided the first study to test the feasibility of evaluating the effectiveness of this psychological model, in comparison to treatment as usual, and it was the first time the impact of this psychological model has been investigated in relation to re admissions. Overall, this thesis indicates that a cross-diagnostic approach to acute psychiatric inpatient psychological therapy is feasible, however further work is needed to fully implement the model into routine practice.

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Pinkerton, Sarah Maria. "Writing to Right Themselves| Poetry as a Psychological Intervention for Women with Depression." Thesis, The Chicago School of Professional Psychology, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10151640.

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Researchers and clinicians have been applying narrative techniques to psychology for decades. James Pennebaker, a noted psychologist who studies narrative therapy and techniques, helped to create the Linguistic Inquire and Word Count program (LIWC), which analyzes and delineates word usage in a given body of text. This is based on his research and interactions with narrative techniques. Through the use of LIWC, researchers have determined that individuals who present with adaptive personality traits, such as insight and a desire to seek personal growth, display a certain writing style and word usage. Socially inclusive words (such as the pronouns “we” and “us,” along with words related to social interactions), insight-related words, and emotion/affect words were linked to higher rates of health. Utilizing the LIWC tool with populations not previously studied can expand the literature on narrative analysis to include new and specific syndromes. The current study used the LIWC program to analyze works of poetry written by women with and without known mental health conditions, in order to identify markers related to depression and suicidality. Poetry by Sylvia Plath, Dorothy Parker, and Elizabeth Bishop served as the literature analyzed by the LIWC system. Each author was addressed based on depressive symptomatology; their respective word usages were noted, analyzed, and compared, looking for significant differences among the three authors. Results suggest that poetic writing focused on insight, pro-social behaviors, and opportunities for change are correlated with positive mental health. Results further suggest that the act of writing and understanding poetry may correlate to mental health intervention when certain linguistic markers are noted.

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Fagen, Shoshana J. "Bracing for Idiopathic Scoliosis: Improving Adherence through Psychological Intervention." Antioch University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1333740671.

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Chibanda, Dickson. "Development and scaling up of a psychological intervention for common mental disorders among people living with HIV in Zimbabwe." Doctoral thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20855.

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Common mental disorders (CMD) which primarily include depression, anxiety disorders and mixed anxiety depression are leading causes of disability in sub-Saharan Africa. They are particularly common in people living with HIV (PLWH) and may hasten HIV disease progression. This thesis consists of 5 articles which have been submitted for publication and provide evidence on the requirements for developing a psychological intervention to be delivered by lay health workers (LHW) and a strategy for scaling up this intervention to over 50 primary health care clinics in Harare, Zimbabwe. The thesis formed part of formative research leading to a cluster randomized controlled trial(RCT) of a psychological intervention and provides supplementary research to the RCT to support the scale up of the intervention. The first chapter describes the magnitude of the problem and the lack of resources to reduce the treatment gap for CMD. It highlights the growing evidence of using Lay Health Workers (LHW) to reduce this treatment gap.

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Patterson-Hyatt, Kimberly. "Distress Among Psychologists: Prevalence, Barriers,and Remedies for Accessing Mental Health Care." Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1473186387.

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Musik, M., S. Ho, Diana Morelen, J. Swain, K. Rosenblum, J. K. Zubieta, and J. Swain. "Parenting Intervention for Mothers with High vs. Low Psychological Risk changes Neural Activity related to an Own Child Face Empathy Task." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7700.

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Wilson, Kristen A. "The Impact of an Informational and Motivational Email Intervention on Physical Activity and Depression in First Year College Students." Xavier University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1396718221.

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Muller, Jasmin. "Psychological and physiological effects on Swedish worker’s health when using a health promotion intervention including mechanical massage and mental training - a pilot study." Licentiate thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. ADULT, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39102.

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Introduction: Work-related stress is one of the most challenging issues on workplaces. Reduced ability to relax and recover has been proposed as a key factor behind the increase of stress-related illness among workers. Massage and mental training are two commonly used techniques which may have positive effects on the ability to recover. One technique to help workers recover is a “recovery chair” which include both mechanical massage and mental training programs. However, it has not been scientifically evaluated yet whether using the techniques included in the “recovery chair”, both separately and in combination, as a health promotion tool. Aim: The overall aim of this thesis was to explore the psychological and physiological effects of the mechanical massage and mental training programs included in the “recovery chair”, both separately and in combination, as a health promotion tool for Swedish workers. Methods: In this study workers were randomly assigned to one of the following groups: i) Mechanical massage combined with mental training (n=19), ii) Mechanical massage (n=19), iii) Mental training (n=19), iv), Pause (15 min break in the armchair, n=19), v) and a Control group (n=17). Psychological effects were measured by the ”Swedish Scale of Personality” (SSP) and physiological effects were measured by heart rate, blood pressure and fingertip temperature, immediately before the randomization, after four weeks and after eight weeks (end-of-study). Results: Psychological effects: The results showed that receiving mechanical massage was associated with a significant decrease in “Somatic Trait Anxiety”. The participants in the mental training group showed a tendency to decrease in “Somatic Trait Anxiety”. The participants who received both mechanical massage and mental training showed a significant decrease in “Stress Susceptibility” between four and eight weeks. The results also showed a significant decrease in “Somatic Trait Anxiety” and a significant increase in “Detachment” for the paus group. Physiological effects: As compared to pre-intervention assessments, participants in the massage group condition showed significantly reductions in their resting heart rate, systolic and diastolic blood pressure and an increase in their fingertip temperature directly after the intervention (post-intervention). The mechanical massage and mental training group showed a significant increase in diastolic blood pressure during the last four weeks of the study. The participants in the mental training group showed a significant decrease in their heart rate, when compared the start of the study to week four. The pause group tended to have lower systolic blood pressure at post-intervention assessment when compared to the pre-intervention assessment. The participants in the control group showed significantly decrease in heart rate and their systolic blood pressure. Conclusion: The workers’ who used the “recovery chair” with mechanical massage or mental training programs, either separately or in combination, for eight weeks during working hours reported a positive impact on their levels of anxiety and stress sensitivity. The results also showed positive effects on the workers' blood pressure, pulse and fingertip temperature. The effect was particularly strong for workers' who received only mechanical massage. This indicate that stress management interventions as work place health promotion activities clearly have a potential to provide significant benefit for health and wellbeing for workers.

