Cognitive-behavioural therapy and personalized treatment: An introduction to the special issue

Spinhoven, Philip; Cuijpers, Pim; Hollon, Steve D.

doi:10.1016/j.brat.2020.103595

Cited by 3 publications

(3 citation statements)

References 14 publications

(13 reference statements)

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“…ESM offers the possibility to bring relevant information from outpatients' daily life into regular consultations, enhancing a systematic personalized characterization of a patient's psychopathology. In order to fulfil its promise to support precision psychiatry, ESM monitoring needs to be implemented in clinical practice, become part of the treatment process, and allow for personalization [58]. Until now, personalized ESM monitoring during psychotherapeutic treatment has not been researched as a supportive tool and with our pragmatic RCT study we aim to fill this gap.…”

Section: Discussionmentioning

confidence: 99%

Personalized ESM monitoring and feedback to support psychological treatment for depression: a pragmatic randomized controlled trial (Therap-i)

et al. 2021

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Background Major depressive disorder (MDD) is a highly prevalent mental disorder with large disease burden, high levels of relapse or persistence, and overall suboptimal outcomes of protocolized pharmacological and psychotherapeutic treatments. There is an urgent need to improve treatment effectiveness, possibly through systematic treatment personalization. In psychotherapeutic treatments this can be achieved by case conceptualization. To support this process, we developed the Therap-i module, which consists of personalized Experienced Sampling Methodology (ESM) and feedback. The Therap-i module is integrated into outpatient psychotherapeutic treatment as usual (TAU) for depression. The study aim is to investigate the efficacy of the Therap-i module in decreasing symptomatology in unresponsive or relapsing patients diagnosed with MDD. We hypothesize that the Therap-i module will contribute to TAU by i) decreasing depressive symptoms, and ii) improving general functioning, therapeutic working alliance, and illness perception. This paper provides details of the study rationale, aims, procedures, and a discussion on potential pitfalls and promises of the module. Methods Patients diagnosed with MDD (n = 100) will enrol in a pragmatic two-armed randomized controlled trial. Randomization is stratified according to the patient’s treatment resistance level assessed with the Dutch Method for quantification of Treatment Resistance in Depression (DM-TRD). All fill-out the Inventory of Depressive Symptomatology Self Report (IDS-SR), Outcome Questionnaire (OQ-45), Illness Perception Questionnaire Mental Health (IPQ-MH), and Work Alliance Inventory Self Report (WAI-SR). In the intervention arm, through close collaboration between patient, clinician, and researcher, a personalized ESM diary is developed based on the patient’s case conceptualization. During the ESM monitoring period (8 weeks, 5 assessments/day), patients receive feedback three times, which is discussed among the abovementioned three parties. Both patients and clinicians will evaluate the Therap-i module. Results Data collection is ongoing. Discussion This is the first study in which personalized ESM and feedback is integrated in outpatient psychotherapeutic TAU for depression. The labour intensive procedure and methodological pitfalls are anticipated challenges and were taken into account when designing the study. When hypotheses are confirmed, the Therap-i module may advance treatment for depression by providing insights into personalized patterns driving or perpetuating depressive complaints. Trial registration Trial NL7190 (NTR7381), registered prospectively 03-08-2018.

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Section: Discussionmentioning

confidence: 99%

Personalized ESM monitoring and feedback to support psychological treatment for depression: a pragmatic randomized controlled trial (Therap-i)

et al. 2021

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“…Families in Cameroon who have gone through this unceremonious burial procedure have raised concerns (11,22,41). Officials of Cameroon's Ministry of Public Health acknowledge this fact, but argue that it is the most appropriate way of disposing of bodies that can further spread the virus to others, if relatives are left to interact with corpses (28,32,42).…”

Section: Burial Of Victims Of Covid-19mentioning

confidence: 99%

“…Increasing global demand has led to price hiking of these vital PPE, which has caused a shortage of these PPE. Frontline workers in the suburbs are still to have access to protective materials and equipment (42,45). Even those centres privileged to have PPE, they are in chronic short supplies.…”

