DEVELOPMENT OF PUZZLES BASED INTERVENE FOR ADOLESCENTS TO ENHANCE THE KNOWLEDGE ON DEPRESSION MANAGEMENT
DOI:
https://doi.org/10.37268/mjphm/vol.21/no.2/art.877Keywords:
Depression, Knowledge, Jigsaw Puzzles, Intervention, AdolescentsAbstract
Informative puzzles can provide knowledge to the adolescents effectively as it was current trend nowadays. According to World Health Organization (WHO), globally it was found that 300 million people of all ages were suffering from depression. Their knowledge about its causes was inaccurate, lacking of understanding about depression and its healing makes this mental health issue remain unnoticed and untreated where they do not seek for any treatment. Therefore, introducing depression education through jigsaw puzzles gain more benefits together enhanced the knowledge and attitude level towards depression. This was a development study focusing on formulating and developing puzzle as an interventional approach to improve knowledge and attitude level on depression. Feasibility and acceptability of the puzzles has face validity by respondents and content validity by experts. The r=.81 which was high consider having high validity. Eight modules of puzzles developed named as (Knowledge, Depression Adolescents [KDA]-Puzzle) which consisted of Module 1 Sign and symptoms, Module 2 Types of depression, Module 3 Causes of depression, Module 4 Risk factors, Module 5 (Pharmacotherapy & medication) Medical treatment A, Module 6 Medical treatment B, Module 7 Alternative treatment and Module 8 Prevention of depression. Respondents and experts commented the puzzles really beneficial for the adolescents to learn and gain knowledge about depression. KDA-Puzzles gained positive feedback from the assessment. Newly develop KDA-Puzzles were feasible and acceptable among adolescents. This puzzles can be alternative game while staying at home during Movement Control Order (MCO) due to pandemic COVID 19, and create awareness towards depression.
References
World Health Organization (2017) World Health Day- ‘Depression; Lets Talk’[http://www.mmgazette.com/worldhealthday2017depressionletstalkthebefrienders-kl/]
Ye Li, Mei-Rong Lv, Yan-Jin Wei, Lin Sun, Ji-Xiang Zhang, Huai-Guo Zhang, Bin Li. Dietary patterns and depression risk: A meta-analysis. Psychiatry Research, July2017.
World Health Organization (2018) ‘Depression;[https://www.who.int/news-room/fact-sheets/detail/depression]
Hipes C, Lucas J, Phelan JC, White RC. (2016). The stigma of mental illness in the labor market. Soc Sci Res. 2016;56:16-25.
Mantovani N, Pizzolati M, Edge D.(2017). Exploring the relationship between stigma and help seeking for mental illness in Africandescendedfaith communities in the UK. HealthExpect.2017;20(3):373-384.
Starting Point Behaviour Health (2017). http://www.spbh.org/puzzlingforperspective-clear-your-mindwithajigsawpuzzle.
Fissler, P., Küster, O. C., Loy, L. S., Laptinskaya, D., Rosenfelder, M. J., von Arnim,C., &Kolassa, I. T. (2017). Jigsaw Puzzles As Cognitive Enrichment (PACE) - theeffect of solving jigsaw puzzles on global visuospatial cognition in adults50years of age and older: study protocol for a randomized controlled trial.Trials,18(1),415.doi:10.1186/s13063-017-2151-9.
Furnham, A., & Swami, V. (2018). Mental health literacy: A review of what it is and why it matters. International Perspectives in Psychology: Research, Practice, Consultation, 7(4), 240.
Lo, K., Gupta, T., & Keating, J. L. (2018). Interventions to Promote Mental Health Literacy in University Students and Their Clinical Educators. A Systematic Review of Randomised Control Trials. Health Professions Education, 4(3), 161-175.
De Zwart, P., Jeronimus, B., & De Jonge, P. (2019). Empirical evidence for definitions of episode, remission, recovery, relapse and recurrence in depression: A systematic review. Epidemiology and Psychiatric Sciences, 28(5),544562.doi:10.1017/S2045796018000227.
Giannelli, Frank R. MS, PA-C Major depressive disorder, Journal of the American Academy of Physician Assistants: April 2020 - Volume 33 - Issue 4p1920doi:10.1097/01.JAA.0000657208.70820.ab.
