A Systematic Review and Lived-Experience Panel Analysis of Hopefulness in Youth Depression Treatment

Hopefulness is arguably of central importance to the recovery of youth with major or complex youth depression, yet it is unclear how hopefulness can best be enhanced in treatment. A narrative synthesis of published and grey literature was combined with new insights from a youth lived-experience pane...

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Bibliographic Details
Published in:Adolescent research review 2022-06, Vol.7 (2), p.235-266
Main Authors: Berry, Clio, Hodgekins, Joanne, Michelson, Daniel, Chapman, Laura, Chelidoni, Olga, Crowter, Lucie, Sacadura, Catarina, Fowler, David
Format: Article
Language:English
Subjects:
Adolescents
Behavioral Science and Psychology
Beliefs
Child and School Psychology
Child development
Cognition & reasoning
Cognitive models
Cognitive Restructuring
Comorbidity
Criminology and Criminal Justice
Depression (Psychology)
Developmental Psychology
Educational Psychology
Evidence
Grey literature
Intervention
Mental depression
Mental health care
Mental Health Programs
Modeling (Psychology)
Neurosciences
Personality Traits
Predictive Validity
Psychiatry
Psychology
Psychotherapy
Recovery (Medical)
Research Design
Resilience (Psychology)
Resistance (Psychology)
Self Efficacy
Systematic Review
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Summary:Hopefulness is arguably of central importance to the recovery of youth with major or complex youth depression, yet it is unclear how hopefulness can best be enhanced in treatment. A narrative synthesis of published and grey literature was combined with new insights from a youth lived-experience panel (N = 15), focusing on to what extent and how specific psychological therapies and standard mental health care scaffold hopefulness as applied to depression among 14–25-year-olds. Thirty-one studies of variable quality were included in this review; thirteen were qualitative, thirteen quantitative, and five used mixed methods. Hopefulness is an important active ingredient of psychotherapies and standard mental health care in youth depression. Evidence suggests talking and activity therapies have moderate to large effects on hopefulness and that hopefulness can be enhanced in standard mental health care. However, varying intervention effects suggest a marked degree of uncertainty. Hopefulness is best scaffolded by a positive relational environment in which there is support for identifying and pursuing personally valued goals and engaging in meaningful activity. Animated ( https://www.youtube.com/watch?v=o4690PdTGec ) and graphical summaries ( https://doi.org/10.13140/RG.2.2.27024.84487 ) are available.
ISSN:2363-8346
2363-8354
DOI:10.1007/s40894-021-00167-0