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Roach A, Bennett S, Heyman I, Coughtrey A, Stokes I, Ndoci X, Balakrishnan S, Astle N, Drinkwater J, Evans R, Frederick U, Groszmann M, Jones S, McDonnell K, Mobley A, Murray A, O’Sullivan H, Ormrod S, Prendegast T, Rajalingam U, Webster E, Webster R, Vinton G, Shafran R. Clinical effectiveness of drop-in mental health services at paediatric hospitals: A non-randomised multi-site study for children and young people and their families - study protocol. PLoS One 2024; 19:e0302878. [PMID: 38722844 PMCID: PMC11081357 DOI: 10.1371/journal.pone.0302878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 04/14/2024] [Indexed: 05/13/2024] Open
Abstract
BACKGROUND Despite the high prevalence of mental health difficulties in children and young people with long-term health conditions (LTCs), these difficulties and experiences are often overlooked and untreated. Previous research demonstrated the effectiveness of psychological support provided via a drop-in mental health centre located in a paediatric hospital. The aim of this prospective non-randomised single-arm multi-centre interventional study is to determine the clinical effectiveness of drop-in mental health services when implemented at paediatric hospitals in England. METHODS It is hypothesised that families who receive psychological interventions through the drop-in services will show improved emotional and behavioural symptoms. Outcomes will be measured at baseline and at 6-month follow-up. The primary outcome is the difference in the total difficulties score on the Strengths and Difficulties Questionnaire (SDQ) reported by parent or child at 6 months. Secondary outcomes include self and parent reported Paediatric Quality of Life Inventory (PedsQL), self-reported depression (PHQ-9) and anxiety measures (GAD-7) and family satisfaction (CSQ-8). DISCUSSION This trial aims to determine the clinical effectiveness of providing psychological support in the context of LTCs through drop-in mental health services at paediatric hospitals in England. These findings will contribute to policies and practice addressing mental health needs in children and young people with other long-term health conditions. TRIAL REGISTRATION ISRCTN15063954, Registered on 9 December 2022.
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Affiliation(s)
- Anna Roach
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
| | - Sophie Bennett
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
- Great Ormond Street Children’s Hospital, London, United Kingdom
- Department of Psychology, Institute of Psychiatry Psychology & Neuroscience, King’s College London, De Crespigny Park, London, United Kingdom
| | - Isobel Heyman
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
- Great Ormond Street Children’s Hospital, London, United Kingdom
- Cambridge Children’s Hospital Project Team and Paediatric Psychological Medicine Service, Addenbrooke’s Hospital, Cambridge, United Kingdom
| | - Anna Coughtrey
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
- Great Ormond Street Children’s Hospital, London, United Kingdom
| | - Isabella Stokes
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
- University College Hospitals, London, United Kingdom
| | - Xhorxhina Ndoci
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
| | - Sonia Balakrishnan
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
| | - Nicki Astle
- Hinchingbrooke Hospital, Hinchingbrooke Park, Huntingdon, Cambridgeshire, United Kingdom
| | | | - Rebecca Evans
- Sheffield Children’s Hospital, Sheffield, United Kingdom
| | - Una Frederick
- Peterborough City Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, United Kingdom
| | | | - Steve Jones
- Sheffield Children’s Hospital, Sheffield, United Kingdom
| | | | - Amanda Mobley
- Leeds Teaching Hospital Trust, Paediatric Psychology, E Floor Martin Wing, Leeds General Infirmary, Leeds, United Kingdom
| | - Abbie Murray
- Peterborough City Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, United Kingdom
| | | | - Sarah Ormrod
- University College Hospitals, London, United Kingdom
| | | | - Usha Rajalingam
- Hinchingbrooke Hospital, Hinchingbrooke Park, Huntingdon, Cambridgeshire, United Kingdom
| | - Emily Webster
- Sheffield Children’s Hospital, Sheffield, United Kingdom
| | - Rebecca Webster
- Cambridge and Peterborough Foundation Trust, Child Development Centre, City Care Centre, Peterborough, United Kingdom
| | - Gareth Vinton
- University College Hospitals, London, United Kingdom
| | - Roz Shafran
- UCL Great Ormond Street Institute of Child Health, London, United Kingdom
- Great Ormond Street Children’s Hospital, London, United Kingdom
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2
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Huang P, Chan SY, Ngoh ZM, Nadarajan R, Chong YS, Gluckman PD, Chen H, Fortier MV, Tan AP, Meaney MJ. Functional connectivity analysis of childhood depressive symptoms. Neuroimage Clin 2023; 38:103395. [PMID: 37031637 PMCID: PMC10120398 DOI: 10.1016/j.nicl.2023.103395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 03/26/2023] [Accepted: 03/27/2023] [Indexed: 04/09/2023]
Abstract
