Assessing a digital peer support self-management intervention for adults with serious mental illness: feasibility, acceptability, and preliminary effectiveness

Fortuna, Karen L.; Myers, Amanda; Ferron, Joelle C.; Kadakia, Arya; Bianco, Cynthia; Bruce, Martha L.; Bartels, Stephen J.

doi:10.1080/09638237.2021.2022619

Cited by 10 publications

(6 citation statements)

References 48 publications

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“…Most recently, other promising interventions were developed and preliminarily tested, including the training and allocation of community navigators [60], peer support programmes [61] and social prescribing [62]. For home-bound and/or elderly people, simple interventions delivered by volunteers via phone contacts [63] or by clinical teams via home visits [64] have been found effective in reducing depression and loneliness.…”

Section: Interventions To Tackle Lonelinessmentioning

confidence: 99%

Loneliness and mood disorders: consequence, cause and/or unholy alliance?

Giacco

2022

Current Opinion in Psychiatry

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Purpose of reviewPeople with persistent depressive disorders and with bipolar disorder are more likely to feel lonely than people in the general population. This evidence update focused on studies in the last 2 years, characterized by the COVID-19 pandemic and consequent social distancing directives. Recent findingsLongitudinal studies identified that people who feel lonely are more likely to become depressed or to experience relapse of mood disorders. There is emerging evidence that feelings of loneliness or mandatory social isolation can precede manic episodes. Hence the relationship between loneliness and mood disorders is complex and bidirectional. Interventions were developed to reduce loneliness in people with mental health problems, including depressive disorders, through cognitive modification and/or supported socialisation. No loneliness-focused interventions have been specifically tailored to people with bipolar disorder. SummaryStudies carried out before and during the COVID-19 pandemic found that feelings of loneliness can be both consequences and precursors of persistent depression and bipolar disorder. Mood symptoms and loneliness have a cumulative negative effect on physical and mental health outcomes. Conceptual overlaps and relations between loneliness and mood symptoms should be clarified in qualitative studies. Theorydriven intervention models should be developed and tested in methodologically robust studies.

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Section: Interventions To Tackle Lonelinessmentioning

confidence: 99%

Loneliness and mood disorders: consequence, cause and/or unholy alliance?

Giacco

2022

Current Opinion in Psychiatry

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“…Since 2008, the Taiwanese government has been encouraging the establishment of community rehabilitation centers to help patients with schizophrenia to improve the ability of living independently, form peer groups, and enhance social support through group rehabilitation activities. Moreover, digital friend support intervention programs have been developed for individuals with psychotic disorders 28 , 56 . Fourth, self-esteem is an intervention target to reduce depression among individuals with schizophrenia who experience loneliness.…”

Section: Discussionmentioning

confidence: 99%

Association of loneliness with suicide risk and depression in individuals with schizophrenia: moderating effects of self-esteem and perceived support from families and friends

et al. 2023

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Loneliness is prevalent among individuals with mental illnesses. This cross-sectional survey study examined the moderating effects of self-esteem and perceived support from families and friends on the association of loneliness with suicide risk and depression in individuals with schizophrenia. In total, 300 participants (267 with schizophrenia and 33 with schizoaffective disorder) completed the University of California, Los Angeles, Loneliness Scale (Version 3); suicide module of the Mini International Neuropsychiatric Interview; Center for Epidemiologic Studies Depression Scale; Family and Friend Adaptability, Partnership, Growth, Affection, and Resolve Index; and Rosenberg Self-Esteem Scale. Moderation analysis was performed to examine the moderating effects of self-esteem and perceived support from families and friends on the association of loneliness with suicide risk and depression. The results found that self-esteem was significantly associated with a reduced magnitude of depression in participants with loneliness. In addition, perceived support from friends was significantly associated with a reduced magnitude of suicide risk in participants with loneliness. Our findings indicate the importance of intervention programs that strengthen support from friends and self-esteem in reducing suicide risk and depression among lonely individuals with schizophrenia.

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“…They can also create a platform for support and mutual assistance for patients [31]. By sharing their knowledge and direct experience with other patients with the same disease and treatment experience, awareness about the disease can be increased [32]. This helps build the right attitude toward treatment and helps patients who are not aware of the risk of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Perception of risk of recurrence among patients with first episode and recurrent schizophrenia: A descriptive phenomenological study

Sun

Qin

et al. 2023

Preprint

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Background: Patients suffering from schizophrenia are at a higher risk of relapse. The perception of the risk of recurrence in patients with schizophrenia is critical for recurrence prevention. In the field of psychiatry, the study of risk perception of recurrence, has been neglected. Methods: We carried out a qualitative study using a descriptive phenomenological approach. Data were collected at twopsychiatric hospitals in China. In total, 22 patients with schizophrenia were recruited through purposive sampling. Face to face semi-structured in-depth interviews were conducted with them. Interview recordings were transcribed by the research team, and transcripts were analyzed by two independent coders with Colaizzi’s descriptive analysis framework. The consolidated criteria for reporting qualitative research checklist was used for reporting. Results: The data of first-episode schizophrenic patients yielded three themes: (i) lack of knowledge about disease recognition and medical treatment; (ii) overoptimistic estimation of the risk of recurrence; (iii) perceived importance of treatment. For first-recurrence schizophrenic patients : (i) initial awareness of relapse warning symptom; (ii) lack of systematic and accurate assessment of disease information; (iii) the perception of drug withdrawal is related to recurrence. Patients with multiple recurrences : (i) susceptibility to relapse: confusion and powerlessness; (ii) the severity of recurrence: suicidal thoughts and behavior; (iii) effects of perceived benefits and barriers on therapeutic behavior. Conclusions: In schizophrenic patients with first-episode, first-recurrence, and multiple recurrences, there were dynamic changes in the perception of disease recurrence risk and treatment behavior. Medical workers must improve risk awareness education. They should provide patients with scientific, accurate, and timely communication channels, and dynamically assess and manage the risk of recurrence in various patients.

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Assessing a digital peer support self-management intervention for adults with serious mental illness: feasibility, acceptability, and preliminary effectiveness

Cited by 10 publications

References 48 publications

Loneliness and mood disorders: consequence, cause and/or unholy alliance?

Loneliness and mood disorders: consequence, cause and/or unholy alliance?

Association of loneliness with suicide risk and depression in individuals with schizophrenia: moderating effects of self-esteem and perceived support from families and friends

Perception of risk of recurrence among patients with first episode and recurrent schizophrenia: A descriptive phenomenological study

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