Hanafiah, A. N., & Van Bortel, T. (2015). A qualitative exploration of the perspectives of mental health professionals on stigma and discrimination of mental illness in Malaysia. International Journal of Mental Health Systems, 9(1), 10-22. doi:10.1186/s13033-015-0002-1.
Mullen S. (2018). Major depressive disorder in children and adolescents. The mental health clinician, 8(6), 275–283. https://doi.org/10.9740/mhc.2018.11.275.
National Institute of Mental Health (NIMH). (n.d). Major depression. Retrived fromhttps://www.nimh.nih.gov/health/statistics/major-depression.shtml.
National Institute of Mental Health. (2018). Major depression. [updated 2017 Nov;cited2018June28]Availablefrom:https://www.nimh.nih.gov/health/statistics/majordepression.shml. [Ref list]
Patel RK, Rose GM. (2020). Persistent Depressive Disorder (Dysthymia) [Updated 2020 Jun 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541052.
Emerson, Margaret, R., DNP, APRN, PMHNP-BC; Mathews, Therese, L., PhD, APRN,BCBDD; Struwe, Leeza, PhD, MSN, RN, et al 2018. Postpartum Depression ScreeningforNewMothers at Well Child Visits. MCN, The American Journal ofMaternal/ChildNursing: May/June 2018 - Volume 43 - Issue 3 - p 139–145doi: 10.1097/NMC.0000000000000426.
Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017).Postpartum depression risk factors: A narrative review. Journal of education and health promotion, 6, 60. doi:10.4103/jehp.jehp_9_16.
Awaluddin, A., Jali, N., Bahari, R., Jamil, Z., & Haron, N. (2015). The many faces of bipolar disorder. Malaysian family physician : the official journal of the Academy ofFamilyPhysicians of Malaysia, 10(3), 38–39.
Leonardo Tondo, Gustavo H. Vázquez, Ross J. Baldessarini (2017). Depression and ManiainBipolar Disorder. Curr Neuropharmacol. 2017 Apr; 15(3): 353–358. Publishedonline2017 Apr. doi: 10.2174/1570159X14666160606210811PMCID:PMC5405618.
Vöhringer PA, Perlis RH. Discriminating between bipolar disorder and major depressivedisorder. Psychiatr Clin N Am. 2016; 39(1):1–10.
Kaltenboeck A, Harmer C. (2018). The neuroscience of depressive disorders: A brief review of the past and some considerations about the future. Brain and Neuroscience Advances. January 2018. Doi: 10.1177/2398212818799269.
Minchekar, Vikas. Academic stress and depression among college students. International Journal of Current Research.10.7642976433.10.24941/ijcr.33132.12.2018.
Mishra S, Elliott H, Marwaha R. (2020). Premenstrual Dysphoric Disorder. [Updated 2020 May 28]. In: StatPearls [Internet].Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Availablefrom: https://www.ncbi.nlm.nih.gov/books/NBK532307/
Shadrina, M., Bondarenko, E. A., & Slominsky, P. A. (2018). Genetics Factors in Major Depression Disease. Frontiers in psychiatry,9,334.https://doi.org/10.3389/fpsyt.2018.00334.
Ha, H., Han, C., & Kim, B. (2017). Can Obesity Cause Depression? A Pseudo-panel Analysis. Journal of preventive medicine and public health = Yebang Uihakhoe chi, 50(4),262267.https://doi.org/10.3961/jpmph.17.067.
Mulugeta, A., Zhou, A., Power, C. et al. (2018). Obesity and depressive symptoms in mid-life: a population-based cohort study. BMC Psychiatry 18, 297 (2018). https://doi.org/10.1186/s12888018-1877-6.
Myrna M. Weissman, Obianuju O. Berry, MPH, Virginia Warner. A 30-Year Studyof3 Generations at High Risk and Low Risk for Depression JAMA Psychiatry. 2016;73(9):970977.doi:10.1001/jamapsychiatry.2016.1586f.
Prochaska, J. J., Das, S., & Young-Wolff, K. C. (2017). Smoking, Mental Illness, and PublicHealth. Annual review of public health,38,165185.https://doi.org/10.1146/annurev-publhealth031816-044618.
Zhu Y, Blumenthal JA, Shi C, Jiang R, Patel A, Zhang A, Yu X, Gao R, Wu Y.Am J Cardiol. (2018). Sedentary Behavior and the Risk of Depression in Patients With Acute Coronary Syndrome 2018 Jun 15;121(12):14561460.doi:10.1016/j.amjcard.2018.02.031.Epub2018Mar13.PMID:29709263.
