Editorial Perspective: Adapting western psychological interventions for children and adolescents in LMICs: lessons from Nepal.

Nepal is a low-middle income country which is considered to be a collectivist culture and has a significant mental health treatment gap for young people. The dominant approach in the global mental health literature has been to import western treatments with varying degrees of cultural adaptation. We argue that this approach is at best cost-ineffective, and at worst harmful, particularly where young people receive interventions outside of their community. The existing literature suggests that the type of intervention delivered, is of less importance than the situating of it within a young person's community, and that leveraging existing cultural resources for resilience within a community, may ultimately be of more benefit than the translating and delivering western ones.

The Effects of Mindfulness-Based Interventions on Couples in Later Life. A Mixed Methods Systematic Review.

OBJECTIVES: To review current quantitative and qualitative evidence on the physical and mental health outcomes and participant experiences following mindfulness-based interventions (MBIs) for couples over the age of 65. METHODS: The search strategy used PubMed; Web of Science; PsycInfo; The Dementia Evidence Toolkit; NIH RePORTER; NIH Clinical Trials.gov and Scopus databases and followed the JBI framework. RESULTS: Four studies were included, of these, three were described as patient-carer dyads. Overall, the studies suggested that standardized, eight-week mindfulness interventions may be feasible for older adult independent couples and caregiving dyads, including people with cognitive decline, but the available evidence should be considered with caution. CONCLUSIONS: Further high-quality studies investigating specific older adult dyads with sensitive and appropriate outcome measures are needed. CLINICAL IMPLICATIONS: Whilst older adult mindfulness groups delivered to couples are feasible, conclusions about the effects of mindfulness on older adult caregiving and/or romantic couples are impossible to establish.

Connecting in place: older adults' experience of online mindfulness therapy during the COVID-19 pandemic.

BACKGROUND: the negative consequences of COVID-19 distancing measures on older adults' mental health and ability to access services have been well documented. Online cognitive behavioural therapy and mindfulness interventions for older adults, carried out during the COVID-19 pandemic, have shown that these interventions are feasible and have potential mental health benefits. However, little research has been carried out on older adults' experiences of engaging with online psychological therapy, and specifically mindfulness therapy. OBJECTIVES: to understand the experience of older adults engaging with online mindfulness therapy during the COVID-19 pandemic. STUDY DESIGN: a qualitative analysis of four community-based focus groups. PARTICIPANTS: thirty-six community dwelling older adults aged between 65 and 85 years were recruited via older adult organisations, charities and the local press. Nineteen percent had long-term physical health conditions, 25% had severe and enduring mental health difficulties and 19% had mild to moderate mental health difficulties. RESULTS: there was a strong sense of group cohesion and community from the participants.Three main themes were identified: reasons for applying, experience of the mindfulness therapy and connecting at home. CONCLUSIONS: the majority of participants were positive about attending a mindfulness group online. This extended to the perceived psychological and social benefits as well as practical considerations. While some participants noted technological hurdles at the beginning of the course, the findings challenge previous studies that suggest older adults are reluctant to engage in online psychological therapies and has important implications for the future provision of psychological therapies to this population.

Exocentric coding of the mapping between valence and regions of space: Implications for embodied cognition.

Converging evidence has established that positive concepts presented on a computer screen are associated with upper regions of space, and negative concepts with a lower region of space. One explanation for this is that understanding positive or negative concepts requires the re-experiencing of direction, whereby "happy is up" and "sad is down." However, it is unclear how the regions of space are encoded in these paradigms, space can be encoded in relation to oneself (egocentrically) or in object centred coordinates that are independent of oneself (exocentrically). The current study compares exocentric and egocentric coding of space, using a variation of the Meier and Robinson (2004) paradigm. Participants were asked to evaluate valenced concepts in either the upper or lower half of the screen. Spatial primes were used such that the concepts were preceded by either an upwards or a downwards eye movement. Exocentric coding of space in this paradigm was the computer screen, whilst egocentric coding was the eye movement used to access the top or bottom of the screen. It was proposed that egocentric coding of space, being coded in the body, provides evidence of a stronger relationship between the original bodily state of 'up' or 'down' and subsequent simulation. However, significant results supported an exocentric coding of space, with faster responses to positive concepts in the upper half of the screen, and to negative concepts in the lower half, irrespective of the direction of the eye movement preceding it. The implications of this for embodied cognition are discussed.