Trajectories Between Childhood Internalising Behaviour Problems And Adolescent Depressive Symptoms
Funder
National Health and Medical Research Council
Funding Amount
$55,000.00
Summary
Depressive symptoms are known to escalate sharply through the adolescent years. Adolescents who experience an episode of depression are very likely to experience further mental illness as adults. Efforts to prevent depressive illness may be advanced by research delineating the factors and processes implicated in the early emergence of depressive symptoms. To advance such an understanding this project will analyse data collected, in part, through NHMRC support to Australian Temperament Project (A ....Depressive symptoms are known to escalate sharply through the adolescent years. Adolescents who experience an episode of depression are very likely to experience further mental illness as adults. Efforts to prevent depressive illness may be advanced by research delineating the factors and processes implicated in the early emergence of depressive symptoms. To advance such an understanding this project will analyse data collected, in part, through NHMRC support to Australian Temperament Project (ATP) researchers. The ATP data will be used to examine factors associated with the development and progression of depressive symptoms from childhood to adolescence. The ATP data set includes detailed longitudinal data collected from multiple sources (parents, teachers and youth) concerning child and adolescent temperament, behavioural problems, mother-child relations, health, depressive symptoms, school achievement, school adjustment, social skills, peer relationships, parenting practices, stressful life events, and sociodemographic factors. Of an original sample of 2443 enrolled in the cohort in 1983 (aged 4-8 months) a subsample of 1,350 adolescents should complete the data collection due in 2000 (age 17-18). Through the analysis of ATP data proposed in this application, models will be developed to explain the risk and resiliency processes in childhood and early adolescence influencing the development and course of adolescent depression, for different subgroups of adolescents. To achieve this objective, analyses will: 1. identify groups who have differing trajectories from childhood internalising behaviour problems to adolescent depressive symptoms; 2. compare groups to identify factors that contribute to the progression from internalising behaviour problems to depressive symptoms, while also identifying factors which appear to impede such progression and; 3. compare groups to identify factors associated with transient versus persistent depressive symptoms in adolescence.Read moreRead less
Depression And Anxiety In Working Adults: The Costs And Outcomes Of Working While Ill
Funder
National Health and Medical Research Council
Funding Amount
$137,292.00
Summary
Depressive and anxiety disorders are common in the working population and costly. Individuals can continue working while ill or take an absence from work. This study will evaluate the economic cost and health outcomes of these two scenarios, using existing and published data to develop descriptive models. We consider who pays and who benefits from the perspective of the individual, their employer and society, to inform policy making, management practices, and clinical care.
The Prevention Of Anxiety And Related Disorders: Long Term Follow-up Of Temperamentally At-risk Preschoolers.
Funder
National Health and Medical Research Council
Funding Amount
$391,476.00
Summary
Anxiety and related disorders such as depression provide a tremendous cost to the individual sufferer and to Australian society. While previous research has focussed on treatment of these conditions, little work has addressed the possibility of preventing these disorders before they interfere with an individual's life. There is growing evidence that children who are shy, withdrawn and inhibited at a very young age are more likely than other children to develop anxiety disorders in later childhoo ....Anxiety and related disorders such as depression provide a tremendous cost to the individual sufferer and to Australian society. While previous research has focussed on treatment of these conditions, little work has addressed the possibility of preventing these disorders before they interfere with an individual's life. There is growing evidence that children who are shy, withdrawn and inhibited at a very young age are more likely than other children to develop anxiety disorders in later childhood and a variety of related disorders in adulthood. In a previous NHMRC-funded grant, we have developed a brief parent education program to modify this personality style in young children. Early results are very promising and it appears that we have been able to help these withdrawn children to become more outgoing. This next proposal aims to follow these children over the coming years to see whether they are also less likely to develop mental health problems than children whose parents have not received the educational program are. We will be observing the children in a laboratory setting and at school at three, yearly intervals. At each point, we will compare withdrawn children whose parents have gone through the education program with those who haven't.Read moreRead less
Cross-Sectional And Longitudinal Evaluation Of Childhood Anxiety And Depression: Pathways, Risk Factors And Prevention
Funder
National Health and Medical Research Council
Funding Amount
$333,055.00
Summary
