Disorders - depressive disorders
King, C. A., Eisenberg,
D., Pistorello, J., Coryell, W., Albucher, R. C., Favorite, T., Horwitz, A., Bonar, E. E., Epstein, D., Zheng, K.
Objective: Suicide is the second leading cause of death among college students in the United States, and the percentage of students
reporting suicidal thoughts is increasing. Nevertheless, many students at risk do not seek mental health (MH) services. This randomized controlled
trial (RCT) examined the efficacy of Electronic Bridge to Mental Health for College Students (eBridge) for increasing at-risk students' linkage to
MH services. Method(s): Students from four universities were recruited via email; 40,347 (22.6%) completed the online suicide risk screen; and 3,363
(8.3%) met criteria for randomization based on suicide risk factors and lack of current treatment (62.2% female, 35.0% male, 2.8%
transgender/nonbinary; 73.2% White, 7.0% Black, 19.9% Asian, 11.7% other; 12.4% Hispanic, 76.2% undergraduate). These students were randomized to
eBridge [personalized feedback (PF) with option of online counseling] or Control (PF). The primary outcome was linkage to MH services within 6
months. Result(s): Among students assigned to eBridge, 355 students (21.0%) posted >=1 message, and 168 (10.0%) posted >=2 messages to the counselor.
In intent-totreat analyses, there was no eBridge effect on obtaining MH services. However, within the eBridge group, students who posted >=1 message
were significantly more likely to link to MH services. Conclusion(s): eBridge shows promise for reaching a relatively small subset of college
students at risk for suicide; however, engagement in eBridge was low. This study underscores the urgent need for more effective strategies to engage
young adults in online mental health interventions Copyright © 2022. American Psychological Association
Journal of Consulting and Clinical Psychology, 90(2) : 172-183
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders, Suicide or self-harm behaviours (excluding non-suicidal self-harm), Alcohol
Use
- 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, Personalised feedback, normative feedback, Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement
interventions
Kim, C., Song, C.
Numerous studies have reported a significant increase in stress experienced by students owing to the COVID-19 pandemic. Recently, interest in
stress management using nature-derived substances has increased. However, studies examining the effects of olfactory stimulation by fir are lacking.
The aim of this study was to investigate the physiological and psychological effects of inhaling fir essential oil. Additionally, differences between
male and female participants were com-pared. Twenty-six university students (16 female and 10 male students; mean age, 21.5 +/- 1.9 years)
participated in this study. Fir essential oil was used for olfactory stimulation, with normal room air as the control. The odor was administered for
3 min. Heart rate variability and heart rate were used as indicators of autonomic nervous system activity. The Profile of Mood States and State-Trait
Anxiety Inventory were used as psychological indicators. The ln(Low Frequency/High Frequency) ratio, which is an indicator of sympathetic nervous
activity reflecting a stressful or aroused state during stimulation with fir essential oil, was significantly lower than during the control
condition. Assessment of psychological indicators showed that the positive mood of \"vigor\" improved significantly and negative moods of \"tension-
anxiety\", \"depression\", \"anger-hostility\", \"fatigue\" and anxiety levels reduced significantly after inhaling fir essential oil compared to the
control condition. This study showed that inhalation of fir essential oil has physiologically and psychologically relaxing effects, with differences
in results depending on the sex of the participants. Copyright © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
International Journal of Environmental Research and Public Health, 19(9) (no
pagination) :
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Other complementary & alternative
interventions
Khalid,
A., Haqqani, S., Williams, C.
There is
limited evidence on the efficacy of Cognitive Behavioral Therapy (CBT) based guided self-help programs to improve low mood and anxiety in Pakistani
adolescents. The aims of the current study were to assess the effectiveness of an eight week low intensity CBT-based guided self-help program, Living
Life to the Full (LLTTF) on depression, anxiety and social functioning among secondary school adolescents in Pakistan. Fifty-six participants were
randomly allocated to immediate (n = 28) and delayed access (n = 28) groups. Measures of depression, anxiety and social functioning were collected at
baseline, post intervention and three months follow-up. There were significant improvements in measures of depression (t = -3.47, p < 0.01; d = 1.0),
anxiety (t = -6.55, p < 0.001; d = 1.91) and social functioning (t = -4.28, p < 0.001) between immediate access and delayed access groups. These
differences remained significant at three months follow-up. The study suggests that the Urdu LLTTF book course delivered in classes is effective for
reducing depression and anxiety as well as improving social function among adolescents in Pakistan.