BACKGROUND Childhood depression is a highly distinct and prevalent condition with an unknown neurobiological basis. We wish to explore the resting state fMRI data in children for potential associations between neural connectivity and childhood depressive symptoms. METHODS A longitudinal birth cohort study with neuroimaging data obtained at 4.5, 6.0 and 7.5 years of age and the Children Depression Inventory 2 (CDI) administered between 8.5 and 10.5 years was used. The CDI score was used as the dependent variable and tested for correlation, both simple Pearson and network based statistic, with the functional connectivity values obtained from the resting state fMRI. Cross-validated permutation testing with a general linear model was used to validate that the identified functional connections were indeed implicated in childhood depression. RESULTS Ten functional connections and four brain regions (Somatomotor Area B, Temporoparietal Junction, Orbitofrontal Cortex and Insula) were identified as significantly associated with childhood depressive symptoms for girls at 6.0 and 7.5 years. No significant functional connections were found in girls at 4.5 years or for boys at any timepoint. Network based statistic and permutation testing confirmed these findings. CONCLUSIONS This study revealed significant sex-dependent associations of neural connectivity and childhood depressive symptoms. The regions identified are implicated in speech/language, social cognition and information integration and suggest unique pathways to childhood depressive symptoms.
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Affiliation(s)
- Pei Huang
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore.
| | - Shi Yu Chan
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore
| | - Zhen Ming Ngoh
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Ranjani Nadarajan
- Department of Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada
| | - Yap Seng Chong
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore; Department of Obstetrics & Gynaecology, National University Hospital Singapore, Singapore
| | - Peter D Gluckman
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore; Centre for Human Evolution, Adaptation and Disease, Liggins Institute, University of Auckland, Auckland, New Zealand
| | - Helen Chen
- Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore; Duke-National University of Singapore, Singapore
| | - Marielle V Fortier
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore; Department of Diagnostic and Interventional Radiology, KK Women's and Children's Hospital, Singapore
| | - Ai Peng Tan
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore; Department of Diagnostic Imaging, National University Hospital Singapore, Singapore
| | - Michael J Meaney
- Singapore Institute for Clinical Sciences, Agency for Science and Technology, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada; Brain - Body Initiative, Agency for Science and Technology, Singapore
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3
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Bennett SD, Kerry E, Fifield K, Ching BCF, Catanzano M, Liang H, Heyman I, Coughtrey AE, Sanderson C, Rojas N, Shafran R. A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes. JCPP ADVANCES 2021. [DOI: 10.1002/jcv2.12046] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Sophie D. Bennett
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Eleanor Kerry
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Kate Fifield
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Brian C. F. Ching
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Matteo Catanzano
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Holan Liang
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Isobel Heyman
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Anna E. Coughtrey
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Charlotte Sanderson
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Natalia Rojas
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
| | - Roz Shafran
- UCL Great Ormond Street Institute of Child Health London UK
- Great Ormond Street Hospital for Children NHS Foundation Trust London UK
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4
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Bennett S, Heyman I, Varadkar S, Coughtrey A, Walji F, Shafran R. Guided Self-help Teletherapy for Behavioural Difficulties in Children with Epilepsy. J Clin Psychol Med Settings 2021; 28:477-490. [PMID: 33740166 PMCID: PMC8458180 DOI: 10.1007/s10880-021-09768-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/25/2021] [Indexed: 12/02/2022]
Abstract
Behavioural difficulties impact greatly upon quality of life for children with chronic illness and their families but are often not identified or adequately treated, possibly due to the separation of physical and mental health services. This case study describes the content and outcomes of guided self-help teletherapy for behavioural difficulties in a child with epilepsy and complex needs using an evidence-based behavioural parenting protocol delivered within a paediatric hospital setting. Behavioural difficulties and progress towards the family's self-identified goals were monitored at each session. Validated measures of mental health and quality of life in children were completed before and after intervention and satisfaction was measured at the end of treatment. Measures demonstrated clear progress towards the family's goals and reduction in weekly ratings of behavioural difficulties. This case demonstrates that a guided self-help teletherapy approach delivered from within the paediatric setting may be one way of meeting unmet need.
