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Unconditional Cash Transfers For Reducing Poverty And Vulnerabilities: Effect On Use Of Health Services And Health Outcomes In Low-And Middle-Income Countries, Frank Pega, Sze Yan Liu, Stefan Walter, Roman Pabayo, Ruhi Saith, S L. Lhachimi

Sze Yan Liu

Background

Unconditional cash transfers (UCTs; provided without obligation) for reducing poverty and vulnerabilities (e.g. orphanhood, old age or HIV infection) are a type of social protection intervention that addresses a key social determinant of health (income) in low‐ and middle‐income countries (LMICs). The relative effectiveness of UCTs compared with conditional cash transfers (CCTs; provided so long as the recipient engages in prescribed behaviours such as using a health service or attending school) is unknown.

Objectives

To assess the effects of UCTs for improving health services use and health outcomes in vulnerable children and adults in LMICs. Secondary objectives are to …

Training To Inhibit Negative Content Affects Memory And Rumination, Shimrit Daches, Nilly Mor, Paula T. Hertel

Paula T Hertel

Depressive rumination, the tendency to engage in repetitive self-focus in response to distress, seems to be affected by a variety of cognitive biases that in turn maintain negative emotional states. The current study examined whether the difficulty in inhibiting attention to negative information contributes to rumination and to rumination-related biases in memory. Seventy-nine ruminators underwent a 3-week computer-based training, designed to increase either inhibition of negative words or attention to them. On immediate post-training trials, as well as on 2-week follow-up tests, we found evidence for transfer of inhibition training. Training effects also occurred on session-by-session and post-training measures of …

Delineating The Relationship Between Insomnia, Dysfunctional Sleep Beliefs, Perceived Stress, Anxiety , And Depression, Hannah P. Lethbridge, Aileen M. Pidgeon

Aileen M. Pidgeon

Insomnia is a sleep disorder highly prevalent among university students which can increase the risk for developing anxiety and depression. Vulnerability to dysfunctional sleep beliefs, and cognitive arousal (perceived stress) have been shown to be predisposing factors for insomnia. Although insomnia in university students is associated with deleterious effects, limited research has focused on this at-risk population. The aim of the current study was to further delineate the relationships between insomnia, perceived stress, dysfunctional sleep beliefs, anxiety and depression among a sample of 195 Australian university students (33 males; 162 females; Mage = 22.37, SD = 7.02). Mediation and regression …

Predictors Of Treatments Acceptable To Patients For Late-Life Depression, Gerald J. Jogerst, Shimin Zheng, Erik Vanderlip

Shimin Zheng

Objectives. Describe older patients’ perceptions about depression and characteristics associated with acceptance of treatments. Design. Cross-sectional study. Setting. Three primary care clinics in Iowa. Participants. Consecutive sample of 529 primary care patients. Measurements. Depression screening tool (a 9-item patient health questionnaire [PHQ-9]) and questionnaire including sociodemographic data, patient attitudes about depression, and acceptability of different treatments. Results. Mean age was 71.9 years (range 60–93 years), 314 (59%) female. Among the 529 participants, 93 (17.5%) had history of depression and 60 (11.3%) had PHQ-9 scores of 10 or greater. Participants believed depression is a disease for which they would use medication …

Vergleich Zweier Schulbasierter Programme Zur Prävention Depressiver Symptome Bei Jugendlichen (Comparison Of Two School Based Depression Prevention Programs For Adolescents)., Patrick Pössel, Andrea B. Horn, Martin Hautzinger

Patrick Pössel

Theoretischer Hintergrund: Depressive Störungen im Jugendalter sind ein weitverbreitetes Problem mit weitreichenden psychosozialen Folgen. Um beidem vorzubeugen wurde ein kognitiv-verhaltenstherapeutisches und ein auf dem Paradigma des Expressiven Schreibens beruhendes universales schulbasiertes Präventionsprogramm entwickelt. Fragestellung: Haben die beiden Präventionsprogramme positive Wirkung auf depressive Symptomatik und Lebenszufriedenheit Jugendlicher? Methode: Es wurde eine randomisierte Kontrollgruppenstudie mit 3-Monats Follow-up an 579 Realschülern und -schülerinnen der 8. Klasse durchgeführt. Ergebnisse: Das kognitiv-verhaltenstherapeutische Programm wirkt in Abhängigkeit der Ausgangssymptomatik kurz- bzw. mittelfristig auf die depressive Symptomatik, während das Schreibprogramm unabhängig von der Ausgangssymptomatik kurz- und mittelfristig positiv auf die Lebenszufriedenheit wirkt. Schlussfolgerungen: Trotz Einschränkungen in Bezug …

Universelle, Schulbasierte Prävention Der Depression Im Jugendalter : Ergebnisse Einer Follow-Up-Studie (Universal, School-Based Prevention Of Depression In Adolescence : Results Of A Follow-Up Study)., Gunter Groen, Patrick Pössel, Susanne Al-Wiswasi, Franz Petermann

Patrick Pössel

Zahlreiche internationale empirische Befunde belegen heute, dass depressive Symptome und Störungen im Jugendalter ein weit verbreitetes, oftmals folgenreiches und ernst zu nehmendes Gesundheitsproblem darstellen. Depressive Jugendliche zeigen in vielen Fällen erhebliche Alltagsbeeinträchtigungen und verschiedene komorbide psychische Probleme. Sie tragen ein deutliches Risiko, auch in ihrer weiteren Entwicklung – bis in das Erwachsenenalter – unter anhaltenden oder wiederkehrenden depressiven Episoden, anderen psychischen Störungen und psychosozialen Beeinträchtigungen zu leiden (vgl. Groen & Petermann, 2002). Neben der persönlichen Leidensgeschichte der Betroffenen ist davon auszugehen, dass bereits depressive Störungen im Jugendalter mit hohen und längerfristigen öffentlichen Kosten zusammenhängen, die etwa durch notwendige Behandlungsmaßnahmen oder …

Integrating Beck’S Cognitive Model And The Response Style Theory In An Adolescent Sample., Stephanie Winkeljohn Black, Patrick Pössel

Patrick Pössel

Depression becomes more prevalent as individuals progress from childhood to adulthood. Thus, empirically supported and popular cognitive vulnerability theories to explain depression in adulthood have begun to be tested in younger age groups, particularly adolescence, a time of significant cognitive development. Beck’s cognitive theory and the response style theory are well known, empirically supported theories of depression. The current, two-wave longitudinal study (N = 462; mean age = 16.01 years; SD = 0.69; 63.9 % female) tested various proposed integrative models of Beck’s cognitive theory and the response style theory, as well as the original theories themselves, to determine if …

Erste Ergebnisse Eines Programms Zur Schulbasierten Prävention Von Depressiven Symptomen Bei Jugendlichen (First Results Of A School-Based Prevention Program Of Depressive Symptoms Among Adolescents)., Patrick Pössel, Andrea B. Horn, Martin Hautzinger

Patrick Pössel

Depressive Störungen im Jugendalter sind ein weit verbreitetes Problem mit weitreichenden psychosozialen Folgen. Um beidem vorzubeugen wurde ein universales schulbasiertes kognitiv-verhaltenstherapeutisches Präventionsprogramm entwickelt, das in Anlehnung an das Multifaktorielle Depressionsmodell aus einem kognitiven und einem sozialen Trainingselement besteht. Im kognitiven Teil werden dysfunktionale Gedanken bearbeitet und im sozialen Programmteil werden selbstsicheres Verhalten und Kontaktfähigkeit trainiert. Es wurde erwartet, dass die Teilnahme am Präventionsprogramm direkt nach Beendigung noch keinen signifikanten Effekt auf die depressiven Symptome zeigt, während geringer ausgeprägte dysfunktionale Gedanken und eine Verbesserung der sozialen Unterstützung erwartet wurden. Die Ergebnisse direkt nach Beendigung des Präventionsprogramms (Trainingsgruppe n = 187; Kontrollgruppe …

