Single-Session Therapy by Appointment for the Treatment of Anxiety Disorders in Youth and Adults: A Systematic Review of the Literature

Bertuzzi, Vanessa; Fratini, Giulia; Tarquinio, Claudia; Cannistrà, Flavio; Granese, Valentina; Giusti, Emanuele Maria; Castelnuovo, Gianluca; Pietrabissa, Giada

doi:10.3389/fpsyg.2021.721382

Cited by 34 publications

(15 citation statements)

References 81 publications

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“…There may also be a place for brief treatments, such as single-session treatments, which are designed to harness early treatment change. Single-session treatments are as effective as longer multisession treatments for individuals with spider phobia (e.g., Öst et al, 1997; Vika et al, 2009), and are used in community settings for a range of mental health conditions with favorable outcomes (for reviews, see Bertuzzi et al, 2021; Schleider & Weisz, 2017). On the other end of the spectrum, there is also an important role to be played by longer term treatments.…”

Section: Discussionmentioning

confidence: 99%

The timing and magnitude of symptom improvements during an Internet-delivered transdiagnostic treatment program for anxiety and depression.

Bisby¹,

Scott²,

Fisher³

et al. 2023

Journal of Consulting and Clinical Psychology

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Section: Discussionmentioning

confidence: 99%

The timing and magnitude of symptom improvements during an Internet-delivered transdiagnostic treatment program for anxiety and depression.

Bisby¹,

Scott²,

Fisher³

et al. 2023

Journal of Consulting and Clinical Psychology

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“…As mental health problems continue to rise in the never-ending COVID-19 pandemic, innovative models to deliver mental health support to communities are needed. By delivering a prompt and effective intervention, SSIs have the potential to meet the needs of many patients and to increase access to mental health services in a cost-effective manner [ 66 ]. When combined with AA scheduling principles, SSIs could constitute a useful addition to the continuum of mental health services that is accessible, easily replicable, and more sustainable, especially in the context of high demand and limited resources.…”

Section: Discussionmentioning

confidence: 99%

An innovative model of psychological service delivery in primary healthcare: the Single-Session Intervention

2023

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Background In Canada, the demand for mental health care exceeds the provision of services. This exploratory study aimed to assess the feasibility and impact of a new service delivery model for psychological consultations in primary care settings: the Single-Session Intervention (SSI), inspired by Advanced Access (AA) principles for appointment scheduling. The specific objectives were to examine whether the SSI increases accessibility to psychological consultations, to measure the effects of the intervention on different self-reported measures, and to assess users’ consultation experiences. Methods Participants were recruited in a University Family Medicine Group in Quebec (Canada), and the SSI was delivered by the on-site psychologist. No referral or formal diagnosis was needed to attend, and participants could promptly obtain an appointment. Participants rated the intensity of their problem, their level of psychological distress and their well-being, before and after the SSI. They also rated their satisfaction with their consultation experience. There was a follow-up 4 to 6 weeks later. Results Of the N = 69 participants who received SSI, 91% were able to obtain an appointment in less than 7 working days. The number of patients who were able to benefit from a psychological consultation was about 7 times higher after the implementation of SSI compared to previous years, when a traditional model of service delivery was in place. After SSI, participants felt that the intensity of their problem and psychological distress were lower, and that their well-being was increased, as indicated by significant pre-post test clinical measures (p < 0.0001). The observed effects seemed to be sustained at follow-up. Moreover, 51% of participants said that one session was sufficient to help them with their problem. Participants rated SSI as a highly satisfying and helpful consultation experience (92,9% overall satisfaction). Conclusions SSI, offered in a timely manner, could be an innovative and cost-effective intervention to provide mental health services on a large scale in primary healthcare. Further research is needed to replicate the results, but these preliminary data seem to indicate that psychological distress may be quickly addressed by SSI, thereby preventing further deteriorations in patients’ mental health. Trial Registration 2019–393, 26 March 2019.

