Psychiatric Annals,
Journal Year:
2023,
Volume and Issue:
53(9), P. 400 - 404
Published: Sept. 1, 2023
In
this
article,
we
compare
and
contrast
mental
health
measurement
based
on
classical
test
theory
(CTT)
with
computerized
adaptive
testing
(CAT)
multidimensional
item
response
(MIRT).
We
show
that
MIRT-based
CAT
has
numerous
advantages
over
the
traditional
CTT
approach
in
terms
of
maximizing
precision
while
at
same
time
decreasing
burden
both
for
clinician
patient.
review
literature
depression,
anxiety,
mania/hypomania,
posttraumatic
stress
disorder,
suicidality
psychosis,
substance
use
disorders.
highlight
two
interesting
applications,
one
national
prevalence
determination,
student
health.
Applications
to
special
populations
where
item-level
bias
may
exist
integration
electronic
medical
records
systems
are
also
discussed.
[
Psychiatr
Ann
.
2023;53(9):400–404.]
World Psychiatry,
Journal Year:
2024,
Volume and Issue:
23(2), P. 257 - 266
Published: May 10, 2024
Effect
sizes
of
psychotherapies
currently
stagnate
at
a
low‐to‐moderate
level.
Personalizing
psychotherapy
by
algorithm‐based
modular
procedures
promises
improved
outcomes,
greater
flexibility,
and
better
fit
between
research
practice.
However,
evidence
for
the
feasibility
efficacy
modular‐based
psychotherapy,
using
personalized
treatment
algorithm,
is
lacking.
This
proof‐of‐concept
randomized
controlled
trial
was
conducted
in
70
adult
outpatients
with
primary
DSM‐5
diagnosis
major
depressive
disorder,
score
higher
than
18
on
24‐item
Hamilton
Rating
Scale
Depression
(HRSD‐24),
least
one
comorbid
psychiatric
according
to
Structured
Clinical
Interview
(SCID‐5),
history
“moderate
severe”
childhood
maltreatment
domain
Childhood
Trauma
Questionnaire
(CTQ),
exceeding
cut‐off
value
three
measures
early
trauma‐related
transdiagnostic
mechanisms:
Rejection
Sensitivity
(RSQ),
Interpersonal
Reactivity
Index
(IRI),
Difficulties
Emotion
Regulation
Scale‐16
(DERS‐16).
Patients
were
20
sessions
either
standard
cognitive‐behavioral
therapy
alone
(CBT)
or
CBT
plus
modules
mechanism‐based
algorithm
(MoBa),
over
16
weeks.
We
aimed
assess
MoBa,
compare
MoBa
vs.
respect
participants’
therapists’
overall
satisfaction
ratings
therapeutic
alliance
(using
Working
Alliance
Inventory
‐
Short
Revised,
WAI‐SR),
efficacy,
impact
mechanisms,
safety.
The
outcome
HRSD‐24
post‐treatment.
Secondary
outcomes
included,
among
others,
rate
response
(defined
as
reduction
50%
from
baseline
<16
post‐treatment),
remission
≤8
improvements
mechanisms
social
threat
response,
hyperarousal,
processes/empathy.
found
no
difficulties
selection
individual
patients,
applying
above‐mentioned
cut‐offs,
implementation
MoBa.
Both
participants
therapists
reported
had
WAI‐SR
CBT.
approaches
led
reductions
symptoms
post‐treatment,
non‐significant
superiority
nearly
times
likely
experience
end
(29.4%
11.4%;
odds
ratio,
OR
=
3.2,
95%
CI:
0.9‐11.6).
Among
patients
showed
significantly
post‐treatment
effect
processes/empathy
(p<0.05)
compared
who
presented
an
exacerbation
this
Substantially
less
adverse
events
These
results
suggest
acceptability
complementing
depressed
comorbidities
trauma.
While
initial
observed,
potential
clinical
advantages
interindividual
heterogeneity
will
have
be
investigated
fully
powered
confirmation
trials.
npj Digital Medicine,
Journal Year:
2024,
Volume and Issue:
7(1)
Published: Feb. 28, 2024
Abstract
Over
the
last
ten
years,
there
has
been
considerable
progress
in
using
digital
behavioral
phenotypes,
captured
passively
and
continuously
from
smartphones
wearable
devices,
to
infer
depressive
mood.
However,
most
phenotype
studies
suffer
poor
replicability,
often
fail
detect
clinically
relevant
events,
use
measures
of
depression
that
are
not
validated
or
suitable
for
collecting
large
longitudinal
data.
Here,
we
report
high-quality
assessments
mood
computerized
adaptive
testing
paired
with
continuous
behavior
smartphone
sensors
up
40
weeks
on
183
individuals
experiencing
mild
severe
symptoms
depression.
We
apply
a
combination
cubic
spline
interpolation
idiographic
models
generate
individualized
predictions
future
achieving
high
prediction
accuracy
severity
three
advance
(
R
2
≥
80%)
65.7%
reduction
error
over
baseline
model
which
predicts
based
past
alone.
Finally,
our
study
verified
feasibility
obtaining
clinical
population
predicting
symptom
collected
Our
results
indicate
possibility
expanding
repertoire
patient-specific
enable
psychiatric
research.
