scholarly journals Participating in Online Mental Health Interventions: Who Is Most Likely to Sign Up and Why?

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Dimity A. Crisp ◽  
Kathleen M. Griffiths

Internet-based interventions are increasingly recognized as effective in the treatment and prevention of mental disorders. However, little research has investigated who is most likely to participate in intervention trials. This study examined the characteristics of individuals interested in participating in an online intervention to improve emotional well-being and prevent or reduce the symptoms of depression, factors reported to encourage or discourage participation, and preferences for different intervention types. The study comprised 4761 Australians participating in a survey on emotional health. Comparisons are made between those who expressed an interest in participating in the trial and those who were not. Compared to those who declined to participate, interested participants were more likely older, females, separated/divorced, and highly educated, have reported current or past history of depression, report higher depressive symptoms, and have low personal stigma. Despite the flexibility of online interventions, finding time to participate was the major barrier to engagement. Financial compensation was the most commonly suggested strategy for encouraging participation. An increased understanding of factors associated with nonparticipation may inform the design of future e-mental health intervention trials. Importantly, consideration needs to be given to the competing time pressures of potential participants, in balance with the desired study design.

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Charvi Pareek ◽  
Nandani Agarwal ◽  
Yash Jain

COVID-19 Pandemic has brought the world underwaters. All over the world, people were affected. The focus during this period was mostly on patients and frontline workers, with some attention also towards working adults. One cohort that has not gained much light during this pandemic is of housewives. Housewives had to manage household chores along with managing family relations – especially in India, where societal expectations lie on the female to provide family members with care and manage the household. Dealing with uncertainty, decreased availability of personal space, increased presence of and interaction with people in the household due to work from home scenarios, shifting to the online world and adapting to the change, economic disturbances, absence of domestic help, managing parental responsibility, increased stress about one’s own and family members’ health and lack of social interaction have contributed to their inconvenience. Existing evidence supports that housewives have been experiencing burnout in their homes. This qualitative study was conducted to see how the added pressure of COVID – 19 and social isolation has affected housewives mentally, leading to burnout. This narrative study includes participants of Indian origin, between the ages of 34 to 50 years. Participants were shortlisted on the basis of their scores obtained on the COVID-19 Burnout Scale, designed by Murat Yıldırım and Fatma Solmaz. The themes generated through this research study are related to understanding the impact of burnout on the mental health of housewives along the areas of physical health, financial well-being, digitization, uncertainty regarding COVID-19, parental responsibilities, social & emotional health, relationship management, and coping mechanisms. The findings of this study suggest that the mental health of housewives has significantly worsened during the COVID-19 pandemic due to constant exposure to certain stressors.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Annika McGivern ◽  
Stephen Shannon ◽  
Gavin Breslin

Purpose This paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being. Design/methodology/approach In total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being. Findings In total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores. Practical implications Findings highlight the need for mental health promotion and support in equestrian sport. Social implications Results support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being. Originality/value This study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.


2017 ◽  
Vol 8 (5) ◽  
pp. 541-549 ◽  
Author(s):  
B. Davison ◽  
T. Nagel ◽  
G. R. Singh

Mental health is fundamental to an individual’s health and well-being. Mental health disorders affect a substantial portion of the Australian population, with the most vulnerable time in adolescence and young adulthood. Indigenous Australians fare worse than other Australians on almost every measure of physical and mental health. Cross-sectional data from young adults (21–27 years) participating in the Life Course Program, Northern Territory, Australia, is presented. Rates of psychological distress were high in remote and urban residing Indigenous and urban non-Indigenous young adults. This rate was more pronounced in young women, particularly in Indigenous remote and urban residing women. Young adults with high psychological distress also had lower levels of positive well-being, higher perceived stress levels, experienced a higher number of major life events and were at an increased risk of suicidal ideation and/or self-harm. This study supports the need for a continued focus on early screening and treatment at this vulnerable age. The significant association seen between psychological distress and other markers of emotional well-being, particularly risk of suicidal ideation and/or self-harm, highlights the need for a holistic approach to mental health assessment and treatment. A concerted focus on improving the environs of young adults by lowering levels of stress, improving access to adequate housing, educational and employment opportunity, will assist in improving the emotional health of young adults.


2021 ◽  
Vol 5 (1) ◽  
pp. 32-41
Author(s):  
Katherine Carver ◽  
Hajar Ismail ◽  
Christopher Reed ◽  
Justin Hayes ◽  
Haifa Alsaif ◽  
...  

