scholarly journals Using telehealth to assess depression and suicide ideation and provide mental health interventions to groups of chronically ill adolescents and young adults

2020 ◽  
Author(s):  
Shawna Wright ◽  
Noreen Thompson ◽  
Donna Yadrich ◽  
Amanda Bruce ◽  
Jaime R. M. Bonar ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Suicide Ideation ◽  
Chronically Ill ◽  
Health Interventions ◽  
Adolescents And Young Adults ◽  
Mental Health Interventions

Associations between Suicide Behaviors and Religiosity in Young Adults

2021 ◽  
Vol 35 (4) ◽  
Author(s):  
Shannon Gwin ◽  
Paul Branscum ◽  
E. Laurette Taylor ◽  
Marshall Cheney ◽  
Sarah B. Maness ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Online Survey ◽  
Suicide Ideation ◽  
Health Interventions ◽  
Inverse Association ◽  
Parental Relationships ◽  
Mental Health Interventions ◽  
Southwestern State ◽  
Suicide Behaviors

The purpose of this study was to examine associations between suicide ideation, parental relation- ships, and religiosity among young adults. An online survey was administered to students (n=775) from colleges and universities in a southwestern state measuring suicide ideation, protective assets of parental relationships, and religiosity beliefs. Odds ratios analysis revealed a significant inverse association between religiosity and suicide ideation. Overall, higher rates religiosity appears to be associated with lower bouts of suicide ideation in the last 12 months. Addition of religious/spirituality-oriented tools may be important to incorporate in mental health interventions for those young adults that report having greater religiosity.

scholarly journals The need for accessible mental health interventions for young adults in the COVID-19 pandemic: A student psychologists’ perspective and rapid systematic review

2021 ◽  
Author(s):  
Dilan Hulaj ◽  
Sophie Antesberger ◽  
Tabea Blum ◽  
Raffaela Böswald ◽  
Hannah M. Brandl ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Young Adults ◽  
General Population ◽  
Mental Health Problems ◽  
Severe Disease ◽  
Health Interventions ◽  
Medium Effect ◽  
Web Based ◽  
Mental Health Interventions

Importance: Although young adults are on average less affected by the physical consequences of COVID-19 infections, showing less severe disease progression and lower mortality risk, they suffer strongly from the mental health impact of the pandemic.Objective: We, a group of psychology students experiencing these impacts, aim to provide an overview of the existing literature on prevention and intervention efforts to effectively reduce the development of, or suffering from, mental health problems in young adults (18-35) during the COVID-19 pandemic.Evidence Review: A rapid systematic review was conducted to identify studies focusing on the implementation of mental health interventions for young adults of the general population during the COVID-19 pandemic. Literature was searched with Pubmed and Web of Science on June 17, 2021. The quality of each study was assessed by two reviewers with the Standard Quality Assessment Criteria for Evaluating Primary Research Papers.Findings: Of N = 76 records initially screened, eight studies met the inclusion criteria. Six applied web-based interventions, of which four were randomized controlled trials. Interventions were based on Cognitive Behavioral Therapy approaches (n = 5), mindfulness practices, logo-autobiography, and synergistic thinking methods. The interventions varied in length from single sessions to multiple sessions over a period of up to 10 weeks. All interventions were effective in reducing depression and anxiety symptoms, as well as stress with small to medium effect sizes and a symptom reduction up to 78.9%. With only three studies being of high quality, the overall quality was low.Conclusions and Relevance: Research on mental health interventions for young adults in the general population during the pandemic is sparse. However, all interventions resulted in symptoms reductions and thus have been shown to be effective ways of counteracting the potential development of mental disorders during times of uncertainty, with high levels of stress, such as during a pandemic. Therefore, we propose a concept for an innovative and cost-effective web-based platform to structure and raise awareness for existing measures.

scholarly journals Telemental Health For Youth With Chronic Illnesses: Systematic Review (Preprint)

2021 ◽  
Author(s):  
Nancy Lau ◽  
Susannah F Colt ◽  
Shayna Waldbaum ◽  
Alison O'Daffer ◽  
Kaitlyn Fladeboe ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Young Adults ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Chronic Illnesses ◽  
Health Interventions ◽  
Adolescents And Young Adults ◽  
Telemental Health

