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Evidence Map of Prevention and Treatment Interventions for Depression in Young People

DOI: 10.1155/2012/820735

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Abstract:

Introduction. Depression in adolescents and young people is associated with reduced social, occupational, and interpersonal functioning, increases in suicide and self-harm behaviours, and problematic substance use. Age-appropriate, evidence-based treatments are required to provide optimal care. Methods. “Evidence mapping” methodology was used to quantify the nature and distribution of the extant high-quality research into the prevention and treatment of depression in young people across psychological, medical, and other treatment domains. Results. Prevention research is dominated by cognitive-behavioral- (CBT-) based interventions. Treatment studies predominantly consist of CBT and SSRI medication trials, with few trials of other psychological interventions or complementary/alternative treatments. Quality studies on relapse prevention and treatment for persistent depression are distinctly lacking. Conclusions. This map demonstrates opportunities for future research to address the numerous evidence gaps for interventions to prevent or treat depression in young people, which are of interest to clinical researchers, policy makers, and funding bodies. 1. Introduction Depression among adolescents and young people is a pressing public health issue. A meta-analysis of prevalence rates shows 2.8% of children (<13 years) and 5.7% of adolescents (13–18 years) experience depression over a 12-month period [1]. Depression has serious adverse effects on social, academic, and family functioning [2, 3]. Early onset depression is also associated with higher rates of completed suicide and suicide attempts compared to individuals with no psychiatric illness [4, 5]. High prevalence and the associated disability of depressive disorders make effective, evidence-based prevention and early interventions a priority. While the status of depressive disorders as a public health priority due to the associated burden of disease [6] has ensured a large amount of effort has gone into prevention research, an equally important, but neglected focus has been on early intervention for those with emerging or first episode depression. The age of onset for most disorders, including depressive and anxiety disorders, falls in a narrow time band, predominantly encompassing youth from the early teens to the mid 20’s [7]. Early detection and intervention is critical to preventing a relapsing or chronic course, which is associated with the development of other psychiatric and alcohol and substance use disorders [8, 9], impairments in occupational and social functioning [3, 10–13], and the risk of

References

[1]  E. J. Costello, A. Erkanli, and A. Angold, “Is there an epidemic of child or adolescent depression?” Journal of Child Psychology and Psychiatry, vol. 47, no. 12, pp. 1263–1271, 2006.
[2]  B. Birmaher, N. D. Ryan, D. E. Williamson et al., “Childhood and adolescent depression: a review of the past 10 years. Part I,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 35, no. 11, pp. 1427–1439, 1996.
[3]  P. M. Lewinsohn, P. Rohde, and J. R. Seeley, “Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications,” Clinical Psychology Review, vol. 18, no. 7, pp. 765–794, 1998.
[4]  M. S. Gould, R. King, S. Greenwald et al., “Psychopathology associated with suicidal ideation and attempts among children and adolescents,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 37, no. 9, pp. 915–923, 1998.
[5]  M. M. Weissman, S. Wolk, R. B. Goldstein et al., “Depressed adolescents grown up,” Journal of the American Medical Association, vol. 281, no. 18, pp. 1707–1713, 1999.
[6]  C. Murray and A. Lopez, The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020, Harvard School of Public Health on behalf of the World Health Organisation and the World Bank, Cambridge, Mass, USA, 1996.
[7]  R. C. Kessler, P. Berglund, O. Demler, R. Jin, K. R. Merikangas, and E. E. Walters, “Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication,” Archives of General Psychiatry, vol. 62, no. 6, pp. 593–602, 2005.
[8]  R. Harrington, H. Fudge, M. Rutter, A. Pickles, and J. Hill, “Adult outcomes of childhood and adolescent depression. I. Psychiatric status,” Archives of General Psychiatry, vol. 47, no. 5, pp. 465–473, 1990.
[9]  E. B. Weller and R. A. Weller, “Depression in adolescents growing pains or true morbidity?” Journal of Affective Disorders, vol. 61, supplement 1, pp. S9–S13, 2000.
