Mental Health Problems and Related Factors in Ecuadorian College Students

Although the mental health problems of college students have been the subject of increasing research, there are no studies about its prevalence in Ecuadorian college students. The aim of this study was to determine the mental health problems and their associated factors in Ecuadorian freshmen university students. A sample of 1092 students (53.7% women; mean age = 18.3 years) were recruited from the Technical Particular University of Loja (Ecuador). Socio-demographic, academic, and clinical characteristics were gathered, as well as information on the participants’ mental health through a number of mental health screens. Prevalence of positive screens was 6.2% for prevalence of major depressive episodes, 0.02% for generalized anxiety disorders, 2.2% for panic disorders, 32.0% for eating disorders, 13.1% for suicidal risk. Mental health problems were significantly associated with sex, area of study, self-esteem, social support, personality and histories of mental health problems. The findings offer a starting point for identifying useful factors to target prevention and intervention strategies aimed at university studentsThis study was funded by grant PY250 from the Universidad Técnica Particular de Loja (Ecuador)S

A brief problem-solving indicated-prevention intervention for prevention of depression in nonprofessional caregivers

Background: Despite depression being a common problem among nonprofessional caregivers, no studies of prevention of depression targeting this population exist in the literature. The studies of indicated prevention of depression aim of this study was to assess the efficacy of a problem-solving intervention in preventing clinical depression in a sample of female caregivers. Method: A controlled randomized trial was conducted among 173 participants (mean age 53.9 years), 89 of whom were randomized to the intervention group and 84 (controls) to usual care. The intervention comprised five weekly 90-minute group sessions. Results: At post-treatment, depression symptoms in the intervention group had remitted significantly more than in the control group, with a large effect size (d = 1.54). The proportion of participants showing clinically significant improvement was significantly larger in the intervention group (80.9% vs. 11.9% among controls), and fewer intervention-group participants had progressed to clinical depression during the study period (4.5% vs. 13.1% among controls). The intervention group also exhibited a significantly greater reduction in emotional distress and caregiver burden than the control group. Conclusions: These findings attest to the short-term efficacy of the interventionUna intervención breve de solución de problemas para la prevención indicada de la depresión en cuidadoras. Antecedentes: a pesar que la depresión es un problema frecuente en los cuidadores no profesionales, en la literatura no hay estudios de prevención indicada de la depresión en esta población. Se evaluó la eficacia de una intervención de solución de problemas para prevenir la depresión clínica en una muestra de cuidadoras. Método: se realizó un ensayo controlado aleatorizado entre 173 participantes (edad promedio 53,9 años), 89 de las cuales fueron asignadas al azar al grupo de intervención y 84 (controles) a atención habitual. La intervención constó de cinco sesiones aplicadas semanalmente en formato grupal de una duración de 90 minutos cada una. Resultados: en el postratamiento, los síntomas depresivos en el grupo de intervención disminuyeron significativamente más que en el grupo control, con un tamaño del efecto d grande de 1,54. La proporción de participantes con mejoría clínicamente significativa fue significativamente mayor en el grupo de intervención (80,9% frente a 11,9% entre los controles); y menos participantes del grupo de intervención progresaron a una depresión clínica durante el período del estudio (4,5% frente a 13,1% entre los controles). El grupo de intervención también tuvo una reducción significativamente mayor en malestar emocional y sobrecarga del cuidador que el grupo control. Conclusiones: estos hallazgos demuestran la eficacia de la intervención a corto plazoThis study was supported by grant 2007/PN017 from the Ministry of Labour and Social Affairs of Spain. This research was also supported from Ministry of Labour and Welfare (Xunta de Galicia)S

Protocol for a randomized controlled dismantling study of a brief telephonic psychological intervention applied to nonprofessional caregivers with symptoms of depression

Background Although depression is a common problem in caregivers and there are effective cognitive-behavioral interventions for its prevention, the ability of caregivers to attend these treatments is often limited by logistics. Furthermore, the efficacy of the components of these interventions is unknown. The objectives of this study are to (a) evaluate the efficacy of a telephone-administered cognitive-behavioral intervention to prevent depression with all its components (cognitive and behavioral) and only with behavioral activation, and to (b) analyze the mediators of the change in depressive symptoms. Methods/Design A randomized controlled clinical trial was designed to dismantle the components of a cognitive-behavioral intervention. Caregivers with elevated depressive symptoms will be randomly assigned to a cognitive-behavioral intervention, an intervention with only the behavioral activation component, or a usual care control group. Each condition will consist of approximately 60 participants. The two interventions will consist of five sessions lasting 90 min each, applied to groups of about 5 participants at a time via conference call. Trained interviewers, blind to the experimental conditions, will conduct the assessments at the pre-treatment, post-treatment and 1-, 3-, 6- and 12-month follow-ups. Discussion This study will provide evidence of the efficacy of a cognitive-behavioral intervention to prevent depression in caregivers with elevated depressive symptoms administered via conference call, and on the impact of the behavioral activation component on the overall efficacy of the program. If we find favorable results, it would mean that we have developed a program of prevention of depression of higher clinical utility and efficacy than those currently available, which would make it possible for a large number of caregivers to have access to such resourcesThis study was funded by grant 2012-PN162 (PSI2012-37396) from the Ministry of Economy and Competitiveness of Spain. We wish to thank support from Ministry of Labor and Welfare (Xunta de Galicia)S