Heliyon, 8(7) : e09809
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Self-help
Kato, K., Matsumoto, Y., Hirano, Y.
Background: Emotional regulation is important for adolescents' adaptive development. Preventive interventions for anxiety and depression are
necessary for reducing the development of disorders later in life, and emotional regulation is a potentially relevant factor.\rObjective: We
investigated the effects of a mindfulness-based psychological education and prevention program [the Mindfulness and Awareness Program (MAP)] on the
mental health of junior high school students in Japan.\rMethods: Our MAP primarily focused on mindfulness meditation to improve emotional regulation,
thereby reducing depression and anxiety. The MAP comprised eight sessions (20 min each) administered by a school counselor in a school setting. All
participants (N = 349) were 12-13-year-old adolescents from nine classes in two Japanese schools. The program was provided to the intervention group,
wherein students were educated on emotional expression, emotional cognition, and emotional regulation. The control group received regular school
counseling services.\rResults: Compared with the control group, the intervention group showed significant improvement in emotional regulation and a
decrease in depression and generalized anxiety. The effect was greater at the follow-up assessment than at the immediate post-intervention
assessment, and greater in female students.\rConclusion: Our mental health prevention program exhibited efficacy in reducing depression and anxiety
and enhancing emotional regulation in early adolescence. Further, it appeared to be more effective for female adolescents.
, 13 : 895086
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Psychoeducation, Mindfulness based
therapy
Karyotaki, Eirini, Klein, Anke M., Ciharova, Marketa, Bolinski, Felix, Krijnen, Lisa, de-Koning, Lisa, de-Wit, Leonore, van-der-Heijde, Claudia M., Ebert, David D., Riper, Heleen, Batelaan, Neeltje, Vonk, Peter, Auerbach, Randy P., Kessler, Ronald C., Bruffaerts,
Ronny, Struijs, Sascha, Wiers, Reinout W., Cuijpers, Pim
Common mental disorders, such as depression and anxiety,
often emerge in college students during the transition into early adulthood. Mental health problems can seriously impact students' functioning,
interpersonal relationships, and academic achievement. Actively reaching out to college students with mental health problems and offering them
internet-based interventions may be a promising way of providing low-threshold access to evidence-based treatment in colleges. This randomized
controlled trial aimed to assess the effectiveness of a guided web-based transdiagnostic individually tailored Cognitive Behavioral Therapy (iCBT) in
treating college students with depression and/or anxiety symptoms. Through an online survey that screened college students' mental health, we
recruited 100 college students aged >=18 years who reported mild to moderate depression and/or anxiety symptoms and were attending colleges in the
Netherlands. Participants were randomly allocated to guided iCBT (n = 48) or treatment as usual (TAU) control (n = 52). Primary outcomes were
symptoms of depression and anxiety measured at post-treatment (7 weeks post-randomization). We also measured all outcomes at 6- and 12-months post-
randomization. All analyses were based on the intention-to-treat principle and were repeated using the complete-case sample. We found no evidence of
a difference between the effects of guided iCBT and TAU in any of the examined outcomes (i.e., symptoms of depression and anxiety, quality of life,
educational achievement, and college dropout) across all time points (p > .05). There was no evidence that effects of iCBT were associated with
treatment satisfaction and adherence. More research into transdiagnostic individually tailored iCBT is necessary. Further, future studies should
recruit larger samples to investigate possible smaller but clinically relevant effects of internet-based interventions for college students with
depression and/or anxiety. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Behaviour Research and Therapy, 150 : 1-12
- 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), Technology, interventions delivered using technology (e.g. online, SMS)
Karimipour, A., Asgari, P., Makvandi, B., Fard, R. J.
Background: Internalizing behaviors problems, such as anxiety and depression, are two common disorders in
adolescents. These problems result in negative outcomes, including dropping out of school, drug abuse, a higher risk of suicide, and other
psychological consequences. The present study aimed to investigate the effectiveness of Schema Mode Therapy for Children and Adolescents (ST-CA) in
the internalizing behaviors problems among adolescents referred to consulting center in Ahvaz, Iran. Method(s): This quasi-experimental study was
conducted based on a pretest-posttest design and a control group. The statistical population comprised adolescents aged 12-14 years having
behavioral, educational, and mood problems who were referred to counseling centers in Ahvaz, Iran. The sample consisted of 30 adolescents (11 boys
and 19 girls) selected by the convenience sampling method and randomly divided into experimental and control groups (15 cases per group). The
experimental group underwent 14 sessions (120-min sessions per week) of ST-CA. The research instrument included the Child Behavior Checklist. Data
analysis was performed using SPSS software (version 26). Result(s): The findings of the present study revealed that ST-CA had a significant effect on
the improvement of the internalizing problems (anxiety-depression, withdrawal-depression, and somatic complaints) (P<0.001). Conclusion(s): It seems
that the ST-CA well reduces internalizing problems; therefore, it is recommended that this method be used for adolescents. Copyright © 2022, Razavi
International Journal of Medicine.
