Mental Health Risk Factors and Interventions

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Questions and Answers

Which of the following is NOT considered a risk factor for developing a mental health disorder?

  • Genetic predisposition
  • Parental neglect
  • Exposure to violence
  • Strong social support (correct)

A family history of mental illness is considered a protective factor against developing mental health disorders.

False (B)

Name one societal-level intervention that can be used to prevent mental health disorders.

policy changes

________ is a protective factor associated with the ability to recover quickly from difficulties.

<p>Resilience</p> Signup and view all the answers

Match the following levels of intervention with their appropriate examples:

<p>Micro-level = Self-help resources Meso-level = Community support groups Macro-level = Public health campaigns</p> Signup and view all the answers

Which of these examples represents a biological risk factor for mental health disorders?

<p>Brain trauma (A)</p> Signup and view all the answers

Self-help programs are considered a meso-level intervention for mental health prevention.

<p>False (B)</p> Signup and view all the answers

What is one type of family-related risk factor?

<p>parental neglect</p> Signup and view all the answers

Which of the following is NOT a method used in parenting behavior interventions?

<p>Medication management for the child (B)</p> Signup and view all the answers

The primary goal of the ABC (Attachment and Biobehavioral Catch-up) intervention is to decrease secure attachment in families at risk for maltreatment.

<p>False (B)</p> Signup and view all the answers

What is a specific type of program that provides support for children of parents with mental health problems?

<p>KOPP programs</p> Signup and view all the answers

The STEEP/Instapje program is an intervention that aims to improve the quality of parenting by promoting increased physical contact and using ______ interventions.

<p>video-feedback</p> Signup and view all the answers

What is a risk factor for child maltreatment?

<p>Insecure disorganized attachment (D)</p> Signup and view all the answers

Match the following interventions with their primary goal:

<p>Child-Parent Psychotherapy (CPP) = Address childhood trauma and improve parental capacity to nurture Parent-Child Interaction Therapy (PCIT) = Improve parent-child interaction patterns Good Behavior Game (GBG) = Improve classroom behavior and peer relations ABC (Attachment and Biobehavioral Catch-up) = Increase attachment security</p> Signup and view all the answers

The Good Behavior Game is effective even if teachers do not implement it correctly and over-emphasize negative remarks.

<p>False (B)</p> Signup and view all the answers

For girls, what is associated with lower anxiety and depression when implementing the Good Behavior Game?

<p>Lower relational bullying (D)</p> Signup and view all the answers

Which model explains how a combination of vulnerability and stressful experiences can lead to mental health problems?

<p>Diathesis-Stress Model (C)</p> Signup and view all the answers

All children are equally affected by environmental factors, regardless of their individual sensitivity.

<p>False (B)</p> Signup and view all the answers

Name one risk factor for mental health problems as mentioned in the text.

<p>insecure attachment relationships OR psychopathology in one or more family members OR marital conflicts between parents OR single parent family OR strict, inconsistent disciplining OR parents low in warmth and involvement OR conflicts with siblings, peers OR unsafe neighborhood OR low socio-economic status (SES)</p> Signup and view all the answers

Teenage mothers are at high risk themselves and are more likely to place their infants at risk out of ______ rather than malicious intent.

<p>ignorance</p> Signup and view all the answers

Match the following prevention levels with suitable examples:

<p>Families = Relational interventions to prevent child maltreatment Schools = Programs to promote healthy development Individual children and adolescents = Therapeutic interventions Peer groups = Positive social interactions</p> Signup and view all the answers

Which of the following is not a target for family relational interventions?

<p>Providing medication management (B)</p> Signup and view all the answers

Universal prevention programs target specific high-risk groups rather than the general population.

<p>False (B)</p> Signup and view all the answers

Name one example of a universal prevention program, as mentioned in the text.

<p>Anti-smoking campaigns OR anti-alcohol programs OR immunization programs OR programs to prevent depression</p> Signup and view all the answers

Which of the following is NOT a typical component of community interventions?

<p>Focusing solely on individual counseling sessions (D)</p> Signup and view all the answers

Mass media interventions primarily aim to enforce strict laws against substance use.

