Match!

Mediators in psychological and psychoeducational interventions for the prevention of depression and anxiety. A systematic review.

Published on Mar 1, 2020in Clinical Psychology Review9.904
· DOI :10.1016/j.cpr.2020.101813
Patricia Moreno-Peral9
Estimated H-index: 9
,
Juan Ángel Bellón19
Estimated H-index: 19
+ 7 AuthorsSonia Conejo-Cerón7
Estimated H-index: 7
Abstract
Abstract Although efforts have been undertaken to determine how psychological interventions exert their effects, research on mediators and mechanisms of change remains limited, especially in the field of prevention. We aimed to assess available evidence on mediators of psychological and psychoeducational interventions for the prevention of depression and anxiety in varied populations. A systematic review using PubMed, PsycINFO, Web of Science, Embase, OpenGrey, and the Cochrane Central Register of Controlled Trials was performed. Two independent reviewers assessed the eligibility criteria of all articles, extracted data, determined the risk of bias in randomized controlled trials, and the requirements for mediators. The outcomes were mediators of the incidence of depression or anxiety and/or the reduction of symptoms of depression or anxiety. We identified 28 nested mediator studies within randomized controlled trials involving 7442 participants. Potential cognitive, behavioral, emotional and interpersonal mediators were evaluated in different psychological and psychoeducational interventions to prevent depression and anxiety. The effects were mediated mainly by cognitive variables, which were the most commonly assessed factors. For depression, the mediator with the strongest empirical support was negative thinking in adults. Cognitive change is an important mediator in preventive psychological and psychoeducational interventions for both anxiety and depression. Registration details Registration number (PROSPERO): CRD42018092393.
  • References (89)
  • Citations (0)
📖 Papers frequently viewed together
20098.29BMC Medicine
4 Authors (Tara Donker, ..., Helen Christensen)
171 Citations
29 Citations
63 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References89
Newest
El estudio tuvo como objetivo validar la adaptacion de un programa de intervencion grupal basado en solucion de problemas para prevenir depresion en adultos a nivel de estudio piloto. Conto con dos muestras: 3 jueces psicologos clinicos, conocedores del modelo de solucion de problemas, con experiencia superior a 10 anos en atencion clinica; y 4 potenciales usuarios, mujeres, con edad entre 27 y 31 anos (M = 29; DE = 1.6), empleadas que presentaban sintomas depresivos. El estudio tuvo un componen...
376 CitationsSource
#1Julian P. T. Higgins (UoB: University of Bristol)H-Index: 99
#2Sally Green (UCL: University College London)H-Index: 50
The Cochrane Handbook for Systematic Reviews of Interventions is the official document that describes in detail the process of preparing and maintaining Cochrane systematic reviews on the effects of healthcare interventions.
7,644 Citations
#1Pim Cuijpers (PHRI: Public Health Research Institute)H-Index: 104
#2Mirjam Reijnders (PHRI: Public Health Research Institute)H-Index: 6
Last. Marcus J.H. Huibers (PHRI: Public Health Research Institute)H-Index: 37
view all 3 authors...
Psychotherapies may work through techniques that are specific to each therapy or through factors that all therapies have in common. Proponents of the common factors model often point to meta-analys...
11 CitationsSource
The mechanisms of change are rarely investigated in the field of gamified interventions for preventing emotional disorders in children and adolescents despite the wide recognition for the advantages they offer as prevention tool. Therefore, the aim of the present study was to investigate the mechanisms of change of a therapeutic game (REThink), specifically mediators and moderators of its efficacy. We conducted a randomized controlled trial, involving 165 children (age range 10–16 years), who we...
Source
#1Michael Silverstein (BU: Boston University)H-Index: 26
#2Howard Cabral (BU: Boston University)H-Index: 56
Last. Emily Feinberg (BU: Boston University)H-Index: 5
view all 7 authors...
Importance Although problem solving has been an important component of successful depression prevention and treatment interventions, evidence to support problem solving’s mechanism of action is sparse. Objective To understand the mechanism of an efficacious depression prevention intervention, problem-solving education (PSE). Design, Setting, and Participants A multivariate path analysis was embedded within a randomized efficacy trial (February 15, 2011, to May 9, 2016). Participants were mothers...
2 CitationsSource
#1Katleen Van der Gucht (Katholieke Universiteit Leuven)H-Index: 5
#2Keisuke Takano (Katholieke Universiteit Leuven)H-Index: 11
Last. Peter Kuppens (Katholieke Universiteit Leuven)H-Index: 38
view all 4 authors...
ABSTRACTThe underlying mechanisms of the effectiveness of mindfulness-based interventions for emotional well-being remain poorly understood. Here, we examined the potential mediating effects of cognitive reactivity and self-compassion on symptoms of depression, anxiety and stress using data from an earlier randomised controlled school trial. A moderated time-lagged mediation model based on multilevel modelling was used to analyse the data. The findings showed that post-treatment changes in cogni...
7 CitationsSource
#1Pim Cuijpers (PHRI: Public Health Research Institute)H-Index: 104
#2Eirini Karyotaki (PHRI: Public Health Research Institute)H-Index: 16
Last. Marcus J.H. Huibers (PHRI: Public Health Research Institute)H-Index: 37
view all 4 authors...
AbstractIt is not clear whether specific target groups for psychotherapies in adult depression benefit as much from these treatments as other patients. We examined target groups that have been examined in randomized trials, including women, older adults, students, minorities, patients with general medical disorders, and specific types of depression, and we examined where patients were recruited. We conducted subgroup and multivariate metaregression analyses in a sample of 256 trials (with 332 co...
6 CitationsSource
#1Steven M. Brunwasser (Vandy: Vanderbilt University)H-Index: 11
#2Derek R. Freres (UPenn: University of Pennsylvania)H-Index: 15
Last. Jane E. Gillham (UPenn: University of Pennsylvania)H-Index: 27
view all 3 authors...
This study tested the plausibility of a theoretical model of change for the Penn Resiliency Program (PRP), a cognitive-behavioral (CB) depression prevention program for adolescents. Middle school students (N = 697) were randomized to PRP, an assessment-only control condition (CON), or a placebo-control condition (PLA). Explanatory style and depressive symptoms were evaluated over 24 months of follow-up. Relative to both CON and PLA, there were significant indirect effects of PRP on 12-month leve...
3 CitationsSource
#1Elizabeth P. Casline (UConn: University of Connecticut)H-Index: 1
#2Jeffrey E. Pella (UConn: University of Connecticut)H-Index: 1
Last. Golda S. Ginsburg (UConn: University of Connecticut)H-Index: 48
view all 6 authors...
Background Parenting behaviors have consistently been shown to be associated with elevated anxiety symptoms and disorders in children. However, this literature is limited as most studies have focused on global rather than specific parenting behaviors, failed to consistently account for the influence of parental anxiety, and omitted examining whether changes in parenting behaviors mediate intervention outcomes.
Source
#1Mark B. PowersH-Index: 38
#2Rianne A. de Kleine (LEI: Leiden University)H-Index: 7
Last. Jasper A. J. SmitsH-Index: 39
view all 3 authors...
4 CitationsSource
Cited By0
Newest