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Affiliation(s)
- Sophie Bennett
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK. .,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
| | - Isobel Heyman
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Sophia Varadkar
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Anna Coughtrey
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Fahreen Walji
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Roz Shafran
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
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Soares FC, Hardman CM, Rangel Junior JFB, Bezerra J, Petribú K, Mota J, de Barros MVG, Lima RA. Secular trends in suicidal ideation and associated factors among adolescents. ACTA ACUST UNITED AC 2020; 42:475-480. [PMID: 32491043 PMCID: PMC7524424 DOI: 10.1590/1516-4446-2019-0783] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 01/26/2020] [Indexed: 01/20/2023]
Abstract
Objectives: Suicide is one of the leading causes of death in adolescence, and the second most common cause of death among young people. The objective of this study was to identify trends in suicidal ideation by sex and ascertain factors associated with this outcome. Methods: Secular trend study with statewide coverage conducted at 5-year intervals, with 4,207 adolescents (2006), 6,264 adolescents (2011) and 6,026 adolescents (2016). Logistic regression was used to evaluate the secular trend of suicidal ideation. Multilevel logistic regressions evaluated the factors associated with suicidal ideation in the survey conducted in 2016. Results: There was a positive trend in suicidal ideation prevalence in 2016 compared to the prevalence in 2006 and 2011, in both boys and girls. Low social support, poor sleep quality, and low parental supervision were associated with suicidal ideation in boys and girls. Exposure to violence and bullying was associated with suicidal ideation only in girls. TV time and computer and videogame time were not associated with suicidal ideation in boys or girls. Conclusion: There is an alarming trend of increased suicidal ideation in adolescents. Several dimensions were associated with suicidal ideation in adolescents, especially social support, sleep quality, and parental supervision.
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Affiliation(s)
- Fernanda C Soares
- Escola de Educação Física, Programa de Pós-Graduação em Educação Física, Grupo de Pesquisa em Estilos de Vida e Saúde (GPES), Universidade de Pernambuco (UPE), Recife, PE, Brazil
| | - Carla M Hardman
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Pernambuco, (UFPE), Recife, PE, Brazil
| | - João F B Rangel Junior
- Escola de Educação Física, Programa de Pós-Graduação em Educação Física, Grupo de Pesquisa em Estilos de Vida e Saúde (GPES), Universidade de Pernambuco (UPE), Recife, PE, Brazil
| | - Jorge Bezerra
- Escola de Educação Física, Programa de Pós-Graduação em Educação Física, Grupo de Pesquisa em Estilos de Vida e Saúde (GPES), Universidade de Pernambuco (UPE), Recife, PE, Brazil
| | - Kátia Petribú
- Faculdade de Ciências Médicas, UPE, Recife, PE, Brazil
| | - Jorge Mota
- Centro de Investigação em Atividade Física, Saúde e Lazer (CIAFEL), Faculdade de Desporto, Universidade do Porto, Porto, Portugal
| | - Mauro V G de Barros
- Escola de Educação Física, Programa de Pós-Graduação em Educação Física, Grupo de Pesquisa em Estilos de Vida e Saúde (GPES), Universidade de Pernambuco (UPE), Recife, PE, Brazil
| | - Rodrigo A Lima
- Escola de Educação Física, Programa de Pós-Graduação em Educação Física, Grupo de Pesquisa em Estilos de Vida e Saúde (GPES), Universidade de Pernambuco (UPE), Recife, PE, Brazil.,Institut für Sportwissenschaft, Karl-Franzens-Universität Graz, Graz, Austria
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6
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Napoleone E, Evans C, Patalay P, Edbrooke-Childs J, Wolpert M. Trajectories of change of youth depressive symptoms in routine care: shape, predictors, and service-use implications. Eur Child Adolesc Psychiatry 2019; 28:1527-1536. [PMID: 30919053 DOI: 10.1007/s00787-019-01317-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Accepted: 03/13/2019] [Indexed: 10/27/2022]
Abstract
Depression is one of the main reasons for youth accessing mental health services, yet we know little about how symptoms change once youth are in routine care. This study used multilevel modeling to examine the average trajectory of change and the factors associated with change in depressive symptoms in a large sample of youth seen in routine mental health care services in England. Participants were 2336 youth aged 8-18 (mean age 14.52; 77% females; 88% white ethnic background) who tracked depressive symptoms over a period of up to 32 weeks while in contact with mental health services. Explanatory variables were age, gender, whether the case was closed, total length of contact with services, and baseline severity in depression scores. Faster rates of improvement were found in older adolescents, males, those with shorter time in contact with services, closed cases, and those with more severe symptoms at baseline. This study demonstrates that when youth self-report their depressive symptoms during psychotherapy, symptoms decrease in a linear trajectory. Attention should be paid to younger people, females, and those with lower than average baseline scores, as their symptoms decrease at a slower pace compared to others.
