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JMIR Mental Health

Eyal Karin, Blake F Dear, Gillian Z Heller, Milena Gandy, Nickolai Titov
BACKGROUND: Accurate measurement of treatment-related change is a key part of psychotherapy research and the investigation of treatment efficacy. For this reason, the ability to measure change with accurate and valid methods is critical for psychotherapy. OBJECTIVE: The aims of this study were to (1) explore the underlying characteristics of depressive symptom change, measured with the nine-item Patient Health Questionnaire (PHQ-9), following psychotherapy, and (2) compare the suitability of different ways to measure and interpret symptom change...
July 12, 2018: JMIR Mental Health
Raphael Schuster, Sophia Sigl, Thomas Berger, Anton-Rupert Laireiter
BACKGROUND: Blended group therapy combines group sessions with Web- and mobile-based treatment modules. Consequently, blended group therapy widens the choice within blended interventions at reasonable costs. This is the first qualitative study on blended group therapy. OBJECTIVE: The objective of this study was to investigate the patient-centered feasibility of blended group therapy for major depression, with special emphasis on the fit and dynamic interplay between face-to-face and internet-based elements...
July 11, 2018: JMIR Mental Health
Alan R Teo, Samuel Bl Liebow, Benjamin Chan, Steven K Dobscha, Amanda L Graham
BACKGROUND: Younger military veterans are at high risk for psychiatric disorders and suicide. Reaching and engaging veterans in mental health care and research is challenging. Social media platforms may be an effective channel to connect with veterans. OBJECTIVE: This study tested the effectiveness of Facebook advertisements in reaching and recruiting Iraq and Afghanistan-era military veterans in a research study focused on mental health. METHODS: Facebook ads requesting participation in an online health survey ran for six weeks in 2017...
July 5, 2018: JMIR Mental Health
Mehdi Boukhechba, Philip Chow, Karl Fua, Bethany A Teachman, Laura E Barnes
BACKGROUND: Social anxiety is highly prevalent among college students. Current methodologies for detecting symptoms are based on client self-report in traditional clinical settings. Self-report is subject to recall bias, while visiting a clinic requires a high level of motivation. Assessment methods that use passively collected data hold promise for detecting social anxiety symptoms and supplementing self-report measures. Continuously collected location data may provide a fine-grained and ecologically valid way to assess social anxiety in situ...
July 4, 2018: JMIR Mental Health
Aimée Gayed, Anthony D LaMontagne, Allison Milner, Mark Deady, Rafael A Calvo, Helen Christensen, Arnstein Mykletun, Nick Glozier, Samuel B Harvey
BACKGROUND: Mental health has become the leading cause of sickness absence in high-income countries. Managers can play an important role in establishing mentally healthy workplaces and coordinating their organization's response to a mentally ill worker. OBJECTIVE: This pilot study aims to evaluate the feasibility, usability, and likely effectiveness of a newly developed online training program for managers called HeadCoach. HeadCoach aims to build managers' confidence in supporting the mental health needs of staff and promote managerial behavior most likely to result in a more mentally healthy workplace...
July 3, 2018: JMIR Mental Health
Darius Adam Rohani, Nanna Tuxen, Andrea Quemada Lopategui, Lars Vedel Kessing, Jakob Eyvind Bardram
BACKGROUND: Behavioral activation is a pen and paper-based therapy form for treating depression. The patient registers their activity hourly, and together with the therapist, they agree on a plan to change behavior. However, with the limited clinical personnel, and a growing patient population, new methods are needed to advance behavioral activation. OBJECTIVE: The objectives of this paper were to (1) automatically identify behavioral patterns through statistical analysis of the paper-based activity diaries, and (2) determine whether it is feasible to move the behavioral activation therapy format to a digital solution...
