scholarly journals A randomised controlled trial of a cognitive-behavioural preventive intervention for the children of parents with depression: short-term effects on symptoms and possible mechanisms

2021 ◽  
Author(s):  
Johanna Löchner ◽  
Kornelija Starman-Wöhrle ◽  
Keisuke Takano ◽  
Lina Engelmann ◽  
Alessandra Voggt ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Parenting Style ◽  
Attributional Style ◽  
Preventive Intervention ◽  
Controlled Trial ◽  
Parental Depression ◽  
Secondary Outcome ◽  
German Version ◽  
Intervention Effects ◽  
Knowledge Of Depression

Abstract Objective Parental depression is one of the biggest risk factors for youth depression. This parallel randomized controlled trial evaluates the effectiveness of the German version of the family-group-cognitive-behavioral (FGCB) preventive intervention for children of depressed parents.Methods Families with i) a parent who has experienced depression and ii) a healthy child aged 8–17 years (mean = 11.63; 53% female) were randomly allocated (blockwise; stratified by child age and parental depression) to the 12-session intervention (EG; n = 50) or no intervention (CG; usual care; n = 50). Self-reported (unblinded) outcomes were assessed immediately after the intervention (6 months). We hypothesized that CG children would show a greater increase in self-reported symptoms of depression (DIKJ) and internalizing/ externalizing disorder (YSR/CBCL) over time compared to the EG. Intervention effects on secondary outcome variables emotion regulation (FEEL-KJ), attributional style (ASF-KJ), knowledge of depression and parenting style (ESI) were also expected. Study protocol (Belinda Platt, Pietsch, Krick, Oort, & Schulte-Körne, 2014) and trial registration (NCT02115880) reported elsewhere.Results We found significant intervention effects on self-reported internalising (ηp²=0.05) and externalising (ηp²=0.08) symptoms but not depressive symptoms or parent-reported psychopathology. Parental depression severity did not modify these effects. Both groups showed equally improved knowledge of depression (ηp²=0.06). There were no intervention effects on emotion regulation, attributional style or parenting style.Conclusion The German version of the FGCB intervention is effective in reducing symptoms of general psychopathology. There was no evidence that the mechanisms targeted in the intervention changed within the intervention period.

scholarly journals A randomised controlled trial of a family-group cognitive-behavioural (FGCB) preventive intervention for the children of parents with depression: short-term effects on symptoms and possible mechanisms

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Johanna Löchner ◽  
Kornelija Starman-Wöhrle ◽  
Keisuke Takano ◽  
Lina Engelmann ◽  
Alessandra Voggt ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Parenting Style ◽  
Attributional Style ◽  
Preventive Intervention ◽  
Controlled Trial ◽  
Parental Depression ◽  
Family Group ◽  
German Version ◽  
Intervention Effects ◽  
Knowledge Of Depression

Abstract Objective Parental depression is one of the biggest risk factors for youth depression. This parallel randomized controlled trial evaluates the effectiveness of the German version of the family-group-cognitive-behavioral (FGCB) preventive intervention for children of depressed parents. Methods Families with (i) a parent who has experienced depression and (ii) a healthy child aged 8–17 years (mean = 11.63; 53% female) were randomly allocated (blockwise; stratified by child age and parental depression) to the 12-session intervention (EG; n = 50) or no intervention (CG; usual care; n = 50). Self-reported (unblinded) outcomes were assessed immediately after the intervention (6 months). We hypothesized that CG children would show a greater increase in self-reported symptoms of depression (DIKJ) and internalising/externalising disorder (YSR/CBCL) over time compared to the EG. Intervention effects on secondary outcome variables emotion regulation (FEEL-KJ), attributional style (ASF-KJ), knowledge of depression and parenting style (ESI) were also expected. Study protocol (Belinda Platt, Pietsch, Krick, Oort, & Schulte-Körne, 2014) and trial registration (NCT02115880) reported elsewhere. Results We found significant intervention effects on self-reported internalising ($$\eta_{p}^{2}$$ η p 2  = 0.05) and externalising ($$\eta_{p}^{2}$$ η p 2  = 0.08) symptoms but did not detect depressive symptoms or parent-reported psychopathology. Parental depression severity did not modify these effects. Both groups showed equally improved knowledge of depression ($$\eta_{p}^{2}$$ η p 2  = 0.06). There were no intervention effects on emotion regulation, attributional style or parenting style. Conclusion The German version of the FGCB intervention is effective in reducing symptoms of general psychopathology. There was no evidence that the mechanisms targeted in the intervention changed within the intervention period.

