A Systematic Review and Lived-Experience Panel Analysis of Hopefulness in Youth Depression Treatment

IF 4.7 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Adolescent Research Review Pub Date : 2021-07-06 DOI:10.1007/s40894-021-00167-0

Clio Berry, Joanne Hodgekins, Daniel Michelson, Laura Chapman, Olga Chelidoni, Lucie Crowter, Catarina Sacadura, David Fowler

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引用次数: 2

Abstract

Hopefulness is arguably of central importance to the recovery of youth with major or complex youth depression, yet it is unclear how hopefulness can best be enhanced in treatment. A narrative synthesis of published and grey literature was combined with new insights from a youth lived-experience panel (N = 15), focusing on to what extent and how specific psychological therapies and standard mental health care scaffold hopefulness as applied to depression among 14–25-year-olds. Thirty-one studies of variable quality were included in this review; thirteen were qualitative, thirteen quantitative, and five used mixed methods. Hopefulness is an important active ingredient of psychotherapies and standard mental health care in youth depression. Evidence suggests talking and activity therapies have moderate to large effects on hopefulness and that hopefulness can be enhanced in standard mental health care. However, varying intervention effects suggest a marked degree of uncertainty. Hopefulness is best scaffolded by a positive relational environment in which there is support for identifying and pursuing personally valued goals and engaging in meaningful activity.

Animated (https://www.youtube.com/watch?v=o4690PdTGec) and graphical summaries (https://doi.org/10.13140/RG.2.2.27024.84487) are available.

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青少年抑郁症治疗希望的系统评价和生活经验面板分析

希望可以说对患有严重或复杂青年抑郁症的青年的康复至关重要，但目前尚不清楚如何在治疗中最好地增强希望。已出版和灰色文学的叙事综合与青年生活体验小组的新见解相结合（N = 15），重点关注特定的心理疗法和标准心理健康护理在多大程度上以及如何将希望应用于14-25岁的抑郁症。本综述包括31项关于可变质量的研究；其中13种为定性方法，13种为定量方法，5种为混合方法。希望是青少年抑郁症心理治疗师和标准心理健康护理的重要活性成分。有证据表明，谈话和活动疗法对希望有中等到较大的影响，并且在标准的心理健康护理中可以增强希望。然而，不同的干预效果表明存在明显的不确定性。希望最好建立在一个积极的关系环境中，在这个环境中，有人支持确定和追求个人价值的目标，并参与有意义的活动。动画(https://www.youtube.com/watch?v=o4690PdTGec)和图形摘要(https://doi.org/10.13140/RG.2.2.27024.84487)可用。

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来源期刊

Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

10.40

自引率

0.00%

发文量

期刊介绍： Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence. The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries. Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.