Engaging Polyvagal Theory to Inform a Relational Approach in Clinical Work with Adolescent-Parent Dyads

Clinical Social Work Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 3, 2025

Language: Английский

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The Power Threat Meaning Framework: a qualitative study of depression in adolescents and young adults

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: May 1, 2024

Introduction Depression constitutes one of our largest global health concerns and current treatment strategies lack convincing evidence effectiveness in youth. We suggest that this is partly due to inherent limitations the present diagnostic paradigm may group fundamentally different conditions together without sufficient consideration etiology, developmental aspects, or context. Alternatives complement system are available yet understudied. The Power Threat Meaning Framework (PTMF) option, developed for explanatory practical purposes. While based on scientific evidence, empirical research framework itself still lacking. This qualitative study was performed explore experiences adolescents young adults with depression from perspective PTMF. Methods conducted semi-structured interviews 11 Swedish individuals aged 15– 22 years, mainly female, currently enrolled a clinical trial major depressive disorder. Interviews were transcribed verbatim analyzed analysis informed by Results A complex multitude adversities preceding onset described, rich variety effects, interpretations, reactions. In total, 17 themes identified four dimensions PTMF, highlighting power Not all participants able formulate coherent narratives. Discussion PTMF provides understanding complexities, common themes, lived depression. be essential development new interventions increased precision young.

Language: Английский

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Adolescent help-seeking: an exploration of associations with perceived cause of emotional distress

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Oct. 2, 2023

Help-seeking is intrinsic to efforts manage the onset, maintenance, or escalation of mental health difficulties during adolescence. However, our understanding adolescent help-seeking remains somewhat nebulous. A greater comprehension behavior from perspective adolescents needed. It also prudent explore in context perceived cause for emotional distress, particularly as causal beliefs have been found influence adults.The present study sought categorize adolescents' experiences help-seeking, and examine extent which these categories (or "types") are associated with their perceptions factors distress.The data this were drawn interviews conducted part HeadStart Learning Programme. The sample comprised 32 young people aged 11-12 years. Ideal-type analysis, a qualitative form person-centered was used construct typology help-seeking. Participants' "type" then compared distress "type."We developed four distinct help-seeking: (1) guided by others who taken notice; (2) skeptical unmet needs; (3) motivated solution focused; (4) preference self-regulation. Simultaneously, we identified principal associations between distress-(1) lack control; unfair treatment; others: actions judgements catalyst; concern self others; (5) cause-and approaches. "Perceived control" most likely be "others notice"; "Unfair treatment" "skeptical needs"; "others: catalyst" "motivated focused"; "concern others' 'guided finally, "self cause" "preference self-regulation."This demonstrates meaningful offers empirical evidence support assertion that may approaches adolescents.

Language: Английский

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The Hodgepodge Reality: A Qualitative Systematic Review of the Challenges and Barriers in Child and Adolescent Mental Health Care Systems

Adolescent Research Review, Journal Year: 2023, Volume and Issue: 9(3), P. 563 - 586

Published: Dec. 13, 2023

Abstract The literature to date has documented the presence of challenges and barriers in mental health systems services for children adolescents worldwide. However, studies addressing this reality often do so a fragmented, residual, incomplete, or generalized way, therefore hindering comprehensive understanding complex phenomenon. aim qualitative systematic review is analyze affecting global care adolescents. Searches were made Web Science, Scopus, PubMed databases between 2018 2022 using terms connected with health, childhood, adolescence, systems. search resulted extraction 9075 articles, which 51 considered eligible inclusion complied quality indicators. A number closely related structural, financial, attitudinal, treatment that limited life well-being needs found. These included inadequate public policies, operational deficiencies, insufficient insurance coverage, privatization services, stigma, lack literacy, training, overburdened care, dehumanization community integrated resources. analysis these displays gap reflects historical injustice towards illness disregard real crucial stages, perpetuating protection complexity disorders absence resources have hodgepodge fails provide continuing specialist they need.

Language: Английский

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Dealing with overwhelming life situations - young people’s experiences of becoming depressed

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, Journal Year: 2024, Volume and Issue: 12(1), P. 63 - 71

Published: Jan. 1, 2024

Abstract Background Depression is common and increasing in young people, who seem especially vulnerable, both the probability of developing depression, resulting negative consequences across lifespan. Unfortunately, available treatments rarely lead to full remission even cases relapse rates are high. Different explanatory models have been proposed, research indicates a multifaceted etiology. The descriptive DSM-5 has low diagnostic validity this age-group, for depressive disorders, limited attention given people’s own experiences becoming depressed. Hence, there risk missing clinical information that important therapeutic alliance treatment. Objective This study aimed explore Method A qualitative was performed. Six participants with currently treatment at child adolescent psychiatric outpatient clinics northern Sweden were recruited. Interviews followed semi-structured manual, data analyzed inductive content analysis. Results Participants described different reasons their from stories four categories identified: “Being subjected violence”, “Suffering separation loss”, “Feeling abandoned”, burdened vulnerable”. These interpreted theme: “Dealing an overwhelming life situation”. Conclusions presented mainly stressful external relational events preceding depression. combination stressors, lack support time recovery described. points importance validating narratives patients depression offer trauma-informed approaches mental health care.

Language: Английский

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Factors related to help-seeking and service utilization for professional mental healthcare among young people: An umbrella review

Clinical Psychology Review, Journal Year: 2024, Volume and Issue: 114, P. 102504 - 102504

Published: Sept. 24, 2024

Language: Английский

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