Depression in Youth Exposed to Disasters, Terrorism and Political Violence

AbstractPurpose of ReviewThis paper reviews recent research on the depression in young people following exposure to catastrophic stresses such as disasters, terrorism and political violence.Recent FindingsDepression is one of the commonest outcomes following mass trauma, for all ages including children and adolescents. Recent articles continue to report high prevalence of depression which often continues for years. It is often comorbid with other psychiatric disorders, especially PTSD. Post-traumatic depression in children and adolescence affects purpose of life, impairs scholastic achievements, increases suicidality and has extensive comorbidity. Besides the trauma, individual constructs, personality factors, social support, exposure to other traumatic events are some of the predicting factors. Biological and genetic basis of post-traumatic depression has been reported. Studies suggest some benefit to psychotherapeutic interventions such as trauma-focussed cognitive behavioural therapy and web-based therapy.SummaryA considerable proportion of youths develop depression following mass traumatic events. More research is required regarding the effectiveness of interventions in this population.
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research

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Conditions:   PTSD;   Anxiety Disorders;   Depression;   Stress Disorders, Posttraumatic Intervention:   Behavioral: Cognitive Behavioural Therapy with Mindfulness Course Sponsor:   University of Manitoba Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: CBT outstands as the preferred therapeutic approach for treating behavioural and emotional disturbances. Also, other related therapies such as dialectical behaviour, mindfulness, and acceptance and commitment therapies have been proposed, and probably in the years to come, more literature regarding their effectiveness will be available. On the other hand, evidence showed that interventions from the field of neuropsychology are minimal if compared with its contribution to assessment. Future research should be aimed at performing studies on more diverse populations (e.g., nonmilitary communities and paediatric a...
Source: Behavioural Neurology - Category: Neurology Authors: Tags: Behav Neurol Source Type: research
DiscussionThe expected results will be a major step forward in establishing empirically supported psychological treatments for survivors of CA suffering from Complex PTSD.Trial registrationGerman Clinical Trials Register: registration numberDRKS00005578, date of registration 19 December 2013.
Source: Borderline Personality Disorder and Emotion Dysregulation - Category: Psychiatry Source Type: research
This study supports existing research showing promise for the application of rt-fMRI neurofeedback in the treatment of problems like PTSD, addiction and depression that are associated with heightened amygdala activation. The clinical potential of this technique, bridging the worlds of neurobiology and psychotherapy, is clear. That said, fMRI scanning is an expensive business, so it may be a while before a new world of personalised mental health interventions reveals itself. —Training emotion regulation through real-time fMRI neurofeedback of amygdala activity Post written by Eleanor Morgan (@eleanormorgan) for B...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Brain guest blogger Mental health Source Type: blogs
CONCLUSIONS: While the review found some beneficial effects of I-C/BT for PTSD, the quality of the evidence was very low due to the small number of included trials. Further work is required to: establish non-inferiority to current first-line interventions, explore mechanisms of change, establish optimal levels of guidance, explore cost-effectiveness, measure adverse events, and determine predictors of efficacy and dropout. PMID: 30550643 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Evidence Aid, an organisation dedicated to improving the use of evidence in humanitarian crises, highlights information from Cochrane and other systematic reviews of particular relevance to those involved in humanitarian assistance and, in July 2018, these were added to by a report on psychological therapies for the treatment of mental disorders in low- and middle-income countries. We asked one of the authors, Marianna Purgato from the University of Verona in Italy, to tell us about this new Cochrane Review." Whether a humanitarian crisis is triggered by natural hazards or other events, people affected by it in low- a...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
CONCLUSIONS: There is low quality evidence that psychological therapies have large or moderate effects in reducing PTSD, depressive, and anxiety symptoms in adults living in humanitarian settings in LMICs. By one to four month and six month follow-up assessments treatment effects were smaller. Fewer trials were focused on children and adolescents and they provide very low quality evidence of a beneficial effect of psychological therapies in reducing PTSD symptoms at endpoint. Confidence in these findings is influenced by the risk of bias in the studies and by substantial levels of heterogeneity. More research evidence is n...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Abstract Even 30 or more years after the end of a war, veterans can suffer from post-traumatic stress disorder (PTSD). In the present study, we explored the influence on symptoms of PTSD among Iranian veterans of the Iran-Iraq war of mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram. Forty-eight male veterans with PTSD (mean age: 52.97 years) took part in this eight-week intervention study. Standard treatment for all patients consisted of citalopram (30-50 mg/day at therapeutic dosages). Patients were randomly assigned either to the treatment or to the control condition. ...
Source: Cognitive Behaviour Therapy - Category: Psychiatry & Psychology Authors: Tags: Cogn Behav Ther Source Type: research
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