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The effectiveness of simple psychological and physical activity interventions for high prevalence mental health problems in young people: A factorial randomised controlled trial.

Identifieur interne : 001629 ( Main/Exploration ); précédent : 001628; suivant : 001630

The effectiveness of simple psychological and physical activity interventions for high prevalence mental health problems in young people: A factorial randomised controlled trial.

Auteurs : Alexandra G. Parker [Australie] ; Sarah E. Hetrick [Australie] ; Anthony F. Jorm [Australie] ; Andrew J. Mackinnon [Australie] ; Patrick D. Mcgorry [Australie] ; Alison R. Yung [Royaume-Uni] ; Faye Scanlan [Australie] ; Jessica Stephens [Australie] ; Shelley Baird [Australie] ; Bridget Moller [Australie] ; Rosemary Purcell [Australie]

Source :

RBID : pubmed:26926659

Descripteurs français

English descriptors

Abstract

BACKGROUND

The prevalence and burden of disease of depression and anxiety disorders in young people necessitates effective early intervention strategies. The aim of this study was to evaluate the effectiveness of low-intensity interventions (problem solving therapy (PST) and physical activity promotion) in young people (15-25 years) with mild-moderate depression and/or anxiety.

METHOD

A 2×2 factorial randomised controlled trial (RCT) with factors of PST versus supportive counselling (control) and behavioural activation physical activity versus lifestyle psychoeducation (control). Help-seeking participants (n=176) were randomised to receive up to 6 manualised intervention sessions. Primary outcomes were post-intervention depressive symptoms (Beck Depression Inventory-II (BDI-II), anxiety symptoms (Beck Anxiety Inventory), and Montgomery-Åsberg Depression Rating Scale (MADRS)). Trial registration ACTRN12608000550303.

RESULTS

Depression symptoms were significantly reduced in the physical activity group compared to psychoeducation (BDI-II: d=0.41 (95% CI: 0.07-0.76); MADRS: d=0.48 (95% CI: 0.13-0.82), but not post-intervention anxiety symptoms. PST was not superior to supportive counselling, nor were any interactions between interventions significant.

LIMITATIONS

As self reported levels of physical activity did not significantly differ between baseline and end-point in those randomised to the physical activity intervention, it is unclear as to whether some form of physical activity not measured in the trial may have led to the difference in depression symptoms.

CONCLUSIONS

PST was not superior to supportive counselling in reducing depression and anxiety symptoms in young people. Participants who received the physical activity intervention reported the greatest reduction in depression symptoms, however further research is required to establish the mechanism of action and to determine its effectiveness as an adjunct intervention in routine clinical practice.


DOI: 10.1016/j.jad.2016.02.043
PubMed: 26926659


Affiliations:


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Le document en format XML

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<title level="j">Journal of affective disorders</title>
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<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Anxiety (psychology)</term>
<term>Anxiety (therapy)</term>
<term>Depression (psychology)</term>
<term>Depression (therapy)</term>
<term>Exercise Therapy (methods)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Health (statistics & numerical data)</term>
<term>Motor Activity (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Psychiatric Status Rating Scales (MeSH)</term>
<term>Psychotherapy (methods)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<term>Activité motrice (MeSH)</term>
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Anxiété (psychologie)</term>
<term>Anxiété (thérapie)</term>
<term>Dépression (psychologie)</term>
<term>Dépression (thérapie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Psychothérapie (méthodes)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Santé mentale (statistiques et données numériques)</term>
<term>Traitement par les exercices physiques (méthodes)</term>
<term>Échelles d'évaluation en psychiatrie (MeSH)</term>
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<term>Exercise Therapy</term>
<term>Psychotherapy</term>
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<term>Psychothérapie</term>
<term>Traitement par les exercices physiques</term>
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<term>Anxiété</term>
<term>Dépression</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Anxiety</term>
<term>Depression</term>
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<term>Mental Health</term>
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<term>Santé mentale</term>
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<term>Anxiety</term>
<term>Depression</term>
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<term>Anxiété</term>
<term>Dépression</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Motor Activity</term>
<term>Prevalence</term>
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<term>Treatment Outcome</term>
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<term>Activité motrice</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Prévalence</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>The prevalence and burden of disease of depression and anxiety disorders in young people necessitates effective early intervention strategies. The aim of this study was to evaluate the effectiveness of low-intensity interventions (problem solving therapy (PST) and physical activity promotion) in young people (15-25 years) with mild-moderate depression and/or anxiety.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHOD</b>
</p>
<p>A 2×2 factorial randomised controlled trial (RCT) with factors of PST versus supportive counselling (control) and behavioural activation physical activity versus lifestyle psychoeducation (control). Help-seeking participants (n=176) were randomised to receive up to 6 manualised intervention sessions. Primary outcomes were post-intervention depressive symptoms (Beck Depression Inventory-II (BDI-II), anxiety symptoms (Beck Anxiety Inventory), and Montgomery-Åsberg Depression Rating Scale (MADRS)). Trial registration ACTRN12608000550303.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Depression symptoms were significantly reduced in the physical activity group compared to psychoeducation (BDI-II: d=0.41 (95% CI: 0.07-0.76); MADRS: d=0.48 (95% CI: 0.13-0.82), but not post-intervention anxiety symptoms. PST was not superior to supportive counselling, nor were any interactions between interventions significant.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>LIMITATIONS</b>
</p>
<p>As self reported levels of physical activity did not significantly differ between baseline and end-point in those randomised to the physical activity intervention, it is unclear as to whether some form of physical activity not measured in the trial may have led to the difference in depression symptoms.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>PST was not superior to supportive counselling in reducing depression and anxiety symptoms in young people. Participants who received the physical activity intervention reported the greatest reduction in depression symptoms, however further research is required to establish the mechanism of action and to determine its effectiveness as an adjunct intervention in routine clinical practice.</p>
</div>
</front>
</TEI>
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<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2018</Year>
<Month>12</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1573-2517</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>196</Volume>
<PubDate>
<Year>2016</Year>
<Month>May</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>Journal of affective disorders</Title>
<ISOAbbreviation>J Affect Disord</ISOAbbreviation>
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<ArticleTitle>The effectiveness of simple psychological and physical activity interventions for high prevalence mental health problems in young people: A factorial randomised controlled trial.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The prevalence and burden of disease of depression and anxiety disorders in young people necessitates effective early intervention strategies. The aim of this study was to evaluate the effectiveness of low-intensity interventions (problem solving therapy (PST) and physical activity promotion) in young people (15-25 years) with mild-moderate depression and/or anxiety.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">A 2×2 factorial randomised controlled trial (RCT) with factors of PST versus supportive counselling (control) and behavioural activation physical activity versus lifestyle psychoeducation (control). Help-seeking participants (n=176) were randomised to receive up to 6 manualised intervention sessions. Primary outcomes were post-intervention depressive symptoms (Beck Depression Inventory-II (BDI-II), anxiety symptoms (Beck Anxiety Inventory), and Montgomery-Åsberg Depression Rating Scale (MADRS)). Trial registration ACTRN12608000550303.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Depression symptoms were significantly reduced in the physical activity group compared to psychoeducation (BDI-II: d=0.41 (95% CI: 0.07-0.76); MADRS: d=0.48 (95% CI: 0.13-0.82), but not post-intervention anxiety symptoms. PST was not superior to supportive counselling, nor were any interactions between interventions significant.</AbstractText>
<AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">As self reported levels of physical activity did not significantly differ between baseline and end-point in those randomised to the physical activity intervention, it is unclear as to whether some form of physical activity not measured in the trial may have led to the difference in depression symptoms.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">PST was not superior to supportive counselling in reducing depression and anxiety symptoms in young people. Participants who received the physical activity intervention reported the greatest reduction in depression symptoms, however further research is required to establish the mechanism of action and to determine its effectiveness as an adjunct intervention in routine clinical practice.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Parker</LastName>
<ForeName>Alexandra G</ForeName>
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<Affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Locked Bag 10, Parkville, Victoria 3052, Australia. Electronic address: alex.parker@orygen.org.au.</Affiliation>
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<LastName>Hetrick</LastName>
<ForeName>Sarah E</ForeName>
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<Affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Locked Bag 10, Parkville, Victoria 3052, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Jorm</LastName>
<ForeName>Anthony F</ForeName>
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<Affiliation>Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Victoria 3010, Australia.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
</Author>
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<Initials>PD</Initials>
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<Affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Locked Bag 10, Parkville, Victoria 3052, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Yung</LastName>
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<Initials>J</Initials>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Moller</LastName>
<ForeName>Bridget</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Orygen Youth Health Clinical Program, 35 Poplar Road, Parkville, Victoria 3052, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Purcell</LastName>
<ForeName>Rosemary</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Locked Bag 10, Parkville, Victoria 3052, Australia.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic">
<Year>2016</Year>
<Month>02</Month>
<Day>23</Day>
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</Article>
<MedlineJournalInfo>
<Country>Netherlands</Country>
<MedlineTA>J Affect Disord</MedlineTA>
<NlmUniqueID>7906073</NlmUniqueID>
<ISSNLinking>0165-0327</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008603" MajorTopicYN="N">Mental Health</DescriptorName>
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</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009043" MajorTopicYN="N">Motor Activity</DescriptorName>
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<MeshHeading>
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</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011613" MajorTopicYN="N">Psychotherapy</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<Keyword MajorTopicYN="N">Anxiety</Keyword>
<Keyword MajorTopicYN="N">Depression</Keyword>
<Keyword MajorTopicYN="N">Early intervention</Keyword>
<Keyword MajorTopicYN="N">Physical activity</Keyword>
<Keyword MajorTopicYN="N">Problem solving therapy</Keyword>
<Keyword MajorTopicYN="N">Young people</Keyword>
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<Year>2016</Year>
<Month>01</Month>
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<name sortKey="Jorm, Anthony F" sort="Jorm, Anthony F" uniqKey="Jorm A" first="Anthony F" last="Jorm">Anthony F. Jorm</name>
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