A multiple single case design study of group therapeutic puppetry with people with severe mental illness

Greaves, Adele; Camic, Paul M.; Maltby, Michael; Richardson, Kate; Mylläri, Leena

doi:10.1016/j.aip.2012.03.002

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…Vaidinimas su lėlėmis naudingas pacientams, sergantiems sunkiomis psichikos ligomis, pvz., depresija su psichozės simptomais, potrauminiu streso sutrikimu (PTSS), dvipoliu sutrikimu [7].…”

Section: įVadasunclassified

Moterų, Sergančių Išsėtine Skleroze, Psichoemocinės Sveikatos Raiška, Taikant Dramos Terapiją

Bičiūnaitė¹,

Samsonienė²

2023

Health Sciences

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Išsėtinės sklerozės plitimo tendencijos pasaulyje ir Europoje skatina ieškoti inovatyvių gydymo bei reabilitacijos priemonių Lietuvoje. Moksliniais tyrimais įrodytas glaudus išsėtinės sklerozės ryšys tarp pacientų psichoemocinės sveikatos, artimos aplinkos bei gyvenimo gerovės. Tyrimo tikslas − atskleisti sergančiųjų išsėtine skleroze saviraiškos ir nuovargio patirtį, taikant dramos terapijos tyrimo protokolą. Tyrimo atlikimo laikotarpis 2021- 2022 metai; tyrimo dalyvės − 8 moterys, sergančios išsėtine skleroze, amžius nuo 37 iki 56 metų, savarankiškumo lygis pagal EDSS skalę − nuo 1,5 iki 7 balų. Tyrimo organizavimas. Tyrimas atliktas pandemijos laikotarpiu, todėl buvo taikyta grupinėdramos terapija nuotoliniu būdu12 savaičių, vieną kartą per savaitę, po 90 min. Dramos terapijos užduotys bei metodai parinkti ir adaptuoti atsižvelgiant įišsėtinės sklerozės negaliąturinčių̨ moterų̨ poreikius, fizines bei psichologines galimybes, jų̨ „čia ir dabar“ būseną̨ bei nuotolinio mokymo (zoom) platformos galimybes. Tyrimas atliktas laikantis etikos principų: pagarbos asmens privatumui, geranoriškumo ir konfidencialumo. Tyrimo metodologija. Duomenys buvo renkami vadovaujantis kokybinio tyrimo indukciniu analizės principu, pasirenkant latentinį tematinės analizės metodą. Duomenims analizuoti pasitelkta informantų refleksija, paveikslai ir (ar) poezija, priklausomai nuo jų saviraiškos poreikio. Išvados. Dramos terapija padėjo atsiskleisti tiriamųjų kūrybiškumui, skatino pozityviai mąstyti apie dabartį, planuoti ateitį, padėjo adaptuotis prie nuolat kintančių sąlygų ir individualių sveikatos aplinkybių, didino savivertę bei saviraiškos galimybes.

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Section: įVadasunclassified

Moterų, Sergančių Išsėtine Skleroze, Psichoemocinės Sveikatos Raiška, Taikant Dramos Terapiją

Bičiūnaitė¹,

Samsonienė²

2023

Health Sciences

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“…We adopted a mixed methods case series design providing detailed quantitative data on changes over time to allow a focus on potential mechanisms underlying the intervention combined with qualitative interviews. Similar designs have previously been applied to intervention development for individuals with severe and complex mental health problems (Greaves et al, 2012;Heriot-Maitland et al, 2014;Mairs et al, 2011).…”

Section: Designmentioning

confidence: 99%

Metacognitive training modified for negative symptoms: A feasibility study

Swanson

Schwannauer

Bird

et al. 2021

Clin Psychology and Psychoth

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Objective: Although patients often prioritize the treatment of negative symptoms, few psychological interventions targeting negative symptoms exist. This study attempts to fill this gap by piloting a modified metacognitive training programme, specifically targeted at negative symptoms (MCT-N), with a group of patients with prominent negative symptoms.Method: We adopted a mixed methods case series design, providing detailed quantitative data on changes over time, to focus on potential mechanisms underlying the intervention, in combination with qualitative interviews. Results:The intervention showed good feasibility as demonstrated by the attendance rate, the positive feedback from participants and the multidisciplinary team, and the improvements on negative symptoms observed following the intervention. Multilevel modelling showed that depression, internalized stigma and reflective functioning explained the variance in negative symptoms.Discussion: The pilot study indicated that the intervention has high feasibility and that improvements in negative symptoms can be partially explained by improvements on depression, stigma and reflective functioning.

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“…One finds several examples of SCEDs in trauma research. Here are some: the impact of a visuospatial task’s interference to reduce the number of visual intrusive memories of trauma with refugees (Kanstrup et al, 2021), the effects of individualized strategy training on attention beyond the effects of computerized training using attention process training (Dymowski et al, 2016), the influence of child-centered play therapy on children with 4 or more adverse childhood experiences (Haas & Ray, 2020), the effects of a functional analytic therapy after a cognitive–behavioral intervention for PTSD (Pedersen et al, 2012), the effectiveness of therapeutic puppetry with people with severe mental illness (Greaves et al, 2012), the responsiveness to psychodynamic art psychotherapy from someone diagnosed with antisocial personality disorder and ongoing aggressive behavior (Hackett & Aafjes-van Doorn, 2019), the effects of cognitive processing therapy on intimate partner violence (Galovski et al, 2022), the impact of online self-management posttraumatic stress workshop on self-reported symptoms of PTSD, depression, and functional impairment (Bush et al, 2014). In sum, one could conclude that SCEDs are finding more recognition as providing scientific evidence of treatment effect in psychological trauma research.…”

mentioning

confidence: 99%

Bayesian analysis of single case experimental design count data in trauma research: A tutorial.

Natesan¹

2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Single case experimental designs (SCEDs) are suited to psychological trauma research that involves individualized treatments and where randomization might be impossible or inappropriate. However, SCED data present challenges such as autocorrelations, short time-series, nonnormal distributions (in count data), and the effect sizes being comparable across phase changes and participants. The present study illustrates the Bayesian rate ratio (BRR) that can be used when the phase lengths vary across phases to quantify treatment effect and can be aggregated across participants. Method: Bayesian estimation allows flexible modeling of autocorrelations and distributions, works well for small samples, and provides easily interpretable estimates of uncertainty in the form of credible intervals. BRR estimates from a published dataset from trauma research are compared with commonly used nonoverlap of all pairs (NAP) effect sizes. Results: Bayesian estimates show superior performance over NAP estimates because they reflect the patterns in the data and account for distance between observations, unlike NAP. All the R programs are shared with the readers and are annotated for their ease. Conclusions: Through tutorials such as these, current and future researchers can be educated about Bayesian methodology, its appropriateness to address the idiosyncrasies posed by SCED count data, and aid further development of models for other SCEDs. Implications of the study are also discussed.

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A multiple single case design study of group therapeutic puppetry with people with severe mental illness

Cited by 6 publications

References 19 publications

Moterų, Sergančių Išsėtine Skleroze, Psichoemocinės Sveikatos Raiška, Taikant Dramos Terapiją

Moterų, Sergančių Išsėtine Skleroze, Psichoemocinės Sveikatos Raiška, Taikant Dramos Terapiją

Metacognitive training modified for negative symptoms: A feasibility study

Bayesian analysis of single case experimental design count data in trauma research: A tutorial.

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