Anxiety disorders are prevalent among college students and contribute to problems in social and academic functioning. The primary focus in the anxiety literature has been on symptoms and deficits in functioning rather than psychological well-being. The present study investigated the extent to which high levels of anxiety co-occurred with self-reported psychological well-being using a dual-factor model of mental health approach. Participants (n = 100) were categorized into two groups (high anxiety crossed with low and high life satisfaction), and groups were compared on several psychological well-being indicators. Supporting a dual-factor approach, students reporting high levels of anxiety and life satisfaction reported higher levels of hope, grit, gratitude, self-focused positive rumination, and savoring of positive emotions than students reporting high levels of anxiety and low levels of life satisfaction. Groups did not differ in emotion-focused positive rumination or in dampening of positive emotion. These results highlight well-being heterogeneity within individuals reporting high levels of anxiety, with implications for treatment and prevention efforts.


2021 ◽  
pp. 002580242110454
Author(s):  
Laureen Adewusi ◽  
Isabel Mark ◽  
Paige Wells ◽  
Aileen O’Brien

Individuals repeatedly detained under Section 136 (S136) of the Mental Health Act account for a significant proportion of all detentions. This study provides a detailed analysis of those repeatedly detained (‘repeat attenders’) to a London Mental Health Trust, identifying key demographic profiles when compared to non-repeat attenders, describing core clinical characteristics and determining to what degree a past history of abuse might be associated with these. All detentions to the S136 suite at South West London and St George's Mental Health NHS Trust over a 5-year period (2015–2020) were examined. Data were collected retrospectively from electronic records. A total of 1767 patients had been detained, with 81 patients identified as being a ‘repeat attenders’ (having had > = 3 detentions to the S136 suite during the study period). Repeat attenders accounted for 400 detentions, 17.7% of all detentions. Repeat attenders included a higher proportion of females (49.4%, p = 0.0001), compared to non-repeat attenders, and a higher proportion of them were of white ethnicity (85.2%, p = 0.001). 52 (64%) patients reported being a victim of past abuse or trauma. Of repeat attenders who reported past abuse or trauma, a high proportion had diagnoses of personality disorders, with deliberate self-harm as the most common reason for detention. They were more commonly discharged home with community support, rather than considered for hospital admission. In light of these findings, this paper discusses support potential strategies for those most vulnerable to repeated S136 detention, thereby minimising the ever-growing number of S136 detentions in the UK.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Klemetti ◽  
M Vuorenmaa ◽  
R Ikonen ◽  
J Oksanen ◽  
J Lammi-Taskula

Abstract Background A nation-wide data collection on small children and their families’ health and well-being has been lacking in Finland. The aim of this study was to examine health and determinants of health among parents with a four-year-old child. Methods A nation-wide study for 4-year-old children (N = 8720) and their parents (N = 10 737) conducted in 2018. The families were recruited by public health nurses at child health clinics. Both parents had a possibility to answer a questionnaire considering questions on health, well-being and service use. General health of the parent was measured by one question (How do you find your general state of health?), depressive disorders by PHQ-2 and mental health by MHI-5. Data were analyzed by cross-tabulation. Results of logistic regression will be presented in the conference. Results Most participants were female (72%) and most families had two adults (93%). Mean age was 35 years and 58% were highly educated. Around 10% reported their health as average or poor, 19% had had depressive disorders within 12 months, and 6% had experienced mental distress. Single parents reported mental distress and depressive disorders significantly more often than the other parents. Average or poor health was reported significantly more often by female parents. Those with average or poor health or depressive disorders were significantly more likely to have one child, upper secondary education or less, or be outside of work. They felt themselves significantly more often lonely and unsatisfied with their life and family’s economic situation. They were also significantly more likely to report need of support for their own parenthood and partnership. Conclusions Health challenges among the parents were quite similar than those among the adults in same ages. However, detailed analysis is needed to find out the specific determinants affecting the parents and whole family’s life to be able to better support the families. Key messages Most parents with children aged 4-year-old were healthy and satisfied with their life. The parents having poor physical or mental health had also challenges in family life.


Fostering the Emotional Well-Being of Our Youth: A School-Based Approach is an edited work that details best practices in comprehensive school mental health services based upon a dual-factor model of mental health that considers both psychological wellness and mental illness. In the introduction, the editors respond to the question: Are our students all right? Then, each of the text’s 24 chapters (five sections) describes empirically sound and practical ways that professionals can foster supportive school climates and implement evidence-based universal interventions to promote well-being and prevent and reduce mental health problems in young people. Topics include conceptualizing and framing youth mental health through a dual-factor model; building culturally responsive schools; implementing positive behavior interventions and supports; inculcating social-emotional learning within schools impacted by trauma; creating a multidisciplinary approach to foster a positive school culture and promote students’ mental health; preventing school violence and advancing school safety; cultivating student engagement and connectedness; creating resilient classrooms and schools; strengthening preschool, childcare and parenting practices; building family–school partnerships; promoting physical activity, nutrition, and sleep; teaching emotional self-regulation; promoting students’ positive emotions, character, and purpose; building a foundation for trauma-informed schools; preventing bullying; supporting highly mobile students; enfranchising socially marginalized students; preventing school failure and school dropout; providing evidence-based supports in the aftermath of a crisis; raising the emotional well-being of students with anxiety and depression; implementing state-wide practices that promote student wellness and resilience; screening for academic, behavioral, and emotional health; and accessing targeted and intensive mental health services.