Clinical Psychology Review,
Journal Year:
2024,
Volume and Issue:
110, P. 102417 - 102417
Published: March 25, 2024
Although
psychological
treatments
are
broadly
recognized
as
evidence-based
interventions
for
various
mental
disorders,
challenges
remain.
For
example,
a
substantial
proportion
of
patients
receiving
such
do
not
fully
recover,
and
many
obstacles
hinder
the
dissemination,
implementation,
training
treatments.
These
problems
require
those
in
our
field
to
rethink
some
basic
models
disorders
their
treatments,
question
how
research
practice
clinical
psychology
should
progress.
To
answer
these
questions,
group
experts
convened
at
Think-Tank
Marburg,
Germany,
August
2022
review
evidence
analyze
barriers
current
future
developments.
After
this
event,
an
overview
state-of-the-art
was
drafted
suggestions
improvements
specific
recommendations
were
integrated.
Recommendations
arising
from
meeting
cover
further
improving
through
translational
approaches,
methodology,
bridging
gap
between
more
nomothetic
(group-oriented)
studies
idiographic
(person-centered)
decisions,
using
network
approaches
addition
selecting
single
mechanisms
embrace
complexity
reality,
making
use
scalable
digital
options
assessments
interventions,
education
psychotherapists,
accepting
societal
responsibilities
that
has
national
global
health
care.
The
objective
Marburg
Declaration
is
stimulate
significant
change
regarding
understanding
with
aim
trigger
new
era
interventions.
BACKGROUND
Digital
mental
health
interventions
for
young
people
offer
a
promising
avenue
promoting
wellbeing
and
addressing
issues
in
this
population.
OBJECTIVE
This
study
aims
to
explore
the
range
of
digital
supports
available
aged
16
-
25
years,
with
particular
focus
on
types
tools,
modalities,
delivery
format,
target
population,
retention
rates.
METHODS
The
scoping
review
was
conducted
six
databases
(PubMed,
Web
Science,
Scopus,
Medline,
Cochrane
Library
PsychInfo),
total
145
articles
were
included.
findings
reveal
diverse
landscape
studies
globally,
equally
focusing
prevention
promotion
as
well
treatment
ill
health,
most
commonly
using
cognitive
behavioural
therapy,
apps,
web-based
resources
websites
being
common
tools.
RESULTS
results
highlight
over
emphasis
convenience
sampling
participants
mainly
recruited
from
universities
or
colleges,
lack
representation
marginalised
groups,
including
LGBTQ+
youth,
those
socioeconomically
deprived
backgrounds,
neurodivergent
individuals.
Moreover,
anxiety
depression
leaves
other
conditions
underrepresented.
Retention
rates
moderate,
indicating
room
improvement.
There
is
need
more
research
preventative
measures
under
years
when
are
at
increased
risk
issues.
includes
exploring
different
intervention
approaches
modalities
beyond
behaviour
therapy
ensuring
inclusivity
populations.
Standardising
lengths
incorporating
long-term
follow-up
data
could
provide
valuable
insights
into
efficacy
effectiveness
interventions.
CONCLUSIONS
Future
should
aim
greater
inclusivity,
groups
address
needs
effectively.
By
adopting
these
approaches,
can
become
accessible,
engaging,
impactful
worldwide.
PLoS ONE,
Journal Year:
2025,
Volume and Issue:
20(3), P. e0319473 - e0319473
Published: March 25, 2025
Purpose
Stepped
Care
Models
(SCM)
and
other
approaches
for
organizing
the
delivery
of
services
resources
by
individual
mental
health
(MH)
needs
are
being
increasingly
implemented
in
post-secondary
institutions.
However,
no
consensus
definitions
exist
what
constitutes
a
SCM
students
(PSS),
there
is
little
guidance
evaluation
these
complex,
multicomponent
interventions.
The
purpose
this
research
to
identify
characterize
MH
substance
use
interventions
PSS
that
apply
SCM,
stepped
approach
(i.e.,
care
“lite”),
and/or
organize
resources/services
based
on
needs.
Methods
A
rapid
scoping
review
peer-reviewed
articles
was
conducted
using
OVID
MEDLINE®,
Embase,
EBSCO
CINAHL,
PsycINFO®,
ERIC.
Eligible
studies
included
improving
or
among
applying
another
way
offered
according
Results:
5757
abstracts
were
reviewed,
resulting
full
text
examination
172
studies.
Data
extracted
from
68
eligible
comprising
50
(SCMs:
n
=
7,
“lite”:
13;
organized
matched
needs:
30).
Almost
all
involved
website/app
symptom
tracking
often
within
intervention.
Most
addressed
either
alcohol
use,
depression,
anxiety
eating
disorders.
variety
models
applied,
but
not
generally
geared
look
at
individual-level
outcomes
manner
captured
overall
effect
related
specific
“dose”
intervention
received.
focused
symptoms,
satisfaction,
utilization;
student-related
such
as
academic
success
rarely
used.
Student
co-design
described.
Conclusions/Implications
Despite
increasing
implementation
SCMs
settings,
few
model
have
been
published.
Drawing
strengths
shortcomings
identified,
recommendations
future
work
area
presented.