Testing The Causal Mediation Component Of Dodge’S Social Information Processing Model Of Social Competence And Depression., Patrick Pössel, Simone Seemann, Stefanie Ahrens, Martin Hautzinger

Patrick Pössel

In Dodge’s model of “social information processing” depression is the result of a linear sequence of five stages of information processing (Dodge, 1993). These stages follow a person’s reaction to situational stimuli, such that each stage of information processing mediates the relationship between earlier and later stages. Because support for the social information processing model of depression has mainly come from retrospective examination of the literature (Dodge, 1993), we conducted a three wave prospective study including 92 adolescents without lifetime or current depression. Depressive symptoms and information processing were assessed by using well established measures employed in previous studies. The …

Influence Of General Self-Efficacy On The Effects Of A School-Based Universal Primary Prevention Program Of Depressive Symptoms In Adolescents : A Randomized And Controlled Follow-Up Study., Patrick Pössel, Christiane Baldus, Andrea B. Horn, Gunter Groen, Martin Hautzinger

Patrick Pössel

Background:  Depressive disorders in adolescents are a widespread and increasing problem. Prevention seems a promising and feasible approach.

Methods:  We designed a cognitive-behavioral school-based universal primary prevention program and followed 347 eighth-grade students participating in a randomized controlled trial for three months.

Results:  In line with our hypothesis, participants in the prevention program remained on a low level of depressive symptoms, having strong social networks. The control group showed increasing depressive symptoms and a reduced social network. Contrary to our expectations, students low in self-efficacy benefited more from the program than high self-efficient students. Social network did not mediate the …

Effekte Pharmakologischer Und Psychotherapeutischer Interventionen Auf Depressionen Bei Kindern Und Jugendlichen. [Effects Of Pharmaco- And Psychotherapeutic Interventions Of Depression In Children And Adolescents]., Patrick Pössel, Martin Hautzinger

Patrick Pössel

Entgegen früheren Überzeugungen besteht heute Konsens und Evidenz dahingehend, dass Depressionen eine bedeutsame Problematik bei Jugendlichen darstellen. Aus diesem Grund stellt sich die Frage nach effektiven Therapieangeboten für depressive Kinder und Jugendliche. Deshalb werden in der vorliegenden Übersichtsarbeit 24 Originalstudien (Kriterium: kontrollierte, randomisierte Interventionsstudien) zu pharmakologischen, 11 Studien zu psychotherapeutischen Interventionen und zwei Studien zur Kombinationsbehandlung dargestellt. Für etwa die Hälfte der Behandlungmethoden (pharmakologische Methoden 3/8; psychotherapeutische Methoden: 2/5) liegen keine randomisierten Kontrollgruppenstudien vor. Weiterhin liegen nur für einige SSRIs (Fluoxetin, Citalopram, Sertralin) ausschließlich positive Daten bezüglich der Besserung depressiver Symptomatik vor. Weiterhin zeigen sich nur für Fluoxetin keine Hinweise, …

Prävention Von Depression Bei Kindern Und Jugendlichen (Prevention Of Depression In Children And Adolescents)., Patrick Pössel, Martin Hautzinger

Patrick Pössel

Depressive Störungen in Kindheit und Jugendalter sind unter anderem durch die hohe Prävalenz und Persistenz depressiver Störungen bis ins Erwachsenenleben, bedeutenden Komorbiditäten mit anderen psychischen Störungen und psychosozialen Problemen von hoher individueller und gesellschaftlichen Bedeutung. Aufgrund dieser Erkenntnisse haben verschiedene Autoren weltweit damit begonnen Präventionsprogramme zu entwickeln und zu evaluieren. In diesem Artikel werden die Probleme der Präventionsforschung und die Effektivität von Prävention bei Kindern und Jugendlichen dargestellt. Den Schwerpunkt bildet dabei ein Überblick über derzeit vorliegenden Programme und deren Evaluationen unter besonderer Berücksichtigung von Programmen, die in deutscher Sprache vorliegen. Abschließend werden mögliche Entwicklungsrichtungen der zukünftigen Präventionsforschung aufgezeigt.

Depressive …

A Randomized Controlled Trial Of A Cognitive-Behavioral Program For The Prevention Of Depression In Adolescents Compared To Nonspecific And No-Intervention Control Conditions., Patrick Pössel, Nina C. Martin, Judy Garber, Martin Hautzinger

Patrick Pössel

Adolescent depression is a common and recurrent disorder associated with significant impairment and other forms of psychopathology. Finding an effective intervention that prevents depression in adolescents is an important public health priority. Participants were 518 high school students (mean age = 15.09; SD = 0.76) from the mid-south of the United States. Participants were randomly assigned to one of three conditions: a cognitive-behavioral program (CB; n = 166), nonspecific control (NSp; n = 175), or a no-intervention control condition (NIC; n = 177). Both the CB and NSp conditions consisted of 90-minute sessions administered once a week over a 10-week …

Bidirectional Relations Of Religious Orientation And Depressive Symptoms In Adolescents : A Short-Term Longitudinal Study., Patrick Pössel, Nina C. Martin, Judy Garber, Aaron W. Banister, Natalie K. Pickering, Martin Hautzinger

Patrick Pössel

Religious orientation can be divided into intrinsic and extrinsic: intrinsically oriented individuals “live their religion,” whereas extrinsically oriented individuals practice religion mainly to gain external benefits. In adults, depression has been found to correlate negatively with intrinsic religious orientation and positively with extrinsic orientation. Studies of the relation between religiosity and depression typically have not been longitudinal, conducted with adolescents, controlled for the influence of other factors associated with depression (i.e., negative cognitions), or examined the reverse relation of depression predicting religious orientation. Our four-month longitudinal study of 273 ninth-grade students addressed these issues. Results showed that higher intrinsic religious …

Associations Between Teacher Emotional Support And Depressive Symptoms In Australian Adolescents : A 5-Year Longitudinal Study., Patrick Pössel, Kathleen Moritz Rudasill, Michael G. Sawyer, Susan H. Spence, Annie C. Bjerg

Patrick Pössel

Approximately one-fifth of adolescents develop depressive symptoms. Given that youth spend a good deal of their lives at school, it seems plausible that supportive relationships with teachers could benefit their emotional well-being. Thus, the purpose of this study is to examine the association between emotionally supportive teacher relationships and depression in adolescence. The so-called principle-effect and stress-buffer models could explain relationships between teacher emotional support and depressive symptoms, yet no study has used both models to test bidirectional relationships between teacher support and depressive symptoms in students separately by sex. Four thousand three hundred forty-one students (boys: n = 2063; …

An Experimental Test Of The Maintenance And Vulnerability Hypothesis Of Depression In Consideration Of The Cognitive Hierarchy., Patrick Pössel, Kerstin Knopf

Patrick Pössel

According to Beck's cognitive model of depression the activation of dysfunctional beliefs triggers negative automatic thoughts, which can be interpreted as the proximal “cause” for emotional, somatic, and motivational symptoms of depression. This top-down processes of beliefs causing thoughts and furthermore of thoughts causing symptoms can be called “cognitive hierarchy.” Besides these processes there are bottom-up influences as well with dysfunctional beliefs being activated by external and internal events. A differentiation between top-down processes and bottom-up influences can be drawn with the first being seen as causing thoughts and emotions while the latter only activate existing beliefs. To test Beck's …

Can Beck’S Theory Of Depression And The Response Style Theory Be Integrated?, Patrick Pössel

