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Monir Baradaran Eftekhari 
1, Masoumeh Dejman2 , Katayounn Falahat3 , Zohreh Mahmudi4 , Ameneh Setareh Forouzan2
1, Masoumeh Dejman2 , Katayounn Falahat3 , Zohreh Mahmudi4 , Ameneh Setareh Forouzan2
1- Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran. , mbeftekhari200@gmail.com
2- University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3- Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran.
4- Alborz University of Medical Sciences, Karaj, Iran.
2- University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3- Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran.
4- Alborz University of Medical Sciences, Karaj, Iran.
Abstract: (69 Views)
Objectives: Mental disorders account for a significant portion of burden of disease worldwide. The present study was conducted with the aim of implementing and evaluating the trans-diagnostic approach based on common elements treatment to mental disorders control.
Methods: A mixed method study (qualitative-quantitative) was conducted in Semnan province. In the qualitative stage, the titles of common mental health disorders were extracted by conducting an open list with community members and individual interviews with key informants. Then, the appropriate tool for screening these disorders was valid and reliable. In the following, the intervention package for the treatment of common mental disorders with a trans-diagnostic approach was prepared, and the necessary trainings for the implementation of the interventions were given to the health care personnel. Finally, a randomized clinical trial study was conducted on 500 people who referred to health centers in two intervention groups (trans diagnostic approach) and control (routine treatment) and the effectiveness of the intervention was evaluated.
Results: Three psychiatric disorders, including depression, anxiety, and obsessive-compulsive disorder, with dysfunction were extracted from the qualitative part of the study. A screening tool with 76 items was made to measure these disorders and it was valid and reliable through face validity, content validity and criterion validity. In this tool, the cut-off point for depression was 14, for anxiety, 17, and for obsessive-compulsive disorder, 6. Then, with the presence of experts and members of the research team, educational content was prepared to perform trans-diagnostic approach and 20 volunteers working in health centers were empowered to perform interventions. The results of evaluating the effectiveness of trans-diagnostic interventions showed that the mean (SD) scores of depression, anxiety and obsessive compulsive disorders significantly decreased after the intervention/routine treatment in both the control and intervention groups, but the effect of intervention with trans-diagnostic approach was significantly more than the routine treatments. It has been more effective in reducing the score of depression (p<0.001), anxiety (p<0.001) and obsessive-compulsive disorders (p<0.05).
Conclusion: The implementation of the trans-diagnostic approach with common elements by the personnel of health care centers has executable capability and increases the provision of mental health services in the Iranian society.
Methods: A mixed method study (qualitative-quantitative) was conducted in Semnan province. In the qualitative stage, the titles of common mental health disorders were extracted by conducting an open list with community members and individual interviews with key informants. Then, the appropriate tool for screening these disorders was valid and reliable. In the following, the intervention package for the treatment of common mental disorders with a trans-diagnostic approach was prepared, and the necessary trainings for the implementation of the interventions were given to the health care personnel. Finally, a randomized clinical trial study was conducted on 500 people who referred to health centers in two intervention groups (trans diagnostic approach) and control (routine treatment) and the effectiveness of the intervention was evaluated.
Results: Three psychiatric disorders, including depression, anxiety, and obsessive-compulsive disorder, with dysfunction were extracted from the qualitative part of the study. A screening tool with 76 items was made to measure these disorders and it was valid and reliable through face validity, content validity and criterion validity. In this tool, the cut-off point for depression was 14, for anxiety, 17, and for obsessive-compulsive disorder, 6. Then, with the presence of experts and members of the research team, educational content was prepared to perform trans-diagnostic approach and 20 volunteers working in health centers were empowered to perform interventions. The results of evaluating the effectiveness of trans-diagnostic interventions showed that the mean (SD) scores of depression, anxiety and obsessive compulsive disorders significantly decreased after the intervention/routine treatment in both the control and intervention groups, but the effect of intervention with trans-diagnostic approach was significantly more than the routine treatments. It has been more effective in reducing the score of depression (p<0.001), anxiety (p<0.001) and obsessive-compulsive disorders (p<0.05).
Conclusion: The implementation of the trans-diagnostic approach with common elements by the personnel of health care centers has executable capability and increases the provision of mental health services in the Iranian society.
Keywords: Trans-diagnostic approach, Clinical trial, Common element treatment, Depression, anxiety, Obsessive compulsive disorder
Type of Study: Original Research |
Subject:
Psychiatry and Psychology
Received: 2024/01/31 | Accepted: 2024/10/27
Received: 2024/01/31 | Accepted: 2024/10/27
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