A randomized clinical trial of a brief, mailed intervention for symptoms of depression.

Geisner, Irene M.; Neighbors, Clayton; Larimer, Mary E.

doi:10.1037/0022-006x.74.2.393

Cited by 60 publications

(57 citation statements)

References 67 publications

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“…Others have shown feedback to be promising when provided to students sanctioned for violating campus substance use policies (Fromme & Corbin, 2004;White et al, 2006). Finally, brief mailed feedback was shown to be successful in reducing depressed mood in college students (Geisner, Neighbors, & Larimer, 2006). These results suggest that personalized feedback may be effective in targeting other at-risk groups.…”

Section: Personalized Feedback For Selective Prevention: At-risk Groupsmentioning

confidence: 61%

“…Personalized feedback about depression symptoms and a depression tips brochure were also provided. Details of the depressed mood intervention and its efficacy are presented elsewhere (see Geisner et al, 2006).…”

Section: Methodsmentioning

confidence: 99%

“…Complete screening sample demographics are described elsewhere (Geisner et al, 2006). Of the 1166 people screened, 202 (17%) met the cut-off criteria and agreed to participate by signing informed consent during the screening process.…”

Section: Participantsmentioning

confidence: 99%

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Evaluating personal alcohol feedback as a selective prevention for college students with depressed mood

Geisner

Neighbors

Lee

et al. 2007

Addictive Behaviors

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Objective-This research evaluated a brief mailed intervention for alcohol use as an adjunct to a brief depression treatment for college students with depression symptoms. The intervention aimed to correct normative misperceptions and reduce students' drinking and related consequences.Method-One hundred seventy seven college students (70% Female) with elevated scores on the Beck Depression Inventory were randomly assigned to intervention or control group. Participants in the intervention were mailed feedback and information detailing their reported alcohol use, moderation strategies, and accurate normative information regarding student drinking.Results-Results indicated no main effects of the intervention on drinking or related problems but students receiving feedback showed significant reductions in their perception of drinking norms compared to the control group. Furthermore, students whose normative perceptions reduced showed significant reductions in total drinks per week and total alcohol related problems compared to those whose norms did not reduce. Conclusions-Resultssupport the importance of correcting normative perceptions and provide direction for selective prevention of alcohol use and related problems among college students with depressed mood.

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Section: Personalized Feedback For Selective Prevention: At-risk Groupsmentioning

confidence: 61%

Section: Methodsmentioning

confidence: 99%

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Evaluating personal alcohol feedback as a selective prevention for college students with depressed mood

Geisner

Neighbors

Lee

et al. 2007

Addictive Behaviors

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“…Cognitive behavioral therapy may well form the key to changing patients' perception, although it may be necessary to use it in combination with anti-depressant treatment in more severe cases. Although conducted in college students, a recent randomized controlled trial using a brief mailed intervention for depressive symptoms as the mainstay of treatment also offers hope to patients characterized by feelings of hopelessness (Geisner et al 2006). The latter study showed that a reduction in depressive symptoms was partly mediated by a reduction in hopelessness, emphasizing the importance of the therapist instilling hope of change in patients.…”

Section: Discussionmentioning

confidence: 99%

Co-occurrence of diabetes and hopelessness predicts adverse prognosis following percutaneous coronary intervention

et al. 2009

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We examined the impact of co-occurring diabetes and hopelessness on 3-year prognosis in percutaneous coronary intervention patients. Consecutive patients (n = 534) treated with the paclitaxel-eluting stent completed a set of questionnaires at baseline and were followed up for 3-year adverse clinical events. The incidence of 3-year death/non-fatal myocardial infarction was 3.5% in patients with no risk factors (neither hopelessness nor diabetes), 8.2% in patients with diabetes, 11.2% in patients with high hopelessness, and 15.9% in patients with both factors (p = 0.001). Patients with hopelessness (HR: 3.28; 95% CI: 1.49-7.23) and co-occurring diabetes and hopelessness (HR: 4.89; 95% CI: 1.86-12.85) were at increased risk of 3-year adverse clinical events compared to patients with no risk factors, whereas patients with diabetes were at a clinically relevant but not statistically significant risk (HR: 2.40; 95% CI: 0.82-7.01). These results remained, adjusting for baseline characteristics and depressive symptoms. These findings testify to the importance of identifying patients with co-occurring risk factors, as they likely require special management in clinical practice in addition to standard medical treatment.

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“…Stigma, cost, and other barriers could prevent those who may need services from seeking them (Harris & Edlund, 2005; Ross, 2004; SAMHSA, 2008). Providing individuals with personalized information about their symptoms in private (via the web) could enable them to prevent escalation of symptoms and problems and facilitate future treatment seeking if needed (Geisner, Neighbors, & Larimer, 2006; Patel, Branch, Mottur-Pilson, & Pinard, 2004; Sirey, Bruce, & Alexopoulos, 2005). …”

Section: Introductionmentioning

confidence: 99%

Brief web-based intervention for college students with comorbid risky alcohol use and depressed mood: Does it work and for whom?

Geisner

Varvil-Weld

Mittmann

et al. 2015

Addictive Behaviors

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College is a time of increased risk for problematic alcohol use and depressed mood. The comorbidity of these conditions is well documented, but is less well understood, with few interventions designed to prevent or reduce the related consequences. The current study evaluated a web-based personalized intervention for students (N=311) who reported an AUDIT score of 8 or more, a BDI-II score of 14 or more, and reported drinking four (women) or five (men) or more drinks on at least one occasion in the past month. Method: Invited participants were randomly selected from all enrolled undergraduates at a large, public, Pacific Northwestern university. Participants completed a screening and baseline assessment, and those who met study eligibility criteria were randomized to one of four conditions (alcohol only, depressed mood only, integrated, and referral-only control). Follow-up occurred one-month post-intervention. Results: While no main effects for the interventions were found, there were moderation effects, such that students in the alcohol only and integrated conditions who had lower levels of depressed mood or alcohol-related problems at baseline showed greater reductions in alcohol-related problems at follow-up compared to students in the control condition. Implications for interventions are discussed.

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A randomized clinical trial of a brief, mailed intervention for symptoms of depression.

Cited by 60 publications

References 67 publications

Evaluating personal alcohol feedback as a selective prevention for college students with depressed mood

Evaluating personal alcohol feedback as a selective prevention for college students with depressed mood

Co-occurrence of diabetes and hopelessness predicts adverse prognosis following percutaneous coronary intervention

Brief web-based intervention for college students with comorbid risky alcohol use and depressed mood: Does it work and for whom?

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