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Review
. 2021 Aug 16;9(1):113.
doi: 10.1186/s40359-021-00614-6.

Prevention and early intervention of depression in young people: an integrated narrative review of affective awareness and Ecological Momentary Assessment

Joanne R Beames  1 , Katarina Kikas  2 , Aliza Werner-Seidler  2
Affiliations
Review

Prevention and early intervention of depression in young people: an integrated narrative review of affective awareness and Ecological Momentary Assessment

Joanne R Beames et al. BMC Psychol. .

Abstract

Depression has a devastating impact on young people around the world. This impact is pervasive and long-long lasting, still causing havoc as young people transition into adulthood. Prevention and timely early intervention efforts are necessary to lessen the disease burden of depression in young people. There is some evidence for the effectiveness of existing prevention and early intervention programs when delivered early. However, there is no consensus on what the active ingredients of these programs are. Identifying these ingredients is important because focusing on those that have maximal benefit will help to minimise the costs and resourcing of (already intensive) therapeutic approaches. We explored whether, and in what circumstances, affective awareness (i.e., knowing how one feels) is a candidate for protecting against and decreasing vulnerability to depression in young people. We specifically looked at how Ecological Momentary Assessment methods (EMA) were used to measure and/or increase affective awareness. We integrated three streams of data, including narrative review findings, perspectives from young people and psychologists, and publicly available information online (e.g., discussion forums). Across data sources, we found converging evidence that affective awareness is important in the prevention and early intervention of depression although there were considerable gaps in knowledge. More work needs to be done with young people and their health care teams to build affective awareness in the right way, at the right time, with individual differences in mind. The identification of how EMA can be best incorporated into young people's lives to facilitate these outcomes is also needed.

Keywords: Affective awareness; Depression; Early intervention; Ecological momentary assessment; Prevention; Youth.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Identified links between active ingredients
Fig. 2
Fig. 2
Hypothesised relationship between affective awareness and depression
See this image and copyright information in PMC

References

    1. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392:1789. doi: 10.1016/S0140-6736(18)32279-7. - DOI - PMC - PubMed
    1. Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health. 2013;34:119. doi: 10.1146/annurev-publhealth-031912-114409. - DOI - PMC - PubMed
    1. Merikangas KR, He J-P, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in us adolescents: Results from the national comorbidity survey replication–adolescent supplement (NCS-A) J Am Acad Child Adolesc Psychiatry. 2010;49:980. doi: 10.1016/j.jaac.2010.05.017. - DOI - PMC - PubMed
    1. Petito A, Pop TL, Namazova-Baranova L, Mestrovic J, Nigri L, Vural M, et al. The burden of depression in adolescents and the importance of early recognition. J Pediatr. 2020;218:265. doi: 10.1016/j.jpeds.2019.12.003. - DOI - PubMed
    1. Ormel J, Kessler RC, Schoevers R. Depression: More treatment but no drop in prevalence: how effective is treatment? And can we do better? Curr Opin Psychiatry. 2019;32:348. doi: 10.1097/YCO.0000000000000505. - DOI - PubMed