Pub Date : 2021-01-11DOI: 10.1108/MHRJ-08-2020-0056
Z. Hepburn, E. Rothwell, Julia Ann Fox-Clinch
To evaluate the effectiveness of an adaptation of Interpersonal Group Psychotherapy (IPT-G), in facilitating short- and longer-term improvements in eating disorder symptomology, psychosocial impairment, anxiety, depression and attachment difficulties among adults living with overweight and diagnosed with binge eating disorder (BED).,In total, 24 participants completed measures at the start of IPT-G, mid-treatment, discharge and six-month follow-up. Quantitative outcomes were analysed utilising one-way repeated measures analysis of variance.,Treatment retention was 100%. Significant improvements in binge-eating frequency, psychosocial impairment and depression were achieved at mid-treatment and maintained at post-treatment and six-month follow-up, and with large effect sizes. Attachment anxiety had reduced significantly at post-treatment and was maintained at six-month review. Body mass index (BMI) had stabilised by mid-treatment and was maintained at post-treatment and six-month follow-up. All hypotheses were supported, with the exception that attachment avoidance did not improve significantly and following a post-treatment reduction, anxiety symptoms deteriorated slightly by six-month follow-up, such that they were no longer significantly different from pre-treatment levels.,Despite being the most prevalent of the eating disorders (compared to anorexia nervosa and bulimia nervosa), BED is under-recognised and under-treated in clinical settings. Results indicate the sustained effectiveness of IPT-G in improving eating disorder and comorbid symptomology associated with BED.,This is the first UK study to investigate the effectiveness of IPT-G at treating BED. Unlike previous studies in the field, this study did not exclude participants based on age, BMI or psychiatric comorbidity.
{"title":"Treating the overlooked majority: quantitative outcomes from an NHS adaptation of Interpersonal Group Psychotherapy for binge eating disorder","authors":"Z. Hepburn, E. Rothwell, Julia Ann Fox-Clinch","doi":"10.1108/MHRJ-08-2020-0056","DOIUrl":"https://doi.org/10.1108/MHRJ-08-2020-0056","url":null,"abstract":"To evaluate the effectiveness of an adaptation of Interpersonal Group Psychotherapy (IPT-G), in facilitating short- and longer-term improvements in eating disorder symptomology, psychosocial impairment, anxiety, depression and attachment difficulties among adults living with overweight and diagnosed with binge eating disorder (BED).,In total, 24 participants completed measures at the start of IPT-G, mid-treatment, discharge and six-month follow-up. Quantitative outcomes were analysed utilising one-way repeated measures analysis of variance.,Treatment retention was 100%. Significant improvements in binge-eating frequency, psychosocial impairment and depression were achieved at mid-treatment and maintained at post-treatment and six-month follow-up, and with large effect sizes. Attachment anxiety had reduced significantly at post-treatment and was maintained at six-month review. Body mass index (BMI) had stabilised by mid-treatment and was maintained at post-treatment and six-month follow-up. All hypotheses were supported, with the exception that attachment avoidance did not improve significantly and following a post-treatment reduction, anxiety symptoms deteriorated slightly by six-month follow-up, such that they were no longer significantly different from pre-treatment levels.,Despite being the most prevalent of the eating disorders (compared to anorexia nervosa and bulimia nervosa), BED is under-recognised and under-treated in clinical settings. Results indicate the sustained effectiveness of IPT-G in improving eating disorder and comorbid symptomology associated with BED.,This is the first UK study to investigate the effectiveness of IPT-G at treating BED. Unlike previous studies in the field, this study did not exclude participants based on age, BMI or psychiatric comorbidity.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"26 1","pages":"55-70"},"PeriodicalIF":1.2,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47592673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-08DOI: 10.1108/MHRJ-04-2020-0022
Emily Fulcher, H. Pote
Since its initial development, numerous mental health literacy (MHL) definitions and associated measures have been created which have yet to be adequately evaluated. This paper aims to evaluate the psychometric properties of global MHL measures with the aim of identifying the most valid, reliable, responsive and interpretable measure.,A systematic review was conducted of studies that evaluated global MHL measures against at least one of the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) taxonomy properties; validity, reliability, responsivity or interpretability.,In total, 13 studies were identified which examined the psychometric properties of 7 MHL measures. Two of these seven measures were vignette format and the remaining five measures were questionnaires. The mental health promoting knowledge-10 and the multicomponent mental health literacy measure were the most psychometrically robust global MHL measures as they had the most psychometric properties rated as adequate. Both were shown to have adequate structural validity, internal consistency and construct validity. The two vignette measures, the MHL tool for the workplace and the vignette MHL measure, were both shown to only have adequate evidence for construct validity.,The current study is the first to systematically review research that evaluated the psychometric properties of global measures of MHL.
