Study of Mind-Body Skills Groups for Adolescents With Depression in Primary Care
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: mind-body-skills intervention mind-body-skills group intervention offered weekly for 10 weeks |
Behavioral: mind-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
|
Outcome Measures
Primary Outcome Measures
- 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
- Change in Children's Depression Inventory-2 (CDI-2) scores [from baseline to approximately 3 months after end of intervention]
self report long version (28 items) to assess the presence and severity of depressive symptoms in children
Secondary Outcome Measures
- 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
- Change in Patient Health Questionnaire-9 (PHQ-9) score [from baseline to approximately 3 months after end of intervention]
self report (9 questions) to screen for the presence and severity of depression
- 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 Rumination Subscale of the Children's Response Style Questionnaire Score [from baseline to approximately 3 months 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 Mindful Attention Awareness Scale-Adolescent (MAAS) score [from baseline to approximately 3 months 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 Self-Efficacy Questionnaire for Depression in Adolescents (SEQ-DA) score [from baseline to approximately 3 months 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 Suicide Ideation Questionnaire (SIQ) score [from baseline to approximately 3 months after end of intervention]
self report (30 or 15 items depending on grade level) to assess frequency of suicidal ideation
- Acceptability Questionnaire [within one month after end of intervention]
self report (15 items) intervention acceptability assessment of usefulness and helpfulness of the intervention
- Acceptability Questionnaire [approximately 3 months after end of intervention]
self report (15 items) intervention acceptability assessment of usefulness and helpfulness of the intervention
- 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
- Acceptability Questionnaire - open-ended questions for qualitative analyses [approximately 3 months 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 Hope Scale Score [from baseline to approximately 3 months 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
- Change in Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) Score [from baseline to approximately 3 months after end of intervention]
self report (14 items) to measure positive affect, satisfying interpersonal relationships, and positive functioning (range 14-70) 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
Eligibility Criteria
Criteria
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
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Willingness to attend mind body skills group for duration of the intervention (10 sessions over approximately 10 weeks)
Exclusion Criteria:
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History of bipolar disorder or psychosis
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Acute and immediate risk of suicide, determined by clinical assessment
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Lack of capacity to assent (adolescent) or lack of capacity to consent (parent/guardian)
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Previous participation by the adolescent in the Eskenazi Mind Body Group intervention
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Eskenazi Health Primary Care | Indianapolis | Indiana | United States | 46254 |
Sponsors and Collaborators
- Indiana University
- The Center for Mind-Body Medicine
- Eskenazi Health
Investigators
- Principal Investigator: Michelle P Salyers, PhD, Indiana University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1707293729