Anxiety and depression are the most common forms of psychological distress affecting Australian children today. These disorders are seriously disabling and continuous across time. Therefore, it is very important to understand more about the onset and course of these disorders, and about factors which influence these disorders in either a positive or negative manner. There are three major goals for the current project. The first is to further our understanding of the development, maintenance, and ....Anxiety and depression are the most common forms of psychological distress affecting Australian children today. These disorders are seriously disabling and continuous across time. Therefore, it is very important to understand more about the onset and course of these disorders, and about factors which influence these disorders in either a positive or negative manner. There are three major goals for the current project. The first is to further our understanding of the development, maintenance, and amelioration of anxiety and depression in a child and youth population. The second is to understand the relationship between these two disorders in children and youth. The third is to use the acquired information to assist in the identification of optimal ages for preventive interventions, and to aid in the matching of interventions to the specific needs and vulnerabilities of children versus adolescents. This project aims to meet these goals through implementation of a controlled prevention trial. The aims fo the research are: 1. To examine the relationship between symptoms of anxiety and depresison in Australian children and youth 2. To gain valuable clinical information regarding the assessment and prevention of these disorders 3. To understand the risk and protective factors associated with these disorders, and the impact of these factors over time 4. To implement and evaluate a school-based prevention program The expected outcomes of the research are: 1. To acquire valuable information related to the onset and course of anxiety and depression in children and youth, and their associated risk and protective factors 2. To further development of more timely and targeted interventions for the prevention of anxiety and depression 4. To enhance the emotional resilience of participating children and prevent the onset of anxiety and depression 5. To promote Australian research by publishing the results of the project within the international research literatureRead moreRead less
Using Epidemiology To Inform Psychiatric Classification (DSM-V And ICD-11)
Funder
National Health and Medical Research Council
Funding Amount
$631,502.00
Summary
Classification systems are vital for scientific progress. The classifications of mental disorders of the World Health Organization and the American Psychiatric Association are both being revised and this Australian team is a principal contributor to both processes. We have access to three national epidemiological surveys (n-30,000) that will inform fundamental issues by developing models of mental disorder typology and identifying practical improvements in the classification systems.
Mental Health Literacy And Action To Deal With Mental Heath Problems: A Longitudinal Study Of Young Australians
Funder
National Health and Medical Research Council
Funding Amount
$161,745.00
Summary
Many young people with mental health problems do not get adequate professional help because they lack relevant knowledge. This study will find out what type of knowledge is important for improving appropriate help-seeking by young Australians. Young people who were surveyed two years earlier to assess their mental health knowledge will be followed up to see whether they developed a mental health problem and what action they took to deal with it.
Prevention Of Anxiety And Depression In Children - Development And Evaluation Of A Universal Lifeskills Program
Funder
National Health and Medical Research Council
Funding Amount
$274,094.00
Summary
The purpose of this study is to develop and evaluate a universal school-based mental health promotion program aimed at preventing anxiety and depression in upper primary school students. The program will build on validated methods of increasing resilience and optimism in young people (Jaycox et al., 1994; Clarke et al., 1995; Dadds et al., 1997; Roberts et al., 1998, Shochet et al., 1998). No other prevention programs have addressed both anxiety and depression, nor have they integrated their pro ....The purpose of this study is to develop and evaluate a universal school-based mental health promotion program aimed at preventing anxiety and depression in upper primary school students. The program will build on validated methods of increasing resilience and optimism in young people (Jaycox et al., 1994; Clarke et al., 1995; Dadds et al., 1997; Roberts et al., 1998, Shochet et al., 1998). No other prevention programs have addressed both anxiety and depression, nor have they integrated their programs into the school curriculum. The universal Aussie Optimism Program will teach optimistic thinking styles and positive self-talk, self-efficacy, coping strategies and social problem solving to children preparing for their transition to high school. It will be designed in modular format to fit with Australian primary school terms and the K-10 Health and Physical Education curriculum. It is designed to be implemented by teachers, plus a family module will be developed to be used as an adjunct to the classroom program. The program is targeted at a developmental stage just prior to the increase in depression symptomatology in early adolescence. The program has the potential to promote the mental health of children on a larger scale than previous programs, to reduce the incidence of anxiety and depression in young people and to increase their resilience to life's stresses.Read moreRead less
Dopamine Mechanisms Conferring Resilience To Depression: A New Antidepressant Target
Funder
National Health and Medical Research Council
Funding Amount
$560,948.00
Summary
A significant proportion of people who suffer depression fail to obtain effective relief from either drugs or psychotherapy. Accordingly, there is a pressing need to develop new, and more effective, treatments. This project will determine whether certain specific brain pathways that use the transmitter dopamine can be manipulated in their activity so as to increase resilience to depression. This work has potential to provide the foundation for the development a new generation of antidepressants.