June 28, 2018: JMIR Mental Health
Lori Wozney, Patrick J McGrath, Nicole D Gehring, Kathryn Bennett, Anna Huguet, Lisa Hartling, Michele P Dyson, Amir Soleimani, Amanda S Newton
BACKGROUND: Anxiety disorders and depression are frequent conditions in childhood and adolescence. eMental healthcare technologies may improve access to services, but their uptake within health systems is limited. OBJECTIVE: The objective of this review was to examine and describe how the implementation of eMental healthcare technologies for anxiety disorders and depression in children and adolescents has been studied. METHODS: We conducted a search of 5 electronic databases and gray literature...
June 26, 2018: JMIR Mental Health
Joseph Tighe, Jennifer Nicholas, Fiona Shand, Helen Christensen
BACKGROUND: Since its emergence in the 1980s, acceptance and commitment therapy (ACT) has become a reputable evidence-based psychological therapy for certain disorders. Trials examining the efficacy of ACT are spread across a broad spectrum of presentations, such as chronic pain, anxiety, and depression. Nevertheless, ACT has very rarely been trialed as an intervention for suicidal ideation (SI) or deliberate self-harm (DSH). OBJECTIVE: The objective of this review is to assess the efficacy of ACT in reducing SI and DSH and to examine the suitability of reported SI, DSH, and other measures in determining the efficacy of ACT...
June 25, 2018: JMIR Mental Health
Marcos DelPozo-Banos, Ann John, Nicolai Petkov, Damon Mark Berridge, Kate Southern, Keith LLoyd, Caroline Jones, Sarah Spencer, Carlos Manuel Travieso
BACKGROUND: Each year, approximately 800,000 people die by suicide worldwide, accounting for 1-2 in every 100 deaths. It is always a tragic event with a huge impact on family, friends, the community and health professionals. Unfortunately, suicide prevention and the development of risk assessment tools have been hindered by the complexity of the underlying mechanisms and the dynamic nature of a person's motivation and intent. Many of those who die by suicide had contact with health services in the preceding year but identifying those most at risk remains a challenge...
June 22, 2018: JMIR Mental Health
Lena Petersson, Gudbjörg Erlingsdóttir
BACKGROUND: This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult psychiatric care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation...
June 21, 2018: JMIR Mental Health
Ada Ng, Madhu Reddy, Alyson K Zalta, Stephen M Schueller
BACKGROUND: The increase in availability of patient data through consumer health wearable devices and mobile phone sensors provides opportunities for mental health treatment beyond traditional self-report measurements. Previous studies have suggested that wearables can be effectively used to benefit the physical health of people with mental health issues, but little research has explored the integration of wearable devices into mental health care. As such, early research is still necessary to address factors that might impact integration including patients' motivations to use wearables and their subsequent data...
June 15, 2018: JMIR Mental Health
Ainslie Hatch, Julia E Hoffman, Ruth Ross, John P Docherty
BACKGROUND: Digital technology is increasingly being used to enhance health care in various areas of medicine. In the area of serious mental illness, it is important to understand the special characteristics of target users that may influence motivation and competence to use digital health tools, as well as the resources and training necessary for these patients to facilitate the use of this technology. OBJECTIVE: The aim of this study was to conduct a quantitative expert consensus survey to identify key characteristics of target users (patients and health care professionals), barriers and facilitators for appropriate use, and resources needed to optimize the use of digital health tools in patients with serious mental illness...
June 12, 2018: JMIR Mental Health
Alexander Grigorash, Siobhan O'Neill, Raymond Bond, Colette Ramsey, Cherie Armour, Maurice D Mulvenna
BACKGROUND: This paper presents an analysis of call data records pertaining to a telephone helpline in Ireland among individuals seeking mental health and well-being support and among those who are in a suicidal crisis. OBJECTIVE: The objective of our study was to examine whether rule sets generated from decision tree classification, trained using features derived from callers' several initial calls, could be used to predict what caller type they would become. METHODS: Machine learning techniques were applied to the call log data, and five distinct patterns of caller behaviors were revealed, each impacting the helpline capacity in different ways...
