Supporting people with intellectual disabilities in psychological therapies for depression: A qualitative analysis of supporters' experiences.

Adult Behavior Therapy / methods Caregivers Depression / therapy Female Humans Intellectual Disability / psychology Male Outcome and Process Assessment, Health Care Qualitative Research Social Support
carers depression intellectual disabilities mental health psychological therapy qualitative

Journal

Journal of applied research in intellectual disabilities : JARID
ISSN: 1468-3148
Titre abrégé: J Appl Res Intellect Disabil
Pays: England
ID NLM: 9613616

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 15 12 2017
revised: 13 06 2018
accepted: 28 08 2018
pubmed: 29 9 2018
medline: 29 5 2019
entrez: 29 9 2018
Statut: ppublish

Résumé

Clinicians recommend including carers or others in a supporting role in the therapy as an important adaptation of psychological therapies for people with intellectual disabilities. This nested qualitative study from a larger trial explored supporters' experiences of supporting people with intellectual disabilities receiving behavioural activation or guided self-help therapies for depression. Twenty-one purposively sampled supporters were interviewed. The semi-structured interviews were subject to framework analysis, covering expectations of therapy, views of therapy sessions, relationships with therapist and participant, and perceived changes. Supporters were positive about both therapies and reported both therapy-specific and nonspecific therapeutic factors that had significant positive impacts on people's lives. Most supporters reported their involvement contributed to the interventions' effectiveness, and helped establish closer relationships to the people they were supporting. The presence of supporters within psychological therapies for people with intellectual disabilities can be an effective adaptation to therapies for this population.

Sections du résumé

BACKGROUND BACKGROUND
Clinicians recommend including carers or others in a supporting role in the therapy as an important adaptation of psychological therapies for people with intellectual disabilities. This nested qualitative study from a larger trial explored supporters' experiences of supporting people with intellectual disabilities receiving behavioural activation or guided self-help therapies for depression.
METHOD METHODS
Twenty-one purposively sampled supporters were interviewed. The semi-structured interviews were subject to framework analysis, covering expectations of therapy, views of therapy sessions, relationships with therapist and participant, and perceived changes.
RESULTS RESULTS
Supporters were positive about both therapies and reported both therapy-specific and nonspecific therapeutic factors that had significant positive impacts on people's lives. Most supporters reported their involvement contributed to the interventions' effectiveness, and helped establish closer relationships to the people they were supporting.
CONCLUSIONS CONCLUSIONS
The presence of supporters within psychological therapies for people with intellectual disabilities can be an effective adaptation to therapies for this population.

Identifiants

DOI: 10.1111/jar.12529 PMID: 30264419
pubmed: 30264419
doi: 10.1111/jar.12529
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

323-335

Subventions

Organisme : Department of Health
ID : 10/104/34
Pays : United Kingdom
Organisme : Health Technology Assessment Programme

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2018 John Wiley & Sons Ltd.

Auteurs

Katie Scott (K)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Chris Hatton (C)

Centre for Disability Research, Lancaster University, Lancaster, UK.
ORCID: 0000-0001-8781-8486

Rosie Knight (R)

Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK.

Kevanne Singer (K)

Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK.

Dawn Knowles (D)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Dave Dagnan (D)

Centre for Disability Research, Lancaster University, Lancaster, UK.
Cumbria Partnership NHS Foundation Trust, Workington, UK.
ORCID: 0000-0002-5709-1586

Richard P Hastings (RP)

Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK.
Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.

Kim Appleton (K)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Sally-Ann Cooper (SA)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Craig Melville (C)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Rob Jones (R)

Betsi Cadwaladr University Health Board, Porthmadog, UK.
School of Psychology, Bangor University, Bangor, UK.

Chris Williams (C)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Andrew Jahoda (A)

Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
ORCID: 0000-0002-3985-6098

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Supporting people with intellectual...
questionsmedicales.fr › Disciplines et activités comportementales › Psychothérapie › Thérapie comportementale › Supporting people with intellectual...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Aidants › Supporting people with intellectual...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Dépression › Supporting people with intellectual...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Supporting people with intellectual...
questionsmedicales.fr › Troubles mentaux › Troubles du développement neurologique › Déficience intellectuelle › Supporting people with intellectual...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Supporting people with intellectual...
questionsmedicales.fr › Disciplines des sciences naturelles › Science › Recherche › Recherche empirique › Recherche qualitative › Supporting people with intellectual...
questionsmedicales.fr › Sciences sociales › Sociologie › Facteurs sociologiques › Environnement social › Soutien social › Supporting people with intellectual...