F32.0 F33.0 F32.1 F32.1 F51.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participants must have been diagnosed with a mild depressive episode or recurrent depressive disorder, current episode mild, according to the International Classification of Diseases and Related Health Problems, 10th Revision (ICD-10; diagnostic codes F32.0 or F33.0), or with a moderate depressive episode or recurrent depressive disorder, current episode moderate (ICD-10 diagnostic codes F32.1 or F33.1). In addition, sufficient proficiency in the German language constitutes a further prerequisite for study inclusion, due to potential validity concerns associated with the use of non-German questionnaire and intervention materials.
Exclusion criteria
Exclusion criteria: Exclusion criteria include the use of antidepressant medication or other psychotropic medication at study inclusion, as well as comorbidities that may affect sleep-associated symptom components, such as attention-deficit/hyperactivity disorder. Regular substance misuse, particularly regular THC use, will also constitute an exclusion criterion. In addition, inpatient hospitalization during the assessment period will be considered an exclusion criterion in order to ensure that adolescents remain in their habitual sleep environment throughout data collection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aim of the study is to investigate, for the first time, potential changes in sleep quality and depressive symptomatology in adolescents with depression following a psychoeducational intervention that incorporates dyadic mechanisms of action through the integration of parents. Sleep quality will be assessed both subjectively, using longitudinal questionnaire-based measures (Sleeping Trait Questionnaire, Sleep Questionnaire B), and objectively, using longitudinal actigraphy. Depressive symptomatology will be evaluated longitudinally through psychometric assessment (Mini-International Neuropsychiatric Interview for Children and Adolescents 6.0, Beck Depression Inventory-II , Beck Anxiety Inventory, Perth Alexithymia Questionnaire) and clinical evaluation. The longitudinal design allows for a differentiated analysis of intervention-associated efficacy. | — |
Secondary
| Measure | Time frame |
|---|---|
| By involving parents and thereby addressing interactional and systemic factors, the intervention is intended to enhance therapeutic effectiveness. At the same time, this approach makes it possible to examine potential improvements in sleep-related and affective symptoms in parents, as well as their reciprocal effects on symptom improvement in adolescents. In this context, a further secondary objective is to analyze the trajectory between depression and sleep problems in adolescents with depression with regard to the directionality of their effects. Based on the findings of the present study, the aim is to stimulate the further development of potentially tailored interventions for adolescents with depression and comorbid sleep problems. | — |
Countries
Germany
Contacts
Lehrstuhl für Kinder- und Jugendpsychiatrie und –psychotherapie der Universität Regensburg