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Affiliation(s)
- Elisa Napoleone
- Anna Freud National Centre for Children and Families and University College London, 4-8 Rodney Street, London, N1 9JH, UK.
| | - Chris Evans
- University of Sheffield, Western Bank, Sheffield, S10 2TN, UK
| | - Praveetha Patalay
- University of Liverpool, Foundation Building, Brownlow Hill, Liverpool, L69 7ZX, UK
| | - Julian Edbrooke-Childs
- Anna Freud National Centre for Children and Families and University College London, 4-8 Rodney Street, London, N1 9JH, UK
| | - Miranda Wolpert
- Anna Freud National Centre for Children and Families and University College London, 4-8 Rodney Street, London, N1 9JH, UK
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7
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Bennett S, Heyman I, Coughtrey A, Simmonds J, Varadkar S, Stephenson T, DeJong M, Shafran R. Guided self-help interventions for mental health disorders in children with neurological conditions: study protocol for a pilot randomised controlled trial. Trials 2016; 17:532. [PMID: 27809925 PMCID: PMC5095965 DOI: 10.1186/s13063-016-1663-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Accepted: 10/17/2016] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Rates of mental health disorders are significantly greater in children with physical illnesses than in physically well children. Children with neurological conditions, such as epilepsy, are known to have particularly high rates of mental health disorders. Despite this, mental health problems in children with neurological conditions have remained under-recognised and under-treated in clinical settings. Evidence-based guided self-help interventions are efficacious in reducing symptoms of mental health disorders in children, but their efficacy in reducing symptoms of common mental health disorders in children with neurological conditions has not been investigated. We aim to pilot a guided self-help intervention for the treatment of mental health disorders in children with neurological conditions. METHODS/DESIGN A pilot randomised controlled trial with 18 patients with neurological conditions and mental health disorders will be conducted. Participants attending specialist neurology clinics at a National UK Children's Hospital will be randomised to receive guided self-help for common mental health disorders or to a 12-week waiting list control. Participants in the treatment group will receive 10 sessions of guided self-help delivered over the telephone. The waiting list control group will receive the intervention after a waiting period of 12 weeks. The primary outcome measure is reduction in symptoms of mental health disorders. Exclusion criteria are limited to those at significant risk of harm to self or others, the presence of primary mental health disorder other than anxiety, depression or disruptive behaviour (e.g. psychosis, eating disorder, obsessive-compulsive disorder) or intellectual disability at a level meaning potential participants would be unable to access the intervention. The study has ethical approval from the Camden and Islington NHS Research Ethics Committee, registration number 14.LO.1353. Results will be disseminated to patients, the wider public, clinicians and researchers through publication in journals and presentation at conferences. DISCUSSION This is the first study to investigate guided self-help interventions for mental health problems in children with neurological conditions, a group which is currently under-represented in mental health research. The intervention is modular and adapted from an empirically supported cognitive behavioural treatment. The generalisability and broad inclusion criteria are strengths but may also lead to some weaknesses. TRIAL REGISTRATION Current Controlled Trials: ISRCTN21184717 . Registered on 25 September 2015.
