Treatment of Depressed In-Patients

1990 ◽  
Vol 156 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Wayne A. Bowers
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Therapy ◽  
Cognitive Variables ◽  
Relaxation Therapy ◽  
Negative Cognitions ◽  
Cognitive Changes ◽  
Symptoms Of Depression ◽  
Therapy Sessions

Thirty in-patients received one of three treatments – medication (nortriptyline) alone (MA), relaxation therapy plus medication (RT&M), or cognitive therapy plus medication (CT&M) (each n = 10) – along with ward milieu. The relaxation and cognitive therapy groups participated in 12 therapy sessions. Symptoms of depression and related cognitive variables were assessed at sessions 1, 6 and 12, and at discharge. All groups improved over the course of the study. CT&M and RT&M groups reported significantly fewer depressive symptoms and negative cognitions at discharge than the MA group. The number of subjects judged depressed at discharge was lower in the CT&M group than in the MA and RT&M groups. It is proposed that a consistent rationale for treatment is a significant facilitating factor in achieving behavioural and cognitive changes in depression.

scholarly journals Effect of Mindfulness-Based Cognitive Therapy on Symptoms of Depression: A Systematic Review

2020 ◽  
Vol 9 (2) ◽  
pp. 761-771
Author(s):  
Fakhrun Nisa' Fiddaroini ◽  
Ah. Yusuf ◽  
Praba Diyan Rachmawati
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Depressive Symptoms ◽  
Cognitive Therapy ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Psychological Intervention ◽  
Mental Health Disorder ◽  
Symptoms Of Depression ◽  
Meta Analyses

Depression is a common mental health disorder. The main symptoms of depression are a lack of interest in the activities of daily life and suicidal thoughts. Mindfulness-based cognitive therapy (MBCT) is effective in preventing or reducing symptoms of depression. This study aimed to determine the effectiveness of mindfulness-based cognitive therapy in reducing symptoms of depression. This systematic review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Five databases included in this study This systematic review uses 10 articles that fit the inclusion criteria outcome. The result showed mindfulness-based cognitive therapy intervention from the research was reviewed significantly and has been shown to be an effective psychological intervention for reducing depressive symptoms in various populations. Mindfulness-based cognitive therapy has better results for reducing depressive symptoms and has a positive impact on reducing mental health problems and can be used by nurses and other mental health practitioners.

mHealth in the wild: A global examination of a publicly available app for depression (Preprint)

2021 ◽  
Author(s):  
Langting Su ◽  
Page Lyn Anderson
Keyword(s):  
Depressive Symptoms ◽  
User Behavior ◽  
Community Sample ◽  
Future Research ◽  
Global Burden ◽  
Negative Cognitions ◽  
Self Monitoring ◽  
Symptoms Of Depression ◽  
Behavioral Avoidance ◽  
In The Wild

BACKGROUND The scope and impact of depression worldwide is breathtaking. Reducing the global burden of depression will require a multi-pronged approach. OBJECTIVE The purpose of this study is to examine naturalistic user behavior of MoodTools, a publicly available, self-guided mHealth app designed to improve symptoms of depression, in a global community sample. METHODS Mobile analytics data was collected from all unique downloads of the Android version of MoodTools between March 1, 2016 and February 28, 2018. RESULTS MoodTools was used by 158,930 people from 198 countries. 51.14% of users returned to the app after initial download. The typical person used the app for 3 sessions for a total of 12 minutes over the span of 90 days. Users most often visited tools designed for self-monitoring of symptoms and for targeting a core mechanism of depressive psychopathology, negative cognitions. CONCLUSIONS Results suggest that there is global interest in a publicly available app for improving depression. Self-guided apps like MoodTools, therefore, could be a tool in the toolbox to address the global burden of depression. Future research is needed to determine whether people who use self-guided apps experience improvement in depressive symptoms. Given the low motivation and behavioral avoidance associated with the disorder, a key challenge for self-guided apps for depression is to engage and to retain users. CLINICALTRIAL none, not a trial

Examining the Temporal Dynamics of Anxiety and Depressive Symptoms During a Therapist-Supported, Smartphone-Based Intervention for Major Depression (Preprint)

2020 ◽  
Author(s):  
Santiago Allende ◽  
Valerie Forman-Hoffman ◽  
Philippe Goldin
Keyword(s):  
Depressive Symptoms ◽  
Temporal Relationship ◽  
Temporal Dynamics ◽  
Digital Health ◽  
Quadratic Function ◽  
Depression Symptoms ◽  
Symptoms Of Depression ◽  
Effect Model ◽  
End Of Treatment ◽  
Highly Correlated

UNSTRUCTURED Background: Anxiety and depression symptoms are highly correlated in adults with depression; however, little is known about their interaction and temporal dynamics of change during treatment. Thus, the primary aim of this study was to examine the temporal dynamics of anxiety and depressive symptoms during a 12-week therapist-supported, smartphone-delivered digital health intervention for symptoms of depression and anxiety, the Meru Health Program (MHP). Method: A total of 290 participants from the MHP were included in the present analyses (age Mean = 39.64, SD = 10.25 years; 79% female; 54% self-reported psychotropic medication use). A variance components model was used to examine whether (1) reporting greater anxiety during the current week relative to anxiety reported in other weeks would be associated with greater reporting of depressive symptoms during the current week, while a time-varying effect model was used to examine whether, (2) consistent with findings reported by Wright et al. (2014), the temporal relationship between anxiety and depressive symptoms during the intervention would be expressed as a quadratic function marked by a weak association at baseline, followed by an increase to a peak before demonstrating a negligible decrease until the end of treatment. Results: In support of hypothesis 1, we found that reporting greater anxiety symptoms during the current week relative to other weeks was associated with greater depressive symptoms during the current week. Contrary to hypothesis 2, the temporal relationship between anxiety and depressive symptoms evidenced a recurring pattern, with the association increasing during the initial weeks, decreasing during mid-treatment and sharply increasing toward the end of treatment. Conclusions: The present findings demonstrate that anxiety and depressive symptoms overlap and fluctuate in concert during a smartphone-based intervention for anxiety and depressive symptoms. The present findings may warrant more refined intervention strategies specifically tailored to co-occurring patterns of change in symptoms.

