Disorders - depressive disorders
Garoff, Finn Ferdinand, Heinonen, Kati, Pesonen, Anu‚ÄêKatriina, Almqvist, Fredrik
This study explores the role of family functioning in therapeutic change in
focused individual psychodynamic psychotherapy (FIPP) and time-limited systems integrative family therapy (SIFT) for depressed children and
adolescents. After a screening process, 72 participants aged 8 to 15 were randomized to either FIPP or time-limited SIFT. Assessments took place
prior to, at the end of, and 6 months after treatment. Families in both SIFT and FIPP showed a small but significant and sustained improvement in
family functioning by the end of treatment in both mothers’ self-reports and family therapists’ assessments. Better family functioning at
baseline in mothers’ self-reports and improved family functioning during SIFT, as assessed by family therapists, predicted a sustained decrease in
self-reported depressive symptoms. Results indicated that time-limited SIFT may be more effective with younger children and in patients without a
diagnosis of double depression than adolescents. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Journal of Family
Therapy, 34(1) : 4-23
- Year: 2012
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy, Psychodynamic/Psychoanalysis
German, D., Sutcliffe, C. G., Sirirojn, B., Sherman, S. G., Latkin, C. A., Aramrattana, A., Celentano, D. D.
We examined the effect on depressive symptoms of a peer network-oriented intervention
effective in reducing sexual risk behavior and methamphetamine (MA) use. Current Thai MA users aged 18-25 years and their drug and/or sex network
members enrolled in a randomized controlled trial with 4 follow-ups over 12 months. A total of 415 index participants recruited 568 network members.
Linear repeated measures models were fit with depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) as the outcome. Among
indexes in the intervention condition, mean CES-D decreased from 20.0 to 15.7 (p < 0.0001) over follow-up. Controlling for covariates and changes in
MA and alcohol use, CES-D in this group decreased by 0.35 points per month (95% confidence interval, 0.45, -0.25). All other groups showed minimal
changes in CES-D score. The peer-oriented, community-based intervention designed to reduce MA use and sexual risk behavior also resulted in
substantial reduction in depressive symptoms, independent of changes in MA use. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal
abstract)
Journal of Community Psychology, 40(7) : 799-
813
- Year: 2012
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Gervan,
S., Granic, I., Solomon, T., Blokland, K., Ferguson, B.
The association between
paternal involvement in therapy, adolescent outcomes and maternal depression was examined within the context of Multisystemic Therapy (MST), an
empirically supported, family- and community-based treatment for antisocial adolescents. Ninety-nine families were recruited from five mental health
agencies providing MST. We compared families with paternal involvement in therapy (PIT) to families with no paternal involvement in therapy (NPIT) in
pre-post change in adolescents' externalizing and internalizing behaviours and also in maternal depression. There was a significant reduction in
both groups in externalizing and internalizing behaviours. However, the magnitude of improvement was significantly greater for the PIT families. Both
groups saw a significant reduction in maternal depression but no significant group differences were found. Results suggest that if possible, paternal
figures should be encouraged to actively participate in therapy, as adolescents outcomes are enhanced when mothers and paternal figures participate
in MST together. (copyright) 2011 The Foundation for Professionals in Services for Adolescents.
Journal of Adolescence, 35(3) : 743-751
- Year: 2012
- Problem: Depressive Disorders
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Multisystemic
therapy
Ghasemzadeh,
A., Karami, S., Saadat, M., Mazaheri, E., Zandipour, T.
Objective: The main objective of this research is to determine the
effect of group counseling with cognitive - behavioral approach on reducing depression in children of divorce supported by Tehran welfare centers.
Methods: The research method was quasi experimental with pre test-post test design and control group. A sample of 20 children who resident in two
residential welfare centers in Tehran was selected by an available sampling method. Using Maria Kovacs (1977) children's depression questionnaire
(CDI) as a pre test indicated that all participants were depressed. Then the two centers were randomly assigned to experimental and control groups.
The experimental group received training - treatment program in 8 sessions (each one hour). Finally, all participants answered the questionnaire in
post test and Hypotheses were tested by co-variance analysis. Results: Results indicated that the post-test values have been affected by the group
counseling by 85.5% (F=94.263, P< 0.01). Moreover, group counseling has an effect on decreasing the level of children's insufficiency by 25.3%
(F=5.088, P< 0.05). Conclusions: According to the results it could be concluded that group counseling with cognitive-behavioral approach had a
positive effect on reducing depression and insufficiency.
