Effectiveness of a brief intervention aimed at increasing distress tolerance for individuals in crisis or at risk of self-harm

Yardley, Priscilla; McCall, Allira; Savage, Alexandra; Newton, Richard

doi:10.1177/1039856219848835

Cited by 14 publications

(12 citation statements)

References 10 publications

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“…As noted in prior studies of crisis message content [19,20], depending on perceived levels of crisis predictability and controllability, recipients of media messages are prone to emotions such as anger, fear, and sadness in addition to ambient levels of anxiety already being experienced due to the crisis itself [21]. An alternative approach would be to promote distress tolerance and emotional resilience rather than inflate fear, anger, or other negative states [22,23].…”

Section: Discussionmentioning

confidence: 99%

News coverage of the COVID-19 pandemic: Missed opportunities to promote health sustaining behaviors

Basch

Hillyer

Erwin

et al. 2020

Infection, Disease & Health

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Background: Given that individuals may make health decisions based on mass media coverage, and given that such decisions have broad consequences in the case of highly contagious infectious disease, it is imperative that public health practitioners are aware of mass media coverage on emerging health threats such as COVID-19. The purpose of this study was to examine the content of news segments covering COVID-19 posted on-line. Methods: Using the Google Videos function on a cleared browser, all videos identified from January and February, 2020 were archived by URL for analysis. After applying exclusion criteria, a total of 401 remained, comprising the sample. Content categories derived from trusted sources were applied to assess the content of broadcast news segments pertaining to COVID-19 on Google Videos. Results: The most common topic mentioned across all videos was death and the death rate (43.6%) and many connoted anxieties surrounding the COVID-19 outbreak (37.4%). Critically important information about the prevention of COVID-19 spread received little attention. For example, only 3.0% of videos discussed coughing into or blowing one's nose into a tissue and throwing the tissue away, 6.2% talked about wearing a facemask when caring for the ill, and 8.8% covered disinfecting highly touched objects and surfaces. International videos more often presented captions and English subtitles (with and without narration) (7.8% vs. 0.9%, p Z 0.018) and even more frequently discussed death and the death rate associated with COVID-19 (56.9% vs. 41.7%, p Z 0.04). Conclusion:Coupled with the resultant increase in negative emotion, the majority of videos missed an opportunity to reframe messages to encourage and promote coping strategies and health sustaining behaviors. Future videos should avoid contributing to negative emotion.

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Section: Discussionmentioning

confidence: 99%

News coverage of the COVID-19 pandemic: Missed opportunities to promote health sustaining behaviors

Basch

Hillyer

Erwin

et al. 2020

Infection, Disease & Health

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“…As distress intolerance is not unique to EUPD, aspects of this skills training have been adapted to other mental health conditions. A brief mental health crisis intervention package demonstrated effectiveness at increasing DT and self-management skills (Yardley et al, 2019). Distress tolerance interventions have also been developed aimed at improving self-management of chronic physical health conditions, but it has been reported that further research into the efficacy of these is needed (Russell et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Brief psychological intervention for distress tolerance in an adult secondary care community mental health service: an evaluation

Wright

Travers-Hill

Gracey

et al. 2020

tCBT

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Distress intolerance has been suggested to be a maintaining factor in several mental health conditions. Distress tolerance skills training has been found to be beneficial in emotionally unstable personality disorder (EUPD) and post-traumatic stress disorder (PTSD). Short-term targeted interventions are increasingly being implemented in response to demand. This study investigates the efficacy of a distress tolerance brief psychological intervention (DT BPI) delivered by non-psychologists within an adult secondary care mental health service. Questionnaire data (pre and post) are reported from 43 participants who completed the intervention. Results suggest that the intervention was associated with significant improvements in distress tolerance, mood, anxiety and wellbeing. This indicates that a DT BPI can be effective when delivered by non-psychologists to real-world adult secondary care clients. The findings offer promising evidence that DT BPI could be a beneficial, cost-effective intervention and warrants further large-scale investigation. Key learning aims (1) To enhance practitioners’ awareness of distress intolerance as a potential maintaining factor and therefore treatment target. (2) To outline a transdiagnostic distress tolerance brief psychological intervention. (3) To illustrate the potential of this distress tolerance brief psychological intervention to produce positive reliable change with real-world clients when delivered by non-psychologists.

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“…This suggests that the skills included in the CTB were acceptable to those presenting in crisis. This is not too surprising as CTB skills were derived from psychological approaches, including dialectical, cognitive, and behavioural therapies that have demonstrable efficacy for those at risk of self-harm and/or experiencing suicidal thoughts (Yardley et al, 2019 ; McCabe et al, 2018 ). However, the current findings also validate the acceptability and value of skills-based interventions delivered via telephone for this client group (Bidargaddi et al, 2015 ; Mulligan et al, 2014 ; Rushton et al, 2019 ; Irvine et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Acceptability of the ‘Crisis Toolbox’: a skills-based intervention delivered in a Crisis Resolution and Home Treatment Team during COVID-19

Mulligan

Neil

Johnstone

et al. 2022

Community Ment Health J

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Crisis Resolution and Home Treatment Teams (CRHTTs) provide 24-hour, seven day per week support for people in crisis. The COVID-19 pandemic has placed significant demand on urgent care and increased the need for brief interventions in CRHTT settings with flexible methods of delivery. This evaluation aimed to examine client satisfaction with the ‘Crisis Toolbox’ (CTB), a brief, skills-based intervention delivered in one CRHTT during COVID-19. All participants who received the CTB completed a satisfaction questionnaire. Descriptive statistics were calculated to quantify acceptability and qualitative themes were generated using thematic analysis. Fifty-eight people participated, all of whom reported high levels of satisfaction with the CTB. Four qualitative themes also emerged relating to ‘Active ingredients of the CTB’, ‘The therapeutic relationship’, ‘Service-user preferences’ and ‘Expectations and continuity of care’. The CTB appears to be a valued intervention. Further research is now needed to assess its clinical impact and effect on operational indicators.

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Effectiveness of a brief intervention aimed at increasing distress tolerance for individuals in crisis or at risk of self-harm

Cited by 14 publications

References 10 publications

News coverage of the COVID-19 pandemic: Missed opportunities to promote health sustaining behaviors

News coverage of the COVID-19 pandemic: Missed opportunities to promote health sustaining behaviors

Brief psychological intervention for distress tolerance in an adult secondary care community mental health service: an evaluation

Acceptability of the ‘Crisis Toolbox’: a skills-based intervention delivered in a Crisis Resolution and Home Treatment Team during COVID-19

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