scholarly journals Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Supaluck Phadsri ◽  
Rieko Shioji ◽  
Atsuko Tanimura ◽  
Jeerawit Jaknissai ◽  
Sopida Apichai ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Participation ◽  
Behavioral Change ◽  
Social Withdrawal ◽  
Behavioral Therapy ◽  
Exercise Program ◽  
Risk Of Bias ◽  
Intervention Programs ◽  
Online Library

Background. Social withdrawal is predominantly seen among adults with depression. However, a dearth of reviews exists that explore nonpharmacological treatments, especially occupational therapy (OT) interventions and their effect in promoting social participation. The aim of this research was to review what intervention programs are conducted to support the social participation of adults with depression and their effectiveness. Method. A systematic review was performed wherein relevant articles were searched in PubMed, CINAHL, Wiley Online Library, PsycINFO, and OTseeker databases and AJOT, BJOT, SJOT, and OTMH journals. Only English articles published from January 2010 to December 2018, which tackled intervention for adults aged 20–60 years with depression, were considered. Ten out of 918 studies met the screening criteria. Result. Among the ten studies, the effective intervention programs were categorized as either occupation-based intervention (OBI) or cognitive behavioral therapy-based intervention (CBT-BI). These programs sought the following outcomes: behavioral change in social participation ( n = 4 ), reduction of depression or depressive symptoms ( n = 13 ), life satisfaction ( n = 4 ), and quality of life (QoL) ( n = 1 ). Studies showed moderate ( n = 3 ) to strong ( n = 7 ) level of certainty, whereas they also revealed high to unclear ( n = 3 ) and low ( n = 7 ) risk of bias. Conclusion. Both OBI such as animal-assisted therapy and CBT-BI such as behavioral change program and health education have a strong level of certainty and low risk of bias in promoting social participation by supporting positive behavioral change and reducing depressive symptoms. Furthermore, the sport and exercise program of OBI was popular in encouraging participation and engagement with other people. Other programs were suggested for combined interventions to support social participation, life satisfaction, and QoL.

scholarly journals Effectiveness of a Peer-Based Intervention on Socially Isolated Older Chinese Immigrants in Canada: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each). Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. An randomized control trial design was used to capture the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including loneliness, social support, barriers to social participation, depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life. Results: The intervention group participants showed a decrease in loneliness and increase in resilience when compared to control group participants. They reported fewer depressive symptoms, fewer barriers to social participation, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069 Funding: There are no external funding for this study.

scholarly journals Effectiveness of a Peer-Based Intervention on Loneliness and Social Isolation of Older Chinese Immigrants in Canada: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants.Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life).Results: The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group.Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches.Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069Funding: There are no external funding for this study.

Implementing Videoconference CBT for Depression in Routine Outpatient Care: Outcome, Working Alliance, and Influence of Patients’ Technology Commitment

2021 ◽  
pp. 1-9
Author(s):  
Ulrich Voderholzer ◽  
Ina Beintner ◽  
Bernhard Backes ◽  
Elisa Esguerra ◽  
Johannes Baltasar Hessler-Kaufmann
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Working Alliance ◽  
Outpatient Care ◽  
Depressive Disorders ◽  
Behavioral Therapy ◽  
Positive Association ◽  
Routine Care ◽  
Before And After ◽  
Technology Commitment

<b><i>Background:</i></b> While videoconference cognitive behavioral therapy (V-CBT) has shown promising results in controlled studies, data from routine care are rare. We examined (1) changes in depressive symptoms and life satisfaction during V-CBT in German routine outpatient care for patients with depressive disorders, (2) the quality of the established working alliance, and (3) the influence of working alliance and the patients’ technology commitment on outcomes. <b><i>Patients and Methods:</i></b> Patients with primary diagnoses of depressive disorders were treated with V-CBT and concurrent internet-guided self-help via the MindDoc program, which operates within the regulations of the German health care system. The patients completed the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms, an item on life satisfaction before and after treatment, the Working Alliance Inventory (WAI), and the Technology Commitment questionnaire for beliefs about handling technology. <b><i>Results:</i></b> Fifty-nine patients (71.2% female) with a mean age of 44.46 years (SD = 12.86) were included in the analyses. Longitudinal multilevel mixed models revealed improvements in depressive symptoms (Cohen’s <i>d</i> = 1.27) and life satisfaction (<i>d</i> = 0.80). The working alliance was good and showed a positive association with outcome, while technology commitment did not. <b><i>Conclusion:</i></b> V-CBT seems effective in reducing depressive symptoms, increasing life satisfaction, and establishing a good working alliance in routine care.

scholarly journals Effectiveness of a peer-based intervention on loneliness and social isolation of older Chinese immigrants in Canada: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Daniel W. L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y. P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n = 30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life). Results The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered.

Keeping up with the Wangs: A cross-sectional multilevel analysis of individual and contextual influences on mental wellbeing and depressive symptoms in China

2020 ◽  
Author(s):  
R. Adele H. Wang ◽  
CMA Haworth ◽  
Qiang Ren
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Comparison ◽  
Depressive Symptomatology ◽  
Marriage Rate ◽  
Contextual Effects ◽  
Mental Wellbeing ◽  
Population Census ◽  
Cross Sectional ◽  
Average Education

