Disorders - Depressive Disorders
Miralles-Amoros, L., Vicente-Martinez, M., Martinez-Olcina, M., Asencio-Mas, N., Gonzalvez-Alvarado, L., Penaranda-Moraga,
M., Leyva-Vela, B., Yanez-Sepulveda, R., Cortes-Roco, G., Martinez-Rodriguez, A.
Low energy availability may precede or be caused by cognitive disturbances in professional athletes. Related
psychological problems include disordered eating patterns, body shape preoccupation, depression or anxiety. The objective of this research was to
evaluate the effects of different personalised dietary plans on psychological factors in young professional female handball players with low energy
availability. This 12-week randomised clinical trial involved 21 female players aged 22 +/- 4 years, 172.0 +/- 5.4 cm and 68.4 +/- 6.7 kg divided
into three groups (FD: free diet; MD: Mediterranean diet; HAD: high antioxidant diet). Eating behaviour (Eating Attitude Test, EAT-26: diet, bulimia
and oral control subscales), body image (Body Shape Questionnaire, BSQ) and mood state (Profile of Mode State, POMS: tension, vigour, anger,
depression, fatigue) were assessed. All participants showed low energy availability (<30 kcal/lean mass per day). The different plans showed no
significant differences between them but significant differences over time within groups for the variables: body image, Tension, Vigour and
Depression (p < 0.05). Eating behaviour improved slightly but did not show statistically significant changes. Following an adequate nutritional
planning for athletes seems to improve the mood and body perception of young female handball players. A longer intervention period is required to
assess the differences between diets and improvement of other parameters. Copyright © 2023 by the authors.
Children, 10(2) (no
pagination) :
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders, Eating Disorders
(any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Universal prevention
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Dietary advice, dietary change
Metrat-Depardon, C. D., Teo, C. T.
The state of mental health and related high rates of depression in youth is a growing concern worldwide. Some populations,
however, seem to be more vulnerable than others; and this is the case with polytechnic students in Singapore. Positive psychology interventions
(PPIs) have been found to enhance the level of happiness and well-being of students when delivered in the school context. Intervention efforts have
often been limited to a single or two to three PPI activities and rarely offered as a consolidated programme with multiple PPIs that would allow
students to identify and adopt strategies that would best support their well-being. This quasi-experimental pilot study tested the effects of a
school-based happiness mentoring programme largely based on the PERMA model on a small sample of full-time students of a polytechnic in Singapore.
Over a period of 10 weeks, the programme conducted by a mentor offered multiple PPIs aimed at enhancing participating students' level of happiness,
well-being and student life satisfaction. While no statistically significant differences between the experimental and control groups were reported at
pre- and post-intervention, statistically significant differences were found within each group. The results of paired t-tests showed significant
statistical improvements in all variables within the experimental group, but the control group did not show significant within group improvements in
Engagement, Meaning, Accomplishment and Student Life Satisfaction. These findings were supported by post-intervention structured interviews during
which students reported having benefitted from specific PPIs in enhancing self-awareness, awareness of others and acquisition of several strategies
that build positive emotions to sustain their well-being. Implications of the findings are discussed and suggestions for future research provided.
(PsycInfo Database Record (c) 2023 APA, all rights reserved)
Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological
Issues, 42(9) : 7020-7030
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Positive
psychology
McHugh, C., Curtis,
J.
Background: Health systems face unprecedented demand for youth mental health care. Delivering integrated mental healthcare may
increase access and cost-effectiveness of high-quality care. The current review aimed to evaluate the effectiveness of integrated models of youth
mental healthcare on mental health outcomes and engagement in young people aged 12-25 years. A secondary objective was to identify common components
of integrated youth mental health interventions. Method(s): A systematic review and meta-analysis of studies published from 2001 to 2021 assessing
clinical or health service use outcomes of community-based integrated mental health care relative to treatment as usual in young people aged 12-25
years with any mental health condition. Results and Conclusion(s): Of 7156 titles identified, 11 studies were included in the systematic review and 5
studies in the meta-analysis. Pooled effect size found the integrated intervention was associated with a significantly greater reduction in
depressive symptoms relative to controls at 4-6 months, though the effect size was small to moderate (standardized mean difference = -0.271, 95% CI:
-0.44 to -0.11, p = .001). Integration was also associated with increased rates of access or engagement. The most frequent components of integration
were use of a multidisciplinary team (8 of 11 studies), shared treatment planning (8/11), use of standardized treatment protocols or guidelines
(7/11), and workforce training in the model (9/11). Given integrated care models appear to increase access and engagement and increase the
effectiveness of care, future research should focus on assessing the impact of integrated care in young people with complex presentations.