[10]  M. Kovacs, T. L. Feinberg, and M. A. Crouse-Novak, “Depressive disorders in childhood. I. A Longitudinal prospective study of characteristics and recovery,” Archives of General Psychiatry, vol. 41, no. 3, pp. 229–237, 1984.
[11]  L. L. Judd, M. P. Paulus, K. B. Wells, and M. H. Rapaport, “Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population,” American Journal of Psychiatry, vol. 153, no. 11, pp. 1411–1417, 1996.
[12]  I. H. Gotlib, P. M. Lewinsohn, and J. R. Seeley, “Symptoms versus a diagnosis of depression: differences in psychosocial functioning,” Journal of Consulting and Clinical Psychology, vol. 63, no. 1, pp. 90–100, 1995.
[13]  D. A. Brent and B. Birmaher, “Adolescent depression,” New England Journal of Medicine, vol. 347, no. 9, pp. 667–671, 2002.
[14]  S. J. Blumenthal, “Youth suicide: risk factors, assessment, and treatment of adolescent and young adult suicidal patients,” Psychiatric Clinics of North America, vol. 13, no. 3, pp. 511–556, 1990.
[15]  S. J. Blumenthal and D. J. Kupfer, “Overview of early detection and treatment strategies for suicidal behavior in young people,” Journal of Youth and Adolescence, vol. 17, no. 1, pp. 1–23, 1988.
[16]  U. Rao, M. M. Weissman, J. A. Martin, and R. W. Hammond, “Childhood depression and risk of suicide: a preliminary report of a longitudinal study,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 32, no. 1, pp. 21–27, 1993.
[17]  R. Harrington and A. Clark, “Prevention and early intervention for depression in adolescence and early adult life,” European Archives of Psychiatry and Clinical Neuroscience, vol. 248, no. 1, pp. 32–45, 1998.
[18]  P. D. McGorry, I. B. Hickie, A. R. Yung, C. Pantelis, and H. J. Jackson, “Clinical staging of psychiatric disorders: a heuristic framework for choosing earlier, safer and more effective interventions,” Australian and New Zealand Journal of Psychiatry, vol. 40, no. 8, pp. 616–622, 2006.
[19]  C. D. Bilsbury and A. Richman, “A staging approach to measuring patient-centred subjective outcomes,” Acta Psychiatrica Scandinavica, Supplement, vol. 106, no. 414, pp. 5–40, 2002.
[20]  G. A. Fava, S. Grandi, R. Canestrari, and G. Molnar, “Prodromal symptoms in primary major depressive disorder,” Journal of Affective Disorders, vol. 19, no. 2, pp. 149–152, 1990.
[21]  G. A. Fava and R. Kellner, “Staging: a neglected dimension in psychiatric classification,” Acta Psychiatrica Scandinavica, vol. 87, no. 4, pp. 225–230, 1993.
[22]  G. A. Fava and E. Tossani, “Prodromal stage of major depression,” Early Intervention in Psychiatry, vol. 1, pp. 9–18, 2007.
[23]  L. L. Judd, H. S. Akiskal, and M. P. Paulus, “The role and clinical significance of subsyndromal depressive symptoms (SSD) in unipolar major depressive disorder,” Journal of Affective Disorders, vol. 45, no. 1-2, pp. 5–18, 1997.
[24]  A. Kopas, SSRI Prescription Rates for Young People in Australia, S. Hetrick, Ed., Pharmaceutical Benefits Division, Department of Health and Ageing, Canberra, Australia, 2010.
[25]  A. N. Page, S. Swannell, G. Martin, S. Hollingworth, I. B. Hickie, and W. D. Hall, “Sociodemographic correlates of antidepressant utilisation in Australia,” Medical Journal of Australia, vol. 190, no. 9, pp. 479–483, 2009.
