Disorders - depressive disorders
Ranney, M.
L., Pittman, S. K., Dunsiger, S., Guthrie, K. M., Spirito, A., Boyer, E. W., Cunningham, R. M.
This study's purpose was to evaluate feasibility and acceptability, obtain preliminary efficacy data, and evaluate predictors of
improvement with iDOVE, a technology-augmented violence and depression prevention intervention for high-risk adolescents seen in the emergency
department (ED). We conducted a pilot randomized controlled trial (RCT) with 116 English-speaking adolescents (ages 13-17 years), presenting to the
ED for any reason, who reported past-year physical peer violence and current depressive symptoms. The cognitive-behavioral therapy- and motivational
interviewing-based intervention consisted of a brief in-ED intervention session and 8 weeks of automated text-message daily mood queries and tailored
responses. The control was a brief in-ED presentation and twice-weekly text messages on healthy behaviors. Follow-up was conducted at 8 and 16 weeks.
Descriptive statistics, bivariate comparisons, mixed-effects longitudinal regression models, and latent class models (LCMs) were calculated. iDOVE
had high acceptability and feasibility, with 86% of eligible youth consenting (n = 116), 95% completing 8-week follow-up, and 91% completing 16-week
follow-up. High quantitative and qualitative satisfaction were reported by intervention and control participants. Comparing intervention to control,
improved depressive symptoms (p = .07) and physical peer violence (p = .01) were observed among the more symptomatic youth in the intervention group
(but no difference in symptoms between full intervention and control groups). LCMs showed that intervention responsiveness correlated with lower mood
(measured through daily text messages) at Day 7 of the intervention. This RCT of a technology-augmented intervention shows high feasibility and
acceptability and a promising signal of reduced violence among the highest-risk participants. (PsycINFO Database Record (c) 2018 APA, all rights
reserved).
Psychological Services, 15(4) : 419-
428
- Year: 2018
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation, Technology, interventions delivered using technology (e.g. online, SMS)
Tesler, R., Plaut, P., Endvelt, R.
Background: At-risk
adolescents have been defined as youth who are or might be in physical, mental, or emotional danger. An Urban Forest Health Intervention Program
(UFHIP) was formed at a center for at-risk adolescents in Israel, in order to promote physical activity and reduce risky behavior. Objective(s): To
evaluate the intervention's effect on physical activity, smoking, alcohol consumption, psychosomatic symptoms, and life satisfaction. Method(s):
From 2015 to 2016, at-risk youth were nonrandomly selected to participate in the UFHIP. Questionnaires were administered to both intervention and
control groups before and after the intervention. Univariate and multivariable analyses evaluated the intervention's effect. Result(s): The study
participants (n = 53) showed 0.81 more sessions per week of 60 min of physical activity than did the control group (n = 23; p = 0.003). Among the
intervention group, smoking frequency reduced from a mean of 2.60 (SD = 1.30) to 1.72 (SD = 1.08), whereas that in the control group increased from
3.17 (1.03) to 3.39 (1.03). In both groups, there was a reduction in alcohol consumption, with a greater change among intervention participants: -
1.08 (SD = 1.30), compared with -0.09 (SD = 1.79) in the control group. Conclusion(s): Findings indicate that the environmental intervention was
efficacious in increasing physical activity and reducing risky behaviors among youth. The effectiveness of this intervention among larger samples is
warranted in future prospective studies. Copyright © 2018 by the authors. Licensee MDPI, Basel, Switzerland.
International Journal of Environmental
Research and Public Health, 15 (10) (no pagination)(2134) :
- Year: 2018
- Problem: Anxiety Disorders (any), Depressive Disorders, Alcohol
Use
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Other Psychological Interventions, Dietary advice, dietary change, Physical activity, exercise
Bang, K. S., Kim, S., Song, M. K., Kang, K. I., Jeong, Y.
As problems relating
to children's health increase, forest therapy has been proposed as an alternative. This study examined the effects of a combined health promotion
program, using urban forests and nursing student mentors, on the perceived and psychosocial health of upper-grade elementary students. The quasi-
experimental study ran from June to August 2017, with 52 upper-grade elementary students from five community after-school centers. With a purposive
sampling, they were assigned to either an experimental group (n = 24), who received a 10-session health promotion program, or to a control group (n =
28). Seven undergraduate nursing students participated as mentors. Running over 10 weeks, each weekly session consisted of 30 min of health education
and 60 min of urban forest activities. Data were analyzed by independent t-test, Mann-Whitney U-test, paired t-test, or Wilcoxon signed rank test.
