Functional outcome and service engagement in major depressive disorder with psychotic features: comparisons with schizophrenia, schizoaffective disorder and bipolar disorder in a 6‐year follow‐up of the Cavan‐Monaghan First Episode Psychosis Study (CAMFEPS)

Kingston, Tara; Scully, Paul J.; Browne, David J.; Baldwin, Patrizia A.; Kinsella, Anthony; O’Callaghan, Eadbhard; Russell, Vincent; Waddington, John L.

doi:10.1111/cns.12836

Cited by 22 publications

(20 citation statements)

References 47 publications

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“…People with serious mental illness (PSMI) experience problems functioning independently within the community, showing social and occupational limitations. Several authors have stated that the deficit in psychosocial functioning of PSMI includes anhedonia, few interpersonal contacts, lack of social participation and/or poor social support (Kingston et al., 2018; Sweet et al., 2018). The explanation for this poor social adjustment in PSMI involves a complex and dynamic interaction between several clinical and sociocultural factors, such as the level and the type of clinical symptomatology, house conditions, low income or stigma (Killaspy et al., 2014).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness

Vigué

Ribot²,

Recoder

et al. 2019

British Journal of Occupational Therapy

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Introduction: Facilitating engagement in meaningful activities is a key intervention in the recovery process of people with serious mental illness. This study validates the use of the Engagement in Meaningful Activities Survey in the Spanish mental health population for the purposes of measuring such engagement. Method: Two hundred and ninety-five people with serious mental illness (68.3% were male; M ¼ 47.5, SD ¼ 9.7 years) participated voluntarily and anonymously in the study. All gave written informed consent. A translation into Spanish and backtranslation to English was made. Reliability and validity of the Engagement in Meaningful Activities Survey was assessed by the internal consistency, temporal stability and dimensionality of the scale. Results: The Cronbach's alpha of the Engagement in Meaningful Activities Survey scale was 0.91 and the intraclass correlation coefficient was 0.76. Confirmatory factor analysis revealed a two-factor structure of the scale (v 2 ¼ 93.906, p < .001; comparative fit index ¼ .96, Tucker-Lewis index ¼ .95, root-mean-square error of approximation (90% confidence interval) ¼ .05 (.03-.07) and standardized root mean square residual ¼ .04). All the items showed significant standardized factor loadings above .59. Correlation between the two factors was .97 (p < .001). Conclusion: The instrument could be useful for assessing engagement in meaningful activities and helpful for recovery process interventions focused on enhancing community adjustment in people with serious mental illness.

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Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness

Vigué

Ribot²,

Recoder

et al. 2019

British Journal of Occupational Therapy

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“…A lack of engagement in treatment among those with mental health di culties is a signi cant problem [18]. Previous research indicates that at an individual level, factors such as male sex, younger age, greater severity of illness, diminished functional capacity, having a diagnosis of schizophrenia or schizoaffective disorder [19][20][21][22][23][24][25] and comorbid mental health and substance use conditions [22,25] are associated with higher rates of attrition and disengagement from mental health services. Perceptions about the e cacy of treatment [25] as well as the quality of the interactions between clients and providers [25,26] can also inform decisions about whether or not to engage.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Attendees’ Engagement with Group Psychoeducation: A Multi-Stakeholder Perspective

Higgins

Downes

Murphy

et al. 2020

Preprint

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Background: Psychoeducation provides a range of benefits to service users with severe mental health illness and their family members. A lack of engagement with mental health services may lead to poorer outcomes and increased healthcare costs. Few studies have explored the problem of engagement in relation to group psychoeducation from a multi-site and multi-stakeholder perspective. Methods: The aim of the study was to explore the factors influencing service user and family engagement with group psychoeducation programmes. The study design was qualitative descriptive. Data were collected through individual and focus group interviews with key stakeholders (n=75) involved with the programme within 14 mental health sites in the Republic of Ireland. Results: Enablers and barriers to engagement were identified at participant, provider and programme level. Motivated participants and clinicians, peer co-facilitation and support, and skilled and responsive facilitators were some of the factors which enhanced engagement. Barriers to engagement included a lack of motivation and readiness among participants, concerns related to stigma and confidentiality, a lack of support for programme participation within families, group discomfort, issues with accessing transport, the time and length of the programme being unsuitable for some participants and a lack of capacity among clinicians.Conclusion: Findings from the study illustrate the multifaceted nature of engagement as well as provide a greater understanding of the multifactorial influences on engagement. Strategies to enhance engagement should therefore reflect a multipronged approach. At the outset of programme implementation, organizations should address their readiness to engage, conduct local needs assessments to anticipate individuals’ needs and plan accordingly in order to maximize engagement, and bolster facilitators’ engagement skills through the provision of training and mentoring opportunities.

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“…So far none of these mental health-related studies during COVID-19, took the role or potential in uence of one's daily meaningful activities on adults' mental health into account, although the lockdown had a major impact on persons daily activities [29]. Notwithstanding, previous research showed that daily activities can have a huge impact on one's mental health [30][31][32][33][34][35].…”

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confidence: 99%

Meaningful Activities During COVID-19 and Association With Mental Health in Belgian Adults.

Cruyt

Vriendt

Velde

et al. 2021

Preprint

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Background: The spread of COVID-19 has affected people’s daily lives and the lockdown may have led to a disruption of daily activities and a decrease of people’s mental health. Aim: To identify correlates of adults’ mental health during the COVID-19 lockdown in Belgium and to assess the role of meaningful activities in particular. Methods: A cross-sectional web survey for assessing mental health (General Health Questionnaire), resilience (Connor-Davidson Resilience Scale), meaning in activities (Engagement in Meaningful Activities Survey) and demographics was conducted between April 24 and May 4, 2020. Hierarchical linear regression was used to identify key correlates. Results: Participants (N=1781) reported low mental health (M=14.85/36). In total, 42.4% of the variance in mental health could be explained by variables such as gender, having children, living space, marital status, health condition, and resilience (β= -.33). Loss of meaningful activities was strongly related to mental health (β= -.36) and explained 9% incremental variance (R2 change= .092, p<.001) above control variables.Conclusions: The extent of performing meaningful activities during the COVID-19 lockdown in Belgium is positively related to adults’ mental health. Insights from this study can be taken into account during future lockdown measures in case of pandemics.

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Functional outcome and service engagement in major depressive disorder with psychotic features: comparisons with schizophrenia, schizoaffective disorder and bipolar disorder in a 6‐year follow‐up of the Cavan‐Monaghan First Episode Psychosis Study (CAMFEPS)

Cited by 22 publications

References 47 publications

Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness

Psychometric properties of the Spanish version of the Engagement in Meaningful Activities Survey in people with serious mental illness

Factors Influencing Attendees’ Engagement with Group Psychoeducation: A Multi-Stakeholder Perspective

Meaningful Activities During COVID-19 and Association With Mental Health in Belgian Adults.

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