2016 ◽  
Vol 22 (4) ◽  
pp. 354 ◽  
Author(s):  
Thi Nguyen ◽  
Sarah Dennis ◽  
Huy An ◽  
Sanjyot Vagholkar ◽  
Siaw Teng Liaw

Objective The aim of the present study was to determine the prevalence of psychological distress among Vietnamese adults attending Vietnamese-speaking general practices and explore possible risk factors in this population. Methods A cross-sectional survey of Vietnamese adult patients was conducted at 25 general practices with Vietnamese-speaking general practitioners (GPs) in south-western Sydney between October 2012 and February 2013. Patients completed the Kessler (K10) scale and a demographic questionnaire, available in Vietnamese or English. Data were analysed using SPSS version 21. Results Of the 350 patients invited to participate, 247 completed surveys (response rate 71%). One-quarter (25%) of participants had a very high K10 score for psychological distress, nearly twice that reported in the NSW Health Survey. Participants with high exposure to trauma were at increased risk of psychological distress (odds ratio 5.9, 95% confidence interval 2.4–14.4; P < 0.0001) compared with those with mild or no trauma exposure. Similarly, risk was increased if there was a past history of mental health problems and a lack of personal and social support. Conclusion The high prevalence of mental health problems in adult Vietnamese people attending Vietnamese-speaking general practices is associated with exposure to trauma. This highlights the importance of personal, social and professional support in effective management. Vietnamese-speaking GPs who see Vietnamese or similar refugee groups should actively seek out a history of exposure to trauma, a past history of mental illness and the existence of support systems.


2006 ◽  
Vol 40 (11-12) ◽  
pp. 1025-1030 ◽  
Author(s):  
Geoff Schrader ◽  
Frida Cheok ◽  
Ann-Louise Hordacre ◽  
Julie Marker

Objective: To determine characteristics which predict depression at 12 months after cardiac hospitalization, and track the natural history of depression. Method: Depressive symptoms were monitored at baseline, 3 and 12 months in a cohort of 785 patients, using the self-report Center for Epidemiological Studies Depression Scale. Multinomial regression analyses of baseline clinical and demographic variables identified characteristics associated with depression at 12 months. Results: Three baseline variables predicted moderate to severe depression at 12 months: depression during index admission, past history of emotional health problems and current smoking. For those who were depressed during cardiac hospitalization, 51% remained depressed at both 3 and 12 months. Persistence was more evident in patients who had moderate to severe depressive symptoms when hospitalized. Mild depression was as likely to persist as to remit. Conclusions: Three clinically accessible characteristics at the time of cardiac hospitalization can assist in predicting depression at 12 months and may aid treatment decisions. Depressive symptoms persist in a substantial proportion of cardiac patients up to 12 months after hospitalization.


2004 ◽  
Vol 2 (2) ◽  
pp. 125-138 ◽  
Author(s):  
DANIEL KARUS ◽  
VICTORIA H. RAVEIS ◽  
KATHERINE MARCONI ◽  
PETER SELWYN ◽  
CARLA ALEXANDER ◽  
...  

Objective:To describe mental health status and its correlates among clients of three palliative care programs targeting underserved populations.Methods:Mental Health Inventory (MHI-5) scores of clients from programs in Alabama (n= 39), Baltimore (n= 57), and New York City (n= 84) were compared.Results:Mean MHI-5 scores did not differ among sites and were indicative of poor mental health. Significant differences were noted among sites with regard to client sociodemographics, physical functioning, and perceptions of interpersonal relations. Results of multivariate regression models estimated for each site suggest variation in the relative importance of potential predictors among sites. Whereas poorer mental health was primarily associated with history of drug dependence at Baltimore and more physical symptomatology at New York, better mental health was most strongly correlated with more positive perceptions of interpersonal relationships at Baltimore and increasing age and more positive perceptions of meaning and purpose in life at New York.Significance of results:The data presented suggest the importance of assessing clients' history of and current need for mental health services. Evidence of a relationship between positive perceptions of meaning and purpose and better psychological function underscores the importance of existential issues for the overall well-being of those who are seriously ill.


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