General characteristics and outcome variables of both groups were homogeneous. The experimental group showed significant improvement in self-esteem
(p = 0.030) and a significant decrease in depressive symptoms (p = 0.020) after the intervention, compared to the control group. These results
suggest that forest healing programs may contribute to the spread of health promotion programs that make use of nature. Copyright © 2018 by the
authors. Licensee MDPI, Basel, Switzerland.
International Journal of Environmental Research and Public Health, 15 (9) (no
pagination)(1977) :
- Year: 2018
- Problem: Depressive Disorders
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Psychoeducation, Other Psychological Interventions, Physical activity, exercise, Other complementary & alternative
interventions
Hall, B. J., Xiong, P., Guo, X., Sou, E. K. L., Chou, U. I., Shen, Z.
Mental disorders and
sleep dysfunction are common among Chinese university students. This study aimed to evaluate a low cost scalable mindfulness intervention program to
improve psychological health and sleep quality among Chinese university students. A randomized controlled trial with 101 university students (mean
age 22.30 +/- 2.63, 69.31% female) was conducted. Participants were randomized into 4 groups: Group 1: control group (n = 25), Group 2: mindfulness
only group (n = 27), Group 3: mindfulness + plain-text reminder group (n = 24), and Group 4: mindfulness + enhanced text reminder with animal meme
group (n = 25).The mindfulness intervention consisted of two in-person guided sessions along with weekly self-guided practice for 7 weeks. The
Depression, Anxiety and Stress Scale (DASS-21) and The Pittsburgh Sleep Quality Index (PSQI) were used to measure depression, anxiety, stress, and
sleep dysfunction. After the intervention at week 4, compared to controls, completers in group 2, 3 and 4 (n = 42) showed significantly reduced
depression (Cohen's d = 0.83), anxiety (Cohen's d = 0.84), and stress (Cohen's d = 0.75), and improved subjective sleep quality (Cohen's d =
2.00), sleep latency (Cohen's d = 0.55), and habitual sleep efficiency (Cohen's d = 0.86). The effect was maintained at week 7. Low-intensity
mindfulness interventions might be a useful intervention program in university settings. (PsycINFO Database Record (c) 2019 APA, all rights
reserved)
Psychiatry Research, 270 : 394-
403
- Year: 2018
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Mindfulness based
therapy, Technology, interventions delivered using technology (e.g. online, SMS)
Dopp, R.
Objectives: Adolescents with depression deserve treatment that is targeted to
remission of depressive symptoms. Even with the combination of psychotherapy and medication, nearly two-thirds of patients may still be depressed
after 12 weeks. Exercise has been shown to be an effective treatment for adults with MDD. We will examine the efficacy of exercise for treating
depression in adolescents, explore comparison conditions, examine the mechanisms by which exercise might exert its antidepressant effects, and
discuss strategies to translate research to clinic-based models. Method(s): Adolescents (N = 18) with clinically significant depressive symptoms
[Children's Depression Rating Scale-Revised (CDRS-R) >40] and low levels of physical activity were randomly assigned to a 12-week exercise
intervention (EXI; n = 9) or a treatment-as-usual (TAU; n = 9) condition. Participants in both conditions were allowed to continue their previous
treatment. The EXI consisted of once-weekly individual exercise sessions monitored by study staff, and participants were expected to independently
exercise twice each week. Those in the EXI condition completed weekly surveys regarding mood, activity levels, and psychosocial functioning. The TAU
condition also included weekly meetings with study staff for completion of the same surveys. Result(s): For participants in the EXI condition, mean
CDRS-R score was 55.0 (SD = 7.5) at baseline and 35.1 (SD = 13.0) postintervention. For participants in the TAU condition, mean CDRS-R score was 50.4
(SD = 7.7) at baseline and 47.6 (SD = 13.6) after 12 weeks. Reductions in CDRS-R scores were significantly greater for participants in the EXI
condition compared with those in the TAU condition [t(16) = -2.42, p < 0.03]. Conclusion(s): In this randomized controlled trial, adolescents with
depression who exercised regularly showed significantly greater decreases in depressive symptoms compared with those who were in the TAU condition.