Patrick Pössel

There are obvious similarities between the cognitive constructs of Beck’s cognitive theory (1976) and the response style theory (Nolen-Hoeksema & Morrow, 1991). Different propositions of Ciesla and Roberts (2007) and Lyubomirsky and Nolen-Hoeksema (1993, 1995) concerning associations of two response styles, brooding and reflection, with constructs of Beck’s cognitive theory (schemata, cognitive errors, cognitive triad, automatic thoughts) were tested. Model comparisons were based on a 4-week study in which 397 participants completed self-report instruments at two time points. A model allowing schemata to influence brooding and reflection which influence the other cognitive variables of Beck’s cognitive theory fits the data …

Cognitive Error Questionnaire (Ceq) : Psychometric Properties And Factor Structure Of The German Translation., Patrick Pössel

Patrick Pössel

A central component of Beck et al.’s (1979) cognitive theory of depression is faulty information processing reflected by so-called cognitive errors. These cognitive errors are the reason why depressed individuals systematically misinterpret the significance of events in a negative way. They are usually assessed with the application of the Cognitive Error Questionnaire (CEQ). This study examines the psychometric properties and factor structure of the German version of the CEQ in a sample of 796 volunteers at a German university. Results confirmed that the German CEQ has satisfactory to very good psychometric properties, like the American original. Confirmatory factor analyses demonstrated …

Strategies For Universal Prevention Of Depression In Adolescents., Patrick Possel

Patrick Pössel

Background: The occurrence of depressive disorders in adolescence is of high individual and social importance because of their prevalence and persistence into adulthood and their co-morbidity with other psychological disorders and psychosocial problems. International researchers have recognized the seriousness of depressive disorders in adolescence and thus have been involved in the development and evaluation of prevention programs. Methods: This article will present the difficulties encountered in prevention research with adolescents and in the determination of prevention program efficacy. The main focus will be an overview of current prevention programs and their efficacy with special attention paid to programs featured in …

Cognitive Triad Inventory (Cti) : Psychometric Properties And Factor Structure Of The German Translation., Patrick Pössel

Patrick Pössel

A central component of Beck, A. T., Rush, J., & Shaw, B. F. [(1979). Cognitive therapy of depression. New York: Guilford Press] cognitive theory of depression is the cognitive triad (negative view of self, world, and future) measurable with the Cognitive Triad Inventory (CTI). This study examined the psychometric properties and factor structure of the German CTI in a sample of 796 German volunteers. The study provides evidence for the reliability and validity of the German CTI and of independent positive and negative elements of the cognitive triad. Furthermore, results emphasize methodological above conceptual problems in Beck et al.'s (1979) …

Teachers Or Psychologists : Who Should Facilitate Depression Prevention Programs In Schools?, Melanie S. Wahl, Jill L. Adelson, Margarete A. Patak, Patrick Possel, Martin Hautzinger

Patrick Pössel

The current study evaluates a depression prevention program for adolescents led by psychologists vs. teachers in comparison to a control. The universal school-based prevention program has shown its efficacy in several studies when implemented by psychologists. The current study compares the effects of the program as implemented by teachers versus that implemented by psychologists under real-life conditions. A total of 646 vocational track 8th grade students from Germany participated either in a universal prevention program, led by teachers (n = 207) or psychologists (n = 213), or a teaching-as-usual control condition (n = 226). The design includes baseline, post-intervention, and …

The Relative Value Of Measures Of Omega-3 Index, Perceived Stress, Cortisol And Sleep Time In Identifying Depression Among A Cohort Of Australian Adolescents, Ross Grant, Ayse Bilgin, Jade Guest, Margaret J. Morris, Manohar Garg, Robyn Pearce

Robyn Pearce

Objective: To assess the relative prognostic value of 11 variables including, omega-3, perceived stress, cortisol and sleep duration, in predicting adolescent depression. Design, Setting and Participants: A cross-sectional study of 444 healthy adolescents aged 16-18 years, from 10 schools within the Northern Sydney and Central Coast regions of New South Wales, Australia. Participants provided blood and saliva samples and completed questionnaires. Statistical classification methods were used to model the relationships between the predictors and depression. Main Outcome Measures: relative predictive value of each variable in correctly classifying depression. Results: 6% of boys and 9% of girls were categorised as experiencing …