Eficacia de las intervenciones psicológicas breves para reducir los síntomas depresivos en cuidadores: Revisión sistemática y meta-análisis

The purposes of this work were to determine the efficacy of brief psychological interventions (≤ 8 sessions) aimed to reduce depressive symptomatology in nonprofessional caregivers and to analyze the influence of the potential moderator variables on the effect size. Studies were selected from PsycINFO and Medline databases, as well as from previous reviews or meta-analyses. Most of the interventions were able to reduce depressive symptoms, with a medium combined effect size (d = -0.61). The interventions that obtained the best results were those that (a) were based on the integrator multifactorial model of depression and the problem-solving model, (b) were aimed at caregivers with depressive symptoms but who had not yet developed a major depressive disorder, (c) in which an inclusion criterion was being at risk for depression, (d) were aimed at depression as the main objective, (e) had a low risk of bias (f) had a higher percentage of women. Los objetivos de este trabajo fueron determinar la eficacia de las intervenciones psicológicas breves (≤ 8 sesiones) dirigidas a reducir la sintomatología depresiva de los cuidadores y analizar la influencia de variables moderadoras potenciales sobre el tamaño del efecto. Se seleccionaron 11 estudios de las bases de datos PsycINFO y Medline, así como de revisiones y meta-análisis previos. La mayoría de las intervenciones lograron disminuir los síntomas depresivos, con un tamaño del efecto combinado moderado (d = -0.61). Las intervenciones que obtuvieron mejores resultados fueron aquellas que (a) estaban basadas en el modelo integrador multifactorial de la depresión y en el de solución de problemas, (b) estaban dirigidas a cuidadores con síntomas depresivos pero que todavía no habían desarrollado un trastorno depresivo mayor, (c) incluían como criterio de inclusión presentar riesgo de depresión, (d) tenían como objetivo principal la depresión, (e) presentaban bajo riesgo de sesgos, (f) tenían un mayor porcentaje de mujeres.

Does the Disease of the Person Receiving Care Affect the Emotional State of Non-professional Caregivers?

Research on mental health of non-professional caregivers has focused on caregivers of people with specific diseases, especially dementia. Less is known about caregivers of people with other diseases. The aims of this study were (a) to determine the caregivers’ emotional state in a random sample of caregivers of people in situations of dependency, (b) to analyze the association between each disease of the care-recipient (a variety of 23 diseases included in the International Classification of Diseases) and the emotional state of the caregiver, and (c) based on the theoretical model, to analyze the relationship of the different study variables in the appearance of the emotional distress of the caregiver. A sample of 491 non-professional caregivers was selected randomly (89.0% women, average age 55.3 years). Trained psychologists collected sociodemographic and care-related characteristics and evaluated the global emotional distress, somatic symptoms, anxiety-insomnia, social dysfunction, depression, probable mental disorder case, self-esteem, and social support. It was found that (a) the caregivers showed moderate emotional distress, and 33.8% presented a probable mental disorder. (b) Caring for a care-recipient with cat’s cry syndrome or epilepsy was related to suffering from social dysfunction, and caring for a care-recipient with autism was related to having a probable mental health case. (c) Social support mediated the relationship between social class, daily hours of care, monthly family income, self-esteem and global emotional distress. There is an important impact on the emotional state of the caregivers. This impact was similar in caregivers of care-recipients with different diseases, except in caregivers caring for a care-recipient with cat’s cry syndrome or epilepsy (related to social dysfunction), and in caregivers caring for a care-recipient with autism (related to having a probable mental health case)

Long-Term Effects of a Cognitive Behavioral Conference Call Intervention on Depression in Non-Professional Caregivers

