Depressive Symptoms
Conditions
Keywords
depression, adolescence, prevention, early intervention, internet-based
Brief summary
Background: Depression is prevalent and can have devastating effects on the life of adolescents. Computerized intervention programs for depression have shown positive results. There is less evidence in prevention and early treatment for depression in Latin American adolescents. Purpose: The purpose of this study is to determine whether a stepped internet-based program is effective to prevent and early intervene depression in adolescents attending 9th to 11th grade in eight schools in Santiago, Chile. Study design: A two-arm cluster-randomized clinical trial will be carried out with approximately 600 adolescents.
Interventions
BEHAVIORALTake care of your mood (CUIDA TU ANIMO in Spanish)
The adolescents will be registered in the Website www.cuidatuanimo.org
OTHERControl
The adolescents will visit the Website www.cuidatuanimo.org, but they can not register
Sponsors
Comisión Nacional de Investigación Científica y Tecnológica
Millennium Institute for Research in Depression and Personality (MIDAP)
University of Chile
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
13 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* Attending from ninth grade to eleventh grade in the eight participating schools. * Informed consent and informed assent. * Score in the depression questionnaire PHQ-9 adolescent version between 5 and 14.
Exclusion criteria
* High suicide risk defined by score in question 9 of the PHQ-9 adolescent version of 2 or more. * Current treatment with antidepressant drugs. * Current treatment with psychotherapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depressive Symptoms | 6 months after baseline assessment | Patient Health Questionnaire-9 (PHQ-9) adolescent version, total score varies between 0 and 27, higher values represent a worse outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety Symptoms | 6 and 12 months after baseline assessment | Generalized Anxiety Disorder-7 (GAD-7) adolescent version, total score varies between 0 and 21, higher values represent a worse outcome |
| Health-Related Quality of Life Index | 6 and 12 months after baseline assessment | KIDSCREEN-10 index, total score varies between -3.53 and 83.8, higher values represent a better outcome |
| Social Problem Solving Skills | 6 and 12 months after baseline assessment | Social Problem Solving Inventory-Revised Short Form (SPSI-RS), positive problem subscale orientation, and rational problem solving subscale, total score of each subscale varies between 0 to 20, higher scores represent better outcome |
| Depressive Symptoms | 12 months after baseline assessment | Patient Health Questionnaire-9 (PHQ-9) adolescent version, total score varies between 0 and 27, higher values represent a worse outcome |
| Emotion Regulation | 6 and 12 months after baseline assessment | Emotion Regulation Questionnaire (ERQ), reappraisal subscale, total score of the subscale varies between 6 and 42, higher values represent better outcome |
| Depression Stigma | 6 and 12 months after baseline assessment | Depression Stigma Scale (DSS), personal stigma subscale, total score of the subscale varies between 0 and 36, higher values represent worse outcome |
| Dysfunctional Thoughts | 6 and 12 months after baseline assessment | Children's Automatic Thought Questionnaire (CATS), personal failure subscale, total score of the subscale varies between 0 and 40, higher values represent worse outcome |
Countries
Chile
Outcome results
None listed