scholarly journals Preventing the onset of major depressive disorder: A meta-analytic review of psychological interventions

2014 ◽  
Vol 43 (2) ◽  
pp. 318-329 ◽  
Author(s):  
Kim van Zoonen ◽  
Claudia Buntrock ◽  
David Daniel Ebert ◽  
Filip Smit ◽  
Charles F Reynolds ◽  
...  
2018 ◽  
Vol 21 (3) ◽  
pp. 101-106 ◽  
Author(s):  
Haseena Hussain ◽  
Bernadka Dubicka ◽  
Paul Wilkinson

Major depressive disorder in adolescents is an important public health concern. It is common, a risk factor for suicide and is associated with adverse psychosocial consequences. The UK National Institute for Health and Care Excellence guidelines recommend that children and young people with moderate-to-severe depression should be seen within Child and Adolescent Mental Health Services and receive specific psychological interventions, possibly in combination with antidepressant medication. Cognitive behavioural therapy (in some studies) and interpersonal psychotherapy have been demonstrated to be more effective than active control treatments for depressed adolescents. For children with depression, there is some evidence that family focused approaches are more effective than individual therapy. Fluoxetine is the antidepressant with the greatest evidence for effectiveness compared with placebo. Treatment with antidepressants and/or psychological therapy is likely to reduce suicidality, although in some young people, selective serotonin reuptake inhibitors lead to increased suicidality. There is limited evidence that combination of specific psychological therapy and antidepressant medication is better than treatment with monotherapy. There are methodological limitations in the published literature that make it difficult to relate study findings to the more severely ill clinical population in Child and Adolescent Mental Health Services. Young people should have access to both evidence-based psychological interventions and antidepressants for paediatric depression. Collaborative decisions on treatment should be made jointly by young people, their carers and clinicians, taking into account individual circumstances and potential benefits, risks and availability of treatment.


Major depressive disorder and generalized anxiety disorder are among the most commonly diagnosed mental illnesses in Thailand; both are associated with a high societal and economic burden. Treatment for major depressive disorder and generalized anxiety disorder consists of pharmacological and psychological interventions. Three commonly used psychological interventions are cognitive behavioral therapy, interpersonal therapy, and supportive therapy. The Unprecedented crisis produced by the COVID-19 pandemic produced a mental health situation with a severe impact on both seniors and adolescents. An analysis of the impact on COVID-19 on mental health in Thailand was conducted by an investigation of data from the Roi-et public health office in Roi Et province. The data showed that in the years 2016, 2017, 2018, 2019 and 2020 there were respectively 1.18, 1.36, 1.51, 1.96 and 1.93 of residents with depression. Among senior citizens in the province depression was more frequent with 2.99, 3.41, 3.60, 3.99 and 5.25 of seniors diagnosed as depressed in the years 2014, 2015, 2016, 2017 and 2018. In the era of the COVID-19 outbreak there was a higher prevalence of psychological health problems among seniors and adolescents. The crucial outcome from spatial analysis using GIS showed the highest number of mental health problems in Kaset Wisai district and the lowest prevalence in Thung Kao Lunang district. These findings suggest that the government needs to pay more attention to psychological health among elderly people while combating COVID-19.


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