European
Psychiatry, 27 :
- Year: 2012
- Problem: Depressive Disorders
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)
Gould, Laura Feagans, Dariotis, Jacinda K., Mendelson, Tamar, Greenberg, Mark T.
This study examines gender, grade‚Äêlevel, and baseline depressive symptoms as
potential moderators of a school‚Äêbased mindfulness intervention's impact on the self‚Äêregulatory outcomes of urban youth. Ninety‚Äêseven
participants from four urban public schools were randomly assigned to an intervention or wait‚Äêlist control condition. Fourth and fifth graders in
the intervention condition received a 12‚Äêweek yoga‚Äêinspired mindfulness program. Using methods outlined by Aiken and West (1991), a series of
models estimated the interaction effect of moderators of interest on adjusted posttest self‚Äêregulatory outcomes. Results indicate that gender and
grade did not moderate intervention impacts. However, baseline depressive symptoms moderated both impulsive action and involuntary engagement stress
responses such that intervention youth reporting lower levels of baseline depressive symptoms were more likely to evidence decreases in these
problematic stress responses relative to control youth. Findings highlight the need for future studies to examine moderators of mindfulness‚Äêbased
interventions impacts on youth outcomes. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Journal of Community Psychology, 40(8) : 968-
982
- Year: 2012
- Problem: Depressive Disorders
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Mindfulness based
therapy, Mind-body exercises (e.g. yoga, tai chi, qigong)
Francis, S. E., Mezo, P. G., Fung, S. L.
This review critically evaluates self-control skills interventions in the treatment of childhood
anxiety and depression, outlining conditions under which these interventions are successful and the specific role of parents. Findings indicated that
self-control skills interventions are successful with both children and adolescents, in the context of other cognitive behavioral techniques and as
the primary treatment component, and with and without parental involvement. However, despite consistent evidence of success in both pre-post and
waitlist control designs, self-control skills treatments have not demonstrated superior efficacy when compared to other active treatments. Continued
application and evaluation of these interventions amongst children and adolescents are recommended.
Psychotherapy Research, 22(2) : 220-
238
- Year: 2012
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Hemat-Far, A., Shahsavari,
A., Mousavi, S. R.
The aim of this study was to investigate rates of
depression and plasma serotonin concentration in depressed female students as affected by eight weeks aerobic exercises. 20 female students with
moderate levels of depression were selected by using Beck Depression Inventory (BDI), and divided into two experimental and control groups randomly.
At the beginning measurement of plasma serotonin concentration was done of the subjects, and then the experiment group were affected by aerobic
exercises (periodic) with 65-60% of maximum heart rate (HRmax) for eight weeks (three sessions per week). Study variables were measured 96 hours
after the last exercises session. Results showed that levels of depression significantly decreased in experimental group. There was no significant
difference between the two groups in terms of plasma serotonin concentration. Moreover significant relationship between plasma serotonin and
depression were observed in both groups.
Journal of Applied Research, 12(1) : 47-
52
- Year: 2012
- Problem: Depressive Disorders
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Physical activity, exercise
Hasanovic, M., Husanovic, J., Srabovic, S., Haskic, E., Lukic, D., Jaganjac, A.
Aim: To estimate whether psychosocial support of the School Project UHD nullPrijateljice-Friendsnull positively affect on reducing of
posttraumatic sequel in Bosnia-Herzegovina among school adolescents, after the war period 1992-1995. Methods: The stratified sample of 507 students,
aged of 13.7(plus or minus)1.0 (10 to16) years, in primary and secondary schools, involved in psychosocial support, compared with 78 randomly
selected peers from the same schools, not involved in this project. Data were collected in February 2010 and in May 2010. The Children Depression
Inventory and DSM III R questionnaire for posttraumatic stress disorder (PTSD) were utilized. Results: All adolescents reported experience of (mean
(plus or minus)standard deviation=5.4(plus or minus)2.7) without significant differences between observed and control group (F=0.001, P=0.980,
ANOVA). Symptoms of PTSD and depressiveness among students involved in the School Project, significantly reduced from (mean(plus or minus)standard
deviation=6.5(plus or minus)3.3 to 4.9(plus or minus)3.5; 7.1(plus or minus)4.5 to 5.8(plus or minus)5.2, respectively) (t=8.524, P< 0.001; t=4.792,
P< 0.001, respectively, Pared Samples Test). In the control group severity of PTSD symptoms reduced from 6.6(plus or minus)3.4 to 6.5(plus or
minus)3.6 (t=0.354, P=0.723, Pared Samples Test), while depressiveness increased from 8.7(plus or minus)6.9 to 11.8(plus or minus)6.9 (t= - 3.387,
P=0.001, Pared Samples Test). Conclusions: Adolescents in this study reported surviving of multiple traumas. Psychosocial support within the School
Project resulted with significant reduction of PTSD symptoms severity and severity of depressiveness amongst involved students compared to controls.
