Disorders - Depressive Disorders
Rakhshani, T., Hamid, S., Kamyab, A., Kashfi, S. M., Khani-Jeihooni, A.
Background: Many personality
traits of adolescents are influenced by the personality traits and parenting styles of parents; Parents grow their children in different ways based
on their cultural patterns and ideals; due to the importance of anxiety and depression in adolescents and considering the vital role of parents in
growing children, the present study was designed and conducted to investigate the effect of parenting skills training on anxiety and depression in
adolescent girls aged 12-16 years in Mahshahr city, Khuzestan province, Iran.\rMaterials and methods: This experimental study was performed on
adolescent girls aged 12-16 years in Mahshahr city, Khuzestan province, Iran, in 2020. We chose both groups of our study using a multistage cluster
sampling method. Mean anxiety and depression before, two, and six months after the intervention was measured by the test and control groups using
parenting style, anxiety, and depression questionnaires. The educational intervention program for the training group was like a WhatsApp group, and
sending messages were in the form of audio files, text messages, photos with captions, video messages, and PowerPoint presentations. Data analysis
was performed using SPSS software version 24 and using independent t-test, paired t-test, repeated measures analysis of variance, and ANOVA.
\rResults: The mean and standard deviation of the age were 14.03 +/- 1.41 in the experimental group and 14.06 +/- 1.38 in the control group. Before
the educational intervention, the mean scores of anxiety and depression were not significantly different between the experimental and control groups.
In contrast two months and six months after the educational intervention, there was a significant difference in the mean scores of anxiety and
depression between the experimental and control groups (P < 0.05).\rConclusion: The findings of the present study showed that an educational
intervention on a group of mothers regarding their parenting styles has helped their adolescent daughters to handle their anxiety and depression and
also led to a decrease in their anxiety and depression scores.
Heliyon, 8(11) : e11478
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Skills training, Technology, interventions delivered using technology (e.g. online, SMS)
Radovic, A., Li, Y., Landsittel, D., Odenthal, K. R., Stein, B. D., Miller, E.
Background: Adolescents with depression or anxiety initiate mental health
treatment in low numbers. Supporting Our Valued Adolescents (SOVA) is a peer support website intervention for adolescents seen in primary care
settings and their parents with the goal of increasing treatment uptake through changing negative health beliefs, enhancing knowledge, offering peer
emotional support, and increasing parent-adolescent communication about mental health. Objective(s): This pilot study aimed to refine recruitment and
retention strategies, refine document intervention fidelity, and explore changes in study outcomes (the primary outcome being treatment uptake).
Method(s): We conducted a 2-group, single-blind, pilot randomized controlled trial in a single adolescent medicine clinic. Participants were aged 12
to 19 years with clinician-identified symptoms of depression or anxiety for which a health care provider recommended treatment. The patient and
parent, if interested, were randomized to receive the SOVA websites and enhanced usual care (EUC) compared with EUC alone. Baseline, 6-week, and 3-
month measures were collected using a web-based self-report survey and blinded electronic health record review. The main pilot outcomes assessed were
the feasibility of recruitment and retention strategies. Implementation outcomes, intervention fidelity, missingness, and adequacy of safety
protocols were documented. Descriptive statistics were used to summarize mental health service use and target measures with 2-sample t tests to
compare differences between arms. Result(s): Less than half of the adolescents who were offered patient education material (195/461, 42.2%) were
referred by their clinician to the study. Of 146 adolescents meeting the inclusion criteria, 38 completed the baseline survey, qualifying them for
randomization, and 25 (66%, 95% CI 51%-81%) completed the 6-week measures. There was limited engagement in the treatment arm, with 45% (5/11) of
adolescents who completed 6-week measures reporting accessing SOVA, and most of those who did not access cited forgetting as the reason. Changes were
found in target factors at 6 weeks but not in per-protocol analyses. At 12 weeks, 83% (15/18) of adolescents randomized to SOVA received mental
health treatment as compared with 50% (10/20) of adolescents randomized to EUC (P=.03). Conclusion(s): In this pilot trial of a peer support website
intervention for adolescents with depression or anxiety, we found lower-than-expected study enrollment after recruitment. Although generalizability
may be enhanced by not requiring parental permission for adolescent participation in the trials of mental health interventions, this may limit study
recruitment and retention. We found that implementing education introducing the study into provider workflow was feasible and acceptable, resulting
in almost 500 study referrals. Finally, although not the primary outcome, we found a signal for greater uptake of mental health treatment in the arm
using the SOVA intervention than in the usual care arm. Copyright ©Ana Radovic, Yaming Li, Doug Landsittel, Kayla R Odenthal, Bradley D Stein,
Elizabeth Miller.
