That's [not] so gay: Computerised cognitive behavioural therapy for depressive symptoms in sexual minority youth

2012 ◽  
Vol 60 (5) ◽  
pp. S141 ◽  
Author(s):  
M. Lucassen ◽  
S.N. Merry ◽  
S. Hatcher
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Behavioural Therapy ◽  
Sexual Minority ◽  
Behavioural Therapy ◽  
Minority Youth ◽  
Sexual Minority Youth ◽  
Cognitive Behavioural

scholarly journals Minority stress, perceived burdensomeness, and depressive symptoms among sexual minority youth

2018 ◽  
Vol 66 ◽  
pp. 9-18 ◽  
Author(s):  
Laura Baams ◽  
Judith Semon Dubas ◽  
Stephen T. Russell ◽  
Rosemarie L. Buikema ◽  
Marcel A.G. van Aken
Keyword(s):  
Depressive Symptoms ◽  
Sexual Minority ◽  
Minority Stress ◽  
Minority Youth ◽  
Sexual Minority Youth ◽  
Perceived Burdensomeness

The effect of Internet-delivered cognitive behavioural therapy vs. psychoeducation only on psychological distress in patients with non-cardiac chest pain: a randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Ghassan Mourad ◽  
Magda Eriksson-Liebon ◽  
Patric Karlström ◽  
Peter Johansson
Keyword(s):  
Physical Activity ◽  
Psychological Distress ◽  
Depressive Symptoms ◽  
Chest Pain ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cardiac Anxiety ◽  
Cognitive Behavioural ◽  
Secondary Outcomes

BACKGROUND Patients with recurrent episodes of non-cardiac chest pain (NCCP) suffer from cardiac anxiety, as they misinterpret the pain to be cardiac-related and avoid physical activity that they think could threaten their lives. Psychological interventions, such as Internet-delivered cognitive behavioural therapy (iCBT), targeting anxiety can be a feasible solution by supporting patients to learn how to perceive and handle their chest pain. OBJECTIVE To evaluate the effects of a nurse-led iCBT program on cardiac anxiety and other patient-reported outcomes in patients with NCCP. METHODS Patients with at least two healthcare consultations due to NCCP during the last 6 months, and who were suffering from cardiac anxiety (Cardiac Anxiety Questionnaire (CAQ) score ≥24), were randomized into 5 weeks of iCBT (n=54) or psychoeducation (n=55). Patients were 54 (±17) vs 57 (±16) years old and mainly women (59% vs 64%). The iCBT program comprised psychoeducation, mindfulness, and exposure to physical activity, with weekly homework assignments. The primary outcome was cardiac anxiety. The secondary outcomes were fear of body sensations, depressive symptoms, health-related quality of life (HRQoL), and chest pain frequency. Intention-to-treat analysis was applied, and patients were followed-up for three months. A mixed model analysis was used to determine between-group differences in primary and secondary outcomes. RESULTS No significant differences were found between the iCBT and psychoeducation groups regarding cardiac anxiety or any of the secondary outcomes in terms of interaction effect of time and group over the 3-months follow-up. iCBT demonstrated a small effect size on cardiac anxiety (Cohen’s d=0.31). In the iCBT group, 16 patients (36%) reported a positive reliable change score (≥11 points on the CAQ), and thus an improvement in cardiac anxiety, to be compared with 13 patients (27 %) in the psychoeducation group. Within-group analysis showed further significant improvement in cardiac anxiety (p=.037), depressive symptoms (p=.007) and of NCCP frequency (p=.005) at 3-months follow-up compared to 5-weeks follow-up in the iCBT group, but not in the psychoeducation group. CONCLUSIONS iCBT was not superior to psychoeducation in decreasing cardiac anxiety in patients with NCCP. However, iCBT tends to have better long-term effects on psychological distress, including cardiac anxiety, HRQoL and NCCP frequency than psychoeducation. The effects need to be followed up in order to draw more reliable conclusions. CLINICALTRIAL The study was registered at ClinicalTrials.gov, NCT03336112; https://www.clinicaltrials.gov/ct2/show/NCT03336112

scholarly journals Discrimination and Depressive Symptoms Among Sexual Minority Youth: Is Gay-Affirming Religious Affiliation a Protective Factor?