Schools and other institutions ought to envisage as many as possible projects to be implemented in schools and out-of-schools in order to assist
youth to easier overcome consequences of no favorable war in their development.
European
Psychiatry, 27 :
- Year: 2012
- Problem: Post Traumatic Stress Disorder, Depressive Disorders
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Hoek, W., Schuurmans, J., Koot, H. M., Cuijpers, P.
Background: Symptoms of depression and anxiety are highly prevalent in adolescence and they are the cause of considerable suffering. Even
so, adolescents are not inclined to seek professional help for emotional problems. Internet-based preventive interventions have been suggested as a
feasible method of providing appropriate care to adolescents with internalizing symptoms. The objective of this study was to evaluate the effects of
preventive Internet-based (guided) self-help problem-solving therapy (PST) for adolescents reporting mild to moderate symptoms of depression and/or
anxiety as compared to a waiting list control group (WL). Methodology/Principal Findings: A total of 45 participants were randomized to the 2
conditions. PST consisted of 5 weekly lessons. Participants were supported by e-mail. Self-report measures of depression and anxiety were filled in
at baseline and after 3 weeks, 5 weeks, and 4 months. Of the 45 participants, 28 (62.2%) completed questionnaires after 3 weeks, 28 (62.2%) after 5
weeks, and 27 (60%) after 4 months. Hierarchical linear modeling analyses revealed overall improvement over time for both groups on depressive and
anxiety symptoms. However, no significant group x time interactions were found. No differences were found between completers and non-completers.
Conclusions/Significance: Results show that depressive and anxiety symptoms declined in both groups. No support was found, however, for the
assumption that Internet-based PST was efficacious in reducing depression and anxiety in comparison to the waiting list control group. This finding
could represent lack of power. Trial Registration: Netherlands Trial Register NTR1322. (copyright) 2012 Hoek et al.
PLoS ONE, 7(8) :
- Year: 2012
- 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), Problem solving therapy (PST), Self-help, Technology, interventions delivered using technology (e.g. online, SMS)
Hightow-Weidman, L. B., Pike, E., Fowler, B., Matthews, D. M., Kibe, J., McCoy,
R., Adimora, A. A.
Young Black men who have sex with men (BMSM) are
disproportionately affected by HIV/AIDS in the USA and continue to experience rapidly increasing HIV incidence. We designed a tailored, theory-based
interactive HIV/STI prevention website for young BMSM, called HealthMpowerment.org (HMP) and conducted a small pilot trial comparing HMP to currently
available HIV/STI websites. We present findings demonstrating feasibility and acceptability of delivering the intervention to the target population
of young BMSM. Retention rates were 90% and 78% at one- and three-month follow-ups, respectively. Evaluation immediately after the intervention's
completion revealed that participants who used the HMP website reported high levels of user satisfaction and interest and low levels of website
difficulty and frustration. At the end of the intervention, there was a trend in increased behavioral intentions to use condoms and engage in
preparatory condom use behaviors in the intervention group compared to the control group (p=0.10). We observed a reduction in mean scores on the
CES-D scale among those in the intervention group that was not seen in the control group at the one-month follow-up, though this was not
statistically significant. Feedback from exit interviews with study participants suggested that HMP is relevant to the prevention needs of young
BMSM. Overall, the findings support the acceptability and feasibility of delivering this prevention program to a group that has few interventions
despite bearing a significant burden of the epidemic. Future trials, combining Internet and mobile phone technologies, are planned to test HMP among
larger and more diverse populations of young BMSM. (copyright) 2012 Taylor & Francis.
AIDS Care, 24(7) : 910-920
- Year: 2012
- Problem: 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, Technology, interventions delivered using technology (e.g. online, SMS)
Grupp-Phelan, J., McGuire, L., Husky, M. M., Olfson, M.
BACKGROUND: In pediatric emergency departments (EDs),
adolescents at risk for suicide often escape detection and successful referral for outpatient mental health care. OBJECTIVE: This study aimed to
assess the effectiveness of a brief, ED-based mental health service engagement intervention to increase linkage to outpatient mental health services.
