scholarly journals Cognitive-Reminiscence Therapy for Young Adults with Depressive Symptoms: Clinical Observations, Challenges, and Recommendations

2021 ◽  
Author(s):  
David John Hallford ◽  
David J. Mellor
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Treatment Protocol ◽  
Common Life ◽  
Reminiscence Therapy ◽  
Clinical Observations ◽  
Recent Clinical Trial ◽  
Homework Adherence ◽  
Conceptual Overview ◽  
Different Levels

Cognitive-reminiscence therapy is a novel intervention for depression in young adults, and currently no specific clinical guidance exists for its use in this age group. The aim of this article is to disseminate our experiences from a recent clinical trial in which we engaged in cognitive-reminiscence therapy (CRT) with young adults for the purpose of treating depressive symptoms. Discussion is presented in terms of clinical observations that were made during treatment, specific challenges that arose, and recommendations for implementing this therapy with young adults. Firstly, a conceptual overview and rationale for CRT is provided along with an outline of the treatment protocol that was used. Then,a framework for undertaking therapeutic reminiscence work at different levels of analysis is presented, and comment is made on the rationale for, and the process of, elicitingspecific memories. Common life events and issues that emerged as the foci of reminiscence with young adults in our trial are reviewed. Following this, the process of orienting to the mechanisms of change in CRT is discussed. Finally, several clinical issues and insights that emerged during the provision of this therapy are presented: contextualising emerging adulthood as a time of transition, creating continuity acrossindividuals’ lives, the process of reflection on reminiscence, and homework adherence.

scholarly journals A Qualitative Study of Young Adults Experience With a Reminiscence-Based Therapy for Depressive Symptoms

2018 ◽  
Vol 7 (4) ◽  
pp. 279-290 ◽  
Author(s):  
D. J. Hallford ◽  
D. Mellor ◽  
M. E. Burgat
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Help Seeking ◽  
Life Story ◽  
Qualitative Inquiry ◽  
Reminiscence Therapy ◽  
Cognitive Reframing ◽  
Self Worth ◽  
Age Appropriate ◽  
Specific Factors

Reminiscence therapy is a novel psychosocial approach to treating depressive symptoms in young adults. We present the first qualitative inquiry into young adults’ experience of reminiscence-based therapy, aimed at exploring attitudes toward this approach and their view of processes underpinning positive change. Help-seeking young adults (mean age = 20.8, SD = 1.6) with at least moderate depressive symptoms were interviewed following a course of cognitive-reminiscence therapy. The data were analyzed using thematic analysis. The intervention was reported to be a positive experience that led to positive outcomes. Change was attributed to common therapy factors and specific factors of cognitive reframing, increasing awareness of a broader life story, learning from the past to feel more confident and able to cope, and strengthened self-worth and self-acceptance. These findings provide unique insight into young adults’ experience with reminiscence-based treatment for depressive symptoms and indicate it is generally acceptable, useful, and age-appropriate for them.

scholarly journals A Qualitative Study of Young Adults Experience with a Reminiscence-Based Therapy for Depressive Symptoms

2020 ◽  
Author(s):  
David John Hallford ◽  
David J. Mellor ◽  
Manon E. Burgat
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Help Seeking ◽  
Life Story ◽  
Qualitative Inquiry ◽  
Reminiscence Therapy ◽  
Cognitive Reframing ◽  
Self Worth ◽  
Age Appropriate ◽  
Specific Factors

Reminiscence therapy is a novel psychosocial approach to treating depressive symptoms in young adults. We present the first qualitative inquiry into young adults’ experience of reminiscence-based therapy, aimed at exploring attitudes towards this approach and their view of processes underpinning positive change. Help-seeking young adults (mean age 20.8, SD = 1.6) with at least moderate depressive symptoms were interviewed following a course of cognitive-reminiscence therapy. The data were analysed using thematic analysis. The intervention was reported to be a positive experience which led to positive outcomes. Change was attributed to common therapy factors, and specific factors of cognitive reframing, increasing awareness of a broader life story, learning from the past to feel more confident and able to cope, and strengthened self-worth and self-acceptance. These findings provide unique insight into young adults’ experience with reminiscence-based treatment for depressive symptoms, and indicates it is generally acceptable, useful, and age-appropriate for them.

scholarly journals Autobiographical memory-based intervention for depressive symptoms in young adults: A randomized controlled trial of cognitive-reminiscence therapy