JMIR Mental Health, 9(10) (no
pagination) :
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder), 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)
Rackoff, G. N., Fitzsimmons-Craft, E. E., Taylor, C. B., Eisenberg, D., Wilfley, D. E., Newman, M. G.
Purpose: The COVID-19 pandemic has heightened the need for mental healthcare that can be delivered remotely and
at scale to college students. This study evaluated the efficacy of online self-help for stress among students during the pandemic. Method(s): College
students with moderate or higher stress (N = 585) were recruited between November 2020 and February 2021, when COVID-19 had a major impact on
colleges. Participants were randomly assigned to receive either online self-help using cognitive-behavioral therapy and positive psychology
principles to support resilience and coping with pandemic-related stressors (n = 301) or referral to usual care (n = 284). Stress (primary outcome),
depression, and anxiety (secondary outcomes) were assessed at pretreatment, one-month post-treatment, and three-month follow-up. Result(s):
Participants in the online self-help condition experienced significantly larger reductions in stress (d = -0.18, p = .035) and depression (d = -0.20,
p = .018) from pretreatment to post-treatment than participants in the referral group. Reductions in stress from pretreatment to follow-up were also
larger in the treatment versus referral group (d = -0.23, p = .005). Groups did not differ in change in anxiety. More time using the self-help
program predicted greater improvement in depression at post-treatment (d = -0.41, p = .001) and follow-up (d = -0.32, p = .007), although usage was
unrelated to change in stress or anxiety. Conclusion(s): Online self-help targeting resilience and coping during the pandemic appears efficacious for
long-term alleviation of stress and short-term alleviation of depression symptoms among the college students. Registration: ClinicalTrials.gov
(NCT04762173). Copyright © 2022 Society for Adolescent Health and Medicine
Journal of Adolescent Health, 71(2) : 157-163
- Year: 2022
- 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), Self-help, Technology, interventions delivered using technology (e.g. online, SMS)
Qi, F., Soh, K. G., Mohd-Nasirudddin, N. J., Mai, Y.
Background: Increasing studies have documented taichi's
usefulness in physical and psychological health in various participants, especially patients or the elderly. However, there is a need for a
systematic review to evaluate its effects and health benefits among college students. Objective(s):The present study aims to evaluate the current
literature surrounding the effects of taichi on physical and psychological health among college students and identify the experimental areas for
future research to establish guidelines for learning and teaching taichi in university. Method(s): The literature search involved several databases
(PubMed, EBSCOhost, Web of Science, Scopus, and China National Knowledge Infrastructure). Subsequent research utilised the Preferred Reporting Items
for Systematic Reviews and PRISMA checklist. In addition, the \"QualSyst\" tool assessed the quality of full-text articles. Result(s): A total of 22
articles were analysed, out of which eight were strong, and 14 were of moderate quality. It is challenging to conduct a meta-analysis since the
research contents were distributed differently. The general finding demonstrated that Taichi interventions have beneficial effects on college
students. For example, the physical and psychological health benefits compared to other control groups include balance, leg strength, flexibility,
cardiopulmonary functions, reducing stress, anxiety, and depression, and improving attention. However, there are some uncertain parameters in a state
of poor or no evidence, such as upper strength, mood, and psychoticism. Conclusion(s): Overall, this study shows that Taichi exercise is beneficial
for college students compared to the control group. Evidence of health benefits for females is more than males. In addition, the current evidence
showed that the effectiveness of taichi does not match some other sports such as Pilates, Yoga, Mindfulness courses, and even bodybuilding exercise.