Intervention effects on emotion regulation in preterm infants with very low birth weight: A randomize controlled trial

2016 ◽  
Vol 48 ◽  
pp. 1-12 ◽  
Author(s):  
Ying-Chin Wu ◽  
Wu-Shiun Hsieh ◽  
Chyong-Hsin Hsu ◽  
Jui-Hsing Chang ◽  
Hung-Chieh Chou ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Infants ◽  
Very Low Birth Weight ◽  
Controlled Trial ◽  
Intervention Effects

scholarly journals An emotion regulation training in the treatment of obesity in young adolescents: The protocol of a Randomized Controlled Trial

2019 ◽  
Author(s):  
Taaike Debeuf ◽  
Sandra Verbeken ◽  
Elisa Boelens ◽  
Brenda Volkaert ◽  
Eva Van Malderen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Emotion Regulation ◽  
Childhood Obesity ◽  
Outcome Measures ◽  
Controlled Trial ◽  
Well Being ◽  
Obesity Treatment ◽  
Secondary Outcome ◽  
Booster Session ◽  
Intervention Condition

Abstract Background: The prevalence rates of childhood obesity are growing. The current multidisciplinary treatments for (childhood) obesity are working, but only in short term and rather moderate. Therefore, research needs to search for underlying mechanisms that can improve the existing multidisciplinary treatments. A possible underlying mechanism can be ‘emotion regulation’. Therefore, the current RCT-study aims to test the effectiveness of adding an emotion regulation training to care as usual (multidisciplinary obesity treatment) in young inpatients (10-14) involved in an obesity treatment program compared to care as usual alone. The research model for this RCT-study states that when high levels of stress are regulated in a maladaptive way, this can contribute to the development of obesity. Method: The current study will recruit 140 youngsters (10-14 years) that are involved in an inpatient multidisciplinary obesity treatment (MOT) program. After giving consent to participate in the study, youngsters will be randomly assigned, during consecutive waves, to one of two conditions: care as usual (receiving MOT) or intervention (receiving MOT and on top an emotion regulation training). The training itself consists of 12 weekly sessions, followed by a booster session after three and five months. The participants will be tested pre, post and at 6 months’ follow-up. We hypothesize that, compared to the control condition, youngsters in the intervention condition will (1) use more adaptive emotion regulation strategies and (2) report less emotional eating, both primary outcome measures. Moreover, on the level of secondary outcome measures, we hypothesize that youngsters in the intervention condition, compared with the control condition, will (3) report a better sleep quality, (4) undergo an improved weight-loss and weight-loss maintenance and (5) experience a better long-term (6-months) psychological well-being. Discussion: This study will add to both the scientific and clinical literature on the role of emotion regulation in the development and maintenance of different psychopathologies, as emotion regulation is a transdiagnostic factor. Trial Registration: The RCT-study protocol is registered at ISRCTN Registry, with study ID ‘ISRCTN 83822934’. Registered at 13 December 2017; http://www.isrctn.com/ISRCTN83822934

scholarly journals Developmental cascade effects of a parenting-focused program for divorced families on competence in emerging adulthood

2020 ◽  
pp. 1-15
Author(s):  
Sharlene A. Wolchik ◽  
Jenn-Yun Tein ◽  
Emily Winslow ◽  
Jessy Minney ◽  
Irwin N. Sandler ◽  
...  
Keyword(s):  
Emerging Adulthood ◽  
Externalizing Problems ◽  
Preventive Intervention ◽  
Controlled Trial ◽  
Work Outcomes ◽  
Risk Level ◽  
Intervention Effects ◽  
Divorced Families ◽  
New Beginnings ◽  
Cascade Effects