2014 ◽  
Vol 43 (8) ◽  
pp. 1589-1599 ◽  
Author(s):  
Maurice N. Gattis ◽  
Michael R. Woodford ◽  
Yoonsun Han
Keyword(s):  
Depressive Symptoms ◽  
Sexual Minority ◽  
Protective Factor ◽  
Religious Affiliation ◽  
Minority Youth ◽  
Sexual Minority Youth

scholarly journals Mediators of increased self-harm and suicidal ideation in sexual minority youth: a longitudinal study

2018 ◽  
Vol 49 (15) ◽  
pp. 2524-2532 ◽  
Author(s):  
O. A. Oginni ◽  
E. J. Robinson ◽  
A. Jones ◽  
Q. Rahman ◽  
K. A. Rimes
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Suicidal Ideation ◽  
Sexual Minority ◽  
Self Esteem ◽  
Gender Nonconformity ◽  
Minority Youth ◽  
Sexual Minority Youth ◽  
Increased Risk ◽  
Self Harm

AbstractBackgroundSexual minority youth have elevated suicidal ideation and self-harm compared with heterosexual young people; however, evidence for mediating mechanisms is predominantly cross-sectional. Using a longitudinal design, we investigated self-esteem and depressive symptoms as mediators of increased rates of suicidal ideation or self-harm (SISH) among sexual minority youth, and the roles of childhood gender nonconformity (CGN) and sex as moderators of these relationships.MethodIn total, 4274 youth from the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort reported sexual orientation at age 15 years, and past-year SISH at age 20 years. Self-esteem and depressive symptoms were assessed at ages 17 and 18 years, respectively. CGN was measured at 30–57 months. Covariates included sociodemographic variables and earlier measures of mediator and outcome variables. Mediation pathways were assessed using structural equation modelling.ResultsSexual minority youth (almost 12% of the sample) were three times more likely than heterosexual youth to report past-year SISH (95% confidence interval 2.43–3.64) at 20 years. Two mediation pathways were identified: a single mediator pathway involving self-esteem and a multiple-mediated pathway involving self-esteem and depressive symptoms. Although CGN was associated with past-year SISH, it did not moderate any mediation pathways and there was no evidence for moderation by sex.ConclusionsLower self-esteem and increased depressive symptoms partly explain the increased risk for later suicidal ideation and self-harm in sexual minority youth. Preventive strategies could include self-esteem-enhancing or protecting interventions, especially in female sexual minority youth, and treatment of depression.

Efficacy of cognitive behavioural therapy delivered over the Internet for depressive symptoms: A systematic review and meta-analysis

2017 ◽  
Vol 24 (8) ◽  
pp. 527-539 ◽  
Author(s):  
Dina M Sztein ◽  
Charles E Koransky ◽  
Leah Fegan ◽  
Seth Himelhoch
Keyword(s):  
Depressive Symptoms ◽  
Confidence Interval ◽  
Cognitive Behavioural Therapy ◽  
Meta Analysis ◽  
Behavioural Therapy ◽  
Mean Difference ◽  
The Internet ◽  
Moderate Depression ◽  
Cognitive Behavioural ◽  
Standardized Mean Difference

Introduction Cognitive behavioural therapy has been shown to improve depressive symptoms in adults with mild to moderate depression. To overcome many of the barriers associated with delivering this treatment, attempts have been made to deliver cognitive behavioural therapy via the Internet. The objective of this meta-analysis is to assess whether Internet-based cognitive behavioural therapy delivered to adults with depressive symptoms leads to a reduction in these symptoms as compared to those who receive no therapy. Methods In September 2015, the Cochrane, PubMed and PsycInfo databases were searched; studies were also found through bibliography searches. Studies were included if they were randomized controlled trials published in English between 2005–2015 conducted with adults >18 years of age experiencing mild to moderate depression where study subjects received Internet-based cognitive behavioural therapy, and the control group was placed on a wait-list. The search yielded 257 articles; 14 of these were included in the meta-analysis. Results Internet delivered cognitive behavioural therapy had a medium effect on reducing depressive symptoms at the end of the study period (standardized mean difference: 0.74, confidence interval: 0.62–0.86, p < 0.001). Internet-delivered cognitive behavioural therapy also has a large sustained effect in maintaining reduction of depressive symptoms in follow-up measures done 3–6 months after the conclusion of the therapy (standardized mean difference: 0.83, confidence interval: 0.69–0.99, p < 0.001). There was no publication bias and low heterogeneity. Discussion Cognitive behavioural therapy delivered over the Internet leads to immediate and sustained reduction in depressive symptoms; thus, it may be a good treatment modality for individuals unable or unwilling to access traditional face-to-face therapy.

scholarly journals Trajectories of Depressive Symptoms and Suicidality Among Heterosexual and Sexual Minority Youth

2013 ◽  
Vol 42 (8) ◽  
pp. 1243-1256 ◽  
Author(s):  
Michael P. Marshal ◽  
Sarah S. Dermody ◽  
JeeWon Cheong ◽  
Chad M. Burton ◽  
Mark S. Friedman ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sexual Minority ◽  
Minority Youth ◽  
Sexual Minority Youth

scholarly journals Combined treatment with cognitive–behavioural therapy in adolescent depression: meta-analysis

