A5041489693- Mental Health Treatment and Access
- Migration, Health and Trauma
- Digital Mental Health Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Cultural Differences and Values
- COVID-19 and Mental Health
- Health, psychology, and well-being
- Grief, Bereavement, and Mental Health
- Psychiatric care and mental health services
- Resilience and Mental Health
- Mental Health Research Topics
- Community Health and Development
- Psychology, Coaching, and Therapy
- Family Caregiving in Mental Illness
- Child Abuse and Trauma
- Family Support in Illness
- Social Representations and Identity
- Employment and Welfare Studies
- Evaluation and Performance Assessment
- Posttraumatic Stress Disorder Research
- Child Nutrition and Water Access
- Attachment and Relationship Dynamics
- Health disparities and outcomes
- Religion, Spirituality, and Psychology
- Intimate Partner and Family Violence
University of Lausanne
2021-2025
University of Zurich
2015-2024
Hudson Institute
2020
Universitäre Psychiatrische Dienste Bern
1990-2015
Agaplesion Bethesda Krankenhaus
2015
University of Bern
1997-2013
Institute of Social and Preventive Medicine
2012
Universitäts-Herzzentrum Freiburg-Bad Krozingen
1991
Background Most displaced people with mental disorders in low- and middle-income countries do not receive effective care, their access to care has deteriorated during the Coronavirus Disease 2019 (COVID-19) pandemic. Digital health interventions are scalable when digital is adequate, they can be safely delivered COVID-19 We examined whether a new WHO-guided intervention, Step-by-Step, which participants were supported by nonspecialist helper, was reducing depression among Lebanon. Methods...
Introduction: The aim of this study is to describe the initial stages iterative and user-centered mobile mental health adaptation process Step-by-Step (SbS), a modularized originally web-based e-mental intervention developed by World Health Organization (WHO). Given great need for improving responsiveness accessibility systems in host countries, EU-funded STRENGTHS consortium studies adaptation, implementation scaling-up SbS Syrian refugees Germany, Sweden Egypt. Using early prototyping,...
The worldwide mental health treatment gap calls for scaling-up psychological interventions, which requires effective implementation in diverse cultural settings. Evidence from the field of global and clinical psychology indicates variation how symptoms common disorders are expressed, culturally groups explain emergence such symptoms. An increasing number studies have examined to what extent adaptation enhances acceptability effectiveness interventions among groups. To date, this evidence is...
The World Health Organization is developing a range of interventions, including technology supported to help address the mental health treatment gap, particularly in low and middle-income countries. One these, Step-by-Step, guided, supported, intervention for depression. It provides psychoeducation training behavioural activation through an illustrated narrative with additional therapeutic techniques such as stress management (slow breathing), identifying strengths, positive self-talk,...
Background: E-mental health is an established mode of delivering treatment for common mental disorders in many high income countries. However, evidence its effectiveness lower countries lacking. This mixed methods study presents preliminary data on the feasibility a minimally guided e-mental intervention Lebanon. The aim was to pilot test Step-by-Step, WHO intervention, prior future controlled testing. Methods: Participants were recruited using social media and advertisements primary care...
Background Most people with mental disorders in communities exposed to adversity low-income and middle-income countries (LMICs) do not receive effective care. Digital health interventions are scalable when digital access is adequate, can be safely delivered during the COVID-19 pandemic. Objective To examine effects of a new WHO-guided intervention, Step-by-Step, supported by non-specialist helper Lebanon, context concurring economic, humanitarian political crises, large industrial disaster...
Objectives This study examined the relationship between coping and psychosocial adaptation in cancer patients over time across distinct clinical events. Methods In a prospective longitudinal 74 with breast were observed for 3 to 5 years at 3- 6-month intervals. A total of 684 interviews conducted different observation points. Three rating scales used assess adjustment: first, Bernese Coping Modes, an observer scale devised elicit 26 modes aggregated this paper as five Basic Strategies...
Background: Insomnia has become a major public health concern. Aims: The study examined the efficacy of web-based unguided self-help programme with automated feedback. was based on cognitive behaviour therapy for insomnia (CBT-I). investigation particularly focused factors that contribute to maintenance and tested whether treatment effects were stable over period 12 months. Method: Fifty-six participants randomly assigned either CBT-I or waiting-list control group. Included measures assessed...
Lebanon has a need for innovative approaches to increase access mental health care meet the country's current high demand. E-mental been included in its national strategy while parallel World Health Organization produced an online intervention called 'Step-by-Step' treat symptoms of depression that is being tested over coming years.The primary aim this study conduct bottom-up, community-driven qualitative cognitive interviewing from multi-stakeholder perspective inform cultural adaptation...
E-mental health interventions may help to bridge the mental treatment gap. Evidence on their effectiveness is compelling in high-income countries. Not enough evidence has been generated use with communities affected by adversity low- and middle-income The World Health Organization (WHO), National Mental Programme (NMMP) at Ministry of Public (MoPH) Lebanon other partners have adapted a WHO intervention called Step-by-Step for Lebanese displaced people living Lebanon. minimally guided,...
<sec xmlns="http://www.ncbi.nlm.nih.gov/JATS1"> <title>Background</title> There is a lack of empirical evidence on the level cultural adaptation required for psychological interventions developed in Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies to be effective treatment common mental disorders among culturally ethnically diverse groups. This partly due insufficient documentation trials. Standardised needed order enhance meta-analytic evidence. </sec>...
Abstract Background People with mental illnesses are at an increased risk of experiencing human rights violations, stigma and discrimination. Even though health discrimination universal, there appears to be a higher burden in low- middle-income countries. Anti-stigma interventions need grounded local evidence. The aim this paper was synthesize evidence on Ethiopia inform the development anti-stigma interventions. Methods This synthesis conducted as part formative work for International Study...
Background An online self-help programme for the treatment of depression called Hap-pas-Hapi was tested among Albanian-speaking immigrants in Switzerland and Germany, two different levels cultural adaptation were compared. Despite a massive recruitment effort, an insufficient number participants could be recruited, drop-out rate over 90%. Aims We conducted qualitative study to better understand reasons non-use Hap-pas-Hapi. Method Eleven interviews with 17 aged 19-59. Participants recruited...
Research on cultural adaptation of psychological interventions indicates that a higher level is associated with effect size the intervention. However, direct comparisons different levels adaptations are scarce.
Background Stigma among healthcare providers is a barrier to the effective delivery of mental health services in primary care. Few studies have been conducted care settings comparing attitudes and experiences people with illness who are service users those facilities. Such research necessary across diverse global characterize stigma inform reduction. Methods Qualitative was on one low-income country (Nepal), two lower-middle income countries (India, Tunisia), upper-middle-income (Lebanon),...