Mediators and Moderators of Therapeutic Change in the Unified Protocol for Women Experiencing Homelessness

Rodriguez‐Moreno, Sara; Guillén, Ana Isabel; Tirpak, Julianne Wilner; Marín, Carolina; Cardona, Nicole D.; Eustis, Elizabeth H.; Farchione, Todd J.; Barlow, David H.; Panadero, Sonia

doi:10.1007/s10608-022-10335-8

Cited by 3 publications

(9 citation statements)

References 72 publications

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“…Nine studies measured the effect of psychotherapy interventions on depression severity. Results generally indicated that psychotherapy is effective at improving depressive symptoms in this population, and in most cases, improvements relative to baseline are long-lasting [ 43 – 46 , 51 , 52 , 54 , 55 , 73 , 74 ].…”

Section: Resultsmentioning

confidence: 99%

“…At post-intervention testing, in all studies there was a statistically significant improvement in depression severity in the intervention group compared to baseline. In six of the seven controlled studies, there was a significantly greater improvement in depression severity in the intervention group relative to control between pre- and post-testing [ 44 , 45 , 51 , 52 , 54 , 73 , 74 ]. Four of these studies used CBT-based interventions: specifically, the HOPE protocol [ 44 , 45 ], an age-appropriate CBT intervention for young homeless women [ 51 ], and a unified CBT protocol for transdiagnostic treatment of multiple mental disorders [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four of these studies used CBT-based interventions: specifically, the HOPE protocol [ 44 , 45 ], an age-appropriate CBT intervention for young homeless women [ 51 ], and a unified CBT protocol for transdiagnostic treatment of multiple mental disorders [ 52 ]. The fifth study used a resilience enhancement therapy protocol for young homeless women [ 54 ] and the sixth one a Unified Protocol for Transdiagnostic Treatment of Emotional Disorders [ 73 , 74 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five controlled studies examined the effect of psychotherapy interventions on anxiety. In all studies, there were greater improvements in anxiety in the intervention group compared to control at one or more time points [ 51 , 52 , 54 , 55 , 73 , 74 ].…”

Section: Resultsmentioning

confidence: 99%

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Interventions to improve the mental health of women experiencing homelessness: A systematic review of the literature

Anderson,

Trevella,

Burn

2024

PLoS ONE

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Background Homelessness is a growing public health challenge in the United Kingdom and internationally, with major consequences for physical and mental health. Women represent a particularly vulnerable subgroup of the homeless population, with some evidence suggesting that they suffer worse mental health outcomes than their male counterparts. Interventions aimed at improving the lives of homeless women have the potential to enhance mental health and reduce the burden of mental illness in this population. This review synthesised the evidence on the effectiveness and acceptability of interventions which aim to improve mental health outcomes in homeless women. Methods Five electronic bibliographic databases: MEDLINE, PsycInfo, CINAHL, ASSIA and EMBASE, were searched. Studies were included if they measured the effectiveness or acceptability of any intervention in improving mental health outcomes in homeless women. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. A narrative summary of the study findings in relation to the research questions was produced. Results Thirty-nine studies met inclusion criteria. Overall, there was moderate evidence of the effectiveness of interventions in improving mental health outcomes in homeless women, both immediately post-intervention and at later follow-up. The strongest evidence was for the effectiveness of psychotherapy interventions. There was also evidence that homeless women find interventions aimed at improving mental health outcomes acceptable and helpful. Conclusions Heterogeneity in intervention and study methodology limits the ability to draw definitive conclusions about the extent to which different categories of intervention improve mental health outcomes in homeless women. Future research should focus on lesser-studied intervention categories, subgroups of homeless women and mental health outcomes. More in-depth qualitative research of factors that enhance or diminish the acceptability of mental health interventions to homeless women is also required.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions to improve the mental health of women experiencing homelessness: A systematic review of the literature

Anderson,

Trevella,

Burn

2024

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…But the study sections were not enthusiastic about this approach in these early applications for various reasons (to make a long story short), and following their suggestions we began to focus on individual applications. Since then, of course, our approach for group applications has been vindicated in a number of different settings and indeed has become a preferred mode of administration, particularly in larger behavioral health delivery systems around the world such as Hong Kong (e.g., Powell et al, 2021), Denmark (Reinholt et al, 2017), and Spain (Rodriguez-Moreno et al, 2023). Longley and Gleiser (2023) review other group applications.…”

Section: Mechanisms Of Actionmentioning

confidence: 99%