Razavi
International Journal of Medicine, 10(3) :
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Karampas, K., Pezirkianidis, C., Stalikas,
A.
The aim of this study is to evaluate \"ReStress Mindset,\" an
internet-delivered intervention that combines the Stress Mindset Training Program (SMTP) with Acceptance and Commitment Therapy (ACT). To that end,
the current study determined whether the pilot study's findings on the intervention's effectiveness on stress mindset and stress response among
university students in the midst of the COVID-19 pandemic, remained for 3 months following the completion of \"ReStress Mindset\" intervention.
Twenty-six participants were randomly assigned to an intervention (N = 12) and a control (N = 14) group. Participants in the intervention group
attended 5 weekly sessions online, between the second and third waves of the COVID-19 pandemic. All participants completed self-report questionnaires
(Stress Mindset Measure, Satisfaction With Life Scale, Depression Anxiety and Stress Scale-9, Perceived Stress Scale, Scale of Positive, and Negative
Experience) before, at the end of the intervention and 3 months after the completion of the program. The \"ReStress Mindset\" intervention resulted
in a statistically significant increase in \"stress-is-enhancing\" mindset (SIEM), life satisfaction, and self-efficacy against stress, as well as a
statistically significant decrease in \"stress-is-debilitating\" mindset (SIDM), with these effects lasting 3 months after the program's completion.
The findings of this study suggest that university students could benefit from the \"ReStress Mindset\" intervention in order to cultivate and
maintain a positive stress mindset and increase their life satisfaction and self-efficacy against stress, even during the COVID-19 pandemic or any
other highly stressful period or crisis.
, 13 : 1036564
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation, Other Psychological Interventions, Acceptance & commitment therapy
(ACT)
Kang, M. J., Kim, H.
Many adolescents worldwide suffer from stress or unhealthy emotional states such as depression. There is a trend toward limited
physical contact via social distancing practices that developed during the coronavirus disease 2019 (COVID-19) pandemic. An experimental study aimed
at investigating the effects of a mindfulness program on stress, concentration, self-esteem, and self-control in high school students. A 10-week
mindfulness intervention was provided to the experimental group (n=89) from September-November 2020, while the control group (n=89) received general
health education. Four weeks after the program, the experimental group showed reduced stress and improved concentration, self-esteem, and self-
control compared to baseline.The blended learning mindfulness program is effective improving concentration and should be incorporated into the formal
high school curriculum.
, : 10598405221095346
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Jones, J. D., Hankin, B. L., Gallop, R., Haraden, D., Sbrilli, M. D., Garber, J., Young, J. F.
Depression and anxiety
frequently co-occur and share several risk factors. There is some evidence for transdiagnostic effects of prevention programs on depression and
anxiety. In the Personalized Depression Prevention (PDP) study, youth (n = 98, Mage = 13.94 years, SD = 1.67) were classified as high or low on
cognitive and interpersonal risk factors and randomized to either a cognitive-behavioral or an interpersonal prevention program. Some participants
received a match between risk and prevention, others received a mismatch. Our initial work found evidence for the benefits of personalization on
depression outcomes. In this paper, we focus on secondary anxiety outcomes through 18-months post-intervention. We found evidence for the benefits of
personalized prevention on anxiety symptoms during the 18-month follow-up period, but not during the intervention. From post-intervention to 18-month
follow-up matched youth showed a decrease in anxiety symptoms whereas mismatched youth showed a significant increase in symptoms (d = 0.87, p =
.001). The rates of anxiety disorders were equivalent across the groups (p = 1.00). Given the comorbidity of depression and anxiety, interventions
that have effects on both may be an efficient and cost-effective approach to reducing the burden associated with these conditions. A risk-informed
personalization approach to prevention may be one way to enhance the transdiagnostic effects of depression prevention.
Behaviour Research & Therapy, 156 : 104156
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Interpersonal therapy (IPT)
Ivlev, I., Beil, T. L., Haynes, J. S., Patnode, C. D.