<p>False (B)</p> Signup and view all the answers

What does PNF stand for in the context of internet interventions?

<p>Peer Normative Feedback</p> Signup and view all the answers

A counseling approach that helps individuals explore their motivations for change is known as ______.

<p>motivational interviewing</p> Signup and view all the answers

According to the provided content, which of the following have been studied more extensively in terms of community-based interventions?

<p>Interventions focusing on alcohol-related problems (C)</p> Signup and view all the answers

Match the following intervention principles with their descriptions:

<p>Peer Normative Feedback = Providing information about individual use compared to peers. Motivational Interviewing = Helping individuals explore their motivations for change. Cognitive Behavioral Therapy = Techniques to address thoughts, feelings, and behaviors.</p> Signup and view all the answers

Internet-based interventions are always delivered as standalone programs and are never integrated within other community or healthcare settings.

<p>False (B)</p> Signup and view all the answers

Which of the following is a key focus of internet-based interventions targeting illicit drug use?

<p>Preventing the use of illicit drugs using interactive modules (C)</p> Signup and view all the answers

According to attention restoration theory, what type of attention is engaged by nature?

<p>Indirect attention (C)</p> Signup and view all the answers

Urbanicity is considered a protective factor for mental health.

<p>False (B)</p> Signup and view all the answers

Name one of the theories that explains how physical environment can affect mental health.

<p>Stress recovery theory</p> Signup and view all the answers

Prolonged use of direct attention can lead to fatigue and decreased ______.

<p>productivity</p> Signup and view all the answers

Which of the following is NOT a mechanism by which green and blue spaces protect mental health?

<p>Increasing stress (C)</p> Signup and view all the answers

Match the following concepts with their descriptions:

<p>Direct attention = Effortful attention required for focus Indirect attention = Effortless attention engaged by nature Urbanicity = A risk factor for mental health disorders Green spaces = A protective factor for mental health</p> Signup and view all the answers

Which of the following is a key component for prevention and intervention regarding mental health and environment?

<p>Providing access to green and blue spaces (D)</p> Signup and view all the answers

Environmental factors are always the sole predictors of mental health.

<p>False (B)</p> Signup and view all the answers

What is the primary age range of individuals that the EDIE team works with?

<p>18-35 years (A)</p> Signup and view all the answers

The CAARMS interview is used for initial screening of individuals at risk for psychosis.

<p>False (B)</p> Signup and view all the answers

According to the content, what type of therapy does the EDIE-NL program use?

<p>CBT</p> Signup and view all the answers

The dopamine hypothesis suggests that an imbalance of _______ activity in the brain plays a role in the development of psychosis.

<p>dopamine</p> Signup and view all the answers

Which of the following is NOT a key characteristic of the ARMS/UHR population?

<p>Experiencing a consistent improvement in social interaction (C)</p> Signup and view all the answers

Match the following components of the EDIE-NL CBT protocol with their descriptions:

<p>Introduction and engagement = Establishing a therapeutic alliance. Psychoeducation = Providing information about psychosis and normalizing unusual experiences. Meta-cognitive training = Learning about one's own thought processes. Cognitive behavioral techniques = Strategies for challenging negative thoughts and developing coping mechanisms.</p> Signup and view all the answers

Avoiding social activity is advised for individuals at risk for psychosis.

<p>False (B)</p> Signup and view all the answers

What is one of the key messages of the 'normalizing' psychoeducation?

<p>Many people experience unusual thoughts or perceptions.</p> Signup and view all the answers

Flashcards

Risk Factors

Factors that increase the likelihood of developing a mental health disorder.

Protective Factors

Factors that protect against the development of mental health disorders.

Resilience

The ability to bounce back from adversity.

Micro-level Prevention Strategies

Interventions that target individuals, focusing on self-help resources or personalized counseling.

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Meso-level Prevention Strategies

Interventions that target communities, focusing on support groups or community-based programs.

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Macro-level Prevention Strategies

Interventions that target societies, focusing on policy changes or public health campaigns.