2020 ◽  
Author(s):  
David John Hallford ◽  
David J. Mellor
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Usual Care ◽  
Autobiographical Memory ◽  
Meaning In Life ◽  
Controlled Trial ◽  
Care Group ◽  
Mediating Role ◽  
Reminiscence Therapy

Background: Autobiographical memory-based interventions have shown promise in the treatment of depression. This study is the first to examine the effects of one such therapy, cognitive-reminiscence therapy (CRT), for the treatment of depressive symptoms in young adults. Method: A total of 26 young adults (mean age = 20.8 years, SD = 1.9) presenting to a community youth mental health service for treatment of at least moderate depressive symptoms were randomized to receive either a six-week course of individual CRT or usual care (individual, brief evidence-based psychotherapy). Results: CRT had large effects on depressive symptoms at six-weeks (d = 1.59) and at a three month follow-up (d = 1.51). Effects were also found at six-weeks in the CRT group for variables suggested to play a mediating role: self-esteem, self-efficacy, meaning in life and optimism (d = .92 – 1.99), and at follow-up (d = .74 – 1.21). Effects were observed on anxiety symptoms at six-weeks (d = 1.78), but not maintained at follow-up. No within-group effects were observed in the usual care group, aside from optimism at six-weeks (d = 1.05), but not at three-months. Conclusions: This study provides preliminary findings that CRT is a feasible and promising approach to the alleviation of depression among young adults. However, larger trials are needed to test its effects more rigorously.

Atypical pilocytic astrocytoma of adult spinal cord: A case report

2018 ◽  
pp. 1-2
Keyword(s):  
Spinal Cord ◽  
Young Adults ◽  
Case Report ◽  
Pilocytic Astrocytoma ◽  
Treatment Protocol ◽  
Pilomyxoid Astrocytoma ◽  
Standardized Treatment ◽  
Children And Young Adults ◽  
Adult Spinal Cord

Pilomyxoid astrocytoma (PMA) is an atypical subtype of pilocytic astrocytoma (PA), which presents in children and young adults. The incidence of PMA is low, so there is no standardized treatment protocol for it. Here, we present a 62-year-old woman with recurrent PMA, which is important for the understanding and treatment of the disease.

scholarly journals Three-way interaction effects of early life stress, positive parenting and FKBP5 in the development of depressive symptoms in a general population

2021 ◽  
Author(s):  
Rebecka Keijser ◽  
Susanne Olofsdotter ◽  
Kent W. Nilsson ◽  
Cecilia Åslund
Keyword(s):  
Young Adults ◽  
Depressive Symptoms ◽  
Life Stress ◽  
Early Life ◽  
Differential Susceptibility ◽  
Early Life Stress ◽  
Interaction Effects ◽  
Positive Parenting ◽  
Depressive Symptomology ◽  
Patterns Of Interaction

AbstractFKBP5 gene–environment interaction (cG × E) studies have shown diverse results, some indicating significant interaction effects between the gene and environmental stressors on depression, while others lack such results. Moreover, FKBP5 has a potential role in the diathesis stress and differential susceptibility theorem. The aim of the present study was to evaluate whether a cG × E interaction effect of FKBP5 single-nucleotide polymorphisms (SNPs) or haplotype and early life stress (ELS) on depressive symptoms among young adults was moderated by a positive parenting style (PASCQpos), through the frameworks of the diathesis stress and differential susceptibility theorem. Data were obtained from the Survey of Adolescent Life in Västmanland Cohort Study, including 1006 participants and their guardians. Data were collected during 2012, when the participants were 13 and 15 years old (Wave I: DNA), 2015, when participants were 16 and 18 years old (Wave II: PASCQpos, depressive symptomology and ELS) and 2018, when participants were 19 and 21 years old (Wave III: depressive symptomology). Significant three-way interactions were found for the FKBP5 SNPs rs1360780, rs4713916, rs7748266 and rs9394309, moderated by ELS and PASCQpos, on depressive symptoms among young adults. Diathesis stress patterns of interaction were observed for the FKBP5 SNPs rs1360780, rs4713916 and rs9394309, and differential susceptibility patterns of interaction were observed for the FKBP5 SNP rs7748266. Findings emphasize the possible role of FKBP5 in the development of depressive symptoms among young adults and contribute to the understanding of possible differential susceptibility effects of FKBP5.

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