[26]  H. Arksey and L. O'Malley, “Scoping studies: towards a methodological framework,” International Journal of Social Research Methodology, vol. 8, no. 1, pp. 19–32, 2005.
[27]  T. Jones and D. Evans, “Conducting a systematic review,” Australian Critical Care, vol. 13, no. 2, pp. 66–71, 2000.
[28]  S. E. Hetrick, A. G. Parker, P. Callahan, and R. Purcell, “Evidence mapping: illustrating an emerging methodology to improve evidence-based practice in youth mental health,” Journal of Evaluation in Clinical Practice, vol. 16, no. 6, pp. 1025–1030, 2010.
[29]  D. L. Katz, A. L. Williams, C. Girard et al., “The evidence base for complementary and alternative medicine: methods of evidence mapping with application to CAM,” Alternative Therapies in Health and Medicine, vol. 9, no. 4, pp. 22–30, 2003.
[30]  P. J. Mrazek and R. J. Haggerty, Frontiers for Preventive Intervention Research, National Academy, Washington, DC, USA, 1994.
[31]  M. Fava, “Diagnosis and definition of treatment-resistant depression,” Biological Psychiatry, vol. 53, no. 8, pp. 649–659, 2003.
[32]  National Health and Medical Research Council, NHMRC Additional Levels of Evidence and Grades for Recommendations for Developers of Guidelines, 2009.
[33]  P. Liu, A. G. Parker, S. E. Hetrick, P. Callahan, S. de Silva, and R. Purcell, “An evidence map of interventions across premorbid, ultra-high risk and first episode phases of psychosis,” Schizophrenia Research, vol. 123, no. 1, pp. 37–44, 2010.
[34]  J. M. Glanville, C. Lefebvre, J. N. V. Miles, and J. Camosso-Stefinovic, “How to identify randomized controlled trials in MEDLINE: ten years on,” Journal of the Medical Library Association, vol. 94, no. 2, pp. 130–136, 2006.
[35]  J. S. March, “Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents with Depression Study (TADS) randomized controlled trial,” Journal of the American Medical Association, vol. 292, no. 7, pp. 807–820, 2004.
[36]  J. E. Gillham, K. J. Reivich, D. R. Freres et al., “School-based prevention of depressive symptoms: a randomized controlled study of the effectiveness and specificity of the Penn Resiliency program,” Journal of Consulting and Clinical Psychology, vol. 75, no. 1, pp. 9–19, 2007.
[37]  T. M. Chaplin, J. E. Gillham, K. Reivich et al., “Depression prevention for early adolescent girls: a pilot study of all girls versus co-ed groups,” Journal of Early Adolescence, vol. 26, no. 1, pp. 110–126, 2006.
[38]  J. L. Horowitz and J. Garber, “The prevention of depressive symptoms in children and adolescents: a meta-analytic review,” Journal of Consulting and Clinical Psychology, vol. 74, no. 3, pp. 401–415, 2006.
[39]  E. Jané-Llopis, C. Hosman, R. Jenkins, and P. Anderson, “Predictors of efficacy in depression prevention programmes: meta-analysis,” British Journal of Psychiatry, vol. 183, pp. 384–397, 2003.
[40]  S. H. Spence and A. L. Shortt, “Research review: can we justify the widespread dissemination of universal, school-based interventions for the prevention of depression among children and adolescents?” Journal of Child Psychology and Psychiatry and Allied Disciplines, vol. 48, no. 6, pp. 526–542, 2007.
[41]  S. Merry, H. McDowell, S. Hetrick, J. Bir, and N. Muller, “Psychological and/or educational interventions for the prevention of depression in children and adolescents,” Cochrane Database of Systematic Reviews, no. 1, Article ID CD003380, 2004.
[42]  E. V. Cardemil, K. J. Reivich, C. G. Beevers, M. E. P. Seligman, and J. James, “The prevention of depressive symptoms in low-income, minority children: two-year follow-up,” Behaviour Research and Therapy, vol. 45, no. 2, pp. 313–327, 2007.