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Complex Prevention Programs

Programs that utilize multiple components and interventions to address mental health concerns.

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Programmatic Approaches

Approaches that combine strategies at different levels (micro, meso, macro) to address mental health concerns.

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Community Interventions

A type of intervention that uses various approaches within a specific community to create a supportive environment for healthy behaviors. It often involves multiple sectors like schools, healthcare, and community organizations.

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Mass Media Interventions

A health campaign that uses diverse media channels like TV, radio, the internet, and social media to raise awareness about the risks of substance use, promote healthy behaviors, and influence social norms.

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Internet Interventions

Interventions that are delivered online, often through websites or mobile apps. They can use principles like providing feedback on substance use compared to peers, motivational interviewing techniques, and cognitive-behavioral therapy techniques.

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Peer Normative Feedback (PNF)

A principle in internet interventions that provides individuals with information about their substance use compared to their peers. This helps them see their own behaviors in relation to others.

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Motivational Interviewing (MI)

A counseling approach that helps individuals explore their own motivations for change. It uses non-judgmental listening and supportive questions to guide the individual towards change.

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Cognitive-Behavioral Therapy (CBT)

Techniques that target thoughts, feelings, and behaviors related to substance use. It focuses on identifying and changing negative thought patterns and developing coping strategies.

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Internet-Based Intervention for Alcohol Use

An internet-based intervention specifically focused on reducing alcohol use in adults. This intervention may be delivered through online platforms and can potentially be integrated into community or healthcare settings.

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Internet-Based Intervention for Cannabis Use

An internet-based intervention aimed at reducing cannabis use among young people. It may use online platforms, mobile apps, or interactive websites.

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Stress Recovery Theory

Suggests natural elements, when perceived as positive and harmless, can evoke an initial positive emotional response.

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Attention Restoration Theory

Explains how spending time in nature allows your attention to rest and recover, especially after a stressful event.

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Direct Attention

The type of attention you deliberately use to focus on a task.

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Indirect Attention

The type of attention that happens involuntarily and effortlessly, like when you notice a beautiful view.

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Building Capacities (Green & Blue Spaces)

Green and blue spaces promote physical activity, social interaction, and community spirit.

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Facilitation (Green & Blue Spaces)

Interventions that focus on making green and blue spaces more accessible to everyone.

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Behavior Change (Green & Blue Spaces)

Interventions that encourage people to use and enjoy green and blue spaces.

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Green and Blue Spaces: A Powerful Tool

Mental health is complex and influenced by many factors, but environmental interventions offer a valuable approach to promoting well-being.

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Quality of Parenting Behavior: Interventions

Programs aimed at improving the quality of parenting, such as language development programs, e-mental health resources, home visits, psychoeducation for parents, and video feedback interventions.

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ABC (Attachment and Biobehavioral Catch-up)

Aims to improve attachment security in families at risk for maltreatment by teaching parents to provide nurturing care, follow the child's lead when they are not distressed, and avoid frightening or unpredictable behaviors.

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KOPP programs

Support programs for children of parents with mental health problems, including individual and group programs designed to help these children cope with the challenges they may face.

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Quality of Peer Relations: Interventions

Interventions that focus on improving the quality of peer relationships, often through cooperative learning activities, peer and cross-age tutoring, and anti-bullying programs.

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Good Behavior Game (GBG)

A behavior management program used to improve classroom behavior. It involves setting clear rules, using positive reinforcement, and minimizing negative consequences.

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Good Behavior Game (GBG): Effectiveness

The Good Behavior Game is effective when teachers implement it correctly, particularly by reducing negative remarks about obstructive behavior.

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GBG: Gender and Bullying

GBG effectiveness can vary based on gender and type of bullying. For girls, reducing relational bullying (like rumors or social exclusion) lowers anxiety and depression. For boys, reducing physical bullying lowers anxiety and depression.

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Attachment and Maltreatment

Insecure disorganized attachment is a risk factor for child maltreatment. Interventions like ABC, CPP, and PCIT aim to address this by promoting secure attachment.