BackgroundIn recent decades, China has experienced dramatic changes to its social and economic environment, which has affected the distribution of wellbeing across its citizens. While several studies have investigated individual level predictors of wellbeing in the Chinese population, less research has been done looking at contextual effects. This cross-sectional study looks at the individual and contextual effects of (regional) education, unemployment and marriage (rate) on individual happiness, life satisfaction and depressive symptomatology. MethodsData were collected from over 29,000 individuals (aged 18 to 110, 51.91% female) in the China Family Panel Studies, and merged with county level census data obtained from the 2010 China Population Census and Statistical Yearbook. To explore contextual effects, we used multilevel models accounting for the hierarchical structure of the data. ResultsWe found that a one-year increase in education was associated with a 0.17% increase in happiness and a 0.16% decrease in depressive symptoms. Unemployed men were 1% less happy, 1% less satisfied with life and reported 0.84% more depressive symptoms than employed men while minimal effects were seen for women. Single, divorced and widowed individuals had worse outcomes than married individuals (ranging from 2.96% to 21% differences). We found interaction effects for education and employment. Less educated individuals had greater happiness and less depressive symptoms in counties with higher average education compared to counterparts in less educated counties. In contrast, more educated individuals were less satisfied with life in more educated counties, an effect that is possibly due to social comparison. Employed individuals had lower life satisfaction in areas of high unemployment, while levels were constant for the unemployed. A 1% increase in county marriage rate was associated with 0.33% and 0.24% increases in happiness and life satisfaction respectively, with no interactions. We speculate that this effect could be due to greater social cohesion in the neighbourhood.ConclusionsOur results show that policies designed to improve employment and marriage rates will be beneficial for all, while interventions to encourage positive social comparison strategies may help to offset the negative effects of increasing neighbourhood average education on the highly educated.

日本における抑うつ症状に対する心理学的介入を目的とした スマートフォン用アプリケーション・プログラムのレビュー

2020 ◽  
Author(s):  
Hikari Takashina ◽  
Kengo Yokomitsu
Keyword(s):  
Depressive Symptoms ◽  
Daily Life ◽  
Behavioral Therapy ◽  
Mobile Apps ◽  
Evaluation Model ◽  
Ease Of Use ◽  
Background Information ◽  
Evidence Based ◽  
Privacy And Security ◽  
Current State

There are thousands of mobile apps delivering information and offering support and intervention in situations of daily life. The aim of this study was to identify the current state of apps for depressive symptoms or prevention of depression within the official Android and iOS app stores in Japan. The 47 apps for depression available for download from the app stores were evaluated by the App Evaluation Model regarding background information, risk/ privacy and security, evidence, ease of use, and interoperability. Also, we evaluated their primary purpose, technology components, and cognitive-behavioral therapy components. The results suggest that in general few apps have been developed that are evidence-based, secure, and provide the services that users expect. In the future, it will be necessary to develop a framework for developing and disseminating more effective apps. This study is the first review of apps for depression available in Japan and seeks to help create a framework for such apps.

scholarly journals Physical Therapy to Prevent Osteopenia in Preterm Infants: A Systematic Review

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 664
Author(s):  
Galaad Torró-Ferrero ◽  
Francisco Javier Fernández-Rego ◽  
Antonia Gómez-Conesa
Keyword(s):  
Systematic Review ◽  
Preterm Infants ◽  
Methodological Quality ◽  
Bone Mineralization ◽  
Exercise Program ◽  
Risk Of Bias ◽  
Quantitative Synthesis ◽  
Comprehensive Search ◽  
Design Characteristics ◽  
Almost All

Background: During the last trimester of pregnancy, about 80% of the infant’s calcium is incorporated, and for this reason, preterm infants have less bone mineralization compared to those born at term. The aim of the present systematic review was to identify, evaluate and summarize the studies that deal with the effect of physiotherapy modalities in the prevention and treatment of osteopenia in preterm infants. Methods: A comprehensive search (09/2019–02/2021) using PubMed, Web of Science, SCOPUS, ProQuest, SciELO, Latindex, ScienceDirect, PEDro and ClinicalTrials.gov was carried out. The following data were extracted: The number of participants, characteristics of the participants, design, characteristics of the intervention, outcome measures, time of evaluation and results. A non-quantitative synthesis of the extracted data was performed. The methodological quality and risk of bias were assessed using a PEDro scale and ROB-2 scale, respectively. Results: A total of 16 studies were analyzed, presenting a methodological quality that ranged from 3 to 8 points, and all showed some concerns regarding their risk of bias. Almost all studies (15/16) used passive mobilizations with joint pressure to prevent osteopenia, but they differed in the intensity and frequency of application. Conclusions: A daily exercise program of passive mobilizations with joint pressure, improves bone mineralization in preterm infants admitted to neonatal units.

Empathy in context: Socioeconomic status as a moderator of the link between empathic accuracy and well-being in married couples

2021 ◽  
pp. 026540752199075
Author(s):  
Emily F. Hittner ◽  
Claudia M. Haase
Keyword(s):  
Socioeconomic Status ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Marital Satisfaction ◽  
Negative Affect ◽  
Marital Conflict ◽  
Married Couples ◽  
Well Being ◽  
Empathic Accuracy ◽  
Low Levels

The present laboratory-based study investigated socioeconomic status (SES) as a moderator of the association between empathic accuracy and well-being among married couples from diverse socioeconomic backgrounds. Empathic accuracy was measured using a performance-based measure of empathic accuracy for one’s spouse’s negative emotions during a marital conflict conversation. Aspects of well-being included well-being (i.e., positive affect, life satisfaction), ill-being (i.e., negative affect, anxiety symptoms, depressive symptoms), and marital satisfaction. SES was measured using a composite score of income and education. Findings showed that SES moderated associations between empathic accuracy and well-being. Empathic accuracy was beneficial (for well-being and ill-being) or not harmful (for marital satisfaction) at low levels of SES. In contrast, empathic accuracy was not beneficial (for well-being and ill-being) or harmful (for marital satisfaction) at high levels of SES. Results were robust (controlled for age, gender, and race). Findings are discussed in light of interdependence vs. independence in low- vs. high-SES contexts and highlight the importance of socioeconomic context in determining whether empathic accuracy benefits well-being or not.

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