[43]  C. Waddell, J. M. Hua, O. M. Garland, R. D. Peters, and K. McEwan, “Preventing mental disorders in children: a systematic review to inform policy-making,” Canadian Journal of Public Health, vol. 98, no. 3, pp. 166–173, 2007.
[44]  G. I. Spielmans, L. F. Pasek, and J. P. McFall, “What are the active ingredients in cognitive and behavioral psychotherapy for anxious and depressed children? A meta-analytic review,” Clinical Psychology Review, vol. 27, no. 5, pp. 642–654, 2007.
[45]  S. N. Compton, J. S. March, D. Brent, A. M. Albano, V. R. Weersing, and J. Curry, “Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 43, no. 8, pp. 930–959, 2004.
[46]  G. N. Clarke, W. Hawkins, M. Murphy, L. B. Sheeber, P. M. Lewinsohn, and J. R. Seeley, “Targeted prevention of unipolar depressive disorder in an at-risk sample of high school adolescents: a randomized trial of a group cognitive intervention,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 34, no. 3, pp. 312–321, 1995.
[47]  G. N. Clarke, M. Hornbrook, F. Lynch et al., “A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents,” Archives of General Psychiatry, vol. 58, no. 12, pp. 1127–1134, 2001.
[48]  P. Hazell, D. O'Connell, D. Heathcote, and D. Henry, “Tricyclic drugs for depression in children and adolescents,” Cochrane Database of Systematic Reviews, no. 3, Article ID CD002317, 2000.
[49]  N. Maneeton and M. Srisurapanont, “Tricyclic antidepressants for depressive disorders in children and adolescents: a meta-analysis of randomized-controlled trials,” Journal of the Medical Association of Thailand, vol. 83, no. 11, pp. 1367–1374, 2000.
[50]  K. Papanikolaou, C. Richardson, A. Pehlivanidis, and Z. Papadopoulou-Daifoti, “Efficacy of antidepressants in child and adolescent depression: a meta-analytic study,” Journal of Neural Transmission, vol. 113, no. 3, pp. 399–415, 2006.
[51]  C. J. Whittington, T. Kendall, P. Fonagy, D. Cottrell, A. Cotgrove, and E. Boddington, “Selective serotonin reuptake inhibitors in childhood depression: systematic review of published versus unpublished data,” The Lancet, vol. 363, no. 9418, pp. 1341–1345, 2004.
[52]  A. E. Wallace, J. Neily, W. B. Weeks, and M. J. Friedman, “A cumulative meta-analysis of selective serotonin reuptake inhibitors in pediatric depression: did unpublished studies influence the efficacy/safety debate?” Journal of Child and Adolescent Psychopharmacology, vol. 16, no. 1-2, pp. 37–58, 2006.
[53]  T. Usala, A. Clavenna, A. Zuddas, and M. Bonati, “Randomised controlled trials of selective serotonin reuptake inhibitors in treating depression in children and adolescents: a systematic review and meta-analysis,” European Neuropsychopharmacology, vol. 18, no. 1, pp. 62–73, 2008.
[54]  S. Hetrick, S. Merry, J. McKenzie, P. Sindahl, and M. Proctor, “Selective serotonin reuptake inhibitors (SSRIs) for depressive disorders in children and adolescents,” Cochrane Database of Systematic Reviews, no. 3, Article ID CD004851, 2007.
[55]  I. M. Goodyer, P. Wilkinson, B. Dubicka, and R. Kelvin, “Forum: the use of selective serotonin reuptake inhibitors in depressed children and adolescents: commentary on the meta-analysis by Hetrick et al,” Current Opinion in Psychiatry, vol. 23, no. 1, pp. 58–61, 2010.
[56]  S. E. Hetrick, J. E. McKenzie, and S. N. Merry, “The use of SSRIs in children and adolescents,” Current Opinion in Psychiatry, vol. 23, no. 1, pp. 53–57, 2010.