{"title":"Psychometric properties of global mental health literacy measures","authors":"Emily Fulcher, H. Pote","doi":"10.1108/MHRJ-04-2020-0022","DOIUrl":"https://doi.org/10.1108/MHRJ-04-2020-0022","url":null,"abstract":"Since its initial development, numerous mental health literacy (MHL) definitions and associated measures have been created which have yet to be adequately evaluated. This paper aims to evaluate the psychometric properties of global MHL measures with the aim of identifying the most valid, reliable, responsive and interpretable measure.,A systematic review was conducted of studies that evaluated global MHL measures against at least one of the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) taxonomy properties; validity, reliability, responsivity or interpretability.,In total, 13 studies were identified which examined the psychometric properties of 7 MHL measures. Two of these seven measures were vignette format and the remaining five measures were questionnaires. The mental health promoting knowledge-10 and the multicomponent mental health literacy measure were the most psychometrically robust global MHL measures as they had the most psychometric properties rated as adequate. Both were shown to have adequate structural validity, internal consistency and construct validity. The two vignette measures, the MHL tool for the workplace and the vignette MHL measure, were both shown to only have adequate evidence for construct validity.,The current study is the first to systematically review research that evaluated the psychometric properties of global measures of MHL.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"26 1","pages":"87-99"},"PeriodicalIF":1.2,"publicationDate":"2021-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44242436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-26DOI: 10.1108/mhrj-12-2020-057
O. Dale, R. Haigh, Julia Blazdell, F. Sethi
{"title":"Editorial","authors":"O. Dale, R. Haigh, Julia Blazdell, F. Sethi","doi":"10.1108/mhrj-12-2020-057","DOIUrl":"https://doi.org/10.1108/mhrj-12-2020-057","url":null,"abstract":"","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41946437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-12DOI: 10.1108/mhrj-05-2020-0026
P. Cotter, Nicola Jhumat, Eshia Garcha, Eirini Papasileka, J. Parker, Ishmael Mupfupi, I. Currie
Purpose This paper aims to outline the process of supporting frontline inpatient mental health staff in developing ways of coping with COVID-19. Design/methodology/approach A whole system approach was used in formulating and developing support structures with particular focus on relationship-focused coping. Findings Interventions were developed to support staff in coping with problem-focused (e.g. systemic changes) and emotion-focused challenges (e.g. deaths of colleagues). These included psychoeducation, mindfulness-based meditation and rituals to mark the deaths of colleagues. Staff SPACE (Stopping to Process and Consider Events) sessions were used to support staff in managing the many emotions they were experiencing. Positive psychology-based interventions were used to keep morale up and help people to stay motivated. The process of seeking feedback and making changes was introduced to support staff in feeling heard and having a voice. The maternal or master intervention within each of the above was the relational component. Practical implications This work aimed to boost the emotional and psychological literacy of the system. This will be important in the aftermath of the pandemic and could have many benefits thereafter. Social implications The post-COVID-19 health-care workforce will experience significant challenges in terms of readjustment and recovery. It is important that appropriate measures are put in place to ameliorate this. Originality/value An innovative systemic formulation of the impact of COVID-19 on frontline staff, and a coordinated way of dealing with this, is outlined.
