Depression and anxiety in adolescents and young adults Mental and Behavioural Disorders Depression, anxiety
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged either 15-16 years or 20-24 years 2. Capacity to provide informed consent (20-24 year olds) or capacity to provide assent and informed consent provided by parent/guardian (15-16 year olds only) 3. Live in the defined geographical area (within 50% poorest neighbourhoods in the city)
Exclusion criteria
Exclusion criteria: 1. Known diagnosis of severe mental illness such as psychosis, bipolar disorder, or schizophrenia 2. Known diagnosis of cognitive impairment 3. Unable to provide informed consent 4. Unable to read or write
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Depression and anxiety symptom recovery measured using the Generalized Anxiety Disorder questionnaire (GAD-7) and the 8-item Patient Health Questionnaire (PHQ-8) scores at baseline and 12 months. Recovery is defined as no longer screening positive for depression and/or anxiety (scoring =9 at 12 months on the scale where the higher score was measured at baseline), or not recovered (scoring >9 at 12 months on the scale where the higher score was measured at baseline) | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 17/10/2023: 1. Demographic information including current living situation, gender, age, education level, and history and family history of depression and anxiety measured using questionnaires at baseline, 12 and 24 months 2. Degree of distress measured using GAD-7 and PHQ-8 scores at baseline, 6, 12 and 24 months 3. Drug use measured using the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and the Adapted Teen Addiction Severity Index (T-ASI) at baseline, 12 and 24 months 4. Life events measured using the adolescent appropriate life events scale at baseline, 6, 12 and 24 months 5. Quality of life measured using the Manchester Short Assessment of Quality of Life (MANSA) at baseline, 12 and 24 months 6. Coping style measured using the child’s coping strategy checklist at baseline, 12 and 24 months 7. Resilience measured using the Brief Resilience Scale (BRS) and the Connor-Davidson Resilience Scale (CD-RISC 25) at baseline, 12 and 24 months 8. Use of healthcare and other services measured using the Client Service Receipt Inventory (CSRI) at baseline, 6, 12 and 24 months 9. Social support measured using scale of perceived social support at baseline, 12 and 24 months 10. Social capital measured using Adapted Social Capital Assessment Tool (ASCAT) at baseline, 12 and 24 months 11. Sports activity measured using open/closed questions about sports activities including frequency of participation and the nature of these activities at baseline, 12 and 24 months 12. Arts activity measured using open/closed questions about arts activities including frequency of participation and the nature of these activities at baseline, 12 and 24 months 13. Internet use measured using question 59 from the adapted REACH study at baseline, 12 and 24 months 14. Current country situation measured using closed questions with responses on a Likert scale at 24 months 15. Online games and gambling behaviour using closed questions at 24 mo | — |
Countries
Argentina, Colombia, Peru