The effectiveness of simple psychological and exercise interventions for high prevalence mental health problems in young people: a factorial randomised controlled trial

Parker, Alexandra G.; Hetrick, Sarah E.; Jorm, Anthony F.; Yung, Alison R.; McGorry, Patrick D.; Mackinnon, Andrew; Moller, Bridget; Purcell, Rosemary
January 2011
Trials;2011, Vol. 12 Issue 1, p76
Academic Journal
Background: The prevalence of mental illness in young people is the highest of any age group, with the onset of depression, anxiety and substance use peaking between 18 and 24 years. Effective treatments that target subthreshold or mild to moderate levels of disorder in young people are required to reduce the risk of persistence and recurrence. The aims of this study are to evaluate whether treatments that are less intensive than cognitivebehaviour therapy, such as problem solving therapy and exercise treatments, are acceptable and effective in managing depression and anxiety symptoms in young people and to identify possible attributes in those who are likely to respond to these treatments. Methods/design: This is a factorial randomised controlled trial conducted at a large, metropolitan youth mental health service. Participants are young help-seekers aged 15-25 years with sub-threshold or mild to moderate levels of depression and anxiety (with or without comorbid substance use). The interventions comprise 4 treatment combinations delivered by psychologists over 6 sessions on a weekly basis: a psychological intervention (problem solving therapy versus supportive counselling) and an exercise intervention (behavioural exercise versus psychoeducation). Structured assessments occur at baseline, mid-point, end-point (6 weeks) and at a 6- and 12-month follow-up. The primary outcomes are depression and anxiety symptoms as measured by the Beck Depression and Anxiety Inventories. Secondary outcomes include remission (defined as no longer meeting the diagnostic criteria for a disorder if threshold level was reached at baseline, or no longer scoring in the clinical range on scale scores if sub-threshold at baseline), substance use, and functioning. Discussion: The effectiveness of less complex psychological and exercise interventions in young help-seekers with sub-threshold or mild to moderate presentations of high prevalence disorders is yet to be explored. This study has been designed to examine the effectiveness of these interventions delivered alone, or in combination, in a youth-specific service. If effective, the interventions have the potential to prevent the progression of early symptoms and distress to later and potentially more serious stages of mental disorder and reduce the likelihood of ongoing problems associated with the risk of persistence and recurrence.


Related Articles

  • The Integration of Cognitive and Behavioral Interventions in Routine Behavior Therapy. Linden, Michael; Pasatu, Jaqueline // Journal of Cognitive Psychotherapy;Spring1998, Vol. 12 Issue 1, p27 

    Some theoretical positions see cognitive therapy and behavior therapy as separate while others see the two as integrated forms of treatment. An open question is how these perspectives are reflected in therapeutic practice and whether in routine care one should speak from different modes and...

  • Dispelling the mytns of aging. Chatters, Seria Shia; Zalaquett, Carlos // Counseling Today;Jun2013, Vol. 55 Issue 12, p46 

    The article focuses on myths related to aging. It mentions that there is a misconception that mental disorders are related to the process of aging but the fact is that mental depression and anxiety occurs to people irrespective of their age. It further mentions that older people assume that...

  • TRANSDIAGNÓSTICO: NUEVA FRONTERA EN PSICOLOGÍA CLÍNICA. SANDÍN, BONIFACIO; CHOROT, PALOMA; VALIENTE, ROSA M. // Revista de Psicopatologia y Psicologia Clinica;dic2012, Vol. 17 Issue 3, p185 

    Recently, transdiagnostic has received considerable interest from psychopathology and cognitive-behavior therapy (CBT), especially with regard to anxiety and depressive disorders. This article provides a review on transdiagnostic as a new perspective in the field of clinical psychology. The...

  • Clinicians' Perspectives on Cognitive Therapy in Community Mental Health Settings: Implications for Training and Implementation. Stirman, Shannon; Gutiérrez-Colina, Ana; Toder, Katherine; Esposito, Gregory; Barg, Frances; Castro, Frank; Beck, Aaron; Crits-Christoph, Paul // Administration & Policy in Mental Health & Mental Health Service;Jul2013, Vol. 40 Issue 4, p274 

    Policymakers are investing significant resources in large-scale training and implementation programs for evidence-based psychological treatments (EBPTs) in public mental health systems. However, relatively little research has been conducted to understand factors that may influence the success of...

  • Le modèle de la flexibilité psychologique: une approche nouvelle de la santé mentale. Dionne, Frédérick; Thanh-Lan Ngô; Blais, Marie-Claude // Sante Mentale au Quebec;automne2013, Vol. 38 Issue 2, p111 

    Objective: This paper presents a vision of mental health using the model of psychological flexibility of Acceptance and Commitment Therapy (ACT). ACT is a representative approach of the third wave of cognitive-behavioural therapy (CBT). This article first describes the theoretical and practical...

  • The Effectiveness of Online Cognitive Behavioral Treatment in Routine Clinical Practice. Ruwaard, Jeroen; Lange, Alfred; Schrieken, Bart; Dolan, Conor V.; Emmelkamp, Paul // PLoS ONE;Jul2012, Vol. 7 Issue 7, p1 

    Context: Randomized controlled trails have identified online cognitive behavioral therapy as an efficacious intervention in the management of common mental health disorders. Objective: To assess the effectiveness of online CBT for different mental disorders in routine clinical practice. Design:...

  • Differentiating Symptoms of Anxiety and Depression in Older Adults: Distinct Cognitive and Affective Profiles? Shapiro, Anne M.; Roberts, John E.; Beck, J. Gayle // Cognitive Therapy & Research;Feb1999, Vol. 23 Issue 1, p53 

    Cognitive and affective dimensions of symptoms of anxiety and depression were examined in a sample of 283 community-dwelling older adults (ranging in age from 65 to 93 years). A principal-axis factor analysis with varimax rotation conducted on the Cognition Checklist (CCL) revealed a factor...

  • The comorbidity of depression and anxiety. Răşcanu, Ruxandra // Romanian Journal of Cognitive-Behavioral Therapy & Hypnosis;Oct-Dec2015, Vol. 2 Issue 4, p1 

    The article examines the comorbidity of depression and anxiety, dealing with topics including a study of patients with psychiatric disorders, symptoms of depression, and the differences between state anxiety and trait anxiety.

  • Service Providers' Perceptions on the Uptake of Computerised Cognitive Behavioural Therapy (CCBT). Du, Eliane; Quayle, Ethel; Macleod, Hamish // PsychNology Journal;2013, Vol. 11 Issue 3, p213 

    Studies suggest that Computerised Cognitive Behavioural Therapy (CCBT) is an effective self-help approach with or without therapist guidance for mild to moderate anxiety and depression. According to media reports, CCBT will be offered to patients across National Health Service (NHS) Scotland to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics