ABSTRACT
BACKGROUND: In recent years, third-wave therapies have risen to prominence. Research into adapting and evaluating third-wave therapies for adults with intellectual disabilities has identified that third-wave therapies are accessible, acceptable, and effective (improving a range of symptoms and skills). METHOD: This meta-ethnography followed Noblit and Hare's approach to synthesising findings from qualitative studies to examine how adults with intellectual disabilities experience third-wave therapy groups. A systematic review of three databases identified 13 studies that met our inclusion criteria. RESULTS: We identified that third-wave therapy groups can be a 'Transformational' process for adults with intellectual disabilities that involves three stages: 'Concealment', 'Opening up' and 'Flourishing'. CONCLUSION: Findings highlight the importance of therapeutic processes; especially, working with defences, and developing and maintaining safety/trust. Recommendations include the development of an objective measure of group safety/trust.
Subject(s)
Intellectual Disability , Adult , Humans , Intellectual Disability/therapy , Anthropology, Cultural , Qualitative ResearchABSTRACT
Background: There have been two methods of gaining retrospective self-report estimates of alcohol consumption, quantity frequency (QF) and retrospective diary (RD), offering distinct advantages and disadvantages. The typical and atypical drinking diary (TADD) was developed to benefit from each method's advantages. Objectives: To compare estimates obtained from the TADD with corresponding estimates obtained from a QF measure (Khavari alcohol test; KAT) and an RD measure, the timeline follow-back (TLFB). It was hypothesized that the TADD's alcohol consumption estimates would correlate strongly with those obtained from the TLFB; and the strength of the TADD-TLFB correlation would be significantly stronger than the KAT-TLFB correlation. Method: One hundred and sixty-eight (168) undergraduates (73% female) estimated their alcohol consumption for the preceding 12 weeks using all three measures. Results: The TADD (r = 0.83, p < .001) and the KAT (r = 0.066, p < .001) produced estimates of total alcohol consumption that correlated very strongly and strongly, respectively, with the TLFB. Notably, the TADD-TLFB correlation was significantly stronger than the KAT-TLFB correlation (Z = 5.10, p < .001). Moreover, the TADD's estimates of number of drinking days (r = 0.70, p < .001) and heavy drinking episodes per week (0.77, p < .001) correlated strongly with corresponding estimates from the TLFB. The TADD and KAT provided higher estimates of alcohol consumption than the TLFB. Conclusion: Clinicians and researchers should consider using the TADD to estimate alcohol consumption in time-limited situations.
Subject(s)
Alcohol Drinking , Interviews as Topic/methods , Self Report , Adolescent , Alcohol Drinking/epidemiology , Female , Humans , Male , Retrospective Studies , Students/psychology , Students/statistics & numerical data , Young AdultABSTRACT
BACKGROUND: Third-wave therapies appear to produce positive outcomes for people without intellectual disabilities. This systematic review aimed to establish which third-wave therapies have been adapted for adults with intellectual disabilities and whether they produced positive outcomes. METHOD: Four databases were searched systematically (PsycINFO, Web of Science, MEDLINE and PubMed), yielding 1,395 results. Twenty studies (N = 109) met the present review's inclusion/exclusion criteria. RESULTS: Included studies used mindfulness-based approaches, dialectical behaviour therapy, compassion focused therapy and acceptance and commitment therapy. Due to considerable heterogeneity in the designs and outcome measures used, a meta-analysis was not possible. CONCLUSIONS: Evidence indicated that third-wave therapies improved mental health symptoms for some and improved challenging/offending behaviour, smoking and mindfulness/acceptance skills for most. These findings must be interpreted with caution due to the low methodological quality of included studies. Future research should build on the current evidence base, using scientifically rigorous designs and standardized measures.