Abstract This 15-year longitudinal follow-up of a randomized controlled trial of a parenting-focused preventive intervention for divorced families examined cascade models of program effects on offsprings’ competence. It was hypothesized that intervention-induced improvements in parenting would lead to better academic, work, peer, and romantic competence in emerging adulthood through effects on behavior problems and competencies during adolescence. Families (N = 240) participated in the 11-session program or literature control condition when children were ages 9–12. Data were drawn from assessments at pretest, posttest, and follow-ups at 3 and 6 months and 6 and 15 years. Results showed that initial intervention effects of parenting on externalizing problems in adolescence cascaded to work outcomes in adulthood. Parenting effects also directly impacted work success. For work outcomes and peer competence, intervention effects were moderated by initial risk level; the program had greater effects on youths with higher risk at program entry. In addition, intervention effects on parenting led to fewer externalizing problems that in turn cascaded to better academic outcomes, which showed continuity into emerging adulthood. Results highlight the potential for intervention effects of the New Beginnings Program to cascade over time to affect adult competence in multiple domains, particularly for high-risk youths.

scholarly journals An emotion regulation training in the treatment of obesity in young adolescents: The protocol of a Randomized Controlled Trial

2019 ◽  
Author(s):  
Taaike Debeuf ◽  
Sandra Verbeken ◽  
Elisa Boelens ◽  
Brenda Volkaert ◽  
Eva Van Malderen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Emotion Regulation ◽  
Childhood Obesity ◽  
Outcome Measures ◽  
Controlled Trial ◽  
Well Being ◽  
Obesity Treatment ◽  
Secondary Outcome ◽  
Booster Session ◽  
Intervention Condition

Abstract Background: The prevalence rates of childhood obesity are increasing. The current multidisciplinary treatments for (childhood) obesity are effective, but only short term and rather moderately. A possible mechanism to explain the onset and maintenance of childhood obesity is a maladaptive way of regulating high levels of stress and emotions. Therefore, the current RCT-study aims to test the effectiveness of adding an emotion regulation training to care as usual (multidisciplinary obesity treatment) in young inpatients (10-14) involved in an obesity treatment program compared to care as usual alone. The research model for this RCT-study states that when high levels of stress are regulated in a maladaptive way, this can contribute to the development of obesity. Method: The current study will recruit 140 youngsters (10-14 years) that are involved in an inpatient multidisciplinary obesity treatment (MOT) program. After giving consent to participate in the study, youngsters will be randomly assigned, during consecutive waves, to one of two conditions: care as usual (receiving MOT) or intervention (receiving MOT and on top an emotion regulation training). The training itself consists of 12 weekly sessions, followed by a booster session after three and five months. The participants will be tested pre, post and at 6 months’ follow-up. We hypothesize that, compared to the control condition, youngsters in the intervention condition will (1) use more adaptive emotion regulation strategies and (2) report less emotional eating, both primary outcome measures. Moreover, on the level of secondary outcome measures, we hypothesize that youngsters in the intervention condition, compared with the control condition, will (3) report a better sleep quality, (4) undergo an improved weight-loss and weight-loss maintenance and (5) experience a better long-term (6-months) psychological well-being. Discussion: This study will add to both the scientific and clinical literature on the role of emotion regulation in the development and maintenance of different psychopathologies, as emotion regulation is a transdiagnostic factor. Trial Registration: The RCT-study protocol is registered at ISRCTN Registry, with study ID ‘ISRCTN 83822934’. Registered at 13 December 2017; http://www.isrctn.com/ISRCTN83822934

scholarly journals A Multi-Domain Group-Based Intervention to Promote Physical Activity, Healthy Nutrition and Psychological Wellbeing in Older People with Losses in Intrinsic Capacity: AMICOPE Development Study

2021 ◽  
Vol 18 (11) ◽  
pp. 5979
Author(s):  
Sergi Blancafort Alias ◽  
César Cuevas-Lara ◽  
Nicolás Martínez-Velilla ◽  
Fabricio Zambom-Ferraresi ◽  
Maria Eugenia Soto ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Preventive Intervention ◽  
Controlled Trial ◽  
Intervention Development ◽  
World Health ◽  
Psychological Wellbeing ◽  
Healthy Nutrition ◽  
Health And Social Care ◽  
Intrinsic Capacity