PURPOSE: We conducted a rapid evidence review to explore the
benefits and harms of digital cognitive-behavioral therapy (dCBT) and the barriers to and facilitators of implementing dCBT for adolescents.
\rMETHODS: We searched MEDLINE, PsycINFO, CENTRAL through December 6, 2021, for controlled trials conducted in settings highly applicable to the
United States. Additionally, we searched relevant systematic reviews for eligible studies. Results were summarized qualitatively.\rRESULTS: We
included 12 trials (n = 1,575) that examined the effects of nine dCBT programs. Overall, dCBT was slightly superior to comparators in improving
depression symptoms immediately post-intervention, but not at a longer follow-up. The use of dCBT did not appear to result in an increased risk for
suicidal attempts or ideation; however, the number of events was very small. Potential barriers to implementing/maintaining dCBT are challenges
engaging/retaining patients, developing infrastructure, and training therapists to facilitate dCBT. Data on harms or unintended negative consequences
were not reported in the included studies.\rCONCLUSIONS: A limited body of evidence suggests that dCBT programs might outperform control
interventions for reducing depressive symptoms immediately post-intervention, but not at a longer follow-up. The safety of dCBT programs for
adolescents with depression is understudied.
Journal of Adolescent Health, 71(1) : 14-
29
- Year: 2022
- Problem: 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), Technology, interventions delivered using technology (e.g. online, SMS)
Isham, A. E., del Palacio-Gonzalez, A., Dritschel, B.
Objectives Maladaptive emotional processing of autobiographical memories is a key feature of depression that may persist during
depressive remission. The primary objective of the present study was to assess the effects of an online mindfulnessbased stress reduction (MBSR)
intervention on emotion regulation upon everyday autobiographical memory retrieval in individuals with remitted depression. Methods We conducted a
pilot randomized controlled trial in which students (76.4% female; mean age 22.26) with remitted depression were allocated to an 8-week online MBSR
program (n = 28) or a waitlist-control condition (n = 27). The primary outcome was self-reported employment of five emotion regulation strategies and
non-reactivity upon everyday retrieval of involuntary and voluntary autobiographical memories recorded in a memory diary and was measured at baseline
and approximately 11 weeks postrandomization. Intention-to-treat (ITT) and per-protocol (PP) analyses were performed. Results Participants in the
MBSR condition showed increases in non-reactivity irrespective of memory retrieval mode (ITT: d = 1.04, p = .010; PP: d = 1.58, p = .015), and
increased use of cognitive reappraisal in response to involuntary memories (ITT: d = 0.41, p = .051; PP: d =
Mindfulness, 13(10) : 2613-
2627
- Year: 2022
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Relapse prevention
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Huang, D., Yan, S., Shen, S., Lv,
S., Lai, S., Zhong, S., Jia, Y.
Background: Event-based
prospective memory (EBPM) refers to remembering to perform delayed intention when specific events occur. EBPM deficit is present in patients with
major depressive disorder (MDD) and hinders recovery from the illness. Working memory training (WMT) has been reported to enhance EBPM but its effect
on EBPM in MDD remains unclear. We investigated whether virtual reality (VR)-based WMT can improve EBPM in MDD patients. Methods: Forty-six MDD
patients and 41 healthy controls (HC) were recruited. Among the former ones, the first 23 consecutive patients were allocated to the experimental
group (MDD-VR) and the next 23 consecutive patients to the waitlist control group (MDD-W). EBPM accuracy was used to assess EBPM performance.
Hamilton Depression Rating Scale (HDRS) and Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (CPFQ) were employed to
assess the cognitive functions and the depressive symptoms. Results: At baseline, EBPM accuracy did not significantly differ between MDD-VR and MDD-W
but was lower in both of these two groups than in HC (both p < 0.001). Group-by-time interactions on EBPM accuracy (F = 4.614, p = 0.031) and CPFQ
score (F = 5.754, p = 0.021) were present, whereas no significant group-by-time interaction or group effects were observed for HDRS score (both p >
0.05). After VR intervention, MDD-VR showed an increase in EBPM accuracy (Cohen's d = 1.20 [95% CI: 0.53, 1.86], p = 0.001). Conclusions: Our
results demonstrated that VR-based WMT could improve EBPM deficits in MDD patients. Largescale studies of a VR-based WMT program are indicated.
Journal of Psychiatric Research, 156 : 91-
99
- Year: 2022
- Problem: Depressive Disorders
- Type: Controlled clinical trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive remediation
therapy, Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)