Early Intervention in Psychiatry, 17(Supplement 1) : 325
- Year: 2023
- Problem: Depressive Disorders
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions
Mason, M. J., Coatsworth, J. D., Zaharakis, N., Russell, M., Wallis, D., Brown, A., Hale, C.
Young
adults (ages 18 to 25) in the U.S. suffer from the highest rates of past-year major depressive episode and are the least likely to receive treatment
compared to other age groups. As such, we examined the feasibility, acceptability, and efficacy of a text-message delivered cognitive behavioral
therapy: CBT-txt with young adults. The study was a 2-month pilot RCT to test a 4-week intervention for depression that contained 197 text messages
(average 12 texts every other day). The sample, recruited via Facebook and Instagram, was 102 U.S. young adults who presented with at least moderate
depressive symptomatology. Assessments occurred at baseline prior to randomization and at 1 and 2 months post enrollment. The primary outcome,
severity of depressive symptoms, was assessed using the Beck Depression Inventory II. Feasibility benchmarks were met and participants reported high
levels of engagement with and acceptability of the intervention. Logistic regression indicated that treatment participants were three times as likely
to have minimal or mild depression symptoms at 2 months compared to waitlist control participants. Latent change score modeling found that the
strongest significant treatment effect appeared at the 1-month follow-up period, particularly for participants who began with severe depressive
symptoms. Mediation analysis revealed significant indirect treatment effects of increases in behavioral activation on reducing depressive symptoms,
suggesting a mechanism of change. Limitations were that the sample was relatively small and consisted of primarily women. These results provide
initial evidence for the feasibility, acceptability, and efficacy of a text-delivered treatment for young adult depression.
, 54(2) : 315-329
- Year: 2023
- 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), Technology, interventions delivered using technology (e.g. online, SMS)
Mao, L., Li, P., Wu, Y., Luo, L., Hu, M.
Objective: To systematically evaluate the effectiveness of
mindfulness-based interventions for ruminative thinking. Method(s): Cochrane Library, Web of Science, Embase, EBSCO, PubMed and Science Direct
databases were searched to include randomized controlled trials of mindfulness-based interventions for rumination that met the criteria. The
Rumination scale was used as the primary outcome indicator, and the secondary outcome indicator included the Mindfulness scale. An evaluation of bias
risk was conducted to identify possible sources of bias based on methodological and clinical factors. Stata 16.0 software was used to perform meta-
analysis, subgroup analysis, sensitivity analysis, meta-regression analysis and publication bias detection of the extracted data. Result(s): A total
of 61 studies with 4229 patients were included. Meta-analysis results revealed a significant intervention effect on ruminative thinking (SMD = -
0.534, 95 % CI = [-0.675, -0.394], z = -7.449, P < 0.001). However, there was no significant difference between mindfulness-based interventions and
CBT (SMD = 0.009, 95%CI = [-0.239, 0.258], z = 0.073, P = 0.941). Meta-analysis showed that mindfulness-based interventions significantly enhanced
the level of mindfulness (SMD = 0.495, 95 % CI = [0.343, 0.647], z = 6.388, P < 0.001), while it was not significant compared to CBT (SMD = 0.158,
95%CI = [-0.087, 0.403], z = 1.266, P = 0.205). The two subgroups with >65 % (SMD = -0.534, 95%CI = [-0.681, -0.386], z = -7.081, P < 0.001) and 80 %
(SMD = -0.462, 95%CI = [-0.590, -0.334], z = -7.071, P < 0.001) of females showed significant improvement in ruminative thinking. There were
significant intervention effects for depression, students, cancer, healthy adults, and clinical patients. Significant intervention effects were
demonstrated for various participant ages and intervention periods. Conclusion(s): This study confirmed the feasibility of mindfulness-based
interventions in improving ruminative thinking and enhancing the level of mindfulness. However, the effectiveness of mindfulness-based interventions
was not significant compared to CBT. The two subgroups with a higher proportion of females showed a more significant improvement in ruminative
thinking, whereas there were no significant differences in participant characteristics, age, and the duration of intervention. Copyright © 2022
, 321 : 83-95
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Ma, J., Williams, J. M., Morris, P. G., Chan, S. W. Y.
