Depression, Depressive Disorder
Conditions
Keywords
Depression, Adolescent, mind-body-skills, group therapy, primary care
Brief summary
The Center for Mind -Body Medicine has developed a mind-body skills group program that incorporates meditation, guided imagery, breathing techniques, autogenic training, biofeedback, genograms, and self-expression through words, drawings, and movement. These mind-body skills are designed to increase self-awareness and self-regulation. This program has been shown to significantly improve depression symptoms in children and adolescents with posttraumatic stress disorder in Gaza, but it has not yet been tested in a US adolescent population. The purpose of this study is to determine the feasibility of using mind-body skills groups to reduce depression in adolescents and to investigate the effects of the program on factors such as self-efficacy, mindfulness and rumination which are likely to mediate improvement.
Interventions
BEHAVIORALmind-body-skills group
mind-body skills group program incorporates meditation, guided imagery, breathing techniques, autogenic training, biofeedback, genograms, and self-expression through words, drawings, and movement
Sponsors
The Center for Mind-Body Medicine
Eskenazi Health
Indiana University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Eskenazi Primary Care patients at time of screening * 13-17 years old * Diagnosis of depression confirmed by Mini International Neuropsychiatric Interview (MINI) Kid Screen (with adolescent) * English speaking * Willingness to attend mind body skills group for duration of the intervention (10 sessions over approximately 10 weeks)
Exclusion criteria
* History of bipolar disorder or psychosis * Acute and immediate risk of suicide, determined by clinical assessment * Lack of capacity to assent (adolescent) or lack of capacity to consent (parent/guardian) * Previous participation by the adolescent in the Eskenazi Mind Body Group intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Children's Depression Inventory-2 (CDI-2) scores | from baseline to within one month after end of intervention | self report long version (28 items) to assess the presence and severity of depressive symptoms in children |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Rumination Subscale of the Children's Response Style Questionnaire Score | from baseline to within one month after end of intervention | self report (13 questions) of rumination symptoms |
| Change in Mindful Attention Awareness Scale-Adolescent (MAAS) score | from baseline to within one month after end of intervention | self report (14 questions) designed to assess open or receptive awareness of and attention to what is taking place in the present |
| Change in Self-Efficacy Questionnaire for Depression in Adolescents (SEQ-DA) score | from baseline to within one month after end of intervention | self report (12 items) designed to measure self-perceived ability to cope with depressive symptoms |
| Change in Suicide Ideation Questionnaire (SIQ) score | from baseline to within one month after end of intervention | self report (30 or 15 items depending on grade level) to assess frequency of suicidal ideation |
| Change in Patient Health Questionnaire-9 (PHQ-9) score | from baseline to within one month after end of intervention | self report (9 questions) to screen for the presence and severity of depression |
| Acceptability Questionnaire - open-ended questions for qualitative analyses | within one month after end of intervention | 3 open-ended questions to gather qualitative data about the usefulness and helpfulness of the intervention |
| Change in Hope Scale Score | from baseline to within one month after end of intervention | * self report (12 items), 4-point Likert scale(1=Definitely False to 4=Definitely True) * evaluates global hope (range 8-32); there are also 2 subscales: hope agency (range 4-16) and hope pathways (range 4-16) * includes distracter items * global hope score calculated by summing the hope agency and hope pathways scores (omitting distracter items) * higher scores indicate a person has higher hope |
| Change in Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) Score | from baseline to within one month after end of intervention | * self report (14 items) to measure positive affect, satisfying interpersonal relationships, and positive functioning * 5-point Likert scale (1=none of the time to 5=all of the time) * total score is calculated by summing each item score (range 14-70) * higher scores represent increased levels of mental wellbeing |
| Acceptability Questionnaire | within one month after end of intervention | self report (15 items) intervention acceptability assessment of usefulness and helpfulness of the intervention |
Countries
United States
Outcome results
None listed