The reductions in depression for those in the EXI condition were similar to those observed in a pilot, feasibility study in which adolescents
demonstrated a 22.5-point reduction on the CDRS-R after 12 weeks of exercise. Exercise should be a focus of treatment for adolescents with depressive
disorders. ADOL, DDD, EBP Copyright © 2018
Journal of the American Academy of Child and Adolescent Psychiatry, 57 (10
Supplement) : S48
- Year: 2018
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Physical activity, exercise
Duque, A., Vazquez, C.
OBJECTIVE: This study examines whether a 4-day dot-probe attentional training to orient attention toward positive
words could lead participants with dysphoria to change selective attention to emotional faces. It was also explored whether this positive attentional
bias training could lead to a decrease in depressive symptoms. METHOD(S): Participants were randomly assigned to Positive Training Group (PTG) and No
Training Group (NTG). PTG was composed of 16 subjects, whereas NTG was composed of 15 subjects. All participants were women with a mean age of 22.87
(SD = 3.21). RESULT(S): Results showed that dysphoric participants in the PTG did not show changes in attentional patterns to emotional faces.
Furthermore, depressive symptoms did not significantly change after the 4-session training. CONCLUSION(S): These results suggest that cognitive
training procedures based on dot-probe paradigms are probably not adequate to modify attentional patterns in individuals with depressive symptoms.
The theoretical and practical implications are discussed. Copyright © 2018 Wiley Periodicals, Inc.
Journal of Clinical Psychology, 74(12) : 2145-
2160
- Year: 2018
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Attention/cognitive bias
modification
Fuspita, H., Susanti, H., Eka Putri,
D.
OBJECTIVE: The research identified the influence of assertiveness training against teenage depression in
high scholars in Kepahiang Regency, Bengkulu, Indonesia.\rMETHOD: This study used a quasi-experiment approach with pre-test and post-test design and
a control group. Eighty students were engaged through simple random sampling.\rRESULTS: The study found the frequency of depression in teenagers and
considered the effect of assertiveness training. 14.10 teens were counted as depressed before assertiveness training provision, while the post-
training average was 7.98 (p = .000). Assertiveness training had a significant effect on the prevalence of depression in the intervention group.
\rCONCLUSIONS: The study recommends schools to cooperate with health services to increase mental health programs such as building peer groups,
delivering assertiveness training, and teaching stress management to prevent depression in teenagers.
Enfermeria Clinica, 28 Suppl 1 : 300-
303
- Year: 2018
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Cheung,
A.H., Zuckerbrot, R.A., Jensen, P.S., Laraque, D,, Stein, R.E.
Objectives: To update clinical practice guidelines to assist primary care (PC) in
the screening and assessment of depression. In this second part of the updated guidelines, we address treatment and ongoing management of adolescent
depression in the PC setting. Methods: By using a combination of evidence- and consensus-based methodologies, the guidelines were updated in 2 phases
as informed by (1) current scientific evidence (published and unpublished) and (2) revision and iteration among the steering committee, including
youth and families with lived experience. Results: These updated guidelines are targeted for youth aged 10 to 21 years and offer recommendations for
the management of adolescent depression in PC, including (1) active monitoring of mildly depressed youth, (2) treatment with evidence-based
medication and psychotherapeutic approaches in cases of moderate and/or severe depression, (3) close monitoring of side effects, (4) consultation and
comanagement of care with mental health specialists, (5) ongoing tracking of outcomes, and (6) specific steps to be taken in instances of partial or
no improvement after an initial treatment has begun. The strength of each recommendation and the grade of its evidence base are summarized.
Conclusions: The Guidelines for Adolescent Depression in Primary Care cannot replace clinical judgment, and they should not be the sole source of
guidance for adolescent depression management. Nonetheless, the guidelines may assist PC clinicians in the management of depressed adolescents in an
era of great clinical need and a shortage of mental health specialists. Additional research concerning the management of depressed youth in PC is
needed, including the usability, feasibility, and sustainability of guidelines, and determination of the extent to which the guidelines actually
improve outcomes of depressed youth. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
Pediatrics, 141(3) : 1-16
- Year: 2018
- Problem: Depressive Disorders
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions
(any), Psychological Interventions
(any)
Lo, K., Waterland, J., Todd, P., Gupta,
T., Bearman, M., Hassed, C., Keating, J. L.