June 11, 2018: JMIR Mental Health
Anthony R Pisani, Peter A Wyman, Kunali Gurditta, Karen Schmeelk-Cone, Carolyn L Anderson, Emily Judd
BACKGROUND: Suicide is a leading cause of death among 10- to 19-year-olds in the United States, with 5% to 8% attempting suicide each year. Suicide risk rises significantly during early adolescence and is higher in rural and underserved communities. School-based universal prevention programs offer a promising way of reducing suicide by providing strategies for emotion regulation and encouraging help-seeking behaviors and youth-adult connectedness. However, such programs frequently run into difficulties in trying to engage a broad range of students...
May 31, 2018: JMIR Mental Health
Davina Wildemeersch, Lisa Bernaerts, Michiel D'Hondt, Guy Hans
BACKGROUND: Preoperative anxiety and depression are predominant risk factors for increased postoperative pain. Thoracic wall deformities in adolescents often cause low self-esteem, which contributes to psychological concerns. Several studies have suggested a relationship between preoperative mental health support and enhanced recovery after surgery. OBJECTIVE: This study investigated the validity of screening questionnaires concerning psychological trait and state characteristics via a patient-specific online platform...
May 31, 2018: JMIR Mental Health
Jan van Bebber, Rob R Meijer, Johana Tw Wigman, Sjoerd Sytema, Lex Wunderink
BACKGROUND: Adequate recognition of mental health problems is a prerequisite for successful treatment. Although most people tend to consult their general practitioner (GP) when they first experience mental health problems, GPs are not very well equipped to screen for various forms of psychopathology to help them determine clients' need for treatment. OBJECTIVE: In this paper, the development and characteristics of CATja, a computerized adaptive test battery built to facilitate triage in primary care settings, are described, and first results of its implementation are reported...
May 28, 2018: JMIR Mental Health
Songpoom Benyakorn, Catrina A Calub, Steven J Riley, Andrea Schneider, Ana-Maria Iosif, Marjorie Solomon, David Hessl, Julie B Schweitzer
BACKGROUND: Researchers are increasingly interested in testing and developing computerized cognitive training interventions for individuals with autism spectrum disorder due to the limited accessibility of treatments for this disorder. Understanding the feasibility of testing cognitive interventions for this population is critical, especially for individuals with ASD who have low to moderate intellectual ability. OBJECTIVE: The aim of the study was to evaluate the feasibility of computerized cognitive training as measured by attrition rate and a parent satisfaction survey...
May 25, 2018: JMIR Mental Health
Bogdan Tudor Tulbure, Andrei Rusu, Florin Alin Sava, Nastasia Sălăgean, Todd J Farchione
BACKGROUND: Research increasingly supports a transdiagnostic conceptualization of emotional disorders (ie applying the same underlying treatment principles across mental disorders, without tailoring the protocol to specific diagnoses), and many international researchers are currently investigating this issue. OBJECTIVE: The aim of this study was to evaluate the efficacy and acceptability of a Web-based transdiagnostic program using a sample of Romanian adults diagnosed with anxiety and/or depression...
May 24, 2018: JMIR Mental Health
Jonas Christoffer Tana, Jyrki Kettunen, Emil Eirola, Heikki Paakkonen
BACKGROUND: Some of the temporal variations and clock-like rhythms that govern several different health-related behaviors can be traced in near real-time with the help of search engine data. This is especially useful when studying phenomena where little or no traditional data exist. One specific area where traditional data are incomplete is the study of diurnal mood variations, or daily changes in individuals' overall mood state in relation to depression-like symptoms. OBJECTIVE: The objective of this exploratory study was to analyze diurnal variations for interest in depression on the Web to discover hourly patterns of depression interest and help seeking...
May 23, 2018: JMIR Mental Health
Eric Hermes, Laura Burrone, Elliottnell Perez, Steve Martino, Michael Rowe
BACKGROUND: Access to evidence-based interventions for common mental health conditions is limited due to geographic distance, scheduling, stigma, and provider availability. Internet-based self-care programs may mitigate these barriers. However, little is known about internet-based self-care program implementation in US health care systems. OBJECTIVE: The objective of this study was to identify determinants of practice for internet-based self-care program use in primary care by eliciting provider and administrator perspectives on internet-based self-care program implementation...
May 18, 2018: JMIR Mental Health
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