دانلود رایگان مقاله انگلیسی مداخلات روانشناختی در افسردگی نوجوانان: بررسی سیستماتیک - الزویر 2018

ABSTRACT

Background: Adolescent depression is common and leads to distress and impairment for individuals/ families. Treatment/prevention guidelines stress the need for good information and evidence-based psychosocial interventions. There has been growing interest in psychoeducational interventions (PIs), which broadly deliver accurate information about health issues and self-management. Objective, methods: Systematic search of targeted PIs as part of prevention/management approaches for adolescent depression. Searches were undertaken independently in PubMed, PsycINFO, EMBASE, guidelines, reviews (including Cochrane), and reference lists. Key authors were contacted. No restrictions regarding publishing dates. Results: Fifteen studies were included: seven targeted adolescents with depression/depressive symptoms, eight targeted adolescents ‘at risk' e.g. with a family history of depression. Most involved family/group programmes; others included individual, school-based and online approaches. PIs may affect understanding of depression, identification of symptoms, communication, engagement, and mental health outcomes. Conclusion, practice implications: PIs can have a role in preventing/managing adolescent depression, as a first-line or adjunctive approach. The limited number of studies, heterogeneity in formats and evaluation, and inconsistent approach to defining PI, make it difficult to compare programmes and measure overall effectiveness. Further work needs to establish an agreed definition of PI, develop/evaluate PIs in line with frameworks for complex interventions, and analyse their active components.

4. Discussion and conclusion

4.1. Main findings

This is the first systematic review of PIs in the prevention and management of adolescent depression. The main objective was to identify studies on PIs for adolescents with, or at high risk of, depression, by rigorous methods,to explore the content and design of existing programmes and to evaluate their effectiveness. This could help inform clinical practice and the development of future programmes and guidelines, and increase awareness of adolescent depression. Fifteen PI studies for adolescent depression were identified in this review. The studies showed a range of approaches to PI, and the vast majority were ‘in person’ (‘proximal’) and ‘active’, and most involved content presented to families/groups facilitated by a professional. NICE [4] and AACAP parameters [5] state that the involvement of the family is important in the management of adolescent depression, the motivation for treatment often comes from parents, and any parental and child mental health difficulties should be treated in parallel. Whilst only a few studies in the review were categorised as ‘individual’ or ‘group’ PI, many of the studies in other categories, such as ‘family’ or ‘computerised’ PI, embraced one-to-one or group approaches. This demonstrated how programmes could incorporate a range of formats to engage/communicate information, consistent with ‘blended learning’ approaches [34].