Evidence map›Paper›PMID 26275360›Full record

ArticleJournal of affective disorders2015

Examining reward-seeking, negative self-beliefs and over-general autobiographical memory as mechanisms of change in classroom prevention programs for adolescent depression.

Frances Rice, Adhip Rawal, Lucy Riglin, Gemma Lewis, Glyn Lewis, Sandra Dunsmuir

Abstract read
In one paragraph

Article in Journal of affective disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
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  11. The neuroscience and context of adolescent depression.Acta paediatrica (Oslo, Norway : 1992) · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Frances RiceDepartment of Clinical, Educational and Health Psychology, University College London, United Kingdom. Electronic address: f.rice@ucl.ac.uk.
Adhip RawalDepartment of Clinical, Educational and Health Psychology, University College London, United Kingdom. Electronic address: a.rawal@ucl.ac.uk.
Lucy RiglinDepartment of Clinical, Educational and Health Psychology, University College London, United Kingdom. Electronic address: l.riglin@ucl.ac.uk.
Gemma LewisDivision of Psychiatry, University College London, United Kingdom. Electronic address: gemma.lewis@ucl.ac.uk.
Glyn LewisDivision of Psychiatry, University College London, United Kingdom. Electronic address: glyn.lewis@ucl.ac.uk.
Sandra DunsmuirDepartment of Clinical, Educational and Health Psychology, University College London, United Kingdom. Electronic address: s.dunsmuir@ucl.ac.uk.

Funding

Medical Research Council G0802200Medical Research Council MR/L010305/1
6 · The paper itself

Abstract

backgroundEffective methods to prevent adolescent depressive symptoms could reduce suffering and burden across the lifespan. However, psychological interventions delivered to adolescents show efficacy only in symptomatic or high-risk youth. Targeting causal risk factors and assessing mechanistic change can help devise efficacious universal or classroom based prevention programs.

methodsA non-randomized longitudinal design was used to compare three classroom-based prevention programs for adolescent depression (Behavioral Activation with Reward Processing, "Thinking about Reward in Young People" (TRY); Cognitive Behavioral Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT)), and determine cognitive mechanisms of change in these programs. Cognitive mechanisms examined were reward-seeking, negative self-beliefs (assessed with behavioral tasks) and over-general autobiographical memory. 256 healthy adolescents aged 13-14 participated with 236 (92%) and 227 (89%) completing the pre- and post-assessments.

resultsTRY was the only intervention associated with a reduction in depressive symptoms at follow-up. Reward-seeking increased following TRY. In the other programs there were non-significant changes in cognitive mechanisms, with more reflective negative self-beliefs in CBT and fewer over-general autobiographical memories in MBCT In the TRY program, which focused on increasing sensitivity to rewarding activities, reward seeking increased and this was associated with decreased depressive symptoms. LIMITATIONS: Due to the infeasibility of a cluster randomized controlled trial, a non-randomized design was used.

conclusionsIncreased reward-seeking was associated with decreased depressive symptoms and may be a mechanism of depressive symptom change in the intervention with a focus on enhancing sensitivity and awareness of reward. This study provides preliminary evidence to suggest that incorporating activities to enhance reward sensitivity may be fruitful in randomized controlled trials of universal prevention programs for depression.

Indexed as

Memory, EpisodicRewardSchool Health ServicesSelf-AssessmentAdolescentCognitive Behavioral TherapyDepressionFemaleHumansLongitudinal StudiesMaleMindfulnessRisk FactorsAdolescenceAutobiographical memoryDepressionNegative beliefsPreventionReward

Identifiers

PMID26275360
PMCPMC4573464

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.