None listed
Conditions
Brief summary
Although cognitive-reminiscence approaches to the treatment of depressive symptoms have been shown to be highly effective in older adults, to date no studies have determined its efficacy with younger adults. The current study aims to trial a manualised and validated cognitive-reminiscence intervention for depressive symptomatology with young adults. This intervention utilises both cognitive and problem-solving therapy frameworks within a reminiscence-based approach. Individuals systematically review various events, circumstances, and turning-points in their lives while learning adaptive techniques for appraising and interpreting themselves, others, and the world, and applying these techniques to present-day issues. Individuals over the age of 18 who present at a community youth mental health services in Melbourne with elevated depressive symptoms will be recruited and randomised to either six sessions of individual cognitive-reminiscence intervention or treatment as usual. Outcomes in both groups will be assessed by measuring depressive symptomatology, self-esteem, self-efficacy, and meaning in life at baseline, three weeks, six weeks, and one and three month post-treatment. The intervention is predicted to lead to significant reductions in depressive symptomatology.
Interventions
Participants will take part in six, 60-minute sessions of cognitive-reminiscence therapy. These sessions will be administered one-to-one and face-to-face by a psychologist, and held once weekly over a period of six weeks. This intervention is aimed at building skills in better understanding the self, others, and the world, and to improve problem-solving when faced with challenges. In this approach individuals learn cognitive reappraisal and problem-solving techniques to rationally and adaptively
Participants will take part in six, 60-minute sessions of cognitive-reminiscence therapy. These sessions will be administered one-to-one and face-to-face by a psychologist, and held once weekly over a period of six weeks. This intervention is aimed at building skills in better understanding the self, others, and the world, and to improve problem-solving when faced with challenges. In this approach individuals learn cognitive reappraisal and problem-solving techniques to rationally and adaptively recall and reframe memories of themselves, others, and the world. Past experiences are discussed with a focus on remembering positive memories, and reframing and reinterpreting negative experiences. Continuity between one’s past and present is highlighted with a focus on rediscovering or rebuilding a sense of meaning in life. Active problem-solving strategies are also discussed in the context of individuals’ own personal experiences, and used to enhance self-efficacy, self-esteem, and coping. Individuals are taught to see their current difficulties in the context of past difficulties and apply this understanding to more adaptively cope with life stressors.
Sponsors
Deakin University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
elevated levels of depressive symptomatology
Exclusion criteria
currently receiving psychological treatment or psychopharmacological treatment for depression, physical health problems as cause of depression, psychotic symptoms, high suicide risk or high risk of harm to others, eating disorders, primary presenting issue around body image, diagnosable anxiety disorders, clinical manic symptoms, substance abuse or dependence as primary presenting issue, primary presenting issue of sexual disorder.
Outcome results
None listed