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Ross, Sheila. "Positive mental training : efficacy, experience and underlying mechanisms of a health promotion intervention for resilience and wellbeing in the workplace." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/11737.

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There is a growing interest in brief, low-cost workplace health promotion interventions for wellbeing, which target increasing resilience, mindfulness and positive appraisal. One such health promotion intervention is Positive Mental Training. Three linked studies set out to investigate the efficacy of Positive Mental Training in the workplace. Study 1 used a double blind, randomised control trial design, with healthy volunteer employees randomised to intervention or control conditions. Validated questionnaires measured wellbeing, resilience, mindfulness, burnout and emotional distress at 4 time intervals, over a 6 month period. Multi-level linear modelling showed significant effects of the intervention on wellbeing and depression. ANCOVA analysis revealed these benefits were not sustained at follow up (26 weeks). Study 2 expanded on study 1, with qualitative interviews of purposefully selected participants of study 1. A grounded theory approach was used to explore individual motivations, benefits and limitations of the programme. Study 3 adopted a component research design to investigate one possible underlying aspect of this multi-component health promotion intervention (positive appraisal suggestion) in a student population and examined whether relaxation increased this effect. Positive appraisal suggestions given with or without relaxation were both able to significantly increase levels of positive affect and self-esteem compared to a control. Positive cognitive bias was found to increase in both the active conditions and the control suggesting differential cognitive and emotional processes, in that an increase in positive CB was not associated with an increase in mood. Overall these studies indicated evidence for the efficacy of Positive Mental Training in workplace health promotion, explored experience of participants undertaking the study and investigated the underlying mechanisms of an active component of Positive Mental Training. Theoretical and clinical implications are discussed.

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Haigh, Elizabeth Teresa. "Test of Social Norms Theory on Psychological Help-Seeking Attitudes and Behavior." Xavier University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1465053237.

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Lucas, Carla Patrícia do Vale. "A promoção do capital psicológico,work engagement e saúde mental de trabalhadores." Master's thesis, Instituto Superior de Ciências Sociais e Políticas, 2016. http://hdl.handle.net/10400.5/11609.

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Dissertação de Mestrado em Políticas de Desenvolvimento de Recursos Humanos
O presente trabalho pretendeu aprofundar o estudo acerca do capital psicológico dos trabalhadores e a sua relação com outros constructos ligados ao trabalho, nomeadamente o work-engagement e a saúde mental. Pretendeu ainda avaliar os efeitos de uma microintervenção criada para promover o capital psicológico. Consistiu num estudo quasiexperimental, com metodologia quantitativa e desenho longitudinal, constituído por um momento de intervenção e dois de recolha de dados. Participaram no estudo 50 colaboradores de diferentes organizações. Os resultados mostraram que: a) o capital psicológico está positivamente relacionado com a saúde mental (níveis mais elevados de capital psicológico refletem uma maior frequência de sintomas de saúde mental); b) o capital psicológico encontra-se positivamente relacionado com o work-engagement (níveis mais elevados de capital sugerem maior energia e identificação pessoal para com o trabalho); c) os valores do work-engagement aumentariam pelo investimento no capital psicológico e saúde mental; d) foram encontradas diferenças estatisticamente significativas no bem-estar psicológico dos colaboradores com a implementação da micro-intervenção. Estes resultados fornecem suporte preliminar de que a promoção do capital psicológico proporciona aos participantes uma “proteção adicional”, com benefícios ao nível do bemestar psicológico, contribuindo para comportamentos/atitudes positivas ao nível do trabalho.
This paper aims to deepen the study of the positive psychological capital of workers and its relations with other constructs related to work, in particular work-engagement and mental health. Also, this study aims to evaluate the effects of a micro-intervention, set up to promote the psychological capital (psycap), in the levels of work engagement and mental health. It is a quasiexperimental study with a quantitative methodology. It consists on a moment of intervention and two stages of data collection. 50 employees from different organizations participated in the study. Results shows, in general, that: a) psycap is positively related to mental health (higher levels of psycap reflect higher frequency of mental health symptoms); b) the psycap is positively related to the work engagement (higher levels of psycap suggest greater energy and personal identification to work); c) work engagement values will increase with an investment on psycap and mental health; d) the micro-intervention resulted in statistically significant differences in the psychological well-being of employees. Therefore, current data provide a preliminary validation into promoting psychological capital as an "additional protection", with benefits in psychological well-being, while encouraging positive behaviors and attitudes towards work.

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Randall, Jeff. "Differences in age-related appraisals in children's and adolescents' coping processes in a fire emergency situation." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06062008-170439/.

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Peiravi, Mozhgan. "Staff Education Intervention to Enhance Care Planning for Older Adults." Thesis, Walden University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13813206.

