Browsing by Subject "Mental Health"
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Item Mental Health Navigation for Depression in a Community Cancer Clinic: Predictors of Navigation Engagement and Response(2019-07-29) Benedetto, Natalie Nicole; Walker, Robrina; Howe-Martin, Laura; Robbins, Mona; Lee, Simon Craddock; South, CharlesGuideline-driven detection and treatment of depression is a priority; however, little evidence exists to show that these promising guidelines are effective. To address this problem, the UT Southwestern Moncrief Cancer Institute implemented universal depression screening plus mental health navigation (i.e., brief mental health assessment and treatment recommendations via phone with ongoing, periodic calls for symptom monitoring and recommendations). This project evaluated a set of a priori defined sociodemographic, depression, navigation, and treatment variables using the Least Absolute Selection and Shrinkage Operator to create predictive models of characteristics hypothesized to be associated with navigation engagement, depression remission, and ≥50% symptom reduction. Retrospective, longitudinal medical record data were compiled. Of 991 adult patients screening positive for depression (PHQ-9≥5), 21% completed a navigation call. Patients (N=207) were mostly middle-aged (50±10.98), female (88%), racially diverse (39% Hispanic white, 26% black), and English speakers (76%). Most were unemployed (57%), uninsured (48%), and were cancer survivors (60%). Most patients (n=125; 60%) completed 2+ navigation calls. Being employed was associated with a lower likelihood of engaging in multiple mental health navigation calls (odds ratio=0.71). Few patients (n=24; 19%) reached depression remission (PHQ-9<5), while many (n=51; 41%) achieved ≥50% symptom reduction. Sociodemographic characteristics were influential in predicting remission and symptom reduction (odds ratios=0.65-1.57). As hypothesized, suicidal ideation reduced the odds of remission by 35%. Contrary to hypotheses, the odds of achieving remission or reduction in symptoms were reduced by 11% and 7%, respectively, as navigation calls exceeded 2 calls. Furthermore, clinical characteristics like depression treatment utilization and baseline depression severity were not predictive of engagement in navigation, depression remission, or symptom reduction. Predictors for remission and symptom reduction differed, indicating a need to examine these outcomes separately. These data suggest the need to re-evaluate guidelines for these distinct goals using real-world data and robust statistical techniques.Item [News](1981-04-15) Williams, AnnItem [News](1983-08-15) Harrell, AnnItem [News](1983-04-20) Floyd, CarolItem [News](1983-01-26) Harrell, AnnItem [News](1989-01-23) West, MikeItem A Sense of Humor: Theories, Benefits, & Therapeutic Applications(2016-08-25) Solowiej, Kathryn Lee; Casenave, Gerald W.; Davis, Carlos; Vreeland, AllanThis paper aims to synthesize the literature on humor theory and its therapeutic application as is related to mental health. Though humor is a universally experienced phenomenon and it widely accepted that humor is a positive adaptive response to life's difficult moments, it is seldom formally taught in psychology programs today. Benefits of humor in therapy have been widely reported; whether clients benefit is a subject of ongoing debate. The paper attempts to define humor, present a discussion of the existing theories on humor, and then analyze the research findings regarding its effect on mental health and the therapeutic use of humor. It remains a largely unexplored psychotherapeutic technique and a potentially untapped resource.Item [Southwestern News](1997-11-13) Harrell, AnnItem [UT Southwestern Medical Center News](2013-08-06) Rian, Russell