Effects of interventions for
improving mental health of health professional students has not been established. This review analysed interventions to support mental health of
health professional students and their effects. The full holdings of Medline, PsycINFO, EBM Reviews, Cinahl Plus, ERIC and EMBASE were searched until
15th April 2016. Inclusion criteria were randomised controlled trials of undergraduate and post graduate health professional students, group
interventions to support mental health compared to alternative education, usual curriculum or no intervention; and post-intervention measurements for
intervention and control participants of mindfulness, anxiety, depression, stress/distress or burnout. Studies were limited to English and short term
effects. Studies were appraised using the PEDro scale. Data were synthesised using meta-analysis. Four comparisons were identified: psychoeducation
or cognitive-behavioural interventions compared to alternative education, and mindfulness or relaxation compared to control conditions. Cognitive-
behavioural interventions reduced anxiety (-0.26; -0.5 to -0.02), depression (-0.29; -0.52 to -0.05) and stress (0.37; -0.61 to -0.13). Mindfulness
strategies reduced stress (-0.60; -0.97 to -0.22) but not anxiety (95% CI -0.21 to 0.18), depression (95% CI -0.36 to 0.03) or burnout (95% CI -0.36
to 0.10). Relaxation strategies reduced anxiety (SMD -0.80; 95% CI -1.03 to -0.58), depression (-0.49; -0.88 to -0.11) and stress (-0.34; -0.67 to -
0.01). Method quality was generally poor. Evidence suggests that cognitive-behavioural, relaxation and mindfulness interventions may support health
professional student mental health. Further high quality research is warranted.
Advances in
health sciences education : theory and practice, 23(2) : 413-447
- Year: 2018
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Psychoeducation, Mindfulness based
therapy
Ismayilova, L., To-Camier, A.
Objective.-Behavioral interventions alone may be insufficient for improving mental health in low-income countries. This study tests the
effects of economic intervention, alone and in combination with a family-focused component, on the mental health of children and women living in
ultra-level poverty. Methods.- Funded by the Network of European Foundations, this three-arm cluster-RCT included 10-15 year-old children and women
from 360 ultra-poor households from twelve villages in Burkina Faso. Villages were randomized (4 villages/120 households per arm) to the wait-list
arm, the economic intervention (Trickle Up/TU arm), or to the economic strengthening plus family coaching component (TU+ arm). Intervention effects
were tested using repeated-measures mixed-effects regressions. Results.- At 12 months, compared to the control arm, mothers from both intervention
groups receiving economic intervention demonstrated a reduction in the PHQ-9 depression score (Cohen's d =-0.67, P = .001 and d =-0.48, P = .005)
and the GAD-7 anxiety score (d =-0.64, P = .001 and d =-0.51, P = .002), maintaining effects at24months. However, only children from theTU+showeda
reduction in depressive symptoms at 12 months (medium effect size d = -0.53, P = .003) and 24 months (d = -0.50, P = .004), compared to the control
condition and the economic intervention alone (at 24 months d = -0.37, P = .041). At 24 months, small effect size improvements in self-esteem were
detected in the TU+ group, compared to the control and TU conditions (d = 0.30 and d = 27, respectively). Trauma symptoms significantly reduced in
the TU+ group at 12 months (IRR = 0.62, P = .042), compared to the control. Conclusion.- Integrating psycho-social intervention involving all family
members with economic empowerment strategies may be an innovative approach for improving emotional well-being among ultra-poor families.
European
Psychiatry, 48 (Supplement 1) : S90
- Year: 2018
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Other service delivery and improvement
interventions
Huang, J., Nigatu, Y. T., Smail-Crevier, R., Zhang, X., Wang, J.
Common mental health problems (CMHPs), such as depression, anxiety disorder,
obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD) are internalizing disorders with high comorbidity. University and
college students are under many stressors and transitional events, and students fall within the age range when CMHPs are at their developmental peak.