Allen, Timothy & Carey, Bridget & Mcbride, Carolina & Bagby, R. & Deyoung, Colin & Quilty,Lena. (2017). Big Five Aspects of Personality Interact to Predict Depression.Journal of Personality. 86. 10.1111/jopy.12352.
Meng, X., Brunet, A., Turecki, G., Liu, A., D'Arcy, C., & Caron, J. (2017). Risk factor modifications and depression incidence: a 4-year longitudinal Canadian cohort of the Montreal Catchment Area Study. BMJ open,7(6),e015156.https://doi.org/10.1136/bmjopen-2016-015156.
Navarro-Abal, Y., Climent-Rodríguez, J. A., López-López, M. J., & Gómez-Salgado, J. (2018). Psychological Coping with Job Loss. Empirical Study to Contribute to the Development ofUnemployed People. International journal of environmental research and public health, 15(8), 1787. https://doi.org/10.3390/ijerph15081787
Shi, X., Yu, N. X., Zhou, Y., Geng, F., & Fan, F. (2016). Depressive Symptoms and Associated Psychosocial Factors among Adolescent Survivors 30 Months after 2008
Yu, M., Linn, K. A., Shinohara, R. T., Oathes, D. J., Cook, P. A., Duprat, R., Moore, T. M., Oquendo, M. A., Phillips, M. L., McInnis, M., Fava, M., Trivedi, M. H., McGrath, P., Parsey, R., Weissman, M. M., & Sheline, Y. I. (2019). Childhood trauma history is linkedtoabnormal brain connectivity in major depression. Proceedings of the National Academy of Sciences of the United States of America, 116(17),85828590.https://doi.org/10.1073/pnas.1900801116.
Yvonne Stikkelbroek, Denise H.M. Bodden, Ellen Reitz, Wilma A.M. Vollebergh, Anneloes L. van Baar. Mental health of adolescents before and after the deathof a parent or sibling, Eur Child Adolesc Psychiatry. 2016; 25: 49–59.
Chigome, Audrey & Matsangaise, Moreblessing & Chukwu, B.O. & Matlala, Moliehi & Sibanda, Mncengeli & Meyer, Johanna. (2017). Review of selective serotonin reuptake inhibitors. SA Pharmaceutical Journal. 84. 52-59.
Fasipe,Olumuyiwa.Neuropharmacological classification of antidepressant agents based on their mechanisms of action 2018/1/1 Archives of Medicine and Health Sciences.ArchMedHealthSci81EP94VL6IS1URhttp://www.amhsjournal.org/article.asp?issn=23214848;year=2018;volume=6;issue=1;spage=8epage=94;aulast=FasipeDO10.4103/amhs.amhs_7_18N2.
Kamenov, K., Twomey, C., Cabello, M., Prina, A. M., & Ayuso-Mateos, J. L. (2017). Theefficacy of psychotherapy, pharmacotherapy and their combination on functioningand quality of life in depression:a meta-analysis. Psychological medicine,47(3),414425.doi:10.1017/S0033291716002774.
Shelton RC. (2019). Serotonin and Norepinephrine Reuptake Inhibitors. Handb Exp Pharmacol. 2019;250:145-180. doi:10.1007/164_2018_164.PMID:30838456.
LiverTox. Clinical and Research Information on Drug-Induced Liver Injury [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases; Bethesda (MD): Apr 27, 2018.Antidepressant Agents. [PubMed] [Reference list]
Moraczewski J, Aedma KK. (2020). Tricyclic Antidepressants. [Updated 2020 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557791/
Müller T, Riederer P, Grünblatt E. (2017). Determination of Monoamine Oxidase A and B Activity in Long-Term Treated Patients with Parkinson Disease. Clin Neuropharmacol.2017Sep/Oct;40(5):208-211. [PubMed] [Reference list]
Sub Laban T, Saadabadi A. (2020). Monoamine Oxidase Inhibitors (MAOI) [Updated 2020 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Availablefrom:https://www.ncbi.nlm.nih.gov/books/NBK539848.