scholarly journals Systematic review: Symptoms of parental depression and anxiety and offspring overweight

2020 ◽  
Vol 54 ◽  
pp. 49
Author(s):  
Paula Lobo Marco ◽  
Inaê Dutra Valério ◽  
Christian Loret de Mola Zanatti ◽  
Helen Gonçalves
Keyword(s):  
Depressive Symptoms ◽  
Childhood Obesity ◽  
Mental Disorder ◽  
Common Mental Disorder ◽  
Positive Association ◽  
Depression And Anxiety ◽  
Recurrent Depression ◽  
Child Feeding ◽  
Middle Income ◽  
Symptoms Of Depression

OBJECTIVE: To evaluate the existing literature on the association between parents’ depression and anxiety and their influence on their children’s weight during childhood, identifying possible mechanisms involved in this association. METHODS: A systematic search of the literature was conducted in the PubMed, PsycINFO and SciELO databases, using the following descriptors: (maternal OR mother* OR parent* OR paternal OR father) AND (“common mental disorder” OR “mental health” OR “mental disorder” OR “depressive disorder” OR depress* OR anxiety OR “anxiety disorder”) AND (child* OR pediatric OR offspring) AND (overweight OR obes* OR “body mass index” OR BMI). A total of 1,187 articles were found after peer selection. RESULTS: In total, 16 articles that met the inclusion criteria were selected for the review. Most of them investigated depressive symptoms and only three, symptoms of maternal anxiety. The evaluated studies suggested a positive association between symptoms of maternal depression and higher risk of childhood obesity. The results diverged according to the chronicity of depressive symptoms (episodic or recurrent depression) and income of the investigated country (high or middle income). Mechanisms were identified passing by quality of parenthood, affecting behaviors related to physical activity and child-feeding, as mediators of the association. CONCLUSIONS: We conclude there is evidence of a positive relationship between the occurrence of maternal symptoms of depression and anxiety and childhood obesity. It is emphasized the need for a better understanding on the effect of depressive symptoms and the contextual factors involved in this relationship so that effective intervention strategies can be implemented.

Cognitive variables in alcohol dependent patients with elevated depressive symptoms: Changes and predictive utility as a function of treatment modality

2002 ◽  
Vol 23 (3) ◽  
pp. 171-182 ◽  
Author(s):  
Susan E. Ramsey ◽  
Richard A. Brown ◽  
Gregory L. Stuart ◽  
Ellen S. Burgess ◽  
Ivan W. Miller
Keyword(s):  
Depressive Symptoms ◽  
Treatment Modality ◽  
Cognitive Variables ◽  
Predictive Utility ◽  
Alcohol Dependent

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

The Prevalence of Symptoms of Depression in An Australian General Population

1980 ◽  
Vol 14 (1) ◽  
pp. 65-71 ◽  
Author(s):  
D. G. Byrne
Keyword(s):  
Depressive Symptoms ◽  
General Population ◽  
Random Sample ◽  
Clinical Sample ◽  
Depression Scale ◽  
Clinical Samples ◽  
Demographic Differences ◽  
Symptoms Of Depression ◽  
The Subject ◽  
Depressive States

The prevalence of depressive symptoms was estimated in a random sample of an Australian general population by administration of the Zung Self-Rating Depression Scale (S.D.S.). Rates, calculated according to criteria derived from a previously studied clinical sample, were somewhat higher in this population than had been reported in similar studies elsewhere. It was reasoned that this finding related to the relative laxity of criteria employed in the present study. Socio-demographic influences on the reporting of depressive symptoms were evident, the most prominent of these being the sex of the subject. It was suggested that these influences may underlie socio-demographic differences in rates of recognized depressive states occurring within clinical samples.

scholarly journals The Association Between Depressive Symptoms and Cognitive Functioning in Older Hispanic/Latino Adults Enrolled in an Exercise Intervention: Results From the “¡Caminemos!” Study

2017 ◽  
Vol 30 (6) ◽  
pp. 843-862 ◽  
Author(s):  
Rosalba Hernandez ◽  
Elaine Cheung ◽  
Minli Liao ◽  
Seth W. Boughton ◽  
Lisett G. Tito ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
Cognitive Functioning ◽  
Chronic Conditions ◽  
Exercise Intervention ◽  
Longitudinal Analyses ◽  
Symptoms Of Depression ◽  
Intervention Method

Objective: We examined the association between depressive symptoms and cognitive functioning in older Hispanics/Latinos enrolled in an exercise intervention. Method: We analyzed baseline, 1-year, and 2-year in-person interview data collected from Hispanics/Latinos aged ≥60 years participating in an exercise intervention across 27 senior centers ( N = 572). Results: Mean age was 73.13 years; 77% female. At baseline, older adults screening positive for depression were 1.58 times more likely to experience cognitive impairment ( p = .04); controlling for demographics and comorbid chronic conditions. Compared to peers with little to no depressive symptoms, lower cognitive functioning scores were evident at each follow-up assessment point where elevated depressive symptoms were present, but baseline depression was not associated with cognitive function in longitudinal analyses. Discussion: In older Hispanics/Latinos enrolled in an exercise intervention, though baseline depression did not predict cognitive function over time, elevated symptoms of depression were associated with greater cognitive impairment at every point in this study.

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