Psychological predictors of distress and mechanisms of change

  • Research type

    Research Study

  • Full title

    Investigating psychological predictors of distress and mechanisms of change in mental health treatment in adolescents

  • IRAS ID

    291852

  • Contact name

    Matthias Schwannauer

  • Contact email

    m.schwannauer@ed.ac.uk

  • Sponsor organisation

    The University of Edinburgh

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Mentalization is the awareness that we have of our own and other people’s thoughts and feelings and the ability to use this information to understand others' behaviour. It is something that most people are able to do intuitively. A reduced ability to mentalize is implicated in the development and maintenance of mental health (MH) difficulties. In addition to this, the coping styles we use in response to difficult events are associated with MH difficulties.

    This research aims to examine how mentalization and the use of different coping styles are associated with levels of everyday distress experienced by adolescents receiving support their MH. It aims to look at whether there are changes in mentalization and coping styles associated with treatment in CAMHS (Child and Adolescent Mental Health Service) and whether this is linked to reduced distress. It will also look at the impact of the covid-19 pandemic and the transition out of lockdown on MH and treatment outcomes in adolescents. This age group has been chosen as adolescence is a time when the majority of MH difficulties first arise. Optimising treatment in this age group is essential.

    Adolescents aged between 12-18 who are receiving treatment from CAMHS and are willing and able to consent will be recruited from outpatient CAMHS teams in the NHS Lothian Health Board. They will be asked to complete questionnaires on MH, mentalization and coping. They will also be asked to complete a short questionnaire on how they are feeling and what they're doing 8 times a day for a week. This will take place in their everyday lives using an app on their mobile phone. They will be asked to participate in another round of data collection at the end of their treatment and again at a 2 year follow up.

  • REC name

    East of Scotland Research Ethics Service REC 1

  • REC reference

    21/ES/0043

  • Date of REC Opinion

    16 Jun 2021

  • REC opinion

    Further Information Favourable Opinion