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“…Evidence suggests that this type of intervention and service delivery can be effective in reducing waiting times and increasing access to psychotherapy and mental health support (38), but the literature examining what factors contribute to SST clinical effectiveness is inconclusive and complex (36,69). Despite this, evidence on the effectiveness and support for single-session mental health interventions continues to grow (1)(2)(3)(4)(16)(17)(18). Further studies stress the importance of how a single point of engagement with mental health services appears as a frequent option when monitoring service engagement (70), including 46% of CYP engaging with mental health services in the UK with only one appointment (27); note that this percentage will include treatment drop-outs or people who booked further appointments and were not planned as an SST.…”

Section: Discussionmentioning

confidence: 99%

“…This increased demand calls for a transformation of services through novel models of effective delivery, including SST and brief approaches ( 14 , 15 ). For example, meta-analytic evidence suggests that single-session-targeted interventions can be effective in anxiety reduction, behavioral problems, and substance use ( 16 – 18 ). However, single-session interventions, or SST, have not always been considered a meaningful and effective type of therapeutic intervention.…”

Section: Introductionmentioning

confidence: 99%

Examining concurrent validity and item selection of the Session Wants and Needs Outcome Measure (SWAN-OM) in a children and young people web-based therapy service

Garcia¹,

Edbrooke‐Childs

Salhi

et al. 2023

Front. Psychiatry

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BackgroundSingle-session mental health interventions are frequently attended by children and young people (CYP) in both web-based and face-to-face therapy settings. The Session “Wants” and “Needs” Outcome Measure (SWAN-OM) is an instrument developed in a web-based therapy service to overcome the challenges of collecting outcomes and experiences of single-session therapies (SSTs). It provides pre-defined goals for the session, selected by the young person prior to the intervention, on which progress toward achievement is scored at the end of the session.ObjectiveThe objective of this study was to evaluate the instrument's psychometric properties, including concurrent validity against three other frequently used outcome and experience measures, at a web-based and text-based mental health service.MethodsThe SWAN-OM was administered for a period of 6 months to 1,401 CYP (aged 10–32 years; 79.3% white; 77.59% female) accessing SST on a web-based service. Item correlations with comparator measures and hierarchical logistic regressions to predict item selection were calculated for concurrent validity and psychometric exploration.ResultsThe most frequently selected items were “Feel better” (N = 431; 11.61%) and “Find ways I can help myself” (N = 411; 11.07%); unpopular items were “Feel safe in my relationships” (N = 53; 1.43%) and “Learn the steps to achieve something I want” (N = 58; 1.56%). The SWAN-OM was significantly correlated with the Experience of Service Questionnaire, particularly the item “Feel better” [rs(109) = 0.48, p < 0.001], the Youth Counseling Impact Scale, particularly the item “Learn the steps to achieve something I want” [rs(22) = 0.76, p < 0.001], and the Positive and Negative Affect Schedule, particularly the items “Learn how to feel better” [rs(22) = 0.72, p < 0.001] and “Explore how I feel” [rs(70) = −0.44, p < 0.001].ConclusionThe SWAN-OM demonstrates good concurrent validity with common measures of outcome and experience. Analysis suggests that lesser-endorsed items may be removed in future iterations of the measure to improve functionality. Future research is required to explore SWAN-OM's potential to measure meaningful change in a range of therapeutic settings.

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Single-Session Therapy by Appointment for the Treatment of Anxiety Disorders in Youth and Adults: A Systematic Review of the Literature

Cited by 34 publications

References 81 publications

The timing and magnitude of symptom improvements during an Internet-delivered transdiagnostic treatment program for anxiety and depression.

The timing and magnitude of symptom improvements during an Internet-delivered transdiagnostic treatment program for anxiety and depression.

An innovative model of psychological service delivery in primary healthcare: the Single-Session Intervention

Examining concurrent validity and item selection of the Session Wants and Needs Outcome Measure (SWAN-OM) in a children and young people web-based therapy service

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