Objective:
The aim of this project was to conduct a randomised control study to examine whether outdoor mindful walking in nature can effectively improve
university students' sleep quality, mood, and mindfulness during the Covid-19 pandemic in the U.K. Method(s): Participants were measured at
T0 (pre-study baseline), T1 (pre-intervention), T2 (post-intervention), and T3 (follow-up). A total of
104 participants (female = 94) who were experiencing sleep difficulties were randomly allocated to either an experimental (i.e., nature) or control
(i.e., urban) walking environment. Participants in each walking condition independently undertook a daily 35-minute walk for a week (7 days).
Subjective sleep quality, total mood disturbance, mindfulness, and degree of nature connectedness, and participants' perspectives on the
intervention, were collected. Result(s): Findings suggest that both groups resulted in significant improvements in participants' trait mindfulness,
sleep quality and mood after the intervention. However, mindful walking in nature did not bring additional mental health benefits to participants
relative to those who walked an urban environment. Participants provided their perspectives about the intervention, which will assist with future
intervention development. Conclusion(s): Findings contribute to the evidence-base on the effectiveness of outdoor mindful walking interventions for
enhancing mental health. These findings contribute new knowledge on how mindful walking outdoors reduces university students' mood disturbances and
improves sleep quality and mindfulness level. Copyright © 2022 The Author(s)
Explore, 19(3) : 405-416
- Year: 2023
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Mindfulness based
therapy, Physical activity, exercise
Lu, H., Huang, Z., Zhang, L., Huang, X., Li, X.
Background: Major
depressive disorder in adolescents is characterized by high prevalence rate, high recurrence rate, high suicide rate and high disability rate.
However, the recognition rate and cure rate are low, and the disease has a very bad influence on the family and society. The lack of psychiatrists
and psychotherapists in villages and small towns makes it difficult to get timely and professional intervention and treatment for adolescent with
major depressive disorder.\rMethods: A total of 84 adolescents with major depressive disorder who received treatment in the department of
psychosomatic medicine of the Second Affiliated Hospital of Nanchang University participated in this survey, and they were divided into the control
group and the intervention group by random number table. Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSSIAQ), Self-rating
Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU), Screen for Child Anxiety Related Emotional Disorders (SCARED) and Depression
Self-Rating Scale for Childhood (DSRS) were used to investigate the negative emotions and behavior of adolescents with major depressive disorder at
baseline and intervention for 12 weeks.\rResults: There were no significant differences in the baseline information of adolescents (sex ratio, age,
education level), including the total score of SCARED, DSRS and SQAPMPU, the total mean score of ANSSIAQ between the two groups (P > 0.05). After 12
-week intervention, the score of SCARED, DSRS and SQAPMPU, the total mean score of ANSSIAQ in both groups were lower than that of the baseline, and
the score of the intervention group showed a more obvious downward trend (P < 0.05).\rConclusions: In-person and remote Satir family therapy not only
effectively reduced the anxiety and depression level among participants, but also validly reduced their non-suicidal self-injury behavior and mobile
phone use behavior. The results verified that the model we adopted can be well applied for the out-patient management of adolescents with major
depressive disorder, especially in villages and small towns.
Heliyon, 9(5) : e15890
- Year: 2023
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions
(any), Selective serotonin reuptake inhibitors (SSRIs), Antidepressants
(any), Service Delivery & Improvement, Psychological Interventions
(any), Family therapy, Technology, interventions delivered using technology (e.g. online, SMS)
Liu, Y.
