Disorders - Depressive Disorders
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)
Han, D. H., Renshaw, P. F.
As one of the problematic behaviors in patients with major depressive disorder (MDD), excessive online game play (EOP) has been reported in a number of recent studies. Bupropion has been evaluated as a potential treatment for MDD and substance dependence. We hypothesized that bupropion treatment would reduce the severity of EOP as well as depressive symptoms. Fifty male subjects with comorbid EOP and MDD were randomly assigned to bupropion + education for internet use (EDU) or placebo + EDU groups. The current study consisted in a 12-week, prospective, randomized, double-blind clinical trial, including an eight-week active treatment phase and a four-week post treatment follow-up period. During the active treatment period, Young Internet Addiction Scale (YIAS) scores and the mean time of online game playing in the bupropion group were greatly reduced compared with those of the placebo group. The Beck Depression Inventory (BDI) scores in the bupropion group were also greatly reduced compared with those of the placebo group. During the four-week post-treatment follow-up period, bupropion-associated reductions in online game play persisted, while depressive symptoms recurred. Conclusively, bupropion may improve depressive mood as well as reduce the severity of EOP in patients with comorbid MDD and online game addiction. (copyright) The Author(s) 2012.
Journal of Psychopharmacology, 26(5) : 689-696
- Year: 2012
- Problem: Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Biological Interventions (any)
, Other antidepressants