2010 ◽  
Vol 197 (6) ◽  
pp. 433-440 ◽  
Author(s):  
Bernadka Dubicka ◽  
Rachel Elvins ◽  
Chris Roberts ◽  
Greg Chick ◽  
Paul Wilkinson ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Behavioural Therapy ◽  
Adolescent Depression ◽  
Antidepressant Treatment ◽  
Meta Analysis ◽  
Combined Treatment ◽  
Behavioural Therapy ◽  
Response To Treatment ◽  
Global Improvement ◽  
Cognitive Behavioural

BackgroundThe treatment of adolescent depression is controversial and studies of combined treatment (antidepressants and cognitive–behavioural therapy, CBT) have produced conflicting findings.AimsTo address the question of whether CBT confers additional benefit to antidepressant treatment in adolescents with unipolar depression for depressive symptoms, suicidality, impairment and global improvement.MethodMeta-analysis of randomised controlled trials (RCTs) of newer-generation antidepressants and CBT in adolescent depression.ResultsThere was no evidence of a statistically significant benefit of combined treatment over antidepressants for depressive symptoms, suicidality and global improvement after acute treatment or at follow-up. There was a statistically significant advantage of combined treatment for impairment in the short-term (at 12 weeks) only. There was some evidence of heterogeneity between studies.ConclusionsAdding CBT to antidepressants confers limited advantage for the treatment of an episode of depression in adolescents. The variation in sampling and methodology between studies, as well as the small number of trials, limits the generalisability of the findings and any conclusions that can be drawn. Future studies should examine predictors of response to treatment as well as clinical components that may affect outcome.

Cognitive–Behavioural Therapy via Videoconferencing to a Rural Area

2001 ◽  
Vol 35 (1) ◽  
pp. 62-64 ◽  
Author(s):  
Taryn Cowain
Keyword(s):  
Case Report ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Cognitive Behavioural Therapy ◽  
Married Woman ◽  
Antidepressant Treatment ◽  
South Australia ◽  
Behavioural Therapy ◽  
Rural South ◽  
Cognitive Behavioural

Objective: This case report describes the use of cognitive–behavioural therapy via twoway, interactive audiovisual videoconferencing and identifies issues involved in using this form of technology to provide therapy. Clinical picture: A 38-year-old married woman living in rural South Australia presented with panic disorder with agoraphobia and major depression. The patient had refused antidepressant treatment. Treatment: The patient was treated with 12 sessions of cognitive–behavioural therapy delivered via videoconferencing. Outcome: Anxiety and depressive symptoms resolved with concomitant improvement in function. Conclusions: Providing this form of therapy via videoconferencing can be effective.

scholarly journals Chat- and internet-based cognitive–behavioural therapy in treatment of adolescent depression: randomised controlled trial

BJPsych Open ◽  
2018 ◽  
Vol 4 (4) ◽  
pp. 199-207 ◽  
Author(s):  
Naira Topooco ◽  
Matilda Berg ◽  
Sofie Johansson ◽  
Lina Liljethörn ◽  
Ella Radvogin ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Behavioural Therapy ◽  
Adolescent Depression ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Access To Treatment ◽  
For Profit ◽  
Symptoms Of Depression ◽  
Cognitive Behavioural ◽  
Randomised Controlled

BackgroundDepression is a major contributor to the burden of disease in the adolescent population. Internet-based interventions can increase access to treatment.AimsTo evaluate the efficacy of internet-based cognitive–behavioural therapy (iCBT), including therapist chat communication, in treatment of adolescent depression.MethodSeventy adolescents, 15–19 years of age and presenting with depressive symptoms, were randomised to iCBT or attention control. The primary outcome was the Beck Depression Inventory II (BDI-II).ResultsSignificant reductions in depressive symptoms were found, favouring iCBT over the control condition (F(1,67) = 6.18, P < 0.05). The between-group effect size was Cohen's d = 0.71 (95% CI 0.22–1.19). A significantly higher proportion of iCBT participants (42.4%) than controls (13.5%) showed a 50% decrease in BDI-II score post-treatment (P < 0.01). The improvement for the iCBT group was maintained at 6 months.ConclusionsThe intervention appears to effectively reduce symptoms of depression in adolescents and may be helpful in overcoming barriers to care among young people.Declaration of interestN.T. and G.A. designed the programme. N.T. authored the treatment material. The web platform used for treatment is owned by Linköping University and run on a non-for-profit basis. None of the authors receives any income from the programme.

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