Ebert DD, Zarski AC, Christensen H, Stikkelbroek Y, Cuijpers P, Berking M, Riper H. Internet and computer-based cognitive behavioral therapy for anxiety and depression in youth: a meta-analysis of randomized controlled outcometrials.PLoSOne.2015;10(3):e0119895. doi: 10.1371/journal.pone.0119895. [PMC free article] [PubMed] [CrossRef] [Google Scholar] [Ref list]
Gautam, M., Tripathi, A., Deshmukh, D., & Gaur, M. (2020). Cognitive Behavioral Therapy for Depression. Indian journal of psychiatry, 62 (Suppl 2), S223–S229. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_772_19.
Ng, C. W., How, C. H., & Ng, Y. P. (2017). Managing depression in primary care. Singapore medical journal, 58(8), 459466.https://doi.org/10.11622/smedj.2017080.
Rajhans, P., Hans, G., Kumar, V., & Chadda, R. K. (2020). Interpersonal Psychotherapy for Patients with Mental Disorders. Indian journal of psychiatry, 62(Suppl2),S201S212.https://doi.org/10.4103/psychiatry.IndianJPsychiatry_771_19.
Zhou, S. G., Hou, Y. F., Liu, D., & Zhang, X. Y. (2017). Effect of Cognitive Behavioral Therapy Versus Interpersonal Psychotherapy in Patients with Major Depressive Disorder: A Meta-analysis of Randomized Controlled Trials. Chinese medical journal, 130(23), 2844–2851. doi:10.4103/0366-6999.219149.
Namkje Koudenburg, Jolanda Jetten and Genevieve A. Dingle, (2017). Personal autonomy in group based interventions aedns,European Journal of Social Psychology, 47, 5, (653660), (2017).
Driessen, E., Van, H. L., Peen, J., Don, F. J., Twisk, J. W. R., Cuijpers, P., & Dekker, J. J. M. (2017). Cognitive-behavioral versus psychodynamic therapy for major depression: Secondary outcomes of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 85(7), 653–663. https://doi.org/10.1037/ccp0000207.
Lindqvist K, Mechler J, Carlbring P, Lilliengren P, Falkenström F, Andersson G, Johansson R,Edbrooke-Childs J, Dahl HSJ, Lindert Bergsten K, Midgley N, Sandell R, Thorén A, Topooco N, Ulberg R, Philips B. Affect-Focused Psychodynamic Internet-Based Therapy for Adolescent Depression: Randomized Controlled Trial. J Med Internet Res 2020;22(3):e18047.
Barbato, A., D'Avanzo, B., & Parabiaghi, A. (2018). Couple therapy for depression. TheCochranedatabaseofsystematicreviews,6(6),CD004188.https://doi.org/10.1002/14651858.CD004188.pub3.
Cluxton-Keller, F., & Bruce, M. L. (2018). Clinical effectiveness of family therapeutic interventions in the prevention and treatment of perinatal depression: A systematic review and meta-analysis. PloS one, 13(6), e0198730.https://doi.org/10.1371/journal.pone.0198730.
Alladin A. Cognitive hypnotherapy. In GR Elkins, editor, Handbook of medical and psychological hypnosis: Foundations, applications, and professional issues. NY: Springer Publishing Company, 2017;99-118.
Alladin A. Cognitive hypnotherapy for psychological management of depression inpalliative care. Ann Palliat Med 2018;7(1):112124.doi:10.21037/apm.2017.08.15.
Alderman, B., Olson, R., Brush, C. et al. MAP training: combining meditation and aerobic exercise reduces depression and rumination while enhancing synchronized brain activity. Transl Psychiatry 6, e726 (2016)https://doi.org/10.1038/tp.2015.225.
Samuel B. Harvey, Simon Øverland, Stephani L. Hatch, Simon Wessely, Arnstein Mykletun, Matthew Hotopf. Exercise and the Prevention of Depression:ResultsoftheHUNTCohortStudy.AmericanJournalofPsychiatry,2017;appi.ajp.2017.1DOI:10.1176/appi.ajp.2017.16111223.
Thomas, Z., Novak, M., Platas, S., Gautier, M., Holgin, A. P., Fox, R., Segal, M., Looper, K. J.,Lipman, M., Selchen, S., Mucsi, I., Herrmann, N., & Rej, S. Brief Mindfulness Meditation for Depression and Anxiety Symptoms in Patients Undergoing Hemodialysis: A Pilot Feasibility Study. Clin J Am Soc Nephrol. 2017 Dec 7;12(12):20082015.doi:10.2215/CJN.03900417. Epub 2017 Oct 12. PMID: 29025788; PMCID: PMC5718270.