This research analyzed the mind-body mechanism of included studies. It revealed that it is difficult for college students, as a beginner of Taichi,
to regulate an even breathing and quiet mind while maintaining low posture movements. Therefore, this study assumes that relaxation theories and
approaches of Taichi that are easier to understand and closer to Chinese traditional Taichi theory are more appropriate in the research trials
compared with coordination theory. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42021278032. Copyright © 2022
Qi, Soh, Mohd Nasirudddin and Mai.
Frontiers in Physiology, 13 (no
pagination) :
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Mind-body exercises (e.g. yoga, tai chi, qigong)
Price, M. A., Weisz, J. R., McKetta, S., Hollinsaid, N. L., Lattanner, M. R., Reid, A. E., Hatzenbuehler, M. L.
Objective: To examine
whether anti-Black cultural racism moderates the efficacy of psychotherapy interventions among youth. Method(s): A subset of studies from a previous
meta-analysis of 5 decades of youth psychotherapy randomized controlled trials was analyzed. Studies were published in English between 1963 and 2017
and identified through a systematic search. The 194 studies (N = 14,081 participants; age range, 2-19) across 34 states comprised 2,678 effect sizes
(ESs) measuring mental health problems (eg, depression) targeted by interventions. Anti-Black cultural racism was operationalized using a composite
index of 31 items measuring explicit racial attitudes (obtained from publicly available sources, eg, General Social Survey) aggregated to the state
level and linked to the meta-analytic database. Analyses were conducted with samples of majority-Black (ie, >=50% Black) (n = 36 studies) and
majority-White (n = 158 studies) youth. Result(s): Two-level random-effects meta-regression analyses indicated that higher anti-Black cultural racism
was associated with lower ESs for studies with majority-Black youth (beta = -0.2, 95% CI [-0.35, -0.04], p =.02) but was unrelated to ESs for studies
with majority-White youth (beta = 0.0004, 95% CI [-0.03, 0.03], p =.98), controlling for relevant area-level covariates. In studies with majority-
Black youth, mean ESs were significantly lower in states with the highest anti-Black cultural racism (>1 SD above the mean; Hedges' g = 0.19)
compared with states with the lowest racism (<1 SD below the mean; Hedges' g = 0.60). Conclusion(s): Psychotherapies tested with samples of
majority-Black youth were significantly less effective in states with higher (vs lower) levels of anti-Black cultural racism, suggesting that anti-
Black cultural racism may be one contextual moderator of treatment effect heterogeneity. Copyright © 2021 American Academy of Child and Adolescent
Psychiatry
Journal of the American Academy of Child and Adolescent Psychiatry, 61(6) : 754-
763
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any)
Prencipe, L., Houweling, T. A. J., van-Lenthe, F. J., Kajula, L., Palermo, T.
We assessed the impacts of Tanzania's
Cash Plus adolescent-focused intervention on depression. In this pragmatic cluster-randomized controlled trial, 130 villages were randomly allocated
to intervention or control (1:1). Youth aged 14-19 years living in households receiving governmental cash transfers were invited to participate. The
intervention included an intensive period (12-session course) and aftercare period (9-months mentoring, productive grants, and strengthened health
services). We examined intervention impacts on the 10-item Centre for Epidemiological Studies Depression Scale (0-30) and exhibiting depressive
symptomatology (>=10 scale), which were collected at baseline (April-June 2017), midline (May-July 2018), and endline (June-August 2019). Using
intention-to-treat methodology, logistic and generalized linear models estimated effects for binary and continuous outcomes, respectively. Quantile
regressions (QR) estimated effects across the scale. From 2458 baseline participants, 941 intervention and 992 control adolescents were re-
interviewed at both follow-ups. At endline, the intervention reduced the odds of depressive symptomatology (adjusted odds ratio 0.67 [95% CI 0.52 to
0.86]), with an undetectable mean scale difference (effect -0.36 [95%CI -0.84 to 0.11]). QR results demonstrated an intervention effect along the
upper distribution of the scale. Integration of multi-sectoral initiatives within existing social protection shows potential to improve mental health
among youth in low-resource settings. Copyright © The Author(s) 2022. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg
School of Public Health.