The World Health Organization has developed the Integrated Care of Older People (ICOPE) strategy, a program based on the measurement of intrinsic capacity (IC) as “the composite of all physical and mental attributes on which an individual can draw”. Multicomponent interventions appear to be the most effective approach to enhance IC and to prevent frailty and disability since adapted physical activity is the preventive intervention that has shown the most evidence in the treatment of frailty and risk of falls. Our paper describes the development of a multi-domain group-based intervention addressed to older people living in the community, aimed at improving and/or maintaining intrinsic capacity by means of promoting physical activity, healthy nutrition, and psychological wellbeing in older people. The process of intervention development is described following the Guidance for reporting intervention development studies in health research (GUIDED). The result of this study is the AMICOPE intervention (Aptitude Multi-domain group-based intervention to improve and/or maintain IC in Older PEople) built upon the ICOPE framework and described following the Template for Intervention Description and Replication (TIDieR) guidelines. The intervention consists of 12 face-to-face sessions held weekly for 2.5 h over three months and facilitated by a pair of health and social care professionals. This study represents the first stage of the UK Medical Research Council framework for developing and evaluating a complex intervention. The next step should be carrying out a feasibility study for the AMICOPE intervention and, at a later stage, assessing the effectiveness in a randomized controlled trial.

Patient Education and Sacubitril/Valsartan: A Randomized Comparative Trial

2021 ◽  
pp. 001857872199980
Author(s):  
Christopher Giuliano ◽  
Bradley St. Pierre ◽  
Jamie George
Keyword(s):  
Controlled Trial ◽  
Comparative Trial ◽  
Text Messages ◽  
Phone Call ◽  
Secondary Outcome ◽  
Short Term ◽  
Phone Calls ◽  
Video Education ◽  
Pharmacist Education

Objective: To compare video to pharmacist education for patients taking sacubitril/valsartan. Methods: We conducted a randomized controlled trial comparing video to pharmacist education with a second randomized intervention of education delivered through text or phone call at 14 days. The primary outcome compared the change in short term knowledge between groups and the secondary outcome was long term knowledge at 1 month. Results: Forty-three patients were included. Scores improved significantly ( P < .05) in the pharmacist group from 54.1% to 85.9% and from 64.3% to 86.1% in the video education group, although there was no difference between groups (31.8% vs 22.9%, P = .13). At 30 days, scores were significantly higher than baseline (difference 16.5%, P < .05) although did decrease from the posttest (difference 7.4%, P < .05). There was no difference at 30 days between those that received text messages versus phone calls (−10% vs −5.5%, respectively; P = .36). Conclusion: We saw improvements in both short term and long term knowledge for patients receiving education through pharmacist or video education. Neither approach was more effective than the other. Clinicians can use either approach based on patient preference.

scholarly journals Does regular strength training cause urinary incontinence in overweight inactive women? A randomized controlled trial

2021 ◽  
Author(s):  
Kari Bø ◽  
Lene Anette H. Haakstad ◽  
Gøran Paulsen ◽  
Anne Mette Rustaden
Keyword(s):  
Randomized Controlled Trial ◽  
Urinary Incontinence ◽  
Strength Training ◽  
Short Form ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Control Group ◽  
Randomized Controlled ◽  
Sum Score ◽  
New Onset

Abstract Introduction and hypothesis Urinary incontinence (UI) is common in women who exercise. We aimed to investigate new onset UI in formerly inactive, overweight or obese women (BMI > 25) participating in three different strength training modalities compared with a non-exercising control group. Methods This was a secondary analysis of an assessor blinded randomized controlled trial investigating the effect of 12 weeks of three strength training concepts for women on muscle strength and body composition. None of the programs included pelvic floor muscle training. International Consensus on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF) was used to investigate primary outcome; new onset UI, and secondary outcome; ICIQ-UI-SF sum score. Suissa and Shuster’s exact unconditional test was used to analyze difference in new onset UI. Difference in ICIQ-UI-SF sum score is presented as mean with 95% CI. Results At baseline 40 out of 128 (31.2%) participants reported UI. Three out of 27, 2 out of 17, 2 out of 23, and 0 out of 21 women in the three training and control groups respectively had new onset UI. There were no statistically significant differences in new onset UI across the groups or when collapsing new onset UI in the intervention groups compared with the controls (7 out of 67 vs 0 out of 21), p = 0.124. After the intervention the control group reported worse ICIQ-UI-SF sum score than any of the training groups; mean difference − 6.6 (95% CI: −11.9, −1.27), p = 0.012, but there was no difference in change from baseline to 12 weeks between the groups p = 0.145). Conclusions There was no statistically significant change in UI after strength training.

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