BACKGROUND Children, adolescents, and young adults with chronic conditions experience difficulties coping with disease-related stressors, comorbid mental health problems, and decreased quality of life. The COVID-19 pandemic has led to a global mental health crisis, and telemental health has necessarily displaced in-person care. However, it remains unknown whether such remote interventions are feasible or efficacious. We aimed to fill this research-practice gap. OBJECTIVE In this systematic review, we present a synthesis of studies examining the feasibility and efficacy of telemental health interventions for youth aged ≤25 years with chronic illnesses. METHODS PubMed, Embase, Web of Science, PsycInfo, and Cochrane Database of Systematic Reviews were searched from 2008 to 2020. We included experimental, quasiexperimental, and observational studies of telemental health interventions designed for children, adolescents, and young adults aged ≤25 years with chronic illnesses, in which feasibility or efficacy outcomes were measured. Only English-language publications in peer-reviewed journals were included. We excluded studies of interventions for caregivers or health care providers, mental health problems not in the context of a chronic illness, disease and medication management, and prevention programs for healthy individuals. RESULTS We screened 2154 unique study records and 109 relevant full-text articles. Twelve studies met the inclusion criteria, and they represented seven unique telemental health interventions. Five of the studies included feasibility outcomes and seven included efficacy outcomes. All but two studies were pilot studies with relatively small sample sizes. Most interventions were based on cognitive behavioral therapy and problem-solving therapy. The subset of studies examining intervention feasibility concluded that telemental health interventions were appropriate, acceptable, and satisfactory to patients and their parents. Technology did not create barriers in access to care. For the subset of efficacy studies, evidence in support of the efficacy of telemental health was mixed. Significant heterogeneity in treatment type, medical diagnoses, and outcomes precluded a meta-analysis. CONCLUSIONS The state of the science for telemental health interventions designed for youth with chronic illnesses is in a nascent stage. Early evidence supports the feasibility of telehealth-based delivery of traditional in-person interventions. Few studies have assessed efficacy, and current findings are mixed. Future research should continue to evaluate whether telemental health may serve as a sustainable alternative to in-person care after the COVID pandemic.

cThe Cultural Adaptation of Step-by-Step: An intervention to address depression among Chinese young adults (Preprint)

2020 ◽  
Author(s):  
Hao Fong Sit ◽  
Rui Ling ◽  
Agnes Iok Fong Lam ◽  
Wen Chen ◽  
Brian Hall
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Cultural Adaptation ◽  
Ecological Validity ◽  
Health Intervention ◽  
Health Interventions ◽  
Content Adaptation ◽  
Mental Health Intervention ◽  
Mental Health Interventions ◽  
Chinese Young Adults

BACKGROUND Digital mental health interventions leverage digital communication technology to address the mental health needs of populations. Culturally adapting interventions can lead to a successful scalable mental health intervention implementation, and cultural adaptation of digital mental health interventions is a critical component to implementing interventions at scale within contexts where mental health services are not well supported. OBJECTIVE The study aims to describe the cultural adaptation of a digital mental health intervention Step-by-Step in order to address depression among Chinese young adults. METHODS Cultural adaptation was carried out in four phases following Ecological Validity Model: 1) Stage setting and expert consultation; 2) Preliminary content adaptation; 3) Iterative content adaptation with community members; 4) Finalized adaptation with community feedback meetings. Cognitive interviewing was applied to probe for relevance, acceptability, comprehensibility, and completeness of illustrations and text. Six mental health experts and 34 Chinese young adults were recruited for key informant interviews and focus group discussions. RESULTS We adapted the text and illustrations to fits the culture among Chinese young adults. Eight elements of the intervention were chosen as the targets of cultural adaptation (e.g., language, metaphors, content). Samples of major adaptations included: adding scenarios related to university life (relevance), changing leading characters from a physician to a peer and a cartoon (acceptability), incorporating two language versions (traditional Chinese and simplified Chinese) in the intervention (comprehensibility), and maintaining fundamental therapeutic components (completeness). CONCLUSIONS This study showed the utility of using Ecological Validity Model and a four-point procedure framework for cultural adaptation and achieved a culturally appropriate version of the Step-by-Step program for Chinese young adults.

scholarly journals Telemental Health For Youth With Chronic Illnesses: Systematic Review

10.2196/30098 ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. e30098
Author(s):  
Nancy Lau ◽  
Susannah F Colt ◽  
Shayna Waldbaum ◽  
Alison O'Daffer ◽  
Kaitlyn Fladeboe ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Young Adults ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Chronic Illnesses ◽  
Health Interventions ◽  
Adolescents And Young Adults ◽  
Telemental Health