[57]  D. B. Courtney, “Selective serotonin reuptake inhibitor and venlafaxine use in children and adolescents with major depressive disorder: a systematic review of published randomized controlled trials,” Canadian Journal of Psychiatry, vol. 49, no. 8, pp. 557–563, 2004.
[58]  N. Watanabe, V. Hunot, I. M. Omori, R. Churchill, and T. A. Furukawa, “Psychotherapy for depression among children and adolescents: a systematic review,” Acta Psychiatrica Scandinavica, vol. 116, no. 2, pp. 84–95, 2007.
[59]  G. N. Clarke, M. Hornbrook, F. Lynch et al., “Group cognitive-behavioral treatment for depressed adolescent offspring of depressed parents in a health maintenance organization,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 41, no. 3, pp. 305–313, 2002.
[60]  P. M. Lewinsohn, G. N. Clarke, H. Hops, and J. Andrews, “Cognitive-behavioral treatment for depressed adolescents,” Behavior Therapy, vol. 21, no. 4, pp. 385–401, 1990.
[61]  P. Rohde, G. N. Clarke, D. E. Mace, J. S. Jorgensen, and J. R. Seeley, “An efficacy/effectiveness study of cognitive-behavioral treatment for adolescents with comorbid major depression and conduct disorder,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 43, no. 6, pp. 660–668, 2004.
[62]  B. Birmaher, G. S. Waterman, N. D. Ryan et al., “Randomized, controlled trial of amitriptyline versus placebo for adolescents with “treatment-resistant“ major depression,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 37, no. 5, pp. 527–535, 1998.
[63]  J. R. Asaknow, G. Emslie, G. Clarke et al., “Treatment of selective serotonin reuptake inhibitor-resistant depression in adolescents: predictors and moderators of treatment response,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 48, no. 3, pp. 330–339, 2009.
[64]  D. M. Clark, R. Layard, R. Smithies, D. A. Richards, R. Suckling, and B. Wright, “Improving access to psychological therapy: initial evaluation of two UK demonstration sites,” Behaviour Research and Therapy, vol. 47, no. 11, pp. 910–920, 2009.
[65]  W. R. Beardslee, T. R. Gladstone, E. J. Wright, and A. B. Cooper, “A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change,” Pediatrics, vol. 112, no. 2, pp. e119–131, 2003.
[66]  M. Eskin, K. Ertekin, and H. Demir, “Efficacy of a problem-solving therapy for depression and suicide potential in adolescents and young adults,” Cognitive Therapy and Research, vol. 32, no. 2, pp. 227–245, 2008.
[67]  S. E. Hetrick, A. G. Parker, I. B. Hickie, R. Purcell, A. R. Yung, and P. D. McGorry, “Early identification and intervention in depressive disorders: towards a clinical staging model,” Psychotherapy and Psychosomatics, vol. 77, no. 5, pp. 263–270, 2008.
[68]  D. Coyle, G. Doherty, M. Matthews, and J. Sharry, “Computers in talk-based mental health interventions,” Interacting with Computers, vol. 19, no. 4, pp. 545–562, 2007.
[69]  R. O'Kearney, K. Kang, H. Christensen, and K. Griffiths, “A controlled trial of a school-based internet program for reducing depressive symptoms in adolescent girls,” Depression and Anxiety, vol. 26, no. 1, pp. 65–72, 2009.
[70]  J. S. March, B. J. Klee, and C. M. E. Kremer, “Treatment benefit and the risk of suicidality in multicenter, randomized, controlled trials of sertraline in children and adolescents,” Journal of Child and Adolescent Psychopharmacology, vol. 16, no. 1-2, pp. 91–102, 2006.
[71]  I. Goodyer, B. Dubicka, P. Wilkinson et al., “Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomised controlled trial,” British Medical Journal, vol. 335, no. 7611, pp. 142–146, 2007.