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Diathesis-Stress Model

A model that explains how a combination of vulnerability (diathesis) and stressful experiences can lead to mental health problems. For example, genetic predisposition to anxiety combined with a traumatic event.

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Differential Susceptibility

This concept suggests that some children are more sensitive to both positive and negative environmental influences. They may thrive in supportive environments but struggle in harsh ones.

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Early Disruptions and Mental Health

Early negative experiences, such as a parent's death or harsh discipline, can lead to insecure attachment and depression. These early disruptions can later contribute to mental health difficulties.

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Positive Interventions in Mental Health

Positive interventions, like therapy, can help individuals redirect their trajectory toward healthier outcomes, even after facing early negative experiences.

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Positive Interventions in Mental Health

Interventions like therapy can help individuals redirect their trajectory toward healthier outcomes, even after facing early negative experiences.

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Pathways to Hostility and Delinquency

Unstable home environments, parental abandonment, and other stressors can lead to self-reliance and antisocial behaviors, often a path toward hostility and delinquency.

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Risk Factors for Mental Health Problems

Factors that increase the likelihood of developing mental health problems, such as a single-parent family, marital conflict, and insecure attachment.

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Universal Prevention Programs

Programs designed to prevent mental health problems in the general population, such as anti-smoking campaigns, anti-alcohol programs, and immunization programs.

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Family-Focused Prevention Programs

Programs targeting families at risk for developmental delays, improving parenting skills, and preventing child maltreatment.

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What is the EDIE team?

A team of mental health professionals specializing in early intervention. They provide assessment and treatment for individuals at risk for psychosis.

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What is the PQ-16?

A screening tool used to identify individuals at risk for psychosis. It involves a series of questions assessing symptoms and experiences.

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What is the CAARMS interview?

A comprehensive assessment used by the EDIE team to evaluate individuals at risk for psychosis. It covers a range of factors, including symptoms, functioning, and cognitive abilities.

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Who are the ARMS/UHR population?

Individuals who experience early signs of psychosis, such as mild hallucinations or unusual thoughts, but haven't fully developed the disorder.

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What is CBT-based intervention?

A type of therapy that helps individuals at risk for psychosis understand and manage their experiences. It involves identifying unhealthy thoughts and behaviors, developing coping strategies, and building resilience.

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What is 'normalizing' psychoeducation in the EDIE-NL CBT protocol?

A key part of the EDIE-NL CBT protocol that focuses on reassuring individuals that their experiences are not necessarily abnormal or signs of serious mental illness.

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What is the Dopamine Hypothesis?

A theory suggesting that an imbalance in the neurotransmitter dopamine plays a role in the development of psychosis.

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How is chronic stress linked to the Dopamine Hypothesis?

Chronic stress can disrupt the body's balance of important neurotransmitters, like dopamine, potentially leading to a higher risk for psychosis.

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Study Notes

Disease Burden and DALYS

  • Disease burden measures the impact of a disease on a population, calculated in terms of loss of healthy life.
  • DALYS (Disability-Adjusted Life Years) is a key metric used to assess disease burden.
  • It combines Years of Life Lost (YLLS) due to premature death and Years Lived with Disability (YLDs) due to health consequences of illness or injury.
  • One DALY represents one lost year of healthy life.
  • A higher DALY value signifies a greater disease burden.
  • Zero DALYS indicates perfect health for the entire population.

Top 10 Disease Burden in Netherlands (2021)

  • COVID-19 ranked high in DALYs in the Netherlands.
  • Other prominent causes included Ischemic heart disease, Trachea, bronchus, lung cancers, back and neck pain, stroke, chronic obstructive pulmonary disease, diabetes mellitus, Alzheimer's disease, falls, and colon and rectum cancers.
  • DALYs recorded per 100,000 population.

Global Disease Burden of Mental Health Disorders

  • Global burden of mental disorders has increased substantially from 1990–2019.
  • DALYs attributed to mental health increased from 90 million to 125.3 million.
  • Mental health disorders are a significant contributor to global disability.