Background. This study explored
the therapeutic effect of Chinese moral and ethical education combined with sertraline hydrochloride on college students' depression. It is to find
an economical, convenient, and efficient treatment to help students get rid of depression. Methods. In a tertiary level hospital, 90 patients with
depression who are studying in university were selected as the experimental subjects. The patients were randomly divided into combination group and
drug group by computer. For patients in the drug group, one sertraline hydrochloride tablet was taken daily during the treatment period. For patients
in the combination group, half an hour of Chinese moral and ethical education was conducted every day on the basis of the drug group. Before and
after the experiment, the self-rating depression scale (SDS) was used to evaluate the treatment effect of depression in the combination group and
drug group. Results. Before the experiment, the scores of the combination group and drug group were 68.42 +/- 6.53 and 69.05 +/- 4.49, respectively,
with no significant difference (P > 0.05). After a period of treatment, the score of the combination group was significantly lower than that of the
drug group (P < 0.05), as shown in Table 1. Conclusions. It can be seen from the existing reports that the current rate of college students suffering
from depression is increasing year by year, which greatly affects the normal work and study of students. Therefore, the study used Chinese moral and
ethical education combined with sertraline hydrochloride drug therapy to intervene the depressive symptoms of college students. The results showed
that after a period of treatment, the score of the combination group was significantly lower than that of the drug group (P < 0.05). This shows that
the treatment proposed by the study can effectively treat college students' depression.
CNS
Spectrums, 28(Supplement 1) : S30
- Year: 2023
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Selective serotonin reuptake inhibitors (SSRIs), Antidepressants
(any), Psychological Interventions
(any), Other Psychological Interventions
Liu, C., Xie, Y., Hao,
Y., Zhang,
W., Yang, L., Bu, J., Wei, Z., Wu, H., Pescetelli, N., Zhang, X.
Transcranial direct
current stimulation (tDCS) as an intervention tool has gained promising results in major depression disorder. However, studies related to
subthreshold depression's (SD) cognitive deficits and neuromodulation approaches for the treatment of SD are still rare. We adopted Beck's
cognitive model of depression and tested the tDCS stimulation effects on attentional and memory deficits on SD. First, this was a single-blinded,
randomized, sham-controlled clinical trial to determine a 13-day tDCS modulation effect on 49 SD (27: Stimulation; 22: Sham) and 17 healthy controls.
Second, the intervention effects of the consecutive and single-session tDCS were compared. Furthermore, the attentional and memory biases were
explored in SD. Anodal tDCS was administrated over left dorsolateral prefrontal cortex for 13 consecutive days. Attentional and memory bias were
assessed through a modified Sternberg task and a dot-probe task on the 1st, 2nd, and 15th day while their EEG was being recorded. After the 13-day
tDCS stimulation (not after single-session stimulation), we found reduced memory bias (Stimulation vs. Sham, p = .02, r2 = .09) and decreased mid-
frontal alpha power (p < .01, r2 = .13). In contrast, tDCS did not affect any attentional related behavioral or neural indexes (all ps > .15).
Finally, reduced depressive symptoms (e.g., BDI score) were found for both groups. The criteria of SD varied across studies; the efficacy of this
protocol should be tested in elderly patients. Our study suggests memory bias of SD can be modulated by the multisession tDCS and alpha power could
serve as a neural index for intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Psychophysiology, 60(1) : No Pagination
Specified
- Year: 2023
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Biological Interventions
(any), Other biological interventions
Lin, Y. H., Lou, M. F.
AIM: To evaluate the effects of mobile applications (apps) on college
students with depressive symptoms.\rDESIGN: Depression among college students is a school health issue, although little is known regarding effective
app-based interventions for managing depressive symptoms. This review follows the concept of (1) theoretical guidance framework on app design, (2)
app-based intervention study design and (3) effect of app-based interventions.\rDATA SOURCES: Cochrane Library, CINAHL Plus with Full Text and PubMed
were searched in October 2022.\rMETHODS: English-language reports of app-based interventions for college students with depressive symptoms. Quality
appraisal and data extraction of selected articles was conducted by two independent reviewers using the mixed methods appraisal tool. Data synthesis
using core outcome and findings of intervention.\rRESULTS: Five studies have shown that depressive symptoms significantly decreased after app use,
specifically indicating the effects that occur in 4 weeks. Although four studies have applied the theoretical framework to the app design, the
findings showed the low implementation of the intervention activities as originally designed and at the specified dosage and difficulty in
understanding the processes through which the intervention resolves the depressive symptoms.\rCONCLUSION: App-based intervention can decrease
depressive symptoms; furthermore, 4 weeks was the time point at which the changes were expected to occur. However, the theory-based app design for
the depression population was rarely related, and studies clearly explaining the intervention measures, intervention dosage and duration required to
achieve effectiveness are needed.\rIMPACT: This study provides the synthesis of evidence-based app interventions to manage depressive symptoms to
zoom in on different views and we suggest using the applications for at least 4 weeks before changes are expected to occur.\rPATIENT OR PUBLIC
CONTRIBUTION: No patient or public involvement in this study.
