An online compassion-focused crisis intervention during COVID-19 lockdown: a cases series on patients at high risk for psychosis

Cheli, Simone; Cavalletti, Veronica; Petrocchi, Nicola

doi:10.1080/17522439.2020.1786148

Cited by 21 publications

(25 citation statements)

References 12 publications

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“…Comparing the clinical outcomes of face-to-face and remote care using quantitative measures indicated that telemental health approaches could be as effective as face-to-face care e.g. (56, 104), although it should be noted that most studies were on a small scale. Several studies also reported no psychiatric decompensations after switching to remote care e.g.…”

Section: Resultsmentioning

confidence: 99%

Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review

Appleton

Williams

Juan

et al. 2021

Preprint

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Background: Early in 2020, mental health services had to rapidly shift from face-to-face models of care to delivering the majority of treatments remotely (by video or phone call or occasionally messaging) due to the COVID-19 pandemic. This resulted in several challenges for staff and patients, but also in benefits such as convenience or increased access for people with impaired mobility or in rural areas. There is a need to understand the extent and impacts of telemental health implementation, and barriers and facilitators to its effective and acceptable use. This is relevant both to future emergency adoption of telemental health, and to debates on its future use in routine mental health care. Objective: To investigate the adoption and impacts of telemental health approaches during the COVID-19 Pandemic, and facilitators and barriers to optimal implementation. Methods: Four databases (PubMed, PsycINFO, CINAHL and Web of Science) were searched for primary research relating to remote working, mental health care, and the COVID-19 pandemic. Preprint servers were also searched. Results of studies were synthesised using framework synthesis. Results: A total of 77 papers met our inclusion criteria. In most studies, the majority of contacts could be transferred to a remote form during the pandemic, and good acceptability to service users and clinicians tended to be reported, at least where the alternative to remote contacts was interrupting care. However, a range of impediments to dealing optimal care by this means were also identified. Conclusions: Implementation of telemental health allowed some continuing support to the majority of service users during the COVID-19 pandemic and has value in an emergency situation. However, not all service users can be reached by this means, and better evidence is now needed on long-term impacts on therapeutic relationships and quality of care, and on impacts on groups at risk of digital exclusion and how to mitigate these.

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Section: Resultsmentioning

confidence: 99%

Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review

Appleton

Williams

Juan

et al. 2021

Preprint

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“…Therefore, providing greater access to individual and/or group CFT and CMT, including via Telehealth, might be pertinent. In fact, in the specific context of the pandemic, an online compassion-focused intervention was found to reduce depression, anxiety, and stress in patients at high risk of psychosis (Cheli et al, 2020 ). Moreover, graded online compassion-focused interventions, including psycho-education and information sharing, guided practices and strategies, and behavioral applications could be offered more widely to benefit public mental health.…”

Section: Discussionmentioning

confidence: 99%

“…In relation to the pandemic, self-compassion has been found to improve life satisfaction and coping (Li et al, 2021 ), cohabitation (Jimenez et al, 2020 ), and mediated the effect of the perceived COVID-19 threat on death anxiety (Kavakli et al, 2020 ) and depression, anxiety, and stress (Lau et al, 2020 ). Going beyond cross-sectional data, in an experimental study, Cheli et al ( 2020 ) found that an online compassion-focused crisis intervention, aimed at promoting compassion for one’s own distress and developing one’s self-soothing abilities, reduced depression, anxiety, and stress in patients at high risk of psychosis during the pandemic. In support, Schnepper et al ( 2020 ) found that a self-compassion intervention delivered during the pandemic via Smartphone increased self-compassion, decreased stress, and reduced eating in response to feeling anxious.…”