, 17 :
- Year: 2022
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Other service delivery and improvement
interventions
Possel, P., Gaskins, J., Gu, T., Hautzinger, M.
Adolescent girls, independent of their migration background, and adolescent boys, specifically with a
migration background, experience more depressive symptoms than boys without a migration background. Adolescent girls also benefit more from
depression prevention programs than boys. However, no studies have examined the role of migration background on depression prevention. This cluster-
randomized trial included 439 eighth-grade students (43.5% girls, 42.4% with a migration background) in Germany. Adolescents were randomized into
either a 10-week universal prevention program or school-as-usual. Following our secondary analyses and as predicted, depressive symptoms decreased in
girls in the prevention but not in the control group. Consistent with our hypotheses, boys did not benefit from the prevention program, nor was there
a significant interaction between gender and migration background. Independent of condition, depressive symptoms increased in adolescents with a
migration background. More research is needed to improve depression prevention for adolescent boys and in adolescents with a migration background.
(PsycInfo Database Record (c) 2022 APA, all rights reserved) Abstract (German) Alle jugendliche Madchen, unabhangig von ihrem Migrationshintergrund,
und jugendliche Jungen mit Migrationshintergrund haben mehr depressive Symptome als Jungen ohne Migrationshintergrund. Weiterhin profitieren
jugendliche Madchen mehr von Depressionspraventionsprogrammen als gleichaltrige Jungen. Aber bisher gibt es keine Studien die Untersuchen ob und
welchen Einfluss Migrationshintergrund auf die Wirkung von Depressionspravention hat. An unserer cluster-randomisierten Studie haben 439
Schuler/Innen der 8. Klasse (43.5% Madchen, 42.4% mit Migrationshintergrund) in Deutschland teilgenommen. Die teilnehmenden Jugendlichen wurden
klassenweise entweder in ein 10-wochiges universales Praventionsprogramm oder eine passive Kontrollgruppe (Unterricht-wie-ublich) randomisiert. Wie
erwartet haben die Ergebnisse unserer Sekundaranalyse gezeigt dass depressive Symptome in Madchen in der Praventions-aber nicht der Kontrollgruppe
zuruck gingen. Weiterhin konsistent mit unseren Hypothesen haben Jungen nicht von ihrer Teilnahme profitiert noch zeigte sich ein signifikanter
Geschlecht x Migrationshintergrund Interaktionseffekt. Schliebetalich haben die depressiven Symptome in Jugendlichen mit Migrationshintergrund im
Verlauf der Zeit zugenommen, unabhangig davon in welcher Bedingung sie waren. Mehr Forschung ist notwendig um die Effekte von Depressionspravention
in jugendlichen Jungen und in Jugendlichen mit Migrationshintergrund zu verbessern. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
, 50(2) : 150-176
- Year: 2022
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other Psychological Interventions
Philippot,
A., Moulin, P., Charon, M.
H., Balestra, C., Dubois, V., deTimary, P., DeVolder, A., Bleyenheuft, Y., Lambrechts, K.
Objective: We aimed to evaluate the feasibility of an
online High-Intensity Interval Training (HIIT) program on clinical psychological symptoms in higher education students in the context of the COVID-19
pandemic lockdown.\rMaterials and Methods: During the lockdown, 30 students aged 18-25 years, who had been screened previously with a cut-off score
>=5 in the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, were randomly assigned to either the 4-week HIIT program with three sessions per
week conducted through online videos, or a no-intervention control group. The primary outcome was the feasibility assessment. The secondary outcome
was a psychological self-report with the 21-items Depression, Anxiety, and Stress Scale (DASS-21). Assessment and intervention were performed in
compliance with social distancing rules.\rResults: Two participants in the HIIT were lost to follow-up, leaving 13 participants vs. 15 in the control
group. We observed high adherence (87%) and complete safety for mental and physical status with the HIIT intervention delivered by online videos. The
Mann-Whitney test demonstrated a significant (group x time, P-Value = 0.046) reduction of clinical stress symptoms and a trend (group x time, P-Value
= 0.08) toward reduction of clinical depression symptoms, both favoring the HIIT group. No significant (group x time, P-Value = 0.118) interaction
was found for anxiety symptoms.\rConclusion: The online HIIT program was found to be feasible and safe in a clinical sample of young adults, who were
experiencing social and physical restrictions due to COVID-19. HIIT reduced stress and depressive symptoms and thus these preliminary results show
promise for broader application among higher education students during the present lockdown necessitated by the global COVID-19 health crisis.