[72]  National Institute of Clinical Health and Excellence, Depression in Children and Young People. Identification and Management in Primary, Community and Secondary Care, UK, 2005.
[73]  A. F. Jorm, et al., A Guide to What Works for Depression, Beyondblue, Melbourne, Australia, 2009.
[74]  A. A. Abbass, J. T. Hancock, J. Henderson, and S. Kisely, “Short-term psychodynamic psychotherapies for common mental disorders,” Cochrane Database of Systematic Reviews, no. 4, Article ID CD004687, 2006.
[75]  F. Leichsenring, “Comparative effects of short-term psychodynamic psychotherapy and cognitive-behavioral therapy in depression: a meta-analytic approach,” Clinical Psychology Review, vol. 21, no. 3, pp. 401–419, 2001.
[76]  J. Gollan, B. Raffety, E. Gortner, and K. Dobson, “Course profiles of early- and adult-onset depression,” Journal of Affective Disorders, vol. 86, no. 1, pp. 81–86, 2005.
[77]  J. K. Gollan and H. Pane, “High rates of recurrence of depression in children and adolescents,” Evidence-Based Mental Health, vol. 9, no. 4, p. 95, 2006.
[78]  P. M. Lewinsohn, G. N. Clarke, J. R. Seeley, and P. Rohde, “Major depression in community adolescents: age at onset, episode duration, and time to recurrence,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 33, no. 6, pp. 809–818, 1994.
[79]  S. D. Hollon, R. J. DeRubeis, R. C. Shelton et al., “Prevention of relapse following cognitive therapy vs medications in moderate to severe depression,” Archives of General Psychiatry, vol. 62, no. 4, pp. 417–422, 2005.
[80]  J. D. Teasdale, Z. V. Segal, J. M. G. Williams, V. A. Ridgewaya, J. M. Soulsby, and M. A. Lau, “Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy,” Journal of Consulting and Clinical Psychology, vol. 68, no. 4, pp. 615–623, 2000.
[81]  E. Killackey, H. J. Jackson, and P. D. McGorry, “Vocational intervention in first-episode psychosis: individual placement and support v. treatment as usual,” British Journal of Psychiatry, vol. 193, no. 2, pp. 114–120, 2008.
[82]  D. H. Avery, K. Claypoole, L. Robinson et al., “Repetitive transcranial magnetic stimulation in the treatment of medication-resistant depression: preliminary data,” Journal of Nervous and Mental Disease, vol. 187, no. 2, pp. 114–117, 1999.
[83]  A. Pascual-Leone, B. Rubio, F. Pallardó, and M. D. Catalá, “Rapid-rate transcranial magnetic stimulation of left dorsolateral prefrontal cortex in drug-resistant depression,” The Lancet, vol. 348, no. 9022, pp. 233–237, 1996.
[84]  P. B. Fitzgerald, J. Benitez, A. De Castella, Z. J. Daskalakis, T. L. Brown, and J. Kulkarni, “A randomized, controlled trial of sequential bilateral repetitive transcranial magnetic stimulation for treatment-resistant depression,” American Journal of Psychiatry, vol. 163, no. 1, pp. 88–94, 2006.
[85]  L. J. Phillips, A. R. Yung, H. P. Yuen, C. Pantelis, and P. D. McGorry, “Prediction and prevention of transition to psychosis in young people at incipient risk for schizophrenia,” American Journal of Medical Genetics, vol. 114, no. 8, pp. 929–937, 2002.
[86]  A. R. Yung, L. J. Phillips, H. P. Yuen et al., “Psychosis prediction: 12-Month follow up of a high-risk ("prodromal") group,” Schizophrenia Research, vol. 60, no. 1, pp. 21–32, 2003.
[87]  P. D. McGorry, A. R. Yung, L. J. Phillips et al., “Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms,” Archives of General Psychiatry, vol. 59, no. 10, pp. 921–928, 2002.
[88]  Australian Government, “Health reform: facts and figures,” http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/Content/Facts and figures.

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