Evidence map›Paper›PMID 31682327›Full record

Trial reportDepression and anxiety2020

A pragmatic clinical trial examining the impact of a resilience program on college student mental health.

Elisabeth Akeman, Namik Kirlic, Ashley N Clausen, Kelly T Cosgrove, Timothy J McDermott, Lisa D Cromer, Martin P Paulus, Hung-Wen Yeh, Robin L Aupperle

Abstract readClinical TrialPragmatic Clinical Trial
In one paragraph

Trial report in Depression and anxiety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Potential resilience treatments for orangutans (Animal welfare (South Mimms, England) · 2023
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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

9 authors.

Elisabeth AkemanLaureate Institute for Brain Research, Tulsa, Oklahoma.
Namik KirlicLaureate Institute for Brain Research, Tulsa, Oklahoma.
Ashley N ClausenVA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, North Carolina.
Kelly T CosgroveLaureate Institute for Brain Research, Tulsa, Oklahoma.
Timothy J McDermottLaureate Institute for Brain Research, Tulsa, Oklahoma.
Lisa D CromerDepartment of Psychology, University of Tulsa, Tulsa, Oklahoma.
Martin P PaulusLaureate Institute for Brain Research, Tulsa, Oklahoma.
Hung-Wen YehHealth Services & Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri.
Robin L AupperleLaureate Institute for Brain Research, Tulsa, Oklahoma.ORCID 0000-0003-2173-6140

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI Maëlle Camille Marie Gueguen · 2017 to 2026
$23.7M
Approach-Avoidance Conflict-a multi-level predictor for exposure therapy responseK23MH108707 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI AUPPERLE, ROBIN L · 2016 to 2020
$976k
Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC)NIGMS NIH HHS P20 GM121312NIMH NIH HHS K23 MH108707William K. Warren Foundation
6 · The paper itself

Abstract

backgroundOne in three college students experience significant depression or anxiety interfering with daily functioning. Resilience programs that can be administered to all students offer an opportunity for addressing this public health problem. The current study objective was to assess the benefit of a brief, universal resilience program for first-year college students.

methodFirst-year students at a private, midwestern university participated. This trial used a pragmatic design, delivering the intervention within university-identified orientation courses and was not randomized. The four-session resilience program included goal-building, mindfulness, and resilience skills. The comparison was orientation-as-usual. Primary outcomes included PROMIS® Depression and Anxiety and Connor-Davidson Resilience Scale. Secondary and exploratory outcomes included the Perceived Stress Scale, Emotion Regulation, and Cognitive Behavioral Therapy (CBT) Skills Questionnaires, and Freiburg Mindfulness Inventory. Time by treatment interactions at post-training and semester-end were examined using linear mixed models.

resultsAnalysis included 252 students, 126 who completed resilience programming and a matched comparison sample. Resilience programming did not relate to improvements in depression at post-training (CI: -2.53 to 1.02; p = .404, d =-0.08), but did at semester-end (95% CI: -4.27 to -0.72; p = .006, d = -0.25) and improvements in perceived stress were observed at post-training (CI: -3.31 to -0.44; p = .011, d = -0.24) and semester-end (CI: -3.30 to -0.41; p = .013, d = -0.24). Emotion regulation, mindfulness, and CBT skills increased, with CBT skills mediating clinical improvements.

conclusionsUniversal implementation of a brief, resilience intervention may be effective for improving college student mental health.

Indexed as

Mental HealthMindfulnessAnxietyHumansStress, PsychologicalStudentsUniversitiesanxietycognitive behavioral therapycollege studentsdepressionmindfulnesspreventionresiliencestress

Identifiers

PMID31682327
PMCPMC7054149

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.