48 research outputs found

    An Exploration of Sudden Gains in Psychotherapy

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    Objectives: The aims of this review were to investigate how the criteria used to identify sudden gains (SGs) have been adapted, and what impact these adaptations have on the association between treatment outcomes and SGs. Methods: A systematic review of the literature was conducted followed by data extraction, quality assessment, and a meta-analysis, with two subgroup analyses. Results: A total of 17 papers were identified, which included three adapted SGs criteria. 15 adapted SGs criteria were identified, however the majority could not be included due to being used in fewer than three studies. Quality appraisal found the studies to be of moderate to low quality. The meta-analysis found a significant difference in outcomes between SG and non-SG groups, with an effect size of g = .51. Subgroup analysis between the SGs criteria found that the combined Tang and Gaynor criteria had an effect size of g = .94, whereas the Hardy and Kelly criteria had effect sizes of g = .42 and g = .39 respectively. Conclusions: The extent of the adaptations to the SGs criteria is potentially reducing the validity of SGs research. The differences between the criteria need to be understood further. A strength of the combined Tang and Gaynor criteria may be its strictness combined with its ability to identify early SGs, which creates a good association with treatment outcomes. Moving forwards, SGs research must consider how the SG criteria can be applied in a clinical setting to support the improved treatment outcomes related to SGs

    LGBTI + national youth strategy. Report of the consultations with young people in Ireland.

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    The consultations reached a total of n=3,882 young people from across Ireland (n=3,710 young people completed the SpunOut.ie survey and n=172 young people attended one of seven consultation events) representing a cross-section of young people, including those who identified as a member of the LGBTI+ community, and those who did not. More than two-thirds (69%) of the survey respondents identified as LGBTI+, 29% did not, and one in 10 was unsure. Nearly all (93%) of the young people who attended the consultation events identified as LGBTI+. While the young people represented nearly every county in Ireland, most spent much of their time in urban areas. The consultations focused on three questions: 1. What is positive about being a young LGBTI+ person in Ireland today? (Positives) 2. What issues are faced by young LGBTI+ people in Ireland today? (Issues) 3. What changes would improve the lives of young LGBTI+ people? (Changes) Poor health and well-being, particularly mental health and a culture of drug and alcohol misuse culture within the LGBTI+ community, was identified as an issue in both the survey and during the consultation events. Other health issues raised included: The need for improved access to health services for transgender people, including access to counselling, hormones and surgery
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