Psychoeducational interventions in adolescent depression: A systematic review

Bevan Jones, R., Thapar, A., Stone, Z., Thapar, A., Jones, I., Smith, D. and Simpson, S. (2018) Psychoeducational interventions in adolescent depression: A systematic review. Patient Education and Counseling, 101(5), pp. 804-816. (doi: 10.1016/j.pec.2017.10.015) (PMID:29103882) (PMCID:PMC5933524)

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Abstract

Background: Adolescent depression is common and leads to distress and impairment for individuals/families. Treatment/prevention guidelines stress the need for good information and evidence-based psychosocial interventions. There has been growing interest in psychoeducational interventions (PIs), which broadly deliver accurate information about health issues and self-management. Objective, methods: Systematic search of targeted PIs as part of prevention/management approaches for adolescent depression. Searches were undertaken independently in PubMed, PsycINFO, EMBASE, guidelines, reviews (including Cochrane), and reference lists. Key authors were contacted. No restrictions regarding publishing dates. Results: Fifteen studies were included: seven targeted adolescents with depression/depressive symptoms, eight targeted adolescents ‘at risk' e.g. with a family history of depression. Most involved family/group programmes; others included individual, school-based and online approaches. PIs may affect understanding of depression, identification of symptoms, communication, engagement, and mental health outcomes. Conclusion, practice implications: PIs can have a role in preventing/managing adolescent depression, as a first-line or adjunctive approach. The limited number of studies, heterogeneity in formats and evaluation, and inconsistent approach to defining PI, make it difficult to compare programmes and measure overall effectiveness. Further work needs to establish an agreed definition of PI, develop/evaluate PIs in line with frameworks for complex interventions, and analyse their active components.

Item Type:Articles
Keywords:Psychoeducation/education, adolescence, depression, prevention, treatment.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Smith, Professor Daniel and Simpson, Professor Sharon
Authors: Bevan Jones, R., Thapar, A., Stone, Z., Thapar, A., Jones, I., Smith, D., and Simpson, S.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Patient Education and Counseling
Publisher:Elsevier
ISSN:0738-3991
ISSN (Online):1873-5134
Published Online:24 October 2017
Copyright Holders:Copyright © 2017 Elsevier B.V.
First Published:First published in Patient Education and Counseling 101(5):804-816
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727661Complexity in Health ImprovementLaurence MooreMedical Research Council (MRC)MC_UU_12017/14HW - MRC/CSO Social and Public Health Sciences Unit
620221MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027IHW - MRC/CSO SPHU