Recent evidence supports the efficacy of conference call cognitive–behavioral interventions in preventing depression in caregivers at post-intervention, but we do not know whether the results are sustained long term. The main objective of this study was to evaluate the long-term efficacy of a cognitive–behavioral intervention administered by telephone conference call in preventing depression in caregivers with elevated depressive symptoms, comparing all components of the intervention versus only the behavioral ones. A randomized controlled trial was conducted using a dismantling strategy. At total of 219 caregivers were randomly assigned to a cognitive–behavioral conference call intervention (CBCC; n = 69), a behavioral-activation conference call intervention (BACC; n = 70), or a usual care control group (CG, n = 80). Information was collected on depressive symptoms and depression at pre-intervention and at 1, 3, 6, 12, and 36 months post-intervention. At 36 months, there was a reduction in depressive symptoms (p < 0.001) and a lower incidence of major depressive episodes in both the CBCC and BACC groups compared to CG (8.7%, 8.6%, and 33.7%, respectively). The results show that a conference call intervention was effective in the long term to prevent depression in caregivers and that the behavioral-activation component was comparable to the complete cognitive–behavioral protocolThis research was funded by the Spanish Ministry of Economy and Competitiveness under grant number 2012-PN162S

Analysis of the Components of a Cognitive-Behavioral Intervention for the prevention of Depression Administered via Conference Call to Nonprofessional Caregivers: A Randomized Controlled Trial

Effective and accessible interventions for indicated prevention of depression are necessary and lacking, especially for informal caregivers. Although telephone-based interventions could increase the accessibility for caregivers, randomized controlled trials are scarce, with no examination of prevention to date. Moreover, the efficacy of specific therapeutic components in preventive cognitive-behavioral programs is unknown. The main objective of this study was to evaluate the efficacy of a telephone-administered psychological preventive intervention in informal caregivers with high depressive symptoms. A total of 219 caregivers were randomized to a cognitive-behavioral conference call intervention (CBCC, n = 69), a behavioral-activation conference call intervention (BACC, n = 70), or a usual care control group (CG, n = 80). Both interventions consisted of five 90-minute group sessions. At the post-intervention, incidence of depression was lower in CBCC and BACC compared to CG (1.5% and 1.4% vs. 8.8%). Relative risk was 0.17 for the CBCC and 0.16 for the BACC, and the number-needed-to-treat was 14 in both groups. Depressive symptoms were significantly lower in BACC and BACC groups compared to CG (d = 1.16 and 1.29), with no significant differences between CBCC and BACC groups. The conference call intervention was effective in preventing depression and the behavioral-activation component (BACC) was comparable to the CBCC interventionThis research was funded by the Spanish Ministry of Economy and Competitiveness under grant number 2012-PN162S

Habitat Suitability Models of a Critically Endangered Cold-water Coral, Isidella Elongata, in the Mallorca Channel

The bamboo coral Isidella elongata is often associated with a diverse community, including commercial fish species, playing an important role in the deep-sea Mediterranean as a biodiversity hotspot. There has been a drastic decrease of the populations of this species since the twentieth century, mainly related to impacts of fishing, leading to its inclusion in the Barcelona Convention and the list of Mediterranean vulnerable marine ecosystems. However, the knowledge on its local scale distribution is still very limited. In this study, habitat suitability models were performed based on a dense population of I. elongata, located in the Mallorca Channel (western Mediterranean), to contribute to fill this knowledge gap. Generalized additive models, Maximum entropy models and Random Forest were combined into an ensemble model. Models showed that habitat is most suitable on smooth plains surrounding the seamounts of Ses Olives and Ausiàs March present in the study area. Furthermore, two models out of three showed a preference of the coral for flat areas. The predictions of the habitat suitability models presented in this study can be useful to design protection measures for this critically endangered species to contribute to the species’ and deep-sea fisheries management.Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This study was supported by the European Union’s Horizon 2020 Research and Innovation Program, under the ATLAS project (Grant Agreement No. 678760) and iAtlantic project (Grant agreement No. 818123). This output reflects only the author’s view, and the European Union cannot be held responsible for any use that may be made of the information contained therein.Peer reviewe

Measurement of the cosmic ray spectrum above 4×10184{\times}10^{18} eV using inclined events detected with the Pierre Auger Observatory

A measurement of the cosmic-ray spectrum for energies exceeding $4{\times}10^{18}$ eV is presented, which is based on the analysis of showers with zenith angles greater than $60^{\circ}$ detected with the Pierre Auger Observatory between 1 January 2004 and 31 December 2013. The measured spectrum confirms a flux suppression at the highest energies. Above $5.3{\times}10^{18}$ eV, the "ankle", the flux can be described by a power law $E^{-\gamma}$ with index $\gamma=2.70 \pm 0.02 \,\text{(stat)} \pm 0.1\,\text{(sys)}$ followed by a smooth suppression region. For the energy ($E_\text{s}$) at which the spectral flux has fallen to one-half of its extrapolated value in the absence of suppression, we find $E_\text{s}=(5.12\pm0.25\,\text{(stat)}^{+1.0}_{-1.2}\,\text{(sys)}){\times}10^{19}$ eV.Comment: Replaced with published version. Added journal reference and DO