Background Children, adolescents, and young adults with chronic conditions experience difficulties coping with disease-related stressors, comorbid mental health problems, and decreased quality of life. The COVID-19 pandemic has led to a global mental health crisis, and telemental health has necessarily displaced in-person care. However, it remains unknown whether such remote interventions are feasible or efficacious. We aimed to fill this research-practice gap. Objective In this systematic review, we present a synthesis of studies examining the feasibility and efficacy of telemental health interventions for youth aged ≤25 years with chronic illnesses. Methods PubMed, Embase, Web of Science, PsycInfo, and Cochrane Database of Systematic Reviews were searched from 2008 to 2020. We included experimental, quasiexperimental, and observational studies of telemental health interventions designed for children, adolescents, and young adults aged ≤25 years with chronic illnesses, in which feasibility or efficacy outcomes were measured. Only English-language publications in peer-reviewed journals were included. We excluded studies of interventions for caregivers or health care providers, mental health problems not in the context of a chronic illness, disease and medication management, and prevention programs for healthy individuals. Results We screened 2154 unique study records and 109 relevant full-text articles. Twelve studies met the inclusion criteria, and they represented seven unique telemental health interventions. Five of the studies included feasibility outcomes and seven included efficacy outcomes. All but two studies were pilot studies with relatively small sample sizes. Most interventions were based on cognitive behavioral therapy and problem-solving therapy. The subset of studies examining intervention feasibility concluded that telemental health interventions were appropriate, acceptable, and satisfactory to patients and their parents. Technology did not create barriers in access to care. For the subset of efficacy studies, evidence in support of the efficacy of telemental health was mixed. Significant heterogeneity in treatment type, medical diagnoses, and outcomes precluded a meta-analysis. Conclusions The state of the science for telemental health interventions designed for youth with chronic illnesses is in a nascent stage. Early evidence supports the feasibility of telehealth-based delivery of traditional in-person interventions. Few studies have assessed efficacy, and current findings are mixed. Future research should continue to evaluate whether telemental health may serve as a sustainable alternative to in-person care after the COVID pandemic.

scholarly journals Intimate Partner Violence and Mental Health: Sex-Disaggregated Associations Among Adolescents and Young Adults in Uganda

2020 ◽  
pp. 088626052093850
Author(s):  
Flora Cohen ◽  
Ilana Seff ◽  
Fred Ssewamala ◽  
Timothy Opobo ◽  
Lindsay Stark
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Young Adults ◽  
Suicidal Ideation ◽  
Partner Violence ◽  
Suicide Ideation ◽  
Intimate Partner ◽  
Poor Mental Health ◽  
Adolescents And Young Adults ◽  
Ipv Perpetration

Experiences of intimate partner violence (IPV) victimization have well-established associations with poor mental health. There is also burgeoning evidence regarding the association between IPV perpetration and mental health in a small number of countries. However, there is a paucity of data about the gendered differences for these IPV experiences within sub-Saharan African. This study examines the association between IPV victimization, perpetration, and mental health outcomes for male and female adolescents and young adults in Uganda. Data on IPV perpetration were available for a nationally representative sample of 1,373 males and 2,022 females in Uganda. Observations were weighted to be representative of 13- to 24-year-olds in Uganda. Study procedures used multivariate logistic regression models to examine associations between ever-perpetration of IPV and four self-reported mental health variables: severe sadness, feelings of worthlessness, suicide ideation, and alcohol abuse. Models controlled for age, marital status, schooling, and past exposure to violence. Models were sex-disaggregated to examine sex-specific associations. Standard errors were adjusted for sampling stratification and clustering. Data analysis showed that males were more than twice as likely as females to perpetrate IPV (14% vs. 6%, respectively; p < .001), while odds of perpetration for both sexes were higher for those ever experiencing IPV (adjusted odds ratio [aOR] = 12.12 for males; aOR=4.73 for females). Male perpetrators had 2.93 greater odds of experiencing suicidal ideation (95% confidence interval [CI]: [1.78, 4.82], p < .001) and increased drinking behaviors (2.21, 95% CI: [1.39, 3.50], p < .001) when compared with non-perpetrating males. In addition, female perpetrators had 2.59 times greater odds of suicidal ideation (95% CI: [1.34,4.99], p < .01), as compared with non-perpetrating females. Our findings among youth and adolescents demonstrated associated but different experiences for males and females. Findings indicate the importance of understanding the relationship between IPV victimization and perpetration, and addressing these correlates with a gender-sensitive perspective to inform policy and programming.

Prison-Based Interventions for Early Adults with Mental Health Needs: A Systematic Review

2020 ◽  
pp. 0306624X2095239
Author(s):  
Ashley Givens ◽  
Kimberly Moeller ◽  
Terence L. Johnson
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
The United States ◽  
Health Interventions ◽  
Assessment Tools ◽  
Health Needs ◽  
Mental Health Needs ◽  
Mental Health Interventions ◽  
Self Harm ◽  
The Impact

Rates of mental health needs of incarcerated young adults (15–35 year olds) are concerning, however, mental health interventions targeting this population are under studied. This article systematically reviews published, peer-reviewed research in nine databases pertaining to mental health interventions for incarcerated young adults. Only original studies conducted in the United States and determined to be valid though NIH assessment tools were included in this analysis. The review includes 19 original studies testing 14 intervention programs exploring mental health outcomes such as depression, PTSD, self-harm, and bipolar symptoms. Overall, findings were mixed about the impact of reviewed programs. The variety of interventions, outcomes, study settings, and implementation procedures complicates the ability to determine the impact of mental health programming in carceral settings. This review also reveals the lack of depth and replication of research in this area. Findings suggest additional efforts are needed to establish efficacy and best practices when treating mental health needs among this population.

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