Journal of Advanced Nursing, 79(9) : 3214-
3224
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other Psychological Interventions, Mindfulness based
therapy, Technology, interventions delivered using technology (e.g. online, SMS)
Ligeza, T. S., Maciejczyk, M., Wyczesany, M., Junghofer, M.
Depression has been characterized by lowered mood and unfavorable
changes in neural emotional reactivity (altered brain responses to emotional stimuli). Physical exercise is a well-established strategy to improve
the mood of healthy and depressed individuals. Increasing evidence suggests that exercise might also improve emotional reactivity in healthy adults
by increasing or decreasing brain responses to positive or negative stimuli, respectively. It is unknown, however, if exercise could also benefit
emotional reactivity in depressed individuals. We investigated the effects of a single aerobic exercise session on mood and emotional reactivity in
24 depressed and 24 matched healthy young adults. Self-reported mood and neural reactivity to emotional pictures (indexed by the EEG late positive
potential, LPP) were assessed before and after two experimental protocols: exercise (36 min of moderate-intensity exercise at 75% of maximal heart
rate) and seated rest condition (36 min). In the healthy control group, exercise improved self-reported mood and neural emotional reactivity
(increasing LPP to positive pictures). In the depressed group, exercise improved self-reported mood; however, it did not affect neural emotional
reactivity. Additional analyses performed on both groups revealed that exercise-induced changes in emotional reactivity are associated with the
severity of depressive symptoms: the effectiveness of exercise in improving emotional reactivity decreases with the severity of depressive symptoms.
Overall, the study further strengthens the claim of a beneficial role of exercise on mood and emotional reactivity. It also suggests that a single
aerobic exercise session might have a limited influence on neural emotional reactivity in depressed individuals.
Psychophysiology, 60(1) : e14137
- Year: 2023
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Physical activity, exercise
Li, R., Liu, M.
Background. During the study period in college,
students often suffer from depression because of serious psychological depression. When suffering from depression, it is difficult for college
students to make effective self-adjustment. This will reduce their sense of self-efficacy, and ultimately lead to college students' difficulty in
effectively relieving their depression. The research points out that psychological intervention can specifically reduce college students'
depression, improve their well-being status, and then enhance their sense of self-efficacy, and promote college students' rehabilitation. Subjects
and Methods. The study took 108 students with depression admitted to a university hospital as subjects, and randomly divided them into group A and
group B. The students in group A were treated with routine psychological intervention, and the students in group B were treated with college medical
guidance on the basis of psychological intervention. Hamilton Depression Scale (HAMD) of the two groups was observed. General Self- Efficacy Scale
(GSES) was used to analyze the change of selfefficacy of the two groups, and the questionnaire survey was conducted to evaluate students' coping
style. Results. The HAMD and GSES scores of the two groups of students were shown in Table 1. The results showed that there was a significant
difference between the two groups in the scores after intervention. Conclusions. The self-efficacy of college students with depression has seriously
affected their rehabilitation effect. Therefore, the study proposed a psychological intervention strategy combined with college medical guidance. In
the effect evaluation, the psychological intervention strategy of medical guidance in colleges and universities can significantly reduce the
students' depression scores and enhance their sense of self-efficacy. Therefore, in college teaching, we need to make full use of college medical
guidance to improve the effect of psychological intervention and alleviate students' depression.
CNS Spectrums, 28(Supplement 1) : S32
- Year: 2023
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions