Increasing literacy about substance use and psychiatric pathology seems to have an impact on adherence to treatment for patients with Dual Pathology.
Abstract
Background
Dual Pathology has a major impact on the individual's life and on society and is associated with worsening severity and persistence of both mental illness and addiction, which is why scientific evidence increasingly points treatment of patients with Dual Pathology.
Objective
Evaluate how participants in group therapy experience the group and their relationship with the professionals.
Methods
A qualitative descriptive study using focus groups was conducted with 12 participants attending a Dual Pathology Group in a psychiatric hospital in Portugal. The data was analyzed using Braun & Clarke's reflective thematic analysis methodology. Transcripts of interview recordings were imported into the MAXQDA 24 qualitative software program for thematic content analysis.
Results
The results point to the positive contribution of Group teaching carried out by nurses in improving literacy about substance use and psychiatric disorder. The four themes obtained were: Meaning of the Dual Pathology Group; Importance of Healthcare Professionals; Learning and Knowledge Acquisition; Relationship between Alcohol Use and Psychiatric Disorder.
Conclusion
Increasing literacy about substance use and psychiatric pathology seems to have an impact on adherence to treatment for patients with Dual Pathology.
Objective: This study aimed to identify the components shaping motivation for participation in rehabilitation among individuals with substance use disorder.
Methods and Materials: This applied qualitative study used thematic analysis based on Braun and Clarke’s approach. Participants included 19 specialists and therapists from addiction treatment centers in Tehran and 16 clients undergoing rehabilitation. Expert participants had at least 10 years of clinical or therapeutic experience, and clients had participated in rehabilitation programs for at least six months. Data were collected through semi-structured interviews using snowball sampling. Interviews continued until theoretical saturation was reached after 35 interviews. Data were analyzed through open, axial, and selective coding using MAXQDA software. Intercoder reliability was assessed using Holsti’s coefficient.
Findings: Thematic analysis identified 8 overarching themes and 32 main themes shaping motivation for rehabilitation participation. The overarching themes were internal reconstruction and personal transformation; social and environmental support; therapeutic awareness and self-knowledge; coping skills and emotion regulation; cognitive and emotional deterrents; social and identity reconstruction; individual and meaning-related growth after treatment; and quality of services and the treatment process. Coding reliability was acceptable, with Holsti coefficients of 0.76, 0.73, and 0.77 across three selected interviews. The findings showed that rehabilitation motivation is formed through the interaction of internal decision-making, hope, self-efficacy, family and peer support, therapeutic alliance, craving control, emotional regulation, identity reconstruction, and humane treatment services.
Conclusion: Motivation for participation in substance use rehabilitation is a multidimensional, interactive, and process-oriented phenomenon that begins within the individual and is stabilized through relationships, treatment structures, and the social environment.
Marjan Sadat Arshiha, Mehdi Ghodrati Mirkohi, Hassan Piriaei· International Journal of Bod...· 0 citations
Key challenges identified included the absence of integrated treatment for comorbid mental health conditions, frequent relapses, lack of culturally adaptive interventions, limited innovation in treatment approaches, minimal family involvement, and absence of individualized treatment planning.
F. Ahmed, Djamil A Malik· Foundation University Journa...· 0 citations
Faced with personal and study-related stressors, students in higher education experience elevated levels of depressive and anxiety symptoms while often showing low help-seeking behavior. Although interventions have shown promise in enhancing student well-being, their potential to address stigma, which is closely linked to help-seeking, remains largely unexplored. The present study evaluates The Inquiring Mind (TIM), a Canadian anti-stigma program for post-secondary education, adapted for the German university context, assessing its potential to reduce stigma, increase mental health literacy and encourage continuum beliefs, the understanding of mental health and illness as existing on a spectrum rather than as fixed categories. A sequential explanatory mixed-methods design was applied, using a quasi-experimental online survey (pre-, post- and follow-up assessment), and a subsequent focus group with program participants. A total of 58 students participated. The mixed-methods approach was selected to gain a better understanding of the program’s impact and the effectiveness of specific components. Findings revealed significant reductions in stigma in the intervention group at post-test and a significant increase in continuum beliefs at follow-up. While quantitative results showed no improvements in mental health literacy, qualitative analyses revealed greater awareness of mental health issues and self-stigmatizing processes, as well as improvements in the normality aspect of continuum beliefs. Findings support the applicability of TIM in a new cultural context, contributing to research on the emerging concept of continuum beliefs and to the understanding of how interventions can influence post-secondary students’ stigma. This systematic evaluation of an early, campus-based prevention program offers relevant insights for developing prevention strategies addressing students’ post-pandemic mental health needs across diverse cultural and geographic settings.
