subsyndromal depressive symptoms F32 F34.1
Conditions
Interventions
Group 1: The intervention consists in three computer-generated individually tailored counselling letters and weekly SMS messages over a six month intervention period. The counselling letters and SMS m
Sponsors
Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention
Eligibility
Sex/Gender
All
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: Subsyndromal depressive disorder or mild major depression in the past 12 months (DSM-5-classification, operationalized by PHQ-8: at least 2 DSM-5 criteria fulfilled including at least one core criterion)
Exclusion criteria
Exclusion criteria: Exclusion criteria are severe depression in the past 12 months and depressive symptoms in the past 2 weeks preceding recruitment (phq-8 score >= 20 and symptoms of depressed mood, anhedonia, powerlessness in the past 2 weeks), at risk alcohol consumption (defined by an average daily consumption of >= 12g / >= 24g pure alcohol or at least monthly >= 4 / >= 5 alcoholic drinks at one occasion for women and men, respectively), moderate or severe alcohol use disorder according to DSM-5 (operationalized by AUDIT score >= 20), cognitive impairment, analphabetism or severe disease precluding participation, neither smartphone nor regular e-mail use.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Follow-up assessments will be conducted six and twelve months after study inclusion. The following parameters will be assessed (in case of parameters 2-9 change-scores in relation to baseline values will be analyzed): 1) reappearance of depressive episodes in the follow-up period (Screening items M-CIDI), 2) Change in use of depression preventive strategies (adapted and translated items from Levesque et al. 2011, Am J Health Promot), 4) Change in perceived loneliness (UCLA Loneliness Scale) 5) change in health related quality of life (VR-12) 6) change in well-being (WHO-5) 7) change in positive and negative affect (PANAS) 8) change in psychosocial impairment (role functioning, work impairments and inability; adapted items from M-CIDI Q-section), 9) Changes in health behaviors (physical activity (Godin), fruit and vegetable consumption (WHO-Steps), tobacco smoking), 10) reduction of depression related self-stigmatization (adapted version SSMI-SF). | — |
Primary
| Measure | Time frame |
|---|---|
| Self-reported reduction (twelve months preceeding baseline compared to six month preceeding follow-up) in depressive symptoms (assessed via PHQ-8) in the worst episode. | — |
Countries
Germany
Contacts
Public ContactChristian Meyer
Universitätsmedizin GreifswaldInstitut für Sozialmedizin und Prävention
Outcome results
None listed