Q8: What is the effectiveness, safety and role of pharmacological interventions, by non-specialized health care providers, for the broad category of Disruptive Behaviour Disorders (DBDs), Conduct Disorder (CD), Oppositional Defiant Disorder (ODD) and comorbid (but not exclusively) Attention-Deficit ...Hyperactivity Disorder (ADHD)?
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Mental health problem is one of the growing major public health issues in the Asia Pacific region. It contributes to the high number of Disability Adjusted Life Years (DALYs), morbidity and mortality in the region. It is expected that leading mental health problems will occur in the low-and middle-i...ncome countries (LMICs) and majority of the countries which comes under this category are in the Asia Pacific region. In addition, mental health problem hamper the achievement of Millennium Development Goals (MDGs), particularly MDG 1, MDG 4 and MDG 5. The most common mental health problems in the region are depression, anxiety, posttraumatic stress disorder, suicidal behaviour and substance abuse disorder. Several modifiable and non-modifiable risk factors were identified for the cause of these major mental health issues. Interventions, programmes and policies need to be designed in order to curb mental health problems at all levels.
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Cognitive deficits in schizophrenia can massively impact functionality and quality of life, furthering the importance of cognitive training. Despite the development of the field in Europe and in the United States, no programmes have been developed and tested in developing countries. Different cultur...al backgrounds, budget restrictions, and other difficulties may render treatment packages created in high income countries difficult for adoption by developing nations. We performed a pilot double-blind, randomized, controlled trial in order to investigate the efficacy and feasibility of an attention and memory training programme specially created in
a developing nation. The intervention used simple, widely available materials, required minimal infrastructure, and was conducted in groups.The sample included seventeen stable Brazilians with schizophrenia. Sessions were conducted weekly during five months. The cognitive training group showed significant improvements in inhibitory control and set-shifting over time. Both groups showed improvements in symptoms, processing speed, selective attention, executive function, and long-term visual memory. Improvements were found in the control group in long-term verbal memory and concentration. Our findings reinforce the idea that cognitive training in schizophrenia can be constructed using simple resources and infrastructure, facilitating its adoption by developing countries, and it may improve cognition.
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Cerebrum. 2016 Jul-Aug; 2016: cer-10-16.
Published online 2016 Jul 1.
A Practical Guide for Mental Health Service Providers
Q4: Should community based rehabilitation be offered to children with intellectual disabilities?
Q2: What are the effective interventions for preventing child abuse and its mental health consequences?
Q13: What is the effectiveness of behaviour change techniques including life skills education in promoting mental health for children and adolescents?
Данное руководство описывает вмешательство низкой интенсивности под названием «Управление проблемами плюс» (УП+) – для взрослого населения в состоянии дистресса..., вызванного неблагоприятной ситуацией в общине. Определенные элементы КПТ были изменены для применения в общинах с ограниченным количеством специалистов. С целью максимально эффективного использования вмешательство разработано таким образом, чтобы оно могло помогать лицам, страдающим от депрессии, тревоги и стресса, независимо от того, были ли данные проблемы вызваны неблагоприятной ситуацией или нет. Вмешательство можно применять для улучшения систем охраны психического здоровья и психосоциального благополучия независимо от степени тяжести проблем.
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Afr J Psychiatry 2011;14:200-207
Recognition, Assessment and Treatment
National Clinical Guideline Number 159
Indian J Psychiatry. 2017 Jan; 59(Suppl 1): S67–S73.
doi: 10.4103/0019-5545.196975: 10.4103/0019-5545.196975
“Effective Altruism” — What it is, how philanthropic foundations use it and what are its risks and side-effects
SIGN 143. A national clinical guideline
Published May 2015, Revised 2018
Q 4: Is behavioural activation better (more effective than/as safe as) than treatment as usual in adults with depressive episode/disorder?brief, structured psychological treatment in non-specialist health care settings better (more effective than/as safe as) than treatment as usual in people with de...pressive episode/disorder?
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Q8.SCOPING QUESTION: In adults and older adolescents with depressive disorder, what is the comparative effectiveness of different formats of psychological treatments?
PLoS Med. 2009 Oct;6(10):e1000159. doi: 10.1371/journal.pmed.1000159. Epub 2009 Oct 6.
BMC Family Practice (2017) 18:56 DOI 10.1186/s12875-017-0628