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Affiliation(s)
- Sophie Bennett
- UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
| | - Isobel Heyman
- UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK
| | - Anna Coughtrey
- UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK
| | - Jess Simmonds
- UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK
| | - Sophia Varadkar
- UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.,Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK
| | | | - Margaret DeJong
- Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK
| | - Roz Shafran
- UCL Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK
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8
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Leonidas C, Dos Santos MA. Social support networks and eating disorders: an integrative review of the literature. Neuropsychiatr Dis Treat 2014; 10:915-27. [PMID: 24899810 PMCID: PMC4039404 DOI: 10.2147/ndt.s60735] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
AIMS This study aimed to analyze the scientific literature about social networks and social support in eating disorders (ED). METHODS By combining keywords, an integrative review was performed. It included publications from 2006-2013, retrieved from the MEDLINE, LILACS, PsycINFO, and CINAHL databases. The selection of articles was based on preestablished inclusion and exclusion criteria. RESULTS A total of 24 articles were selected for data extraction. There was a predominance of studies that used nonexperimental and descriptive designs, and which were published in international journals. This review provided evidence of the fact that fully consolidated literature regarding social support and social networks in patients with ED is not available, given the small number of studies dedicated to the subject. We identified evidence that the family social network of patients with ED has been widely explored by the literature, although there is a lack of studies about other networks and sources of social support outside the family. CONCLUSION The evidence presented in this study shows the need to include other social networks in health care. This expansion beyond family networks would include significant others - such as friends, colleagues, neighbors, people from religious groups, among others - who could help the individual coping with the disorder. The study also highlights the need for future research on this topic, as well as a need for greater investment in publications on the various dimensions of social support and social networks.
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Affiliation(s)
- Carolina Leonidas
- Department of Psychology, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Brazil
| | - Manoel Antônio Dos Santos
- Department of Psychology, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Brazil
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Kösters MP, Chinapaw MJ, Zwaanswijk M, van der Wal MF, Koot HM. Letter to the editor regarding "Study design of 'Friends for Life': a process and effect evaluation of an indicated school-based prevention program": response to Lima et al. Neuropsychiatr Dis Treat 2014; 10:671-4. [PMID: 24790450 PMCID: PMC4003284 DOI: 10.2147/ndt.s61412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Mia P Kösters
- Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam (GGD), Amsterdam
| | - Mai Jm Chinapaw
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam
| | | | - Marcel F van der Wal
- Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam (GGD), Amsterdam
| | - Hans M Koot
- Department of Developmental Psychology, Faculty of Psychology and Education, VU University, Amsterdam ; EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands
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10
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Yoshimura R, Kishi T, Hori H, Atake K, Katsuki A, Nakano-Umene W, Ikenouchi-Sugita A, Iwata N, Nakamura J. Serum proBDNF/BDNF and response to fluvoxamine in drug-naïve first-episode major depressive disorder patients. Ann Gen Psychiatry 2014; 13:19. [PMID: 25089150 PMCID: PMC4118273 DOI: 10.1186/1744-859x-13-19] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Accepted: 06/02/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND We investigated the association between serum proBDNF, a precursor of brain-derived neurotrophic factor (BDNF), and response to fluvoxamine in patients with major depressive disorder (MDD) using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR): physically healthy and free of current alcohol or drug abuse, comorbid anxiety, or personality disorders. METHODS Fifty-one patients with MDD (M/F, 19:32; age, 38 ± 19 years) and 51 healthy controls (M/F, 22:29; age, 34 ± 17 years) were studied using DSM-IV-TR: physically healthy and free of current alcohol or drug abuse, comorbid anxiety, or personality disorders. Serum levels of proBDNF and MDNF were measured by sandwich enzyme-linked immunosorbent assay (ELISA). RESULTS Serum mature BDNF levels in the MDD patients were significantly lower than those in the healthy controls (t = 3.046, p = 0.0018). On the other hand, no difference was found in serum proBDNF between the MDD patients and the healthy controls (t = -0.979, p = 0.833). A trend of negative correlation was found between baseline serum BDNF and baseline scores of the 17 items of the Hamilton Rating Scale for Depression (HAMD17) (r = -0.183, p = 0.071). No correlation was however found between HAMD17 scores and proBDNF at baseline (r = 0.092, p = 0.421). Furthermore, no correlation was observed between baseline HAMD17 scores and baseline proBDNF/BDNF (r = -0.130, p = 0.190). No changes were observed in serum levels of proBDNF and BDNF during the treatment periods. CONCLUSIONS These results suggest that there is no association between serum proBDNF/BDNF and fluvoxamine response in MDD patients at least within 4 weeks of the treatment.
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Affiliation(s)
- Reiji Yoshimura
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
| | - Taro Kishi
- Department of Psychiatry, Fujita Health University, Toyoake 470-1192, Japan
| | - Hikaru Hori
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
| | - Kiyokazu Atake
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
| | - Asuka Katsuki
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
| | - Wakako Nakano-Umene
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
| | - Atsuko Ikenouchi-Sugita
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
| | - Nakao Iwata
- Department of Psychiatry, Fujita Health University, Toyoake 470-1192, Japan
| | - Jun Nakamura
- Department of Psychiatry, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan
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