DESIGN/METHODS: Adolescents presenting to a pediatric ED who were not currently receiving mental health services were screened for suicide-related
risk factors (Columbia Suicide Scale). If positive, youths were then screened for impairment, alcohol use, and depression. Those screening positive
on the Columbia Suicide Scale and the alcohol, impairment, or depression screen were randomly assigned to the intervention (short motivational
interview, barrier reduction, outpatient appointment established, reminders before scheduled appointment) or standard referral (telephone number for
a mental health provider). Study groups were compared with respect to screen acceptability and outpatient mental health care linkage and change in
depression symptoms at 60 days after the index ED visit. RESULTS: A total of 204 families were enrolled. Overall, 24 adolescents (12%) screened
positive for suicide risk factors and were randomized to the intervention (n = 11) or standard referral (n = 13) groups. The groups did not
significantly differ on several measures of screen acceptability. As compared with the standard referral group (15.4%), the intervention group
(63.6%) was significantly more likely to attend a mental health appointment during the follow-up period (Fisher exact test, P = 0.03). There was also
a nonsignificant trend toward greater improvement of depressive symptoms in the intervention than standard referral group (t = 1.79, df = 18, P =
0.09). CONCLUSIONS: When adolescents are identified in the ED with previously unrecognized mental health problems that increase suicide risk, a brief
motivational and barrier-reducing intervention improves linkage to outpatient mental health services. Copyright (copyright) 2012 by Lippincott
Williams & Wilkins.
Pediatric Emergency
Care, 28(12) : 1263-1268
- Year: 2012
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions, Other service delivery and improvement
interventions
Gulliver, A., Griffiths, K. M., Christensen, H., Mackinnon, A., Calear, A. L., Parsons, A., Bennett, K., Batterham, P. J., Stanimirovic,
R.
Mental disorders are more common in young adults than at any other life stage. Despite this, young people have low
rates of seeking professional help for mental health problems. Young elite athletes have less positive attitudes toward seeking help than nonathletes
and thus may be particularly unlikely to seek help. Interventions aimed at increasing help-seeking in young elite athletes are warranted. To test the
feasibility and efficacy of three Internet-based interventions designed to increase mental health help-seeking attitudes, intentions, and behavior in
young elite athletes compared with a control condition. We conducted a randomized controlled trial (RCT) of three brief fully automated Internet-
based mental health help-seeking interventions with 59 young elite athletes recruited online in a closed trial in Australia. The interventions
consisted of a mental health literacy and destigmatization condition, a feedback condition providing symptom levels, and a minimal content condition
comprising a list of help-seeking resources, compared with a control condition (no intervention). We measured help-seeking attitudes, intentions and
behavior using self-assessed surveys. Participation was open to elite athletes regardless of their mental health status or risk of mental illness. Of
120 athletes initially agreeing to participate, 59 (49%) submitted a preintervention or postintervention survey, or both, and were included in the
present study. Adherence was satisfactory, with 48 (81%) participants visiting both weeks of assigned intervention material. None of the
interventions yielded a significant increase in help-seeking attitudes, intentions, or behavior relative to control. However, at postintervention,
there was a trend toward a greater increase in help-seeking behavior from formal sources for the mental health literacy/destigmatization condition
compared with control (P = .06). This intervention was also associated with increased depression literacy (P = .003, P = .005) and anxiety literacy
(P = .002, P = .001) relative to control at postintervention and 3-month follow-up, respectively, and a reduction in depression stigma relative to
control at postintervention (P = .01, P = .12) and anxiety stigma at 3-month follow-up (P = .18, P = .02). The feedback and help-seeking list
interventions did not improve depression or anxiety literacy or decrease stigmatizing attitudes to these conditions. However, the study findings
should be treated with caution. Due to recruitment challenges, the achieved sample size fell significantly short of the target size and the study was
underpowered. Accordingly, the results should be considered as providing preliminary pilot data only. This is the first RCT of an Internet-based
mental health help-seeking intervention for young elite athletes. The results suggest that brief mental health literacy and destigmatization improves
knowledge and may decrease stigma but does not increase help-seeking. However, since the trial was underpowered, a larger trial is warranted.
2009/373 (www.clinicaltrials.gov ID: NCT00940732), cited at http://www.webcitation.org/5ymsRLy9r.
Journal of Medical Internet
Research, 14(3) : e69
- Year: 2012
- 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), Psychoeducation, Self-help, Technology, interventions delivered using technology (e.g. online, SMS)