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Abstract The increased prevalence of cognitive deterioration has increased the challenges of caring for older adults. This study?s project site offers a psychiatric program for older adults with customized care for complex geriatric mental health patients. Clinical assessment and care management are often overlooked in geriatric mental health patients diagnosed with behavioral and psychological symptoms of dementia (BPSD). The purpose of this project was to deliver an education program developed from the Staff Training in Assisted Living Residences-Veterans Administration, P.I.E.C.E.S ? model and the Castle framework to 42 nursing and allied health staff of the project site. The project question explored whether an education program on care of patients with BPSD increased staff members? perceived knowledge and competence in providing care to these patients. This education program focused on comprehensive assessment, individualized care planning, and individualized nonpharmacological interventions to manage older adults with dementia. Descriptive statistics were used to analyze performance outcomes data before and after staff education. In addition, care plans of patients were reviewed. Results included a 100% increase in recognition of core concepts of the education program; a 48% to 86% increase in staff willingness to use interdisciplinary care plans; and a 6.6% to 95% increase in documentation of key interventions in care plans for 6 behaviors of dementia. The results of this project might bring about social change by improving the skills and competence of nursing staff in managing the patients with dementia, thus positively impacting the quality of life of patients with BPSD by benefiting from nonpharmacological interventions.

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Sampson, Marlene J. "Intervention Effects of a Cognitive Behavioral Skills Building Program onNewly Licensed Registered Nurses." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555516147835511.

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McCall, MacBain Marcy C. "Yoga as a complex intervention and its development for health-related quality of life in adult cancer." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:c7259cbe-b6c0-42f8-b893-79306cdccdfa.

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The aim of this thesis was to develop yoga as a complex intervention in health care for the improvement of health-related quality of life (HRQoL) in adult cancer. As the Indian tradition of practising yoga increases in popularity worldwide, populations in the West are beginning to see yoga as an opportunity to prevent and treat health conditions. The Medical Research Council’s framework has provided a methodology to address a paucity of coherent evidence for the myriad of unsupported health claims made by yoga enthusiasts. The thesis structure included a step-by-step approach to investigate biomedical theories of how yoga might work to improve health, to synthesise evidence of yoga interventions, to model their process and outcomes, and to test evaluation procedures in the context of a randomised controlled trial (RCT). The results of a bibliometric analysis indicated an overall increase in the publication rate of yoga research in health care, and in 2005 this research began to focus on cancer. A component analysis, semi-structured patient interviews (n=10) and oncologist surveys (n=29) were successively designed, implemented and analysed to advance a model of yoga intervention specific to adult cancer. The cumulative results were applied to design three yoga interventions randomly allocated to men and women receiving treatment for cancer (n=15). Outcomes of the feasibility study demonstrated that yoga intervention is appropriate for adult patients and can be administered safely in a clinical setting. In its conclusion, this thesis produces evidence-based support for the optimisation of yoga intervention in the context of a large-scale RCT for HRQoL in adult cancer, and it provides recommendations to improve research methodology and reporting of complex interventions in health care.

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Salmoirago, Blotcher Elena. "A Mindfulness-Based Intervention for Treatment of Anxiety in ICD Patients: Feasibility and Baseline Findings: A Dissertation." eScholarship@UMMS, 2011. http://escholarship.umassmed.edu/gsbs_diss/506.

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Background. Primary and secondary prevention trials have shown that implantable cardioverter-defibrillators (ICD) reduce the risk of cardiac death, but concerns have been raised regarding the psychological well-being of ICD patients. Anxiety can affect a significant proportion of these patients, but there is limited information about prevalence and determinants of anxiety after the implementation of the more recent guidelines for ICD implantation. Several behavioral interventions have been effective in improving anxiety in these patients, however the efficacy of mindfulness-based interventions (MBI) has not been investigated in ICD patients, and there is limited information regarding the characteristics of pre-intervention, “dispositional” mindfulness in patients with cardiovascular disease never exposed to mindfulness training. The aims of this dissertation project were: 1) To determine the feasibility of a randomized clinical trial of a phone-administered, mindfulness-based training program, as measured by recruitment and retention rates, treatment adherence and fidelity; 2) To evaluate the current baseline prevalence and determinants of anxiety in the study population and 3) To describe the correlates of dispositional mindfulness in the study population. Methods. The study was conducted at the Electrophysiology Service at the UMass Memorial Medical Center. All consecutive patients who recently underwent an ICD procedure or received ICD shocks were screened for eligibility to participate in a pilot randomized controlled trial in which an eight session, phone-delivered, weekly MBI was compared to a usual care condition. Assessments were performed at baseline and post-intervention. A cross-sectional design was used for aims 2 and 3. Anxiety was assessed using the Hospital Anxiety and Depression Scale; a shortened version of the Five Facets of Mindfulness questionnaire was used to evaluate mindfulness. Results. Thirty patients (21 M, 9 F; mean age 63.1 ±10.3 years) were enrolled in the study. The methods ultimately adopted to screen, recruit, and retain study participants were feasible to conduct and satisfactory to ICD outpatients, and the study intervention was safe. Phone delivery resulted in excellent retention rates and limited costs. Assessments of treatment fidelity showed that the content of the intervention was delivered as intended in almost 100% of cases. The study findings do not show a decrease in the overall prevalence of anxiety in ICD patients compared with earlier cohorts; anxiety was associated with young age, low socio-economic status and previous psychological morbidity, but not with ICD-related factors including prior shock delivery. Finally, baseline mindfulness was most strongly associated with previous psychological morbidity (in particular, depression), and current anxiety symptoms. Conclusion. Psychological morbidity appears to be the major determinant of anxiety in the patients currently enrolled in the study. Dispositional mindfulness is inversely associated with current anxiety and depression and with prior psychological morbidity, supporting the hypothesis of a modulating role of mindfulness on the processing of negative emotions. A phone-delivered, individual MBI is feasible, acceptable to patients and can be adequately delivered by trained instructors. The findings from this dissertation work support the need for larger clinical trials of MBI in ICD patients.

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Borges, Fernanda de Barros Machado. "O clube dos saberes no hospital: análise institucional de uma intervenção." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/47/47134/tde-16122009-153458/.

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O objetivo desta pesquisa é analisar, a partir do referencial da Análise Institucional, a experiência do Clube dos Saberes (CS), um dispositivo que fez parte de uma intervenção institucional, num hospital psiquiátrico privado da cidade de São Paulo, entre os anos 2001 e 2005. O Hospital é uma instituição biforme, com uma organização hierárquica-piramidal e características manicomiais. O CS é uma rede de relacionamentos formada pela troca de saberes e de experiências entre as pessoas de um coletivo, que se organiza democraticamente e visa tanto o crescimento pessoal e individual quanto do próprio coletivo. Ele é proposto ao Hospital como possibilidade de superação da crise enfrentada através da inoculação de uma nova cultura de tratamento, de novas formas relacionamento, de novos modos de funcionamento e organização. A pesquisa envolveu, num primeiro momento, a reconstituição da história dessa experiência a partir da memória da pesquisadora-participante e de registros escritos e, num segundo momento, a seleção de trechos dessa história que possuíam a qualidade de analisador. A análise mostrou que apesar do CS representar uma esperança de mudança e de superação da crise do hospital, ele sofreu resistências por parte da equipe e enfrentou diversos obstáculos: participação pouco expressiva dos trabalhadores do hospital no desenvolvimento do CS; apreensão distorcida ou limitada do projeto; baixa efetividade das parcerias firmadas; persistência e recrudescimento das características manicomiais do hospital; predomínio da organização sobre a clínica e maior atenção à saúde financeira do hospital do que à saúde de seus agentes (pacientes e trabalhadores). Por fim, consideramos que o desenvolvimento do CS foi significativamente prejudicado pela falta de espaços de análise da instituição e de sua alienação.
The object of this research is to analyze, using institutional analysis as a reference, the experience of the Clube dos Saberes, ( Club of knowledge ) or CS, the instrument of an institutional intervention in a private psychiatric hospital in the city of São Paulo between the years of 2001 and 2005. The hospital is a two pronged institution, which has a hierarchicalpyramidal organization with characteristics of an asylum. The CS is a network of relationships formed by the exchange of knowledge and experiences between a collective, that organizes democratically and aims for a personal and individual growth as well as the growth of the collective. This instrument is offered to the hospital as a possibility of overcoming a crisis through the inoculation of a new culture of treatment, of new forms of relationship, of new ways of functioning and organization. The research involved, at first, rebuilding the history of this experience through the memory of the participant-researcher, and through written records, later there was the selection of passages of this history that had the quality of analyzer. The analysis showed that although of the CS represented a hope of change and a chance of overcoming the crisis in the hospital, it suffered resistance from the part of the team and it faced several obstacles: a participation of small significance from the staff in the development of the CS; limited or distorted apprehension of the project; low effectiveness of the established partnerships; the persistence and aggravation of the characteristics of the hospital as an asylum; The predominance of the organization in detriment of the clinic and a greater attention to the financial health of the hospital then the health of its agents ( staff and patients ). In conclusion we find that the development of the CS was significantly hindered by the lack of a space for an institutional analysis and its own alienation.

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Salmoirago, Blotcher Elena. "A Mindfulness-Based Intervention for Treatment of Anxiety in ICD Patients: Feasibility and Baseline Findings: A Dissertation." eScholarship@UMMS, 2010. https://escholarship.umassmed.edu/gsbs_diss/506.

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Background. Primary and secondary prevention trials have shown that implantable cardioverter-defibrillators (ICD) reduce the risk of cardiac death, but concerns have been raised regarding the psychological well-being of ICD patients. Anxiety can affect a significant proportion of these patients, but there is limited information about prevalence and determinants of anxiety after the implementation of the more recent guidelines for ICD implantation. Several behavioral interventions have been effective in improving anxiety in these patients, however the efficacy of mindfulness-based interventions (MBI) has not been investigated in ICD patients, and there is limited information regarding the characteristics of pre-intervention, “dispositional” mindfulness in patients with cardiovascular disease never exposed to mindfulness training. The aims of this dissertation project were: 1) To determine the feasibility of a randomized clinical trial of a phone-administered, mindfulness-based training program, as measured by recruitment and retention rates, treatment adherence and fidelity; 2) To evaluate the current baseline prevalence and determinants of anxiety in the study population and 3) To describe the correlates of dispositional mindfulness in the study population. Methods. The study was conducted at the Electrophysiology Service at the UMass Memorial Medical Center. All consecutive patients who recently underwent an ICD procedure or received ICD shocks were screened for eligibility to participate in a pilot randomized controlled trial in which an eight session, phone-delivered, weekly MBI was compared to a usual care condition. Assessments were performed at baseline and post-intervention. A cross-sectional design was used for aims 2 and 3. Anxiety was assessed using the Hospital Anxiety and Depression Scale; a shortened version of the Five Facets of Mindfulness questionnaire was used to evaluate mindfulness. Results. Thirty patients (21 M, 9 F; mean age 63.1 ±10.3 years) were enrolled in the study. The methods ultimately adopted to screen, recruit, and retain study participants were feasible to conduct and satisfactory to ICD outpatients, and the study intervention was safe. Phone delivery resulted in excellent retention rates and limited costs. Assessments of treatment fidelity showed that the content of the intervention was delivered as intended in almost 100% of cases. The study findings do not show a decrease in the overall prevalence of anxiety in ICD patients compared with earlier cohorts; anxiety was associated with young age, low socio-economic status and previous psychological morbidity, but not with ICD-related factors including prior shock delivery. Finally, baseline mindfulness was most strongly associated with previous psychological morbidity (in particular, depression), and current anxiety symptoms. Conclusion. Psychological morbidity appears to be the major determinant of anxiety in the patients currently enrolled in the study. Dispositional mindfulness is inversely associated with current anxiety and depression and with prior psychological morbidity, supporting the hypothesis of a modulating role of mindfulness on the processing of negative emotions. A phone-delivered, individual MBI is feasible, acceptable to patients and can be adequately delivered by trained instructors. The findings from this dissertation work support the need for larger clinical trials of MBI in ICD patients.

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Ghag, Jeetender Kaur. "Psychological consultancy in mental health teams." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/19448/.

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Literature Review: Psychological consultation is a common activity in mental health services, but evidence concerning its theoretical grounding, processes, and outcomes are relatively rare. Fifteen mixed method consultation studies were included in the review. Studies were assessed for methodological quality, and found to range from limited to strong. Cognitive behavioural consultation was the main approach used and consultation was most frequently delivered via formulation meetings. Psychological consultation appears to particularly improve staff understanding about clients and consultants should remain visible and accessible to teams. Practical and methodological developments are suggested to the consultation evidence base. Research Report: This empirical study aimed to measure the effectiveness of cognitive analytic consultancy (CAC) offered within a community team and then to explore the possible mechanisms of change. An A-B with follow-up small N case series (N=5) design was used that utilised a mixed methodology employing outcome measures and semi-structured interviews. There were significant improvements in client fragmentation, staff competence and emotional exhaustion, and alliance from a client perspective. Potential mechanism of change included the therapists approach, using the sequential diagrammatic reformulation, and acknowledging that difficult processes helped recovery. Further head-to-head trials comparing CAC to other consultation frameworks appears warranted.

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Edwards, David John. "A comparative evaluation of child and adolescent mental health interventions in the United Kingdom and South Africa." Thesis, University of Zululand, 2012. http://hdl.handle.net/10530/1241.

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A thesis submitted in partial fulfillment of a PhD in Community Psychology at the University of Zululand, South Africa, 2012.
Ongoing global crises impact negatively on human health. International comparison studies may improve health promotion. A community psychology, appreciative inquiry was conducted into local staff perceptions of selected child and adolescent mental health interventions in the Kent and Zululand regions of the United Kingdom and South Africa respectively. The Kent findings, supported by a quasi-experimental investigation, indicated that intervention was beneficial, the mental health practitioner role had value and additional mental health practitioners should be employed. The Zululand findings, complemented by a single client case study, suggested that intervention provided a valuable people focused programme, and that additional emphasis should be placed on promoting the intervention, its structure and staffing. Evaluative comparisons thus illustrated the differential effectiveness of the respective interventions. The Kent service could learn from the way in which the Zululand intervention was people orientated and the Zululand programme could learn from the way in which the Kent intervention was structured and organized. Findings highlighted the ongoing need to evaluate existing models of community psychology, create new models, and the temporal and contextual nature of any such models.

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Paterson, Marty. "A mental health model of older Canadians." Mémoire, Université de Sherbrooke, 2007. http://savoirs.usherbrooke.ca/handle/11143/2567.

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Malgré des études prolifiques sur le bien-être et la détresse psychologique, peu d'études ont testé la relation entre ces domaines de la santé mentale. De plus, il y a peu de modèles de la santé mentale qui ont été validés auprès des personnes âgées. II est essentiel de comprendre la notion de santé mentale des personnes agées étant donné le nombre important que represents cette population. Obiectifs : L'objectif de cette étude était de tester un modèle de mesure de la santé mentale chez les Canadiennes et Canadiens agés. Une validation de construit a été realisée pour les échelles de mesures du bien-être et la détresse psychologique et l'hypothèse d'indépendance des deux dimensions a été examinée. Le modèle a été testé selon le sexe et l'âge. Méthodoloqie : Les données proviennent de L'Enquête sur la santé dans les collectivités canadiennes - Cycle 1.2 - Santé mentale et Bien-être de Statistique Canada (2002). Cette étude épidemiologique transversale a été realisée auprès de 37 000 canadiens vivant dans la communauté dont 8 000 personnes de 65 ans et plus. Les échelles de mesures incluent l'Echelle de mesure des manifestations de bien-être psychologique de Masse et al. et le K10, une mesure de détresse psychologique developpée par Kessler et al. Les modèles d'équations structurales ont été testés à l'aide de la version 8.71 de LISREL. Résultats : Le modèle 2-facteur était valide pour les hommes et les femmes ages de 55 - 74 et 75 et plus. Ses résultats sont en accord avec la littérature. L'échele du bien être besoin plus d'études de validation. Des échantillons plus grands des personnes âgées ont nécessaires pour valider l'étude étant donne les méthodes utilités.

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Palmer, Kathleen. "Undergraduate College Students’ Attitudes About Internet-based Mental Health Interventions." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5756.

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Millennial-aged young adults, often referred to as “digital natives,” comprise the typical college-age population, and there has been a growing number college students at risk for mental health problems (Mowbray, Mandiberg, Stein, Kopels, Curlin, Megivern, Strauss, Collins & Lett, 2006; Eisenberg, Gollust, Golberstein & Hefner, 2007). Suicide is the second leading cause of death among college students (Suicide Statistics, 2014); however, their rate of utilizing mental heath counseling is decreasing. Providing the types of mental health services college students are likely to use can mitigate factors thought to impede their use (e.g., stigma, anonymity, confidentiality), as well as help improve students’ learning and success and reduce college attrition rates. Minimal research has been conducted on undergraduate college students’ attitudes about Internet-based mental health interventions, and the findings from those studies are conflicting. This study attempts to fill in the missing data to address undergraduate students’ attitudes about several types Internet-based of mental health counseling, and to determine the extent of their familiarity with its terminology. Forty-two undergraduate college students participated in a survey where they were asked about their familiarity with Internet-based mental health interventions, experience with and preferences for mental health counseling, and the availability of campus-based Internet mental health interventions. Quantitative data was collected, and descriptive statistics and chi square test of independence were calculated. The students’ familiarity with Internet-based mental health interventions did not influence their use of counseling services, but they were interested in knowing more about mental health-related cell phone apps. Other findings are discussed, conclusions are drawn, and recommendations for future study and implications for the field are included.

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Brown, Gemma Kimberley. "Implementing school-based interventions for mental health : a research portfolio." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33162.

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Background: Difficulties with anxiety among children and young people are common and can impact upon their developmental trajectory leading to adverse outcomes in later life. There is, therefore, a need to increase access to early intervention services. Existing research has indicated that school-based cognitive behavioural interventions are effective for children and young people experiencing difficulties with anxiety, yet there remains a proportion of the population for whom they are not effective. In addition, there is a lack of research on how these may be implemented in real world settings as opposed to a research trial. The present research focuses on the provision of cognitive behavioural school-based interventions in two parts: a systematic review of psychological, interpersonal and social variables as predictors, mediators and moderators of mental health outcomes following a school-based intervention and an empirical mixed methods evaluation of the facilitators and barriers to the implementation of a school-based intervention. Method: A systematic search of electronic databases for studies examining interpersonal, psychological and social predictors, moderators and mediators of mental health outcome following school-based cognitive behavioural interventions was conducted. Effect sizes for these analyses were calculated and the quality of eligible studies was assessed using a standardised rating tool. Within the empirical project, the implementation of a school-based cognitive behavioural intervention was evaluated through a mixed methods approach. Semi-structured interviews with stakeholders in the intervention were analysed using grounded theory integrated with framework analysis. Quantitative data on the reach of the intervention, practitioner evaluation of training and coaching as well as routine outcome measures from children and young people receiving the intervention was collected. Results: Within the systematic review, twenty-two studies (N=22) met the predefined eligibility criteria. There was heterogeneity in the variables explored, effect size of these on treatment outcome and the quality of the literature within the included studies. Cognitive style was found to mediate treatment outcome, but there was limited evidence for other predictors, mediators and moderators of treatment outcome within the review. Quantitative results of the empirical project indicated that the model of the intervention was acceptable to both practitioners and children and young people, and preliminary data indicated a significant improvement in mental health outcomes. Facilitators that emerged from qualitative data included an enabling context, therapeutic engagement, motivation and congruence, self-efficacy and containment and encouragement. The exclusivity of the intervention, a lack of systemic understanding and transparency as well as demands and pressure on resources were barriers to implementation. Conclusions: Although preliminary evidence for potential predictors, mediators and moderators is presented, further research with improvements in the design and reporting of explanatory variables on treatment outcome is required prior to informing clinical decision-making. The successful implementation of school-based interventions requires multi-agency integration and collaboration as well as on-going support in managing systemic pressures and skill development.

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Urban, Jennifer Danielle. "Symptoms of post-traumatic stress disorder in police officers following September 11, 2001." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2474.

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The purpose of this study was to examine what, if any, symptoms of a traumatic stress reaction were still being experienced by police officers, as a result of the events of September 11, 2001, who were geographically distant from the events of that day. Participants included 60 police officers at two southern California law enforcement agencies.

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Mallett, John. "Poverty and health : a psychological analysis." Thesis, University of Ulster, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326120.

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Dickinson, Claire. "Interprofessional education for community mental health : changing attitudes and developing skills." Thesis, Durham University, 2003. http://etheses.dur.ac.uk/1093/.

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Beckham, Tony A. "Adolescent mental health services the use of psychological consulting /." Theological Research Exchange Network (TREN), 2005. http://www.tren.com.

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Baroni, Jessica. "The Psychological Effects of Restraints on Mental Health Workers." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1539123849184469.

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Wittchen, Hans-Ulrich, Samia Härtling, and Jürgen Hoyer. "Psychotherapy and Mental Health as a Psychological Science Discipline." Karger, 2015. https://tud.qucosa.de/id/qucosa%3A71679.

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The psychological sciences offer a large spectrum of theories, principles, and methodological approaches to understand mental health, normal and abnormal functions and behaviours, as well as mental disorders. Based on continued research progress, psychology has derived a wide range of effective interventions for behaviour change and the prevention, treatment and rehabilitation of mental disorders. Thus, psychology and clinical psychology in particular should be regarded as the ‘mother’ science for psychotherapy and psychotherapeutic practice. This paper provides a selective overview of the scope, strengths and gaps in psychological research to depict the advances needed to inform future research agendas on mental disorders and psychological interventions in the context of psychotherapy. Most maladaptive health behaviours and mental disorders can be conceptualised as the result of developmental dysfunctions of psychological functions and processes, and as associated neurobiological and genetic processes in interaction with behaviour and the environment. An integrative translational model, linking basic and experimental research with clinical research and population-based prospective longitudinal studies is proposed for improving identification of critical core vulnerability and risk factors and core pathogenic mechanisms. The proposed framework is expected to allow a more stringent delineation of targeted preventive and therapeutic psychological interventions and an optimisation and better understanding of cognitive-behavioural therapies and other psychological interventions. Based on a European consultation process, a ‘Science of Behaviour Change’ programme with the promise of improved diagnosis, treatment and prevention of both healthrisk behaviour constellations and mental disorders is proposed.
Psychologie als «Mutterwissenschaft» für Psychotherapie und psychische Gesundheit Psychologie als Wissenschaft bietet ein breites Spektrum an Theorien, Grundlagen und methodischen Ansätzen, um psychische Gesundheit, normale und gestörte Funktionen und Verhaltensweisen sowie psychische Störungen zu erforschen und zu «verstehen». Auf dieser Grundlage haben sich in der Klinischen Psychologie vielfältige effektive, psychologisch begründete Interventionen für die Prävention, Behandlung und Rehabilitation von psychischen Störungen ausdifferenziert. Damit ist die Psychologie als «Mutterwissenschaft » der Psychotherapie und psychotherapeutische Praxis anzusehen. Der Beitrag versucht auf der Grundlage einer Stärken-/Schwächen-Analyse der psychologischen Forschung diejenigen Themenbereiche zu definieren, die für Erkenntnisfortschritte bei psychischen Störungen und die psychotherapeutische Interventionsforschung besonders vielversprechend sein könnten. Dysfunktionale bzw. abweichende Verhaltensweisen wie auch psychische Störungen lassen sich als entwicklungsbezogene Störungen psychologischer Funktionen und Prozesse und damit assoziierter neurobiologischer und genetischer Prozesse konzeptualisieren. Für eine verbesserte Identifikation von zentralen Vulnerabilitäts- und Risikofaktoren sowie ätiologisch relevanten Schlüsselprozessen wird ein integratives translationales Modell vorgeschlagen, welches die Grundlagen- und experimentelle Forschung mit klinischer Forschung, Translation und Public-health-Implikationen verknüpft. Damit soll auf der einen Seite eine stringentere Ableitung gezielter Interventionen erleichtert werden, andererseits aber auch eine bessere Identifikation der zentralen Wirkfaktoren und Wirkprozesse psychologischer Therapien ermöglicht werden. Basierend auf einem europäischen Experten-Beratungsprozess wird ein EU-Programm ‘The science of behavior change’ angeregt.

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Greene, Jennifer. "A Systematic Review of Interventions to Increase Mental Health Service Use." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4056.

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Relatively few pre-treatment interventions to increase out-patient mental health (MH) service use have been created and experimentally tested. Therefore, not only is there limited availability of these interventions, it is uncertain whether existing interventions are effective. Moreover, it is unclear which components of the interventions are effective. To address these gaps in knowledge, a systematic review of pre-treatment interventions was conducted, using the Cochrane Review methodology. Three primary outcomes were evaluated: attendance at any type of out-patient MH visit; number of appointments of any type of out-patient MH visit; and/or initiation and adherence to psychotropic medication. PubMed and PsycINFO databases were thoroughly searched for studies that met the inclusion criteria. A data extraction form was designed and employed to systematically extract data from all included studies. In the 15 included studies, 18 different active interventions were evaluated. The interventions ranged in duration of interaction from one mailed flyer to ten 90-minute psychoeducation sessions. Most studies (n = 11) included one intervention group, compared with one control, or usual care, group. The interventions were categorized by the type of barriers they aimed to address, resulting in six broad categories: MH knowledge; MH knowledge/attitudes; MH knowledge/attitudes/ logistical barriers; MH knowledge/family involvement; care management; and home visits. All included studies received a quality assessment rating of "good" or "fair." The main finding of this thesis is that all categories of interventions increased at least two of the three primary outcomes. The care management interventions measured and increased all three outcomes; these interventions also had some of the highest quality ratings. Therefore, care management interventions appear most effective at increasing out-patient MH service use. Implications for practice and research are discussed.

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Carolan, Stephany. "Increasing adherence to digital mental health interventions delivered in the workplace." Thesis, University of Sussex, 2018. http://sro.sussex.ac.uk/id/eprint/79618/.

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Background: Work related stress, depression and anxiety are common. Despite evidence that these problems can be successfully treated in the workplace, take-up of psychological treatments by workers is low, resulting in many going untreated. One way to address this may be through the use of digital mental health interventions (DMHIs) in the workplace, but there is a lack of information about their appeal and effectiveness. Research questions: 1. What is the evidence for delivering DMHIs in the workplace? 2. What are the advantages and disadvantages to delivering DMHIs in the workplace? 3. What features of DMHIs influence engagement and adherence? What can be done to improve these? 4. What are employers' priorities when selecting DMHIs for their workforce? Method of investigation: Mixed methods were used to answer the research questions. Summary of conclusions: There is evidence for the efficacy of workplace DMHIs, especially if they are delivered over a short timeframe, utilise secondary modalities to deliver the interventions (emails and text messages), and use elements of persuasive technology (self-monitoring and tailoring). Use of online-facilitated discussion groups may increase engagement. Both employees and employers identified convenience, flexibility, and anonymity as advantages of DMHIs. Employers also valued the potential of DMHIs to reach many employees. The main barrier to engagement for employees was lack of time. For employers, barriers to purchasing DMHIs were employees' lack of access to equipment, and their low interest and skills. Cost and effectiveness were priorities for decision makers when purchasing DMHIs. Further work needs to be done with workers and employers to design and deliver DMHIs that meet both their needs.

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Montes, Lauretta Kaye. "A Meta-Analysis of Video Based Interventions in Adult Mental Health." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4804.

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Symptoms of mental illness such as anxiety and depression diminish functioning, cause distress, and create an economic burden to individuals and society. This meta-analysis was designed to evaluate the effectiveness of video based interventions (VBIs) for the treatment of adults in mental health settings. VBIs comprise four different ways of using video in mental health therapy, including video modeling, video exposure, video feedback, and videos used for psychoeducation. Bandura's social learning theory, Beck's cognitive theory, and Dowrick's theory of feedforward learning form the theoretical framework for understanding how VBIs work. The research questions were: (a) what is the range of effect sizes for VBI in mental health treatment of adults? (b) what is the mean standardized effect size for VBI in this context? and (c) what categorical variables, such as type of mental health issue or specific VBI application, moderate the effect of VBI? A comprehensive literature search strategy and coding plan for between-group studies was developed; the overall effect size for the 60 included studies equaled 0.34. A meta-regression was conducted; although the results were not significant, it is possible that type of VBI may be a moderator. Subgroup analyses by mental health outcome found the largest effect size, 0.48, for caregiving attitude and the smallest effect size, 0.21, for depression. Although the results of this meta-analysis were mixed, this study provides preliminary support for VBI use with adults as an evidence-based treatment. VBIs can contribute to positive social change by improving mental health treatment for the benefit of individuals, families, and society.

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O'Connell, Christine. "Integrating physical and psychological wellbeing in child health." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15004/.

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Research shows that the integration of physical and mental healthcare in paediatric settings is beneficial in terms of clinical and cost effectiveness (Kahana, Drotar, & Frazier, 2008; Douglas & Benson 2008, Griffin & Christie, 2008). Due to the high rates of mental health problems within this population, several studies have shown that referral to paediatric psychology should be increased (e.g. Wagner & Smith, 2007). However, there are few studies investigating factors influencing healthcare professionals’ referral behaviour. The current study used theory of planned behaviour (Ajzen, 1988; 1991) to develop a questionnaire which explores factors influencing the referral of children and families to paediatric psychology. Psychometric properties of the questionnaire were examined. Findings indicate that the questionnaire holds good reliability and validity and that the main constructs of theory of planned behaviour are useful in predicting intention to refer to paediatric psychology. Specific beliefs about referral were also shown to influence intention to refer. Findings that individual referrer factors such as attitudes and beliefs can impact healthcare professionals’ referral behaviour indicates that multidisciplinary interventions and inter-professional education relating to the psychological aspects of illness are required. Recommendations for future research are discussed.

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Wise, Joan Catherine. "Bereavement interventions a meta-analysis /." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.

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Robertson, Kevin. "Health-related psychological aspects of playing squash." Thesis, Liverpool John Moores University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.282785.

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McBride, Kathleen Sarah. "Mental health practitioners' perceptions of touch." CSUSB ScholarWorks, 1993. https://scholarworks.lib.csusb.edu/etd-project/482.

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Gallagher, Mary. "Multiple Identities, Self-Concept, and Psychological Distress." Kent State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=kent1342043745.

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Frankham, Charlotte. "Financial hardship and mental health : the role of psychological factors." Thesis, University of Southampton, 2017. https://eprints.soton.ac.uk/418015/.

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A review of the literature investigating the role of psychological factors in the relationship between financial hardship and mental health was completed. The review sought to identify which factors have been most consistently and reliably indicated, and the mechanisms by which these factors are proposed to contribute to the association between hardship and mental health. Although the review identified that a broad variety of factors have been investigated, skills related to personal agency and coping were most frequently and reliably associated with the relationship between financial hardship and mental health outcomes. Just over half of the studies reviewed concluded that the psychological factor investigated was either eroded by financial hardship, increasing vulnerability to mental health difficulties, or protected mental health by remaining intact despite the effects of financial hardship. The remaining studies found no such effect or did not analyse their data in a manner in which a mechanism of action could be identified. The methodological quality of the research included in the review was variable. The valid and reliable measurement of financial hardship, and conclusions regarding causation due to the use of predominantly cross-sectional design were areas of particular weakness. In a longitudinal study the psychological factors of economic locus of control, self esteem, hope and shame were explored for their impact on the relationship between financial hardship and mental health. Participants completed measures of financial hardship, the psychological factors and measures of mental health at three times at three monthly intervals. A hierarchical regression analyses indicated that subjective financial hardship, hope and shame significantly predicted mental health outcomes. A mediation analyses demonstrated that hope mediated the relationship between subjective financial hardship and depression, stress and wellbeing; that shame mediated the relationship between subjective financial hardship and anxiety; and that neither shame nor hope mediated the relationship between subjective financial hardship and suicide ideation.

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King, J. N. "School-based interventions to address the stigma associated with mental health problems." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11096/.

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Section A is a systematic review of the literature surrounding school-based interventions to address the stigma faced by people diagnosed with mental health problems. It asks the question of what the role of these interventions currently and potentially is and what is important for their efficacy. It begins by acknowledging the problem that stigma and discrimination presents, identifying what leads to and perpetuates this stigma. It then presents key theoretical and empirical contributions to our understanding of stigma and also to our understanding of how learning develops and attitudes form. The review goes on to look at what has been done in schools to date and highlights ‘active ingredients’ in these programmes, discussing the extent to which the current picture addresses theoretical and empirical contributions. Suggestions for further research are provided. Section B provides the findings of a grounded theory study investigating how primary school teachers communicate with children about mental health problems. Individual semi-structured interviews were carried out with fifteen teachers in three state schools. A model of communication is presented, which explains why discussions about mental health problems are absent from the primary school classroom. There appear to be a number of reasons for this. Teachers have fears about the implications of talking about mental health problems with children. These are connected to their beliefs and fears regarding those with mental health problems, their beliefs about mental health problems in relation to children and its place in the classroom, and about their professional roles. Relating to theory, teachers perceive themselves as part of a homogenous ‘in-group’ as distinct from a homogenous ‘out-group’ with mental health problems. Fears, beliefs and ingroup perceptions lead teachers to ‘play safe’ and avoid conversations about mental health problems in the classroom. This absence of discussion may reinforce for children that mental health problems are taboo. Greater links are required between schools and mental health services, and clinical psychologists need to be proactive in influencing policymakers by promoting the argument that teaching on mental health problems has an important place within the British school curriculum. Section C is a critical appraisal of this research, including discussion of the experience of being a researcher throughout this process. Consideration is given to the skills developed, areas where they may need to be expanded upon, areas where things could have been done differently, as well as research and clinical implications of the findings.

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Dissertations / Theses on the topic 'Mental health; Psychological interventions'

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