Underestimating DALYs for Mental Health Disorders

  • The true burden of mental health disorders is likely underestimated due to several factors.
  • Exclusion of personality disorders: These conditions are not always included in burden of disease estimates.
  • Indirect mortality: Mental health conditions can contribute to mortality indirectly (e.g., accidents, substance abuse, chronic diseases).
  • Overlap with other disorders: Mental health conditions often co-occur with other disorders, making it difficult to isolate their individual impact.
  • Exclusion of chronic pain
  • Revised estimate: When considering these contributing factors, the proportion of global DALYs attributable to mental health disorders could increase to 16%.

Global Prevalence of Mental Disorders (2019)

  • Mental health disorders are widespread globally.
  • 970 million people (approx. 1 in 8) have all mental health disorders.
  • 301 million people have anxiety disorders.
  • 280 million people have depression.
  • 40 million people have Bipolar disorder.

Economic Burden of Mental Health Disorders

  • Global economic losses due to mental health disorders were estimated at 1.42 trillion USD.
  • When wider impacts (e.g., alcohol, drug use, neurological disorders, chronic pain, suicide, self-harm) are considered, estimated economic losses increase to 4.74 trillion USD.

Partial Reduction of Burden due to Treatment

  • Treatment reduces the burden of mental health disorders but often only does so partially.
  • Relapse rates across numerous mental health disorders are high, even after successful treatment.
  • Approximately 70% of those needing mental health care do not have access.

Prevention Strategies and Challenges for Mental Health Disorders

  • Prevention programs aim at reducing the incidence, prevalence, and recurrence of disorders.
  • Preventative strategies require a multi-level approach including individual, community, and societal-level interventions.
  • Several practical challenges include low uptake, complexity in predicting and preventing future disorders, and the large sample sizes required for effective research.

Prevention Strategies and Challenges for Addiction Disorders

  • Prevention relies on multifaceted approaches.
  • Programs often target multiple levels - micro-level (individual), meso-level (community), and macro-level (societal).
  • The multifaceted nature of addiction requires diverse preventative interventions to effectively target different contributing factors - biological, psychological, and sociocultural.
  • Several challenges include low uptake, complexity of programs, and research challenges related to sample sizes.

Lecture 2 - Depression & Prevention

  • Depression is a complex condition arising from a combination of factors.
  • There are various prevention and treatment methods for depression.

Lecture 3 - Prevention of Addiction

  • Addiction is defined as the use of a substance to alter the functioning of the central nervous system.
  • Various classes of drugs alter brain function in different ways (e.g., Downers, Trippers, Uppers).
  • The impact on individuals and society can be significant with regards to adverse health consequences, social damage, and addiction potential.

Lecture 4 - Prevention in Children and Adolescents

  • Prevention programs tailored to children and adolescents must focus on developmental needs and challenges.
  • Programs should aim to build resilience, foster competence, and address risk factors early in development.
  • Key preventative goals include promoting physical and mental health, attachment development, and relationship skills.

Lecture 5 - An Environmental Perspective

  • Urbanization is a risk factor for mental health issues.
  • Nature provides protective effects against mental health problems.
  • Individuals can benefit from environmental interventions, such as creating green and blue spaces in urban locations.

Lecture 6 - Prevention of Suicide

  • Defining suicidal behavior.
  • Key factors related to suicidal behavior
  • Identifying, recognizing, and challenging myths and misconceptions around suicide.
  • Evaluating key theories on suicidal thoughts and behaviors.
  • Developing strategies for addressing suicidal thoughts by being empathetic, informed, and supportive.

Lecture 7 - Psychosis Prevention

  • Psychosis includes symptoms that deviate from reality, such as hallucinations and delusions.
  • It's a syndrome affecting functioning, and is a key component of disorders like schizophrenia.
  • Psychotic symptoms are more common than schizophrenia diagnosis.

Lecture 9 - Secondary Prevention of PTSD

  • Defining trauma and its impact on individuals.
  • PTSD symptoms are categorized into various types, including re-experiencing, avoidance, and hyperarousal symptoms.
  • Factors, including pre-trauma circumstances and peri- and post trauma factors, can increase the risk of PTSD.

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