Concerns and hopes among adolescents attending adolescent psychiatric outpatient clinics

Anttila, Katriina; Anttila, Minna; Kurki, Marjo; Hätönen, Heli; Marttunen, Mauri; Välimäki, Maritta

doi:10.1111/camh.12074

Cited by 20 publications

(39 citation statements)

References 21 publications

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“…In this study, the service users discussed the benefits related to gaming as part of mental health care. Similar results were obtained by Anttila et al (2014), according to whom a web-based program offered adolescent mental health rehabilitation clients receiving outpatient treatment an alternative possibility for communication. Indeed, Anttila et al (2014) state that a web-based program will be helpful, provided that it is easy to access, the availability of support is ensured and privacy is secured.…”

Section: Comparisons With Other Studiessupporting

confidence: 76%

Gamification in Healthcare: Perspectives of Mental Health Service Users and Health Professionals

Hopia

Raitio

2016

Issues in Mental Health Nursing

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The purpose of this descriptive qualitative study is to explore the perceptions and experiences that mental health service users (n = 10) and healthcare professionals (n = 32) have regarding the use of gamification in mental health care. Data was gathered by interviews. The mental health service users described promoting and retarding factors in the use of gamification, while professionals described the requirements for using gamification and changes occurring in the work culture. Additional research is needed on how game-playing elements could be integrated as a systematic part of mental health practice and how the digital skills of professionals could be effectively developed.

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Section: Comparisons With Other Studiessupporting

confidence: 76%

Gamification in Healthcare: Perspectives of Mental Health Service Users and Health Professionals

Hopia

Raitio

2016

Issues in Mental Health Nursing

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“…Anttila et al. () noted similar themes in a study exploring the hopes for treatment of 70 adolescent outpatients. Their inductive thematic analysis suggested that participants’ goals of reducing distress, problematic symptoms and maladaptive thinking styles, underscored a desire to return to a developmentally normal life in terms of schooling, identity and self‐esteem.…”

Section: Introductionmentioning

confidence: 79%

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Donald

Carey

Rickwood

2018

Couns and Psychother Res

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Background Young people's vulnerability to developing mental illness makes it important to understand therapeutic change, integrating the views of both young people and their therapists, to improve treatment effectiveness. To date, qualitative research aiming to triangulate experiences of therapeutic change in young people has not clearly differentiated the unique perspectives of clients and therapists. Instead both groups’ perspectives have been analysed together, which may be phenomenologically problematic considering clients are the site of change, while therapists observe it. Aims This study explored experiences of therapeutic change from the perspectives of young people and their therapists. Three clients aged 17–19 years, and their two therapists, participated in semi‐structured interviews post‐therapy. Methods Six themes were identified for clients: facing problems alone; how the therapeutic space was used; change characteristics; partial changes; the role of context in change; and growing into the new self. Four themes were identified for therapists: problematic experiences; change processes; therapist‐related change process; and change qualities. Results Six themes were identified for clients: facing problems alone; how the therapeutic space was used; change characteristics; partial changes; the role of context in change; and growing into the new self. Four themes were identified for therapists: problematic experiences; change processes; therapist‐related change process; and change qualities. Conclusions Congruent with adult research, common and specific factors was important to change. Contextual and relational factors were particularly important for young people, who described that isolation caused by their problems caused distress beyond the impact of symptoms. Therapeutic change was facilitated through responsive therapy practices that led to developmentally normal levels of activity and changes in selfhood. Participants accepted a good‐enough level of recovery which was anticipated to continue post‐therapy.

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“…It has previously been found that belonging to a peer group and having trusted people in their lives are very important elements in an adolescent’s daily context 13. Other people are important for preventing the occurrence of and fostering recovery from mental health problems, and can have an effect on the adolescent’s attempts to seek help 15.…”

Section: Discussionmentioning

confidence: 99%

“…The School Health Promotion survey in Finland found that students lacking a close friend suffered from more anxiety disorders and loneliness, which was associated with problems in school 12. Adolescents with mental disorders have difficulties in their relationships and lack trusting relationships with people where they could share their honest feelings 13. Although adolescents with mental disorders may be withdrawn from social contacts, they still desire for people to take care of them and ensure their well-being 14.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, family members, siblings and peers have an important role when adolescents are seeking help 15. They want to be understood by people close to them,14 they want to be part of a peer group and they want to be able to talk with someone about their problems 13. Family support in particular is important for young people, as strong support from parents has been associated with a decrease in depressive symptoms 16.…”

Section: Introductionmentioning

confidence: 99%

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Social relationships among adolescents as described in an electronic diary: a mixed methods study

Anttila¹,

Anttila²,

Kurki³

et al. 2017

PPA

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Social relationships among adolescents with mental disorders are demanding. Adolescents with depressive symptoms may have few relationships and have difficulties sharing their problems. Internet may offer reliable and easy to use tool to collect real-time information from adolescents. The aim of this study is to explore how adolescents describe their social relationships with an electronic diary. Mixed methods were used to obtain a broad picture of adolescents’ social relationships with the data gathered from network maps and reflective texts written in an electronic diary. Adolescents who visited an outpatient clinic and used an intervention (N=70) designed for adolescents with signs of depression were invited to use the electronic diary; 29 did so. The quantitative data gathered in the electronic diary were summarized with descriptive statistics, and the qualitative data were categorized using a thematic analysis with an inductive approach. We found that social relationships among adolescents with signs of depression can vary greatly in regards to the number of existing relationships (from lacking to 21) and the quality of the relationships (from trustful to difficult). However, the relationships may change, and the adolescents are also willing to build up their social relationships. Professionals need to be aware of the diversity of adolescents’ social relationships and their need for personalized support.

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Concerns and hopes among adolescents attending adolescent psychiatric outpatient clinics

Cited by 20 publications

References 21 publications

Gamification in Healthcare: Perspectives of Mental Health Service Users and Health Professionals

Gamification in Healthcare: Perspectives of Mental Health Service Users and Health Professionals

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Social relationships among adolescents as described in an electronic diary: a mixed methods study

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