Peter H Brown Clinical Psychologist

Psychology News & Resources

Depression: Young People Respond Well To Computer Based Intervention

Source: BMJ

Read The Original Research Article Here

A computerized self help intervention may help adolescents who suffer from depression. The specialized computer therapy acts much the same way as they do from one-to-one therapy with a clinician, according to a study published on BMJ.

Depression is common in adolescents, but many are reluctant to seek professional help. So researchers from the University of Auckland, New Zealand, set out to assess whether a new innovative computerized cognitive behavioral therapy intervention called SPARX could reduce depressive symptoms as much as usual care can.

SPARX is an interactive 3D fantasy game where a single user undertakes a series of challenges to restore balance in a virtual world dominated by GNATs (Gloomy Negative Automatic Thoughts). It contains seven modules designed to be completed over a four to seven week period. Usual care mostly involved face-to-face counseling by trained clinicians.

The research team carried out a randomized controlled trial in 24 primary healthcare sites across New Zealand. All 187 adolescents were between the ages of 12 and 19, were seeking help for mild to moderate depression and were deemed in need of treatment by primary healthcare clinicians. One group underwent face-to-face treatment as usual and the other took part in SPARX.

Participants were followed up for three months and results were based on several widely used mental health and quality of life scales.

Results showed that SPARX was as effective as usual care in reducing symptoms of depression and anxiety by at least a third. In addition significantly more people recovered completely in the SPARX group (31/69 (44%) of those who completed at least four homework modules in the SPARX group compared with 19/83 (26%) in usual care).

When questioned on satisfaction, 76/80 (95%) of SPARX users who replied said they believed it would appeal to other teenagers with 64/80 (81%) recommending it to friends. Satisfaction was, however, equally high in the group that had treatment as usual.

The authors conclude that SPARX is an “effective resource for help seeking adolescents with depression at primary healthcare sites. Use of the program resulted in a clinically significant reduction in depression, anxiety, and hopelessness and an improvement in quality of life.” They suggest that it is a potential alternative to usual care and could be used to address unmet demand for treatment. It may also be a cheaper alternative to usual care and be potentially more easily accessible to young people with depression in primary healthcare settings.

Read The Original Research Article Here

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April 21, 2012 Posted by | Adolescence, Bullying, Child Behavior, depression, mood, research, Technology, therapy | , , , , , , , , , , , | 6 Comments

Aspergers and Ipods: Reaching into the Hearts & Minds of ASD Youth

I love  using technology to engage and reach people in therapy. For me, it started with the relaxation cassette tape! I frequently use the internet,email, PowerPoint  narratives and mp3’s and even Twitter and this Blog with clients. A Minneapolis center is experimenting with Ipods as an intervention tool with ASD youth. The wonderful book “Getting IT” is a must for anyone interested in using technology with children and youth in the areas of mental heath and disability. I thoroughly recommend it.

This story from Reuters

Sue Pederson knows that the teenage boys in her treatment program have trouble making conversation. They may not know what to talk about; or once they get started, when to shut up.

That’s one of the striking features of people with Asperger’s syndrome: they struggle with the social skills that come so naturally to others.

But about a year ago, Pederson, a psychologist, and her colleagues at the Fraser Child & Family Center in Minneapolis found a new way to reach these students — right through their headphones.

They’re using iPods, which play music and videos, to teach them how to fit in.

It may have started out as a form of entertainment, but Pederson says this kind of technology is turning into an unexpected boon for children and teenagers with special needs. The devices, it turns out, can be crammed with the kind of information they need to get through the day. While it’s still experimental, she said, “I think it’s going to spread like wildfire.”

With Asperger’s, a form of autism, people lack the inner voice that tells them what is, or is not, appropriate behavior. At Fraser, Pederson’s staff came up with the idea of programming iPods to act as an electronic substitute for that missing voice.

In this case, the staff helped students create a series of short videos and slide shows on how to behave in different512NC997YML social settings. Some are barely 30 seconds long: How to carry on a conversation (“Let the other person talk AND change the topic…”); how to respect other people’s boundaries, and think before they speak (“Use your filter!”)

In the world of special education, these scripts are known as “social stories,” used to teach basic social skills. “It’s a mental checklist for things to think about when you’re interacting with other people,” explained Mandy Henderson, who works with Fraser’s Asperger’s program.

As part of the Fraser project, the students can transfer the videos onto their iPods, and replay them over and over, to drive the lessons home.

Jack O’Riley, of Eagan, said it’s just what his 15-year-old son P.J. needed. “This really hit the mark,” he said. Like many kids with Asperger’s, P.J. is baffled by the normal rhythms of social interaction: in conversation, he may blurt out too much information, or say nothing at all, his father says.

At the same time, P.J. is easily distracted and has a hard time staying on task, another common trait of Asperger’s. For years, O’Riley posted laminated signs around the house to remind his son how to get through the day — take a shower, brush his teeth, get ready for school.

Now, with the videos developed at Fraser, “we can plug this stuff into his little ‘extended memory,'” O’Riley said. P.J. is building a library of videos on his iPhone, so they’ll be at his fingertips. “He can pull up a topic on his ‘to do list’ and find everything he needs to know,” his father said.

Sixteen-year-old Myles Lund of Lakeville, another student in the Fraser program, said he’s learned to use the iPod to help control his emotions by playing his favorite music. “It helps take my mind off of it,” he said. At the same time, Myles, who says he rarely initiates a conversation, agrees the videos can help in social situations. “I just pull out my iPod and go through a list of things to talk about.”

The staffers at Fraser came up with the idea after they noticed how students with Asperger’s would use iPods as a calming device, to block out noise or other distractions. “We just started thinking how else can we use this technology,” said Pederson. They got a $7,500 private grant to buy the iPods and other equipment, and started experimenting.

Jim Ball, an adviser to the Autism Society of America, said similar projects are popping up around the country. Some people are designing adaptations for smart phones, Palm Pilots and other devices to fill the same need, he said.

“This is just another way of prompting kids when they’re in situations when they don’t know what to do,” said Ball, who works with autistic children in New Jersey. “The technology gives them the ability to be independent.”

Ball noted the devices could work especially well with Asperger’s kids, because they’re often far more comfortable with electronic gadgets than they are with people. “It’s a machine; they don’t have to react to it, they don’t have to understand it,” Ball said. “They just need to know how to work it. And they do.”

Another advantage, especially for teenagers, is that they won’t stand out using this kind of device, noted Pederson. “If you walk into a family reunion and you’ve got a teenager with an iPod, nobody bats an eye,” she said.

Barbara Luskin, a psychologist with the Autism Society of Minnesota, agrees. “Adolescents with Asperger’s, like all adolescents, don’t want to look different,” she said. If the device just blends in with everyone else’s, she said, “you’re much more likely to use it.”

So far, there appear to be few commercial products aimed at this market, but that may be changing. The Conover Co., a special-education software company in Appleton, Wis., recently adapted its “Functional Skills System” for the iPod Touch. But the package, which sells for $3,500, is mainly marketed to schools and other organizations.

Fraser, meanwhile, is hoping to get another grant to expand its iPod program.

Ball, of the Autism Society, predicts this is just the beginning. “I think that technology is limitless in its potential for working with kids,” he said.

For more information on the Fraser program, go to www.fraser.org.

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July 28, 2009 Posted by | Aspergers, Autism, Resources, Technology | , , , , , , , , , | 1 Comment