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      • Acceptance and commitment therapy (ACT) for men: A scoping review

        Leung Sze Yu,Tse Hau Yi,Leung Sau Fong,Grace WK Ho,Mak Yim Wah 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aim(s): Men are less prone to seek help while they have psychological problems. In recent years, empirical studies suggested that men’s mental health is an underrated problem. Acceptance and commitment therapy (ACT) is a psychotherapy that has been found promising in improving mental health among people with mental problems. However, it is not known the issues of adoption ACT in men. This review aims to describe the adoption of ACT for men. Method(s): A scoping review was conducted to identify English papers published after 2000, 4 databases (CINAHL Complete, MEDLINE, PubMed and PsycINFO) were systematically searched using the keywords of “acceptance and commitment therapy” and “male* or men or man”. Only randomized controlled trials and studies that took men as an independent group for measuring outcomes were included. Seven randomised controlled trials with 868 participants were included in this review. Result(s): Only three studies have adopted ACT for men in Asia. Most studies (n=3) delivered ACT via individual approach in 12-14 hours. No significant difference of effect across different delivery modes could be seen. ACT is effective for men in terms of mental and social well-being, and treatment-specific aspects including pornography view, smoking, post-traumatic stress disorder, penile injection and drug-using. Its effect is maintained in follow-up. However, it might not as effective as other interventions in some subscales of social and mental well-being. Conclusion(s): ACT is an effective psychotherapy for men. Due to the limited number of the primary studies in this area, future studies on these topics are suggested.

      • A systematic review of the effects of school-based mental health education interventions on adolescents’ mental health literacy and attitudes

        TSE Hau Yi,LEUNG Sze Yu,LEUNG Sau Fong,Grace WK HO,MAK Yim Wah 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aim(s): This review summarized the effectiveness of mental health education interventions on mental health literacy and stigmatizing attitudes among secondary school students. Method(s): A systematic search of relevant Chinese and English language peer-reviewed journals was conducted in five databases (MEDLINE, PubMed, ERIC, CNKI) using keywords, such as “adoles*”, “mental health education” and “mental health literacy or mental health stigma”. Experimental studies published from 2011 to July 2021 were included. A narrative synthesis of findings was conducted. Result(s): Nineteen studies with 11,572 participants were included in this review, including 1 RCT, 4 clustered RCTs, 7 non-randomized controlled trials and 7 single group pre-test post-test design. The school-based mental health interventions among adolescents took place in both Western and non-Western countries. All of them were conducted in face-to-face approach. A diversity of educational activities were adopted. They included sharing of the patients or people in recovery of mental illness, using case vignette or video to depict mental illness. Most of the studies found the education programs were effective in improving mental health literacy and reducing stigma. Conclusion(s): While most of the studies found their outcomes are statistically significant, there are concerns over the effects of the study outcomes due to the heterogeneity among the included studies resulting from variability of measurements used with questioned reliability and validity. Future research might be suggested focusing on the measurements to appropriately evaluate the effectiveness of mental health literacy and stigmatizing attitude. Educators might consider the strengths and weaknesses of the programs to choose suitable content and mode of delivery for mental health education.

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