Frontiers in psychiatry Frontiers Research
Foundation, 13 : 904283
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Physical activity, exercise
Philippot, Arnaud, Dubois,
Vincent, Lambrechts, Kate, Grogna, Denis, Robert, Annie, Jonckheer, Ugo, Chakib, Wagdan, Beine, Alexandre, Bleyenheuft, Yannick, De-Volder, Anne G.
Background: Physical exercise therapy is of proven efficacy in the treatment of adults with depression, but corresponding evidence is
lacking in depressed adolescent inpatients. The aim of this study was to document the effect of add-on treatment with structured physical exercise in
a clinical population of adolescents hospitalized for depression and anxiety in a psychiatric hospital. Methods: A group of 52 adolescent inpatients
was randomly assigned to a physical exercise or control program three to four times per week over a six-week period (20 hours in total). The primary
outcome was the Hospital Anxiety Depression Scale (HADS) for evaluation of depression and anxiety symptoms. Secondary outcomes were psychological
self-assessments, diagnostic interviews, and physical examinations. Results: Six participants were lost in each group, leaving 20 inpatients each in
the intervention and control groups. A linear mixed model with F-test revealed a significant interaction in favor of physical exercise in reducing
the mean depression score (HADS-D) by 3.8 points [95% (CI), range 1.8 to 5.7], compared to a mean reduction score of 0.7 [95% (CI), range -0,7 to
2.0] in the control group. No significant interaction was found for anxiety symptoms (HADS-A). Limitations: The investigation was limited to the
six-week hospital window and the small sample size prevented exploring differences in social characteristics. Conclusion: Structured physical
exercise add-on therapy integrated into the psychiatric hospitalization of adolescents has led to a reduction in their depressive symptoms,
demonstrating its effectiveness in the care of adolescent inpatients with depression. (PsycInfo Database Record (c) 2022 APA, all rights
reserved)
, 301 : 145-153
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Physical activity, exercise
Phan, M. L., Renshaw, T. L., Caramanico, J., Greeson, J.
M., MacKenzie, E., Atkinson-Diaz, Z., Doppelt, N., Tai,
H., Mandell, D. S., Nuske, H. J.
Objective: The
purpose of this systematic review was to assess the current literature on mindfulness-based school interventions (MBSIs) by evaluating evidence
across specific outcomes for youth.\rMethods: We evaluated 77 studies with a total sample of 12,358 students across five continents, assessing the
quality of each study through a robust coding system for evidence-based guidelines. Coders rated each study numerically per study design as 1++ (RCT
with a very low risk of bias) to 4 (expert opinion) and across studies for the corresponding evidence letter grade, from highest quality ('A
Grade') to lowest quality ('D Grade') evidence.\rResults: The highest quality evidence ('A Grade') across outcomes indicated that MBSIs
increased prosocial behavior, resilience, executive function, attention and mindfulness, and decreased anxiety, attention problems/ADHD behaviors and
conduct behaviors. The highest quality evidence for well-being was split, with some studies showing increased well-being and some showing no
improvements. The highest quality evidence suggests MBSIs have a null effect on depression symptoms.\rConclusion: This review demonstrates the
promise of incorporating mindfulness interventions in school settings for improving certain youth outcomes. We urge researchers interested in MBSIs
to study their effectiveness using more rigorous designs (e.g., RCTs with active control groups, multi-method outcome assessment, and follow-up
evaluation), to minimize bias and promote higher quality-not just increased quantity-evidence that can be relied upon to guide school-based
practice.
Mindfulness, 13(7) : 1591-1613
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Peynenburg, V., Hadjistavropoulos, H., Thiessen, D., Titov, N., Dear, B.