Testing The Differential Effects Of Symptom Management Interventions In Cancer, Alla Sikorskii, Charles W. Given, Azfar-E-Alam Siddiqi, Victoria Champion, Ruth Mccorkle, Sandra L. Spoelstra, Barbara A. Given

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Objective: The purpose of this study was to test for moderating effects of patient characteristics on self-management interventions developed to address symptoms during cancer treatment. Patient’s age, education and depressive symptomatology were considered as potential moderators. Methods: A secondary analysis of data of 782 patients from two randomized clinical trials was performed. Both trials enrolled patients with solid tumors undergoing chemotherapy. After completing baseline interviews, patients were randomized to a nurse-delivered intervention versus intervention delivered by a “coach” in trial I, and to a nurse-delivered intervention versus an intervention delivered by an automated voice response system in trial II. In …

Frontal Alpha Asymmetry As A Pathway To Behavioural Withdrawal In Depression: Research Findings And Issues, Emmanuel Jesulola, Christopher Sharpley, Vicki Bitsika, Linda Agnew, Peter Wilson

Vicki Bitsika

Depression has been described as a process of behavioural withdrawal from overwhelming aversive stressors, and which manifests itself in the diagnostic symptomatology for Major Depressive Disorder (MDD). The underlying neurobiological pathways to that behavioural withdrawal are suggested to include greater activation in the right vs the left frontal lobes, described as frontal EEG asymmetry. However, despite a previous meta-analysis that provided overall support for this EEG asymmetry hypothesis, inconsistencies and several methodological confounds exist. The current review examines the literature on this issue, identifies inconsistencies in findings and discusses several key research issues that require addressing for this field to …

Superman Needs You, Kirby Farrell

kirby farrell

A powerful leader in politics, business, or closer to home has “magnetism.” But leaders depend on followers, who follow because it’s rewarding. Consider the attention commanded by Donald Trump or even Adolf Hitler. Lives depend on it. Both figures use scripts centered on elimination of scapegoats as a technique of converting flight to fight emergency physiology in followers. Close attention can demytify euphemized homicidal ideation.

Body Dissatisfaction And Surveillance, Exercise Frequency, Depression And Self-Esteem In A University Population, Peta Stapleton, Natalie Dzodz

Peta B. Stapleton

The purpose of the present study was to explore the relationship between body dissatisfaction and body surveillance, exercise frequency, depression and self-esteem in 121 university students from various Australian tertiary institutions aged between 17 to 45 years old population. This study also aimed to observe gender differences in the experience of body dissatisfaction. Inconsistent with previous research and the present hypothesis, no significant relationship was found between body dissatisfaction and exercise frequency or body surveillance. However, a significant relationship was found between body dissatisfaction and depression, as well as with self-esteem. Gender was also found to significantly predict body dissatisfaction, …

Attachment-Focused Integrative Reminiscence With Older African Americans: A Randomized Controlled Intervention Study, Myra Sabir, Suk-Young Kang

Myra Sabir

A Pilot Study On The Effects Of Exercise On Depression Symptoms U.Pdf, Timothy H. Barclay

Timothy Barclay

The Effects Of Somatisation, Depression, And Anxiety On Eating Habits Among University Students, Peta B. Stapleton, Morreen Brunetti

Peta B. Stapleton

While it is known that depression and anxiety are associated with poor eating habits, little is known about relationships between these common psychological disorders, somatisation and poor eating habits. The aim of this study was to investigate the effects of depression, anxiety and somatisation on eating habits across gender in university populations. University students (N = 167) participated in the study by completing an internet based survey. No specific gender differences were found for depression, anxiety or eating habits scores. However, females had significantly higher somatisation scores. Higher somatisation scores were significantly positively associated with reported depression, reported anxiety and …

Fall Out Girl, Lauren D. Mulholland

Lauren Mulholland

No abstract provided.