Depression prevention in adolescents: possibilities for online- and mobile-based prevention, school-based prevention, and prevention in clinical care
Submission type
Symposium
Scheduled
Parallel Session VI: Mendes da Costa kamer, 09-06-2018, 13:00 - 14:30
Kernwoorden
Depression, mental-health, prevention, adolescents, youth
Onderzoeksgebied
Child & adolescent
Beknopte samenvatting van de totale bijdrage
The aim of the symposium is to show several strategies in preventing depression and to show that there are several ways to target risk groups. Results of depression prevention in clinical care, in schools and online will be presented. Further, implications for clinical practice will be discussed.
Auteurs
Discussing the effects of depression prevention and mental health promotion and showing possibilities for improvement
Bodden, D.H.M. (Denise)
Abstract ID
1117
Submission type
Oral only
Introductie
In addition to the considerable opportunities offered by the current prevention programs and mental health programs, we should look into other ways of targeting depressive symptoms in adolescents. Different, new insights in prevention and intervention of depressed adolescents will be presented. First, research has mainly focused on effectiveness of “CBT packages” consisting of multiple CBT-elements. However, it is unclear which of these elements contribute to the positive outcomes. Therfore, research is necessary that investigates what the influence of the specific elements is. Second, some adolescents report having trouble with some aspects of CBT. For example with cognitive restructuring; “I just have these thoughts and I cannot change them”. Other ways of coping with depression seem warranted. An example of such treatment is the use of Acceptance and Commitment Therapy for depressed adolescents.
Auteurs
Prevention of Depression in the Offspring of Depressed Parents: The PRODO Study
Löchner, J. (Johanna), Starman, K. (Kornelija), Oort, F. (Frans), Schulte-Körne, G. (Gerd)
Abstract ID
1060
Submission type
Oral only
Introductie
Depression is one of the most common psychiatric illnesses. An important risk factor is having a parent who has suffered from depression. A family CBT group-based prevention program “Raising Healthy Children” has shown promising findings in reducing the prevalence of depression in children of depressed parents. The PRODO study is the first replication outside of the research group and in another language and culture.
Materiaal en methodes
Eligible families are randomly allocated to receive the 12-session CBT intervention (n=50), or no intervention (usual care; n=50). The primary outcome (diagnosis of depression) is assessed at 15-month follow-up. The secondary outcomes (child psychopathological symptoms) are assessed post-intervention, as well as at 9- and 15-month follow-up.
Resultaten
Data analysis is ongoing. Preliminary data suggest that the general acceptability of the program is high and we find positive effects of the intervention at post-assessment on psychopathological symptoms [ANOVA with repeated measures: F3,89=11.29; p=.000, d=1.23].
Conclusie
The PRODO study adapts a promising intervention to a different language and cultural context and performs the first replication of the intervention outside of the original research group. In doing so, the study provides an important step towards the global goal of developing improved prevention strategies for children at risk of depression.
Auteurs
School-based depression and suïcide prevention
Creemers, D.H.M. (Daan)
Abstract ID
1115
Submission type
Oral only
Introductie
Depression rates rise dramatically during adolescence. Depression is an important risk factor for suicidal behaviours in adolescents. Additionally, suicide is the most important cause of mortality in youth aged 15 to 29 years. Therefore, preventive strategies are warranted for teens. Recently, results from three RCTs on the effectiveness of universal, selective and indicated prevention of OVK on depression showed that only indicated prevention was effective in reducing depressive symptoms. Inspired by these findings, two new studies were performed to examine effects in school-contexts.
Materiaal en methodes
The first trial (N=160) examined the effectiveness of a CBT-based prevention program compared to psychoeducational information. The second trial (N=1844) examined the effectiveness of a multimodal prevention program for depression and suicide risk in adolescents.
Resultaten
Design of the studies and design of the interventions will be presented. The experimental intervention in the first trials consists of an indicated CBT-based and interactive prevention program. The experimental prevention strategy from the second trials consists of screening on suicidal ideation and depressive symptoms, a safety net consisting of gatekeepers at school, followed by universal (moving stories) and indicated prevention (OVK) strategies. Preliminary results will be presented.
Conclusie
Preliminary results from both trials and implications for clinical practice will be discussed.
Auteurs
Caring Universities – Fostering mental health in university students. Project overview and first results of the WHO World Mental Health College Student Project
Ebert, D.D. (David), Baumeister, H. (Harald), Auerbach, R. (Randy), Bruffaerts, R. (Ronny), Cuijpers, P. (Pim), Kählke, F. (Fanny), Küchler, A.M. (Ann-Marie), Kessler, R. (Ron)
Abstract ID
1116
Submission type
Oral only
Introductie
College students are a key population segment that determines the economic growth and success of a country. Epidemiological data indicate that more than one-fifth of college students are burdened by a mental health disorder. Poor mental health in students is associated with negative consequences, including poorer academic performance, college dropout as well as an increased risk for suicide.
Materiaal en methodes
Based on these findings we recently launched the multi-national project Caring Universities - WHO World Mental Health International College Student (WMH-ICS). Specific aims of the project include a) to obtain cross-national data on the prevalence and correlates of mental disorders, b) to assess unmet need for treatment, c) to develop multivariate risk prediction models, d) to evaluate strategies aiming increase the utilization of psychological preventive services e) to develop and evaluate a range of internet and mobile-based interventions that are tailored to the individual risk profile of the student.
Resultaten
The overall project is presented as well as first data on the cross-national prevalence and correlates of mental health disorders, attitudes towards preventive internet- and mobile based preventive services and results from first randomized controlled trials.
Conclusie
Possibilities aiming to improve mental health and academic outcomes in college students will be discussed.
Auteurs
