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Prediction of Clinically Meaningful Improvement After Internet-Delivered Cognitive Behavioral Therapy for Depression and Anxiety Disorders: Machine Learning-Based Predictive Model Development and Temp

Authors: Kravchenko O, Halvorsen M, Bäckman J, Kaldo V, Crowley JJ, Kuja-Halkola R, Rück C, Wallert J
Journal: Journal of medical Internet research
mental health psychology open access

Abstract

Hope is an essential factor in promoting mental health, capable of protecting
individuals from psychological suffering, promoting comfort, and improving quality
of life. This is an important
dimension in vulnerable contexts, especially those related to health
problems. Likewise, it
is an important dynamic force in promoting, maintaining, and sustaining life,
capable of protecting people from anxiety and suffering. Hope refers to a dynamic resource built through social relationships and bonds
between family members, and, in the context of chronic pediatric diseases, Hope can
be influenced by social support, access to information, and the evolution of the
health status. Thus, in contexts
of chronic conditions marked by uncertainty and prolonged treatment periods, Hope
can be strengthened or weakened through the experiences of children and their
caregivers. In
children’s health, Hope is a resource that positively influences coping with
adversity, manifested through the establishment of goals that children strive to
achieve, positive behaviors that contribute to well-being and social interactions,
or individual beliefs. Orofacial cleft is one of the most frequent congenital malformations, affecting
approximately one in every 650 live births. This is a condition resulting from alterations in facial
development, the severity of which varies and can compromise essential functions
such as feeding, speech, and the child’s social development. The psychological challenges faced
by children with this malformation are numerous, mainly related to appearance and
self-esteem, and are associated with the social and family environment in which they
are embedded. Considering the
symbolic value of appearance in social interactions, stigmas and insecurities
regarding children’s appearance can interfere with the development of positive
expectations for the future.