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2021-09-08 - Colloque/Présentation - communication orale - Anglais - page(s)

Rossignol Mandy , Ris Laurence , Laforgue Florine , Gaugue Justine , ". “The place of self-help in the management of anxiety and depression in and out of crisis: an empirical illustration." in 51th EABCT Congress, September 8-11 2021, Belfast., Belfast, Irlande, 2021

  • Codes CREF : Psychopathologie (DI3513), Neurosciences cognitives (DI4296), Sciences cognitives (DI4290), Psychologie cognitive (DI4211)
  • Unités de recherche UMONS : Psychologie cognitive et Neuropsychologie (P325)
  • Instituts UMONS : Institut de recherche en sciences et technologies du langage (Langage), Institut des Sciences et Technologies de la Santé (Santé)
  • Centres UMONS : Centre de recherche interdisciplinaire en Psychophysiologie et Electrophysiologie de la cognition (CIPsE), Mind & Health (CREMH)

Abstract(s) :

(Anglais) The place of self-help in the management of anxiety and depression in and out of crisis: an empirical illustration Mandy Rossignol, Laurence Ris, Florine Laforgue, Justine Gaugue Université de Mons, Belgium The health crisis caused by the SARS-CoV-2 highlighted the limits of the current organisation of mental healthcare system. Studies have shown a high prevalence of psychological difficulties in all countries affected by the covid crisis and, as a result, psychologists have been overwhelmed with requests for consultations, some referring to decompensated psychiatric disorders, but most of them concerning stress management in these times of crisis. However, due to the containment, mental health centre closures and hospital overcrowding, many people were unable to access the psychological support they needed. Professionals have drawn attention on populations at risk of developing increased psychological difficulties. Among them, children and adolescents suffered from the closure of schools and the distancing measures at an age when identity is constructed precisely through contacts with peers. In order to provide a first tool of psychological support, we have developed and validated a self-assessment and self-help tool targeting children, adolescents, and young adults up to the age of 25 in May 2020, that was extended to the general public in early 2021. This site allows the users to estimate their levels of anxiety and depression using well-validated screening tools before giving them access to empirically validated anxiety management tools (psychoeducation, emotion management, and relaxation exercises). We analysed the website usage statistics during the past year, and we observed an increased activity in parallel with the three epidemic waves. We observed increased anxiety and depression in adolescents and young adults, while children under 11 seemed to be less affected by the crisis. Accordingly, a first objective of this presentation will be to present the user profiles and their risk factors. A second objective will be to discuss the effectiveness of such self-help tools, as evaluated by the users themselves. Indeed, the therapeutic setting and the relation between the patient and the therapist are known to influence patient compliance and impact the effectiveness of a psychological intervention. In this context, we will examine whether self-assessment and self-administration of CBT exercises can decrease the users’ complaints, according to their profile and expectations. We suggest that self-evaluation accompanied by a written feed-back already diminished anxiety symptoms in users who sought advice for anxiety, while depressed users may less benefit from self-administered exercises. We will conclude by mentioning factors to be considered in the development of self-help interventions in a crisis context, but also in a general context, and discuss the role of self-help in the mental health care pyramid.