Assessment And Prevention Of The Early Signs Of Anxiety And Depression In Children.
Funder
National Health and Medical Research Council
Funding Amount
$149,363.00
Summary
Anxiety and depression are common mental health problems and children rate them as their most common emotional problems. Recent research has indicated that brief psychotherapy programs are effective in reducing these problems in 8 to 14 year olds, however, the earliest signs of these problems are detectable in the preschool years. Thus there is an urgent need for adequately evaluated community prevention programs to address the promotion of sound mental health in much younger children. The aim o ....Anxiety and depression are common mental health problems and children rate them as their most common emotional problems. Recent research has indicated that brief psychotherapy programs are effective in reducing these problems in 8 to 14 year olds, however, the earliest signs of these problems are detectable in the preschool years. Thus there is an urgent need for adequately evaluated community prevention programs to address the promotion of sound mental health in much younger children. The aim of this study is to conduct a comprehensive controlled trial of a community based programme for the detection and prevention of early signs of internalising disorders (i.e., shyness, fears and anxiety, depression). It is hypothesised that by intervening when children are young with the aim of improving parent-child interaction patterns, children will be steered towards a more competent and resilient approach to life. The study consists of three major components. First, we will evaluate the psychometric properties and predictive validity of the best available measures of teachers', parents' and children's' perceptions of the child's adjustment status. Second, we will follow-up the full cohort of preschool children to test which combination of the measures best predicts internalising disorders after 2 years. Third, we will conduct a controlled trial with a sample of the larger cohort to evaluate the effects of a brief parent and teacher training programme on children's adjustment. The major questions of this project are: a) Can we successfully identify children in a community preschool setting and under the age of 6 who are at risk of developing internalizing disorders? b) What assessment measures are the most reliable and valid predictors of the development of internalising disorders in this age group? c) What are the short-term and medium-term effects of a parent and teacher prevention program on children stratified according to risk for internalising disorders?Read moreRead less
Depression, Anxiety And Somatic Distress: Syndromal Structure And Relationship To Onset Of Clinical Disorder
Funder
National Health and Medical Research Council
Funding Amount
$224,085.00
Summary
The project aims to identify the principal dimensions or syndromes underlying symptoms of psychological distress (negative emotional states such as depression, anxiety, stress and fatigue). We plan to use an intensive longitudinal design to examine how these syndromes develop into episodes of clinical disorder. We expect that episodes of disorder will be predicted not only by closely related syndromes, but also by other causally related syndromes - for example, a period of increased anxiety and ....The project aims to identify the principal dimensions or syndromes underlying symptoms of psychological distress (negative emotional states such as depression, anxiety, stress and fatigue). We plan to use an intensive longitudinal design to examine how these syndromes develop into episodes of clinical disorder. We expect that episodes of disorder will be predicted not only by closely related syndromes, but also by other causally related syndromes - for example, a period of increased anxiety and stress may precipitate a depressive disorder. This information is important for understanding the aetiology of clinical disorders, for refining diagnostic criteria, and for the prediction and prevention of disorder. We also plan to collect information about the degree of disability that people suffer and the type of health services they access at various levels of severity of each syndrome. We expect that subclinical levels of some syndromes will be associated with substantial impairment and service usage, but that for other syndromes impairment will be minimal until clinical levels of severity are reached. This information will give a more complete picture of the community-wide burden of emotional distress, and will be directly relevant to health planning and policy.Read moreRead less