Aarti Sharma, Clinical study on management of depression through Ayurveda J Psychiatry 2017, 20:7 (Suppl). DOI: 10.4172/2378-5756-C1-029.
Rapaport, M. H., Schettler, P. J., Larson, E. R., Carroll, D., Sharenko, M., Nettles, J., & Kinkead, B. (2018). Massage Therapy for Psychiatric Disorders. Focus (American Psychiatric Publishing), 16(1), 24–31. https://doi.org/10.1176/appi.focus.20170043.
The VITamin D and OmegA-3 TriaL-Depression Endpoint Prevention (VITAL-DEP): (2018)Rationale and design of a large-scale ancillary study evaluating vitamin D and marine omega-3 fatty acid supplements for prevention of late-life depression.ContemporaryClinical Trials, May 2018.
Marc Molendijk, Patricio Molero, Felipe Ortun Snachez-Pedreno, Willem Van derDoes,MiguelAngel Martinez-Gonzalez). Diet quality and depression risk: (2018). A systematic review and dose-response meta-analysis of prospective studies. Journal of Affective Disorders, January 15, 2018.
Moll, S. E., Patten, S., Stuart, H., MacDermid, J. C., & Kirsh, B. (2018). Beyond Silence: A randomized, parallel-group trial exploring the impact of workplace mental health literacy training with healthcare employees. The Canadian Journal of Psychiatry, 63(12), 826-833.
Parmentier, F., García-Toro, M., García-Campayo, J., Yañez, A. M., Andrés, P., & Gili, M.(2019). Mindfulness and Symptoms of Depression and Anxiety in the General Population: The Mediating Roles of Worry, Rumination,Reappraisal and Suppression. Frontiers in psychology, 10, 506.https://doi.org/10.3389/fpsyg.2019.00506.
Pedrelli, P., Shapero, B., Archibald, A., & Dale, C. (2016). Alcohol use and depression duringa dolescence and young adulthood: a summary and interpretation ofmixedfindings. Current addiction reports, 3(1), 91–97. doi:10.1007/s40429-0160084-0.
Sarkar, Sonali. VitaminD for Depression with a Seasonal Pattern: an Effective Treatment Strategy. International PhysicalMedicine&RehabilitationJournal.1.10.406/ipmrj.2017.01.00021.
Jacob A. Nota, Meredith E. Coles Shorter sleep duration and longer sleep onset latency are related to difficulty disengaging attention from negative emotional images individuals with elevated transdiagnostic repetitive negative thinking JournalofBehaviour Therapy and Experimental Psychiatry, 2018; 58: 114 DOI:10.1016/j.jbtep.2017.10.003.
Jasmine N. Khouja, Marcus R. Munafò, Kate Tilling, Nicola J. Wiles, Carol Joinson, Peter J. Etchells, Ann John, Fiona M. Hayes, Suzanne H. Gage, Rosie P. Cornis. Is screen time associated with anxiety or depression in young people? Results from a UK birth cohorth. BMC Public Health. 2019; 19: 82. Published online2019Jan17. doi: 10.1186/s12889-018-6321-9.
Patalay, P., Annis, J., Sharpe, H., Newman, R., Main, D., Ragunathan, T., Parkes, M., & Clarke,K. (2017). A pre-post evaluation of Open Minds: a sustainable, peer-led mental health literacy programme in universities and secondary schools. Prevention Science, 18(8), 995-1005.
Tuijnman, A., Kleinjan, M., Hoogendoorn, E., Granic, I., & Engels, R. C. (2019). A Game-Based School Program for Mental Health Literacy and Stigma Regarding Depression (Moving Stories): Protocol for a Randomized Controlled Trial. JMIR research protocols, 8(3), e11255. https://doi.org/10.2196/11255.
Imamura K., Kawakami N., Tsuno K., Tsuchiya M., Shimada K., Namba K.(2016). Effects of web-based stress and depression literacy intervention on improving symptoms and knowledge of depression among workers: A randomized controlled trial. Journal of Affective Disorders, 203, pp. 30-37.
Shum AK, Lai ES, Leung WG, Cheng MN, Wong HK, So SW, Law YW, Yip PS. A Digital Game and School Based Intervention for Students in Hong Kong: Quasi Experimental Design JMed Internet Res2019;21(4):e12003doi:10.2196/12003PMID:30950795PMCID: 6473212.