{"title":"A systemic response to supporting frontline inpatient mental health staff in coping with the COVID-19 outbreak","authors":"P. Cotter, Nicola Jhumat, Eshia Garcha, Eirini Papasileka, J. Parker, Ishmael Mupfupi, I. Currie","doi":"10.1108/mhrj-05-2020-0026","DOIUrl":"https://doi.org/10.1108/mhrj-05-2020-0026","url":null,"abstract":"\u0000Purpose\u0000This paper aims to outline the process of supporting frontline inpatient mental health staff in developing ways of coping with COVID-19.\u0000\u0000\u0000Design/methodology/approach\u0000A whole system approach was used in formulating and developing support structures with particular focus on relationship-focused coping.\u0000\u0000\u0000Findings\u0000Interventions were developed to support staff in coping with problem-focused (e.g. systemic changes) and emotion-focused challenges (e.g. deaths of colleagues). These included psychoeducation, mindfulness-based meditation and rituals to mark the deaths of colleagues. Staff SPACE (Stopping to Process and Consider Events) sessions were used to support staff in managing the many emotions they were experiencing. Positive psychology-based interventions were used to keep morale up and help people to stay motivated. The process of seeking feedback and making changes was introduced to support staff in feeling heard and having a voice. The maternal or master intervention within each of the above was the relational component.\u0000\u0000\u0000Practical implications\u0000This work aimed to boost the emotional and psychological literacy of the system. This will be important in the aftermath of the pandemic and could have many benefits thereafter.\u0000\u0000\u0000Social implications\u0000The post-COVID-19 health-care workforce will experience significant challenges in terms of readjustment and recovery. It is important that appropriate measures are put in place to ameliorate this.\u0000\u0000\u0000Originality/value\u0000An innovative systemic formulation of the impact of COVID-19 on frontline staff, and a coordinated way of dealing with this, is outlined.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2020-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48728410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-09DOI: 10.1108/mhrj-05-2020-0025
Kerry A. Thomas, Annelise M. Schroder, D. Rickwood
Purpose Timely access to effective treatment is a primary goal for mental health services; however, when demand exceeds available resources, services may place clients on a waitlist or restrict services. This paper aims to identify approaches used by mental health services to manage service demand and waitlists. Design/methodology/approach A review of research literature between 2009 and 2019 was conducted using the Medline, PsycINFO, CINAHL, Embase and Cochrane databases. Articles were screened and assessed against inclusion criteria and the methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool. Findings In total, 20 articles were located that met the inclusion criteria. Five demand management approaches were identified, namely, walk-in models, triage processes, multi-disciplinary care, patient-led approaches and service delivery changes. Research limitations/implications This review identifies effective approaches that services can consider adapting to their local setting; however, further research is needed to demonstrate the clinical effectiveness of services provided under these models. Originality/value This review makes a valuable contribution to mental health care service delivery by detailing the strategies that services have adopted to manage demand and, where available, comparative outcomes with traditional service delivery models.
{"title":"A systematic review of current approaches to managing demand and waitlists for mental health services","authors":"Kerry A. Thomas, Annelise M. Schroder, D. Rickwood","doi":"10.1108/mhrj-05-2020-0025","DOIUrl":"https://doi.org/10.1108/mhrj-05-2020-0025","url":null,"abstract":"\u0000Purpose\u0000Timely access to effective treatment is a primary goal for mental health services; however, when demand exceeds available resources, services may place clients on a waitlist or restrict services. This paper aims to identify approaches used by mental health services to manage service demand and waitlists.\u0000\u0000\u0000Design/methodology/approach\u0000A review of research literature between 2009 and 2019 was conducted using the Medline, PsycINFO, CINAHL, Embase and Cochrane databases. Articles were screened and assessed against inclusion criteria and the methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool.\u0000\u0000\u0000Findings\u0000In total, 20 articles were located that met the inclusion criteria. Five demand management approaches were identified, namely, walk-in models, triage processes, multi-disciplinary care, patient-led approaches and service delivery changes.\u0000\u0000\u0000Research limitations/implications\u0000This review identifies effective approaches that services can consider adapting to their local setting; however, further research is needed to demonstrate the clinical effectiveness of services provided under these models.\u0000\u0000\u0000Originality/value\u0000This review makes a valuable contribution to mental health care service delivery by detailing the strategies that services have adopted to manage demand and, where available, comparative outcomes with traditional service delivery models.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/mhrj-05-2020-0025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49543847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-21DOI: 10.1108/mhrj-05-2020-0028
Priyalatha Govindasamy, K. Green, Antonio Olmos
The Brief Symptom Inventory-18 (BSI-18) is a tool used to measure clinically relevant psychological symptoms to support clinical decision-making at intake and during the course of treatment in various settings. The BSI-18 has frequently been evaluated for construct validity via analysis of its structure. However, these studies showed mixed results of the factor solutions and no consensus on the dimensionality. Therefore, the purpose of this paper is to synthesize the empirical findings about the factor structure to reach an overall conclusion about the factor structure of the BSI-18.,A meta-analysis of factor analysis results using an aggregated co-occurrence matrix approach was conducted to synthesize the factor structure. The item factor loading information from seven published studies is gathered, combined and summarized to conclude the factor structure of the instrument. Multidimensional scaling (MDS) was used to quantify the similarity between the underlying factor structures of BSI-18 from different empirical articles.,The perceptual map from MDS-found items was clustered into three distinctive factors matching the original intent. The findings highlight the consistency of the BSI-18’s factor structure. However, the findings should be used with caution owing to the small sample size and conclusions made from visual representation.,This original study contributes to research in the provision of empirically tested measures that take a focus on factor analysis and the use of meta-analysis technique to account for an understanding of the factor structure.
