Encouraging Help Seeking in Youth: Pilot Study Findings

2012 ◽  
Author(s):  
Rosanne Menna ◽  
Kathryn Lafreniere
Keyword(s):  
10.2196/25650 ◽  
2020 ◽  
Author(s):  
Christian Rauschenberg ◽  
Benjamin Boecking ◽  
Isabell Paetzold ◽  
Koen Schruers ◽  
Anita Schick ◽  
...  

2020 ◽  
Author(s):  
Christian Rauschenberg ◽  
Benjamin Boecking ◽  
Isabell Paetzold ◽  
Koen Schruers ◽  
Anita Schick ◽  
...  

BACKGROUND Digital interventions offer new avenues for low-threshold prevention and treatment in young people. Ecological momentary interventions (EMIs) represent a powerful approach that allows for adaptive, real-time, and real-world delivery of intervention components in daily life by real-time processing of ecological momentary assessment (EMA) data. Compassion-focused interventions (CFIs) may be particularly amenable to translation into an EMI to strengthen emotional resilience and modify putative risk mechanisms, such as stress sensitivity, in the daily lives of young help-seeking individuals. OBJECTIVE This study aims to investigate the feasibility, safety, and initial therapeutic effects of a novel, accessible, transdiagnostic, ecological momentary CFI for improving emotional resilience to stress (<i>EMIcompass</i>). METHODS In this uncontrolled pilot study, help-seeking youth with psychotic, depressive, or anxiety symptoms were offered the EMIcompass intervention in addition to treatment as usual. The EMIcompass intervention consisted of a 3-week EMI (including enhancing, consolidating, and EMA-informed interactive tasks) administered through a mobile health app and three face-to-face sessions with a trained psychologist intended to provide guidance and training on the CFI exercises presented in the app (ie, training session, follow-up booster session, and review session). RESULTS In total, 10 individuals (mean age 20.3 years, SD 3.8; range 14-25) were included in the study. Most (8/10, 80%) participants were satisfied and reported a low burden of app usage. No adverse events were observed. In approximately one-third of all EMAs, individuals scored high on stress, negative affect, or threat anticipation during the intervention period, resulting in real-time, interactive delivery of the CFI intervention components in addition to weekly enhancing and daily consolidating tasks. Although the findings should be interpreted with caution because of the small sample size, reduced stress sensitivity, momentary negative affect, and psychotic experiences, along with increased positive affect, were found at postintervention and the 4-week follow-up. Furthermore, reductions in psychotic, anxiety, and depressive symptoms were found (<i>r</i>=0.30-0.65). CONCLUSIONS Our findings provide evidence on the feasibility and safety of the EMIcompass intervention for help-seeking youth and lend initial support to beneficial effects on stress sensitivity and mental health outcomes. An exploratory randomized controlled trial is warranted to establish the feasibility and preliminary evidence of its efficacy. CLINICALTRIAL


SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110401
Author(s):  
Tove Lundberg ◽  
Stina Melander

The aim of this study was to explore how general practitioners cope with the challenges they face when trying to provide effective interventions to pain patients within the organizational context of a health center. Based on interviews with 15 Swedish providers, the study suggests that the challenges that general practitioners experience in the consultations with patients must be understood in a temporal perspective related to the process of care (from initial consultations to “post-treatment”) and the help-seeking process (close to the onset of problems or later). The coping strategies used to handle these challenges can be summarized into four major domains. First, participants adopted a biopsychosocial model to provide proper care. Second, they employed strategies to enhance communication. Third, they coped with the organizational environment, and fourth, they used strategies to cope emotionally. The study contributes to a holistic perspective on providers’ coping strategies by addressing temporal and organizational aspects.


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