Josefine Retka, E. Stoll, Emily Nething et al.· Discover Mental Health· 0 citations
Background Mental illness (MI) is a leading cause of global ill health and disability, with nearly half of the population affected by mental health (MH) conditions at some point in their lives. Consequently, all healthcare professionals, including physiotherapy students, will inevitably encounter patients with MI in clinical practice. However, their preparedness and ability to manage these patients remain unclear. Objectives To explore physiotherapy students’ perceptions of their preparedness and ability to manage patients with co-existing (undiagnosed or known) MH conditions alongside a primary physical health presentation in clinical practice. Method A qualitative, exploratory, descriptive design was employed. Sixteen fourth-year physiotherapy students from the University of the Western Cape (mean age 22.8 ± 1.32 years) participated in semi-structured individual interviews conducted either face-to-face or online. Data were thematically analysed using Braun and Clarke’s six-phase method. Results Four themes emerged from the data: (1) Evolving understandings of MI: knowledge, sources, and lived experiences; (2) Negotiating care within personal and clinical realities; (3) Insufficient alignment between theory and practice; and (4) Making sense of physiotherapy’s contribution to MH care. Conclusion The findings highlight the need to strengthen both theoretical and practical components of MH curricula and training within undergraduate physiotherapy programmes. Clinical implications Improved curricular integration may enhance students’ preparedness, ability, confidence and competence when managing patients with MI, while supporting more holistic and effective patient care.
Maylene Salo, F. Karachi, Danelle Hess et al.· South African Journal of Phy...· 0 citations
Background: Adolescent mental health problems remain a major public health concern. Although Cognitive Behavioral Therapy (CBT) and group therapy have individually demonstrated effectiveness, evidence regarding their combined use among adolescents remains limited.
Purpose: This study aimed to evaluate the effectiveness of combined CBT and group therapy in improving adolescent mental health.
Methods: This quasi-experimental pre-test–post-test control group study with a 1:1 allocation ratio was conducted among 40 adolescents in Surakarta, Indonesia, from February to March 2024. Participants were recruited using a cluster-based sampling approach followed by total sampling of eligible students. The intervention group received CBT followed by group therapy over three consecutive sessions, whereas the control group received a delayed intervention after study completion. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ). Data were analyzed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test, with effect sizes (r) calculated to determine the magnitude of the intervention effect
Results: The intervention group demonstrated a significant improvement in SDQ scores following the intervention (Z = −3.18, p = 0.001; r = 0.71), whereas no significant change was observed in the control group (Z = −0.38, p = 0.705; r = 0.08). Post-intervention comparison showed significantly better mental health outcomes in the intervention group than in the control group (Z = −3.58, p < 0.001; r = 0.57), indicating a large intervention effect.
Conclusion: The combination of CBT and group therapy significantly improved adolescents' mental health and demonstrated clinically meaningful benefits. This integrated intervention may be considered an effective early mental health strategy for adolescents and has potential for implementation in nursing practice, school mental health programs, and community mental health services when delivered by appropriately trained professionals.
Estin Yuliastuti, Nurul Istiqomah, Y. Widyastuti· Journal of Nursing and Pract...· 0 citations
Globally, there has been a shift in how mental health care is provided toward recovery-oriented models that emphasize lived experiences and fluid definitions of recovery. Despite this, Singapore's undergraduate psychology education remains shaped mainly by Western texts. As psychology graduates are among future mental health practitioners, it is essential to understand how this impacts their perceptions of mental health issues. Hence, there is a need to explore psychology graduates’ perceptions and understanding of mental health and recovery in Singapore, and the sources of these views. This study used a qualitative descriptive approach. Participants recruited through social media posts underwent a semi-structured interview using an online meeting platform, guided by an interview guide developed by the research team. The interviews took place between September and October 2024. Interview recordings were transcribed verbatim, and findings were generated using Braun and Clarke’s thematic analysis. 20 participants (11 women, 9 men) aged 22 to 39 took part in this study. Four key themes emerged: roots of mental health perceptions, perception of mental health conditions, conceptualisation of recovery, and pathways to recovery. Our findings revealed that participants’ views on mental health and recovery were shaped by their formal education, Singaporean values, and personal and professional experiences. While largely aligned with clinical paradigms prioritising functional outcomes, participants’ views were also significantly influenced by cultural norms that prioritise achievement and self-sufficiency.
Huiyun Natalie Ang, Y. Goh, J. Kuek· Current Psychology· 0 citations
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