A randomized trial of online single-session interventions for adolescent depression during COVID-19.
Nat Hum Behav
; 6(2): 258-268, 2022 02.
Article
in English
| MEDLINE | ID: covidwho-1565719
ABSTRACT
The COVID-19 pandemic has potentially increased the risk for adolescent depression. Even pre-pandemic, <50% of youth with depression accessed care, highlighting needs for accessible interventions. Accordingly, this randomized controlled trial (ClinicalTrials.gov NCT04634903 ) tested online single-session interventions (SSIs) during COVID-19 in adolescents with elevated depression symptoms (N = 2,452, ages 13-16). Adolescents from all 50 US states, recruited via social media, were randomized to one of three SSIs a behavioural activation SSI, an SSI teaching that traits are malleable and a supportive control. We tested each SSI's effects on post-intervention outcomes (hopelessness and agency) and three-month outcomes (depression, hopelessness, agency, generalized anxiety, COVID-19-related trauma and restrictive eating). Compared with the control, both active SSIs reduced three-month depressive symptoms (Cohen's d = 0.18), decreased post-intervention and three-month hopelessness (d = 0.16-0.28), increased post-intervention agency (d = 0.15-0.31) and reduced three-month restrictive eating (d = 0.12-17). Several differences between active SSIs emerged. These results confirm the utility of free-of-charge, online SSIs for high-symptom adolescents, even in the high-stress COVID-19 context.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Anxiety
/
Cognitive Behavioral Therapy
/
Depression
/
Feeding Behavior
/
Internet-Based Intervention
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Limits:
Adolescent
/
Female
/
Humans
/
Male
Language:
English
Journal:
Nat Hum Behav
Year:
2022
Document Type:
Article
Affiliation country:
S41562-021-01235-0
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