Predictors of outcome after a time-limited psychosocial intervention for adolescent depression
Research on the predictors of outcome for early, community-based, and time-limited interventions targeted for clinical depression in adolescents is still scarce. We examined the role of demographic, psychosocial, and clinical variables as predictors of outcome in a trial conducted in Finnish school...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.955261/full |
| _version_ | 1811193847579934720 |
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| author | Pauliina Parhiala Pauliina Parhiala Mauri Marttunen Mauri Marttunen Vera Gergov Vera Gergov Minna Torppa Klaus Ranta Klaus Ranta |
| author_facet | Pauliina Parhiala Pauliina Parhiala Mauri Marttunen Mauri Marttunen Vera Gergov Vera Gergov Minna Torppa Klaus Ranta Klaus Ranta |
| author_sort | Pauliina Parhiala |
| collection | DOAJ |
| description | Research on the predictors of outcome for early, community-based, and time-limited interventions targeted for clinical depression in adolescents is still scarce. We examined the role of demographic, psychosocial, and clinical variables as predictors of outcome in a trial conducted in Finnish school health and welfare services to identify factors associating to symptom reduction and remission after a brief depression treatment. A total of 55 12–16-year-olds with mild to moderate depression received six sessions of either interpersonal counseling for adolescents (IPC-A) or brief psychosocial support (BPS). Both interventions resulted in clinical improvement at end of treatment and 3- and 6-month follow-ups. Main outcome measures were self-rated BDI-21 and clinician-rated Adolescent Depression Rating Scale (ADRSc). Latent change score (LCS) models were used to identify predictors of change in depressive symptom scores and clinical remission at end of treatment and 3- and 6-month follow-ups over the combined brief intervention group. Symptom improvement was predicted by younger age and having a close relationship with parents. Both symptom improvement and clinical remission were predicted by male gender, not having comorbid anxiety disorder, and not having sleep difficulties. Our results add to knowledge on factors associating with good treatment outcome after a brief community intervention for adolescent depression. Brief depression interventions may be useful and feasible especially for treatment of mild and moderate depression among younger adolescents and boys, on the other hand clinicians may need to cautiously examine sleep problems and anxiety comorbidity as markers of the need for longer treatment. |
| first_indexed | 2024-04-12T00:16:16Z |
| format | Article |
| id | doaj.art-d4d81495582a4f668bd4891e05d9e303 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-12T00:16:16Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-d4d81495582a4f668bd4891e05d9e3032022-12-22T03:55:50ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-11-011310.3389/fpsyg.2022.955261955261Predictors of outcome after a time-limited psychosocial intervention for adolescent depressionPauliina Parhiala0Pauliina Parhiala1Mauri Marttunen2Mauri Marttunen3Vera Gergov4Vera Gergov5Minna Torppa6Klaus Ranta7Klaus Ranta8Department of Adolescent Psychiatry, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandFaculty of Social Sciences, University of Tampere, Tampere, FinlandDepartment of Adolescent Psychiatry, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandDepartment of Public Health Solutions, Finnish Institute for Health and Welfare in Finland (THL), Helsinki, FinlandDepartment of Adolescent Psychiatry, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandFaculty of Medicine, University of Helsinki, Helsinki, FinlandDepartment of Teacher Education, University of Jyväskylä, Jyväskylä, FinlandFaculty of Social Sciences, University of Tampere, Tampere, FinlandFaculty of Medicine, University of Helsinki, Helsinki, FinlandResearch on the predictors of outcome for early, community-based, and time-limited interventions targeted for clinical depression in adolescents is still scarce. We examined the role of demographic, psychosocial, and clinical variables as predictors of outcome in a trial conducted in Finnish school health and welfare services to identify factors associating to symptom reduction and remission after a brief depression treatment. A total of 55 12–16-year-olds with mild to moderate depression received six sessions of either interpersonal counseling for adolescents (IPC-A) or brief psychosocial support (BPS). Both interventions resulted in clinical improvement at end of treatment and 3- and 6-month follow-ups. Main outcome measures were self-rated BDI-21 and clinician-rated Adolescent Depression Rating Scale (ADRSc). Latent change score (LCS) models were used to identify predictors of change in depressive symptom scores and clinical remission at end of treatment and 3- and 6-month follow-ups over the combined brief intervention group. Symptom improvement was predicted by younger age and having a close relationship with parents. Both symptom improvement and clinical remission were predicted by male gender, not having comorbid anxiety disorder, and not having sleep difficulties. Our results add to knowledge on factors associating with good treatment outcome after a brief community intervention for adolescent depression. Brief depression interventions may be useful and feasible especially for treatment of mild and moderate depression among younger adolescents and boys, on the other hand clinicians may need to cautiously examine sleep problems and anxiety comorbidity as markers of the need for longer treatment.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.955261/fulladolescentdepressionbrief interventionschool mental health servicessymptom improvementpredictors |
| spellingShingle | Pauliina Parhiala Pauliina Parhiala Mauri Marttunen Mauri Marttunen Vera Gergov Vera Gergov Minna Torppa Klaus Ranta Klaus Ranta Predictors of outcome after a time-limited psychosocial intervention for adolescent depression Frontiers in Psychology adolescent depression brief intervention school mental health services symptom improvement predictors |
| title | Predictors of outcome after a time-limited psychosocial intervention for adolescent depression |
| title_full | Predictors of outcome after a time-limited psychosocial intervention for adolescent depression |
| title_fullStr | Predictors of outcome after a time-limited psychosocial intervention for adolescent depression |
| title_full_unstemmed | Predictors of outcome after a time-limited psychosocial intervention for adolescent depression |
| title_short | Predictors of outcome after a time-limited psychosocial intervention for adolescent depression |
| title_sort | predictors of outcome after a time limited psychosocial intervention for adolescent depression |
| topic | adolescent depression brief intervention school mental health services symptom improvement predictors |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.955261/full |
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