The feasibility of brief behavioural activation treatment for depression in a PICU: a systematic replication

Myhre, Martin Øverlien; Strømgren, Børge; Arnesen, Eimund F.; Veland, Martin Cornelius

doi:10.20299/jpi.2018.001

Cited by 4 publications

(4 citation statements)

References 28 publications

(44 reference statements)

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“…We identified one controlled and one uncontrolled quantitative trial (Table 1; Supplementary Table 7). Myhre et al (2018) reported a statistically significant between-groups improvement on BDI-II score using Behavioural Activation. Huffman et al’s (2014) feasibility study of ‘positive psychology’ interventions reported a high participation consent rate and statistically significant within-group improvement in ‘optimism’, but there was no control group.…”

Section: Resultsmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

“…This is the first systematic review of evaluations of bNPIs for people in a crisis of mental ill-health, in EDs and inpatient units. Studies that found between-group differences on inpatient units include Behavioural Activation (improved BDI) (Myhre et al, 2018), QR (reduction in total aggression in children) (Glod et al, 1994), Safety Planning (reduction in ED readmissions as long as they were 'high quality') (Bagatelas et al, 2022), BAs with a manualised psychological intervention (reduced suicide attempt repetition, mean suicide attempt day survival, hospitalisation survival and mean (number of days in hospital) (Berrino et al, 2011) and BAs without a manualised psychological intervention (improvements on the WHODAS II mobility domain) (Westling et al, 2019). In the ED setting, between-group differences were found in suicide-specific ED interventions (reduced depression and suicidality measures immediately; Dimeff et al, 2021) and at 3 and 18 months (Rotheram-Borus et al, 2000), higher outpatient follow-up rates (Rotheram-Borus et al, 2000), reduced rates of hospitalisation (Wharff et al, 2019) and face-to-face specialist psychoeducation on panic (reduced ED presentation rate) (Dyckman et al, 1999).…”

Section: Principal Findingsmentioning

confidence: 99%

“…Behavioural activation Preliminary results suggest inpatient Skills-focussed interventions ('positive psychology') effectively improve a range of symptoms (Huffman et al, 2014) Theory of change may be in keeping with cognitive behavioural therapy theories (Huffman et al, 2014;Myhre et al, 2018) Large quantitative studies that use validated outcome measures that reflect mechanism of change. Extend outcome measures to include rates of attendance at follow-up, rates of re-hospitalisation, rates of self-harm in and out of hospital.…”

Section: Positive Psychologymentioning

confidence: 99%

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The effectiveness of brief non-pharmacological interventions in emergency departments and psychiatric inpatient units for people in crisis: A systematic review and narrative synthesis

Huber,

Milton,

Brewer

et al. 2023

Aust N Z J Psychiatry

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Objective: Heterogeneous brief non-pharmacological interventions and guidelines exist to treat the burgeoning presentations to both emergency department and inpatient settings, for those in a crisis of mental ill-health. We systematically reviewed the literature to create a taxonomy of these brief non-pharmacological interventions, and review their evaluation methods and effectiveness. Method: We conducted a systematic review across Cochrane, CINAHL, DARE, Embase, MEDLINE, PsycINFO databases. Studies meeting quality criteria, using Joanna Briggs Institute tools, were eligible. Interventions were categorised, and outcomes synthesised. Results: Thirty-nine studies were included: 8 randomised controlled trials, 17 quasi-experimental, 11 qualitative studies, and 3 file audits. Taxonomy produced six coherent intervention types: Skills-focussed, Environment-focussed, Special Observation, Psychoeducation, Multicomponent Group and Multicomponent Individual. Despite this, a broad and inconsistent range of outcome measures reflected different outcome priorities and prevented systematic comparison of different types of intervention or meta-analysis. Few brief non-pharmacological interventions had consistent evidential support: sensory modulation rooms consistently improved distress in inpatient settings. Short admissions may reduce suicide attempts and readmission, if accompanied by psychotherapy. Suicide-specific interventions in emergency departments may improve depressive symptoms, but not suicide attempt rates. There was evidence that brief non-pharmacological interventions did not reduce incidence of self-harm on inpatient wards. We found no evidence for frequently used interventions such as no-suicide contracting, special observation or inpatient self-harm interventions. Conclusion: Categorising brief non-pharmacological interventions is feasible, but an evidence base for many is severely limited if not missing. Even when there is evidence, the inconsistency in outcomes often precludes clinicians from making inferences, although some interventions show promise.

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Section: Resultsmentioning

confidence: 92%