Depression, Depressive Disorder
Conditions
Keywords
art therapy, program development, Adolescent Health
Brief summary
There is a need to evaluate different interventions in order to meet young people's needs of treatment. The study's goal is to find out if manual-based art therapy is a useful method for young people with depression and thus increase the availability of methods of treatment for adolescents with depression in Child and youth psychiatry in Sweden. The aim is to investigate whether manual-based art therapy is useful as treatment for adolescents with depression by examining feasibility, acceptability and compliant to treatment. Secondary, preliminary study of adolescent depressive symptoms, quality of life and functional level is affected by the treatment. Method: Data from youths aged 13-17 years old and their parents will be collected with questionnaires and structured interviews. Measurements are taken before and after treatment. Acceptability and feasibility will be examined by participants' presence, drop out and cancellations and also by checking the art therapists' compliance to the manual and investigate their reasons to diverge from the manual
Interventions
BEHAVIORALManual-based Art Therapy
This is a manual-based treatment and consists of 10 one-hour weekly sessions. The treatment consist of detailed guidelines based on phenomenological art therapy. The sessions follow the same structure: Introduction, short relaxation, art-making, reflections about the image, and conclusions. Examples of comprised art tasks; lifeline, emotional scribbles, and different roles. The art tasks served as a prompt for painting.
Sponsors
Child and Adolescent Psychiatry, Stockholm
Vastra Gotaland Region
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Masking description
The participants identities are masked for researchers
Eligibility
Sex/Gender
ALL
Age
13 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Age 13-17 year * Depression as main diagnosis
Exclusion criteria
* high suicide risk * ongoing psychosis * eating disorder * Untreated PTSD * Patients are excluded if there is suspicion of violence, abuse, abuse in the home or other vulnerability which requires other interventions to ensure the safety.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to manual - therapists | 10 weeks | the therapists self-rate their compliance to the manual on a 4 point Likert scale. describing reasons to adverting from manual |
| Change of Treatment satisfaction | Change from baseline at 10 weeks | Level of satisfactions rated on a 5 point Likert scale. Higher scores indicates higher satisfaction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Depression with Beck Depression Inventory BDI-II | Change from baseline at 10 weeks | contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher score indicate more severe depression. |
| Change of quality of life measured with KIDSCREEN-10 | Change from baseline at 10 weeks | Measure global Health related quality of life. HRQoL score for monitoring and screening uses. the questionnaire consist of 10 questions, each answer being scored on a 5 points Likert scale. |
| Change of functional impairment measured with Education,Work and Social adjustment Scale EWSAS-C/P | Change from baseline at 10 weeks | Is a self-reported scale to measure functional impairment attributed to an identified problem. is a five-item self-report scale measuring functional impairment on a nine-point scale. Higher rating indicating more impairment. |
| Change of psychiatric symptoms measured with Revised Children's Anxiety and Depression Scale /R-CADS | Change from baseline at 10 weeks | 47-item questionnaires that measure the reported frequency of various symptoms of anxiety and low mood. They produce a total anxiety and low mood score and separate scores for each of the follow sub-scales: separation anxiety; social phobia; generalized anxiety; panic; obsessive compulsive; total anxiety; and, low mood. Each answer being scored on a 4 points Likert scale. |
Countries
Sweden
Outcome results
None listed