Section: Protection Of Essential Frontline Workersmentioning

confidence: 99%

Curbing the Spread of COVID-19 Pandemic Caused by SARS-CoV-2: Considering Psychological, SocioLegal and Ethical Implications on Preventive Measures in Cameroon

2020

IJBG

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The emergence of human to human novel Coronavirus disease (COVID-19) in Wuhan, China rapidly became a global pandemic and it ultimately lead towards medical, legal and ethical concerns which need to be addressed. As compared to current zoonotic infections, the spread of COVID-19 is exceptional; with higher severity as well as more confirmed mortality. The mode of transmission is primarily through respiratory droplets with incubation times (1 – 14 days) which is quite similar to severe acute respiratory syndrome coronavirus (SARS-CoV-1). Reports show that it has claimed more lives as compared to the Middle East respiratory syndrome coronavirus (MERS-CoV). Till now, it is difficult to present a clear conclusive information about the prevention as well as the spread of this viral infection and therefore no clear cut treatment guidelines are available. Hence, it is difficult to project how to live with this viral infection, the Government of many countries including Cameroon have provided some public health measures to help in the reduction of its spread. These measures include amongst others; isolation, quarantine, social distancing, regular washing of hands with soap, use of hand sanitizers, staying and working from home and obligatory wearing of masks in public places. Proper implementation of these measures require relevant and effective communication as well as sensitization projects to be put in place to abreast the community and individuals to comply with the procedures. It is the inherent role of the Government of Cameroon to ensure that adequate supplies of essential needs (masks, clean water, soap, hand sanitizers) are available for the vulnerable and underprivileged members of society during this health crisis. Here, we are going to explore the psychological, socio-economic, and ethico-legal concerns of this pandemic, through its implementation of isolation, quarantine, social distancing, constant washing of hands with soap, use of hand sanitizers, staying and working from home, obligatory wearing of masks in public places and national lockdown. The implication of these measures on the life of the population in a low middle income country like Cameroon has been elucidated.

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Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science

Holmes

O’Connor

Perry

et al. 2020

The Lancet Psychiatry

4,914

117

4,815

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The coronavirus disease 2019 (COVID-19) pandemic is having a profound effect on all aspects of society, including mental health and physical health. We explore the psychological, social, and neuroscientific effects of COVID-19 and set out the immediate priorities and longer-term strategies for mental health science research. These priorities were informed by surveys of the public and an expert panel convened by the UK Academy of Medical Sciences and the mental health research charity, MQ: Transforming Mental Health, in the first weeks of the pandemic in the UK in March, 2020. We urge UK research funding agencies to work with researchers, people with lived experience, and others to establish a high level coordination group to ensure that these research priorities are addressed, and to allow new ones to be identified over time. The need to maintain high-quality research standards is imperative. International collaboration and a global perspective will be beneficial. An immediate priority is collecting high-quality data on the mental health effects of the COVID-19 pandemic across the whole population and vulnerable groups, and on brain function, cognition, and mental health of patients with COVID-19. There is an urgent need for research to address how mental health consequences for vulnerable groups can be mitigated under pandemic conditions, and on the impact of repeated media consumption and health messaging around COVID-19. Discovery, evaluation, and refinement of mechanistically driven interventions to address the psychological, social, and neuroscientific aspects of the pandemic are required. Rising to this challenge will require integration across disciplines and sectors, and should be done together with people with lived experience. New funding will be required to meet these priorities, and it can be efficiently leveraged by the UK's world-leading infrastructure. This Position Paper provides a strategy that may be both adapted for, and integrated with, research efforts in other countries.

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Cognitive-behavioural therapy and personalized treatment: An introduction to the special issue

Cited by 3 publications

References 14 publications

Personalized ESM monitoring and feedback to support psychological treatment for depression: a pragmatic randomized controlled trial (Therap-i)

Personalized ESM monitoring and feedback to support psychological treatment for depression: a pragmatic randomized controlled trial (Therap-i)

Curbing the Spread of COVID-19 Pandemic Caused by SARS-CoV-2: Considering Psychological, SocioLegal and Ethical Implications on Preventive Measures in Cameroon

Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science

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