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confidence: 99%

Compassion Protects Mental Health and Social Safeness During the COVID-19 Pandemic Across 21 Countries

et al. 2022

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Objectives The COVID-19 pandemic is having an unprecedented detrimental impact on mental health in people around the world. It is important therefore to explore factors that may buffer or accentuate the risk of mental health problems in this context. Given that compassion has numerous benefits for mental health, emotion regulation, and social relationships, this study examines the buffering effects of different flows of compassion (for self, for others, from others) against the impact of perceived threat of COVID-19 on depression, anxiety, and stress, and social safeness. Methods The study was conducted in a sample of 4057 adult participants from the general community population, collected across 21 countries from Europe, Middle East, North America, South America, Asia, and Oceania. Participants completed self-report measures of perceived threat of COVID-19, compassion (for self, for others, from others), depression, anxiety, stress, and social safeness. Results Perceived threat of COVID-19 was associated with higher scores in depression, anxiety, and stress, and lower scores in social safeness. Self-compassion and compassion from others were associated with lower psychological distress and higher social safeness. Compassion for others was associated with lower depressive symptoms. Self-compassion moderated the relationship between perceived threat of COVID-19 on depression, anxiety, and stress, whereas compassion from others moderated the effects of fears of contracting COVID-19 on social safeness. These effects were consistent across all countries. Conclusions Our findings highlight the universal protective role of compassion, in particular self-compassion and compassion from others, in promoting resilience by buffering against the harmful effects of the COVID-19 pandemic on mental health and social safeness. Supplementary Information The online version contains supplementary material available at 10.1007/s12671-021-01822-2.

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“…The benefits and efficacy of these approaches in decreasing psychological distress and promoting wellbeing in a range of populations and conditions have been widely demonstrated [ 86 , 130 , 131 , for reviews]. In fact, compassion-focused interventions were found to mitigate psychological distress in the specific context of the pandemic [ 132 , 133 ]. Thus, offering greater access to individual and/or group CFT and CMT, including via Telehealth, might be pertinent to promote growth and resilience, and reduce psychological distress in this context.…”

Section: Discussionmentioning

confidence: 99%

The role of social connection on the experience of COVID-19 related post-traumatic growth and stress

et al. 2021

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Background Historically social connection has been an important way through which humans have coped with large-scale threatening events. In the context of the COVID-19 pandemic, lockdowns have deprived people of major sources of social support and coping, with others representing threats. Hence, a major stressor during the pandemic has been a sense of social disconnection and loneliness. This study explores how people’s experience of compassion and feeling socially safe and connected, in contrast to feeling socially disconnected, lonely and fearful of compassion, effects the impact of perceived threat of COVID-19 on post-traumatic growth and post-traumatic stress. Methods Adult participants from the general population (N = 4057) across 21 countries worldwide, completed self-report measures of social connection (compassion for self, from others, for others; social safeness), social disconnection (fears of compassion for self, from others, for others; loneliness), perceived threat of COVID-19, post-traumatic growth and traumatic stress. Results Perceived threat of COVID-19 predicted increased post-traumatic growth and traumatic stress. Social connection (compassion and social safeness) predicted higher post-traumatic growth and traumatic stress, whereas social disconnection (fears of compassion and loneliness) predicted increased traumatic symptoms only. Social connection heightened the impact of perceived threat of COVID-19 on post-traumatic growth, while social disconnection weakened this impact. Social disconnection magnified the impact of the perceived threat of COVID-19 on traumatic stress. These effects were consistent across all countries. Conclusions Social connection is key to how people adapt and cope with the worldwide COVID-19 crisis and may facilitate post-traumatic growth in the context of the threat experienced during the pandemic. In contrast, social disconnection increases vulnerability to develop post-traumatic stress in this threatening context. Public health and Government organizations could implement interventions to foster compassion and feelings of social safeness and reduce experiences of social disconnection, thus promoting growth, resilience and mental wellbeing during and following the pandemic.

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An online compassion-focused crisis intervention during COVID-19 lockdown: a cases series on patients at high risk for psychosis

Cited by 21 publications

References 12 publications

Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review

Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review

Compassion Protects Mental Health and Social Safeness During the COVID-19 Pandemic Across 21 Countries

The role of social connection on the experience of COVID-19 related post-traumatic growth and stress

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