Compared to the expanded effort to explore and treat CMHPs, there has been no a meta-analysis that comprehensively reviewed the interventions for
CMHPs and examined the effects of interventions for CMHPs in college students. The objective of this review is to conduct a systematic review and
meta-analysis of randomized controlled trials (RCTs) examining interventions for CMHPs among university and college students and to estimate their
post-intervention effect size (ES), as well as follow-up ES, for depression, anxiety disorder, OCD and PTSD separately. Meta-analytic procedures were
conducted in accordance with PRISMA guidelines. We reviewed 7768 abstracts from which 331 full-text articles were reviewed and 51 RCTs were included
in the analysis. We found moderate effect sizes for both depression (Hedges' g = -0.60) and anxiety disorder (Hedges' g = -0.48). There was no
evidence that existing interventions for OCD or PTSD were effective in this population. For interventions with high number of papers, we performed
subgroup analysis and found that cognitive behavioral therapy (CBT) and mindfulness-based interventions were effective for both depression and
generalized anxiety disorder (GAD), and attention/perception modification was effective for GAD; other interventions (i.e. art, exercise and peer
support) had the highest ES for both depression and GAD among university and college students. Copyright © 2018 Elsevier Ltd
Journal of Psychiatric Research, 107 : 1-
10
- Year: 2018
- Problem: Anxiety Disorders (any), Obsessive Compulsive Disorder, Post Traumatic Stress Disorder, Depressive Disorders
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other Psychological Interventions, Mindfulness based
therapy
Arjadi, R., Nauta, M.H., Scholte, W.F., Hollon, S.D., Chowdhary, N., Suryani, A.O., Uiterwaal, C.S., Bockting, C.L.
Background: Depression is one of the leading contributors to the global burden of disease. However, treatment
availability is often very poor in low-income and middle-income countries. In a randomised clinical trial, we investigated the efficacy of internet-
based behavioural activation with lay counsellor support compared with online minimal psychoeducation without support for depression in Indonesia (a
middle-income country). Methods: We did a community-based, two-group, randomised controlled trial in Indonesia. Eligible participants were aged 16
years or older, scored 10 or above on the Patient Health Questionnaire 9 (PHQ-9), met the criteria for major depressive disorder or persistent
depressive disorder based on the Structured Clinical Interview for DSM-5, were proficient in Bahasa Indonesia, and could use the internet.
Participants were randomly allocated (1:1) by a research assistant using a web-based randomisation program to online behavioural activation with lay
support (termed Guided Act and Feel Indonesia [GAF-ID]) or online psychoeducation without further support. Randomisation was done within a random
permuted block design and was stratified by sex and depression severity (ie, PHQ-9 10-14 vs >=15). The primary outcome was self-reported PHQ-9 score
at 10 weeks from baseline. Research assistants were masked to group allocation until after the assessment of the primary outcome. Interventions were
described to participants during the consent procedure and after randomisation, but no indication was given as to which was the intervention of
interest and which was the control. Analysis was by intention to treat. The trial was registered in the Netherlands Trial Register, number NTR5920.
It is closed to new particpants, and follow-up has been completed. Findings: Between Sept 6, 2016, and May 1, 2017, 313 participants were enrolled
and randomly assigned, 159 to the GAF-ID group and 154 to the online psychoeducation group. At 10 weeks, PHQ-9 scores were significantly lower in the
GAF-ID group than in the online psychoeducation group (mean difference -1.26 points [95% CI -2.29 to -0.23]; p = 0.017), and participants in the
GAF-ID group had a 50% higher chance of remission at 10 weeks (relative risk 1.50 [95% CI 1.19 to 1.88]; p < 0.0001). An effect size of 0.24 for the
GAF-ID group compared with the control group at 10 weeks was sustained over time (effect size 0.24 at 3 months, and 0.27 at 6 months). No adverse
events were reported in either group. Interpretation: To our knowledge, ours is the first adequately powered randomised clinical trial of an
internet-based intervention for depression in a low-income or middle-income country. Online behavioural activation with lay counsellor support
efficaciously reduced symptoms of depression, and could help to bridge the mental health gap in low-income and middle-income countries. (PsycINFO
Database Record (c) 2018 APA, all rights reserved)
The Lancet Psychiatry, 5(9) : 707-
716
- Year: 2018
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Psychoeducation, Technology, interventions delivered using technology (e.g. online, SMS)