{"title":"Meta-analysis of the factor structure of the Brief Symptom Inventory (BSI-18) using an aggregated co-occurrence matrix approach","authors":"Priyalatha Govindasamy, K. Green, Antonio Olmos","doi":"10.1108/mhrj-05-2020-0028","DOIUrl":"https://doi.org/10.1108/mhrj-05-2020-0028","url":null,"abstract":"The Brief Symptom Inventory-18 (BSI-18) is a tool used to measure clinically relevant psychological symptoms to support clinical decision-making at intake and during the course of treatment in various settings. The BSI-18 has frequently been evaluated for construct validity via analysis of its structure. However, these studies showed mixed results of the factor solutions and no consensus on the dimensionality. Therefore, the purpose of this paper is to synthesize the empirical findings about the factor structure to reach an overall conclusion about the factor structure of the BSI-18.,A meta-analysis of factor analysis results using an aggregated co-occurrence matrix approach was conducted to synthesize the factor structure. The item factor loading information from seven published studies is gathered, combined and summarized to conclude the factor structure of the instrument. Multidimensional scaling (MDS) was used to quantify the similarity between the underlying factor structures of BSI-18 from different empirical articles.,The perceptual map from MDS-found items was clustered into three distinctive factors matching the original intent. The findings highlight the consistency of the BSI-18’s factor structure. However, the findings should be used with caution owing to the small sample size and conclusions made from visual representation.,This original study contributes to research in the provision of empirically tested measures that take a focus on factor analysis and the use of meta-analysis technique to account for an understanding of the factor structure.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"25 1","pages":"367-378"},"PeriodicalIF":1.2,"publicationDate":"2020-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/mhrj-05-2020-0028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44218798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-15DOI: 10.1108/mhrj-10-2019-0037
Louise Canacott, Anna Tickle, Nima G. Moghaddam
The purpose of this systematic review was to address two questions: what is the qualitative evidence for the effects of the Wellness Recovery Action Plan (WRAP) training, as perceived by adults with mental health difficulties using it? What is the quality of qualitative literature evaluating WRAP?,Five electronic reference databases and the EThOS database for unpublished research were systematically searched, as well as two pertinent journals. Study quality was assessed using Critical Appraisal Skills Programme criteria and results analysed using thematic synthesis.,Of 73 studies, 12 qualitative papers met inclusion criteria and were generally good quality. Analyses demonstrated expected findings, such as increased understanding and active management of mental health in the context of group processes. Results also highlighted that WRAP training promoted acceptance and improved communication with professionals. Peer delivery of WRAP was highly valued, with contrasting perceptions of peers and professionals evident. Some cultural considerations were raised by participants from ethnic minorities.,WRAP training participation has positive self-perceived effects beyond those captured by measures of recovery. Broader implications are suggested regarding earlier access to WRAP, professional support and communication between professionals and service users. Recommendations for further research include the relationship between social support and illness self-management and peer-delivered acceptance-based approaches. Multiple time-point qualitative studies could offer insights into WRAP training processes and whether changes are sustained.,As the first review of qualitative evidence regarding WRAP training, value is offered both through increased understanding of outcomes and also guidance for future research.
{"title":"Perceptions of wellness recovery action plan (WRAP) training: a systematic review and metasynthesis","authors":"Louise Canacott, Anna Tickle, Nima G. Moghaddam","doi":"10.1108/mhrj-10-2019-0037","DOIUrl":"https://doi.org/10.1108/mhrj-10-2019-0037","url":null,"abstract":"The purpose of this systematic review was to address two questions: what is the qualitative evidence for the effects of the Wellness Recovery Action Plan (WRAP) training, as perceived by adults with mental health difficulties using it? What is the quality of qualitative literature evaluating WRAP?,Five electronic reference databases and the EThOS database for unpublished research were systematically searched, as well as two pertinent journals. Study quality was assessed using Critical Appraisal Skills Programme criteria and results analysed using thematic synthesis.,Of 73 studies, 12 qualitative papers met inclusion criteria and were generally good quality. Analyses demonstrated expected findings, such as increased understanding and active management of mental health in the context of group processes. Results also highlighted that WRAP training promoted acceptance and improved communication with professionals. Peer delivery of WRAP was highly valued, with contrasting perceptions of peers and professionals evident. Some cultural considerations were raised by participants from ethnic minorities.,WRAP training participation has positive self-perceived effects beyond those captured by measures of recovery. Broader implications are suggested regarding earlier access to WRAP, professional support and communication between professionals and service users. Recommendations for further research include the relationship between social support and illness self-management and peer-delivered acceptance-based approaches. Multiple time-point qualitative studies could offer insights into WRAP training processes and whether changes are sustained.,As the first review of qualitative evidence regarding WRAP training, value is offered both through increased understanding of outcomes and also guidance for future research.","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":"25 1","pages":"345-366"},"PeriodicalIF":1.2,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/mhrj-10-2019-0037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43743864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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