Background: Internet-delivered cognitive behavioral therapy (ICBT) can improve access to mental health care for
students, although high attrition rates are concerning and little is known about long-term outcomes. Motivational interviewing (MI) exercises and
booster lessons can improve engagement and outcomes in face-to-face cognitive behavioral therapy. Objective(s): This study aimed to examine the use
of pretreatment MI exercises and booster lessons in ICBT for postsecondary students. Method(s): In this factorial trial (factor 1: web-based MI
before treatment; factor 2: self-guided booster lesson 1 month after treatment), 308 clients were randomized to 1 of 4 treatment conditions, with 277
(89.9%) clients starting treatment. All clients received a 5-week transdiagnostic ICBT course (the UniWellbeing course). Primary outcomes included
changes in depression, anxiety, and perceived academic functioning from before treatment to after treatment and at the 1-month and 3-month follow-
ups. Result(s): Overall, 54% (150/277) of students completed treatment and reported large improvements in symptoms of depression and anxiety and
small improvements in academic functioning after treatment, which were maintained at the 1-month and 3-month follow-ups. Pretreatment MI did not
contribute to better treatment completion or engagement, although small between-group effects favored MI for reductions in depression (Cohen d=0.23)
and anxiety (Cohen d=0.25) after treatment. Only 30.9% (43/139) of students randomized to one of the booster conditions accessed the booster.
Overall, no main effects were found for the booster. Subanalyses revealed that clients who accessed the booster had larger decreases in depressive
symptoms (Cohen d=0.31) at the 3-month follow-up. No interactions were found between MI and the booster. Conclusion(s): Rather than offering MI
before treatment, clients may experience more benefits from MI exercises later in ICBT when motivation wanes. The low uptake of the self-guided
booster limited our conclusions regarding its effectiveness. Future research should examine offering a booster for a longer duration after treatment,
with therapist support and a longer follow-up period. Copyright ©Vanessa Peynenburg, Heather Hadjistavropoulos, David Thiessen, Nickolai Titov, Blake
Dear.
Journal of Medical Internet Research, 24(9) (no
pagination) :
- Year: 2022
- 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), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy, Technology, interventions delivered using technology (e.g. online, SMS)
Peters, W., Rice, S., Alvarez-Jimenez, M., Hetrick, S. E., Halpin, E., Kamitsis, I., Santesteban-Echarri, O., Bendall, S.
Aim: Interpersonal trauma
exposures are associated with anxiety, depression, and substance use in youth populations (aged 12-25 years). This meta-analysis reports on the
efficacy of psychological interventions on these symptom domains in addition to post-traumatic stress. Method(s): Following PRISMA guidelines, a
search of electronic databases was performed for randomized controlled trials (RCTs) assessing interventions for young people following interpersonal
trauma exposure. Risk of bias was assessed using the Cochrane Risk of Bias tool. Data were analysed using random-effects meta-analyses. Result(s): Of
the 4832 records screened, 78 studies were reviewed, and 10 RCTs, involving 679 participants (mean age 15.6 years), were analysed. There was a large
pooled effect size for post-traumatic stress (7 studies, g = 1.43, 95% CI [0.37, 2.15], p =.002) and substance use (2 studies, g = 0.70, 95% CI [-
0.11, 1.22], p <.001) and small effect sizes for anxiety (4 studies, g = 0.30, 95% CI [0.10, 0.49], p =.003), and trend-level effect for depression
(10 studies, g = 0.27, 95% CI [0.00, 0.54], p =.052). Heterogeneity was significant for post-traumatic stress and moderate for depression.
Conclusion(s): High-quality RCTs of psychological interventions for anxiety, depression, substance use, and post-traumatic stress symptoms in young
people exposed to interpersonal trauma are scarce. While available studies show either statistically significant or trend-level efficacy for
psychological interventions in reducing these symptoms, wide confidence intervals, heterogeneity and small sample size mean that results need to be
interpreted with caution. Copyright © 2022 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.
, :
- Year: 2022
- Problem: Anxiety Disorders (any), Post Traumatic Stress Disorder, Depressive Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any)