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.
Soccer fans’ testosterone and cortisol levels go up when watching a game, but don’t further increase after a victory, according to a study published in the open access journalPLoS ONE.
The study was conducted with 50 Spanish soccer fans watching the finals between Spain and the Netherlands in the 2010 World Cup. The researchers, led by Leander van der Meij of the University of Valencia in Spain and VU University Amsterdam in the Netherlands, measured testosterone and cortisol levels for fans of different ages, genders, and degree of interest in the game. They found that the increase in testosterone was independent of all these factors, but the increase in cortisol level was more pronounced for dedicated, young, male fans.
The authors write that the testosterone effect is in agreement with the “challenge hypothesis,” as testosterone levels increased to prepare for the game, and the cortisol effect is consistent with the “social self-preservation theory,” as higher cortisol secretion among young and greater soccer fans suggests that they perceived a particularly strong threat to their own social esteem if their team didn’t win.
I’m a Clinical Psychologist and have a private practice and consultancy in Brisbane Australia. I have 24 years experience in child, adult and family clinical psychology. I have a wonderful wife and three kids.
I like researching issues of the brain & mind, reading and seeking out new books and resources for myself and my clients. I thought that others might be interested in some of what I have found also, hence this blog…