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| Name | Class |
|---|---|
| The Hong Kong Jockey Club Charities Trust | OTHER |
| The Boys' and Girls' Clubs Association of Hong Kong | OTHER |
| Caritas Medical Centre, Hong Kong | OTHER |
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The proposed study is a randomized controlled trial (RCT) that aims to examine the effectiveness of cognitive behavioural therapy in reducing depressive and anxiety symptoms for youths in Hong Kong. It is to be carried out with 120 youths aged 12 - 24 recruited from a series of community-based LevelMind@JC hubs, funded by the Hong Kong Jockey Club Charities Trust. It is designed to improve the youths' abilities/ skills in handling moods to have better emotional management. A written informed consent will be signed by participants. Researchers will perform cognitive behavioural therapy on youths who agree to join the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CBT Treatment group | Experimental | This group receives CBT interventions that aim to improve mental well-being, depressive and anxiety symptoms in young people. |
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| Wait-list Control group | No Intervention | This group does not receive CBT intervention but will receive appropriate intervention after the CBT treatment group and follow-up phases complete. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive Behavioural Therapy | Behavioral | CBT is a well-established, evidence-based intervention frequently used for easing depressive and anxiety symptoms. The intervention will be delivered for 6-7 sessions, each session lasts for 1.5 hours, in the format of a group for a period of 6-7 weeks by frontline social or youth workers trained by professional CBT clinicians. Core treatment components include mood monitoring, emotion education, behavioural activation, emotion cycle/ ABC model, identification of automatic thoughts, and cognitive restructuring. It is designed to improve youths' abilities/ skills in handling their moods to have better emotional management. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in depressive and anxiety levels | Depression Anxiety Stress Scales (DASS), scores ranging from 0-42 for each subscale, with higher scores representing worse outcome | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in social anxiety levels | Social Interaction Anxiety Scale (SIAS), scores ranging from 0-80 with higher scores representing higher levels of social anxiety hence worse outcome | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in depressive levels | Patient Health Questionnaire-9 (PHQ-9), scores ranging from 0-27 with higher scores representing higher depressive levels hence worse outcome | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in distress levels | Kessler Psychological Distress Scale (K6), scores ranging from 0-25 with higher scores representing higher distress hence worse outcome | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in depressive symptoms | Beck Depression Inventory II (BDI-II), scores ranging from 0-63 with higher scores representing severe depressive symptoms hence worse outcome | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in anxiety symptoms | Beck Anxiety Inventory (BAI), scores ranging from 0-36 with higher scores representing severe anxiety symptoms hence worse outcome |
| Measure | Description | Time Frame |
|---|---|---|
| Change in functioning | Role Functioning Scale (RFS), scores ranging from 1-28 with higher scores representing better functioning | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in social and occupational functioning |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eric Yu Hai Chen, FHKAM (Psychiatry) | Contact | 22554486 | eyhchen@hku.hk | |
| Christy Lai Ming Hui, PhD | Contact | 22554486 | christy@lmhui.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Psychiatry, The University of Hong Kong | Recruiting | Hong Kong | Hong Kong |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Hong Kong Federation of Youth's Group (HKFYG) |
| OTHER |
| Hong Kong Playground Association | UNKNOWN |
| Hong Kong Children and Youth Services | UNKNOWN |
| St. James' Settlement | OTHER |
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| Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in anxiety levels | Generalized Anxiety Stress Scale-7 (GAD-7), scores ranging from 0-21 with higher scores representing higher anxiety levels hence worse outcome | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
Social and Occupational Functioning Assessment Scale (SOFAS), scores ranging from 0-100 with higher scores representing better functioning |
| Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in quality of life | 12-item Short Form Survey (SF-12), scores ranging from 0-100 with higher scores representing better quality of life | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in self-harm | Self-harming behaviour, plans and thoughts, recording as binary response (0=No, 1=Yes) | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in resilience | Connor-Davidson Resilience Scale (CD-RISC), scores ranging from 0-100 with higher scores indicating higher resilience | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in future outlook | Future Outlook Inventory (FOI), scores ranging from 1-70 with higher scores indicating greater degree of future consideration | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in self-esteem | Rosenberg Self Esteem Scale (RSE), scores ranging from 0-30 with higher scores indicating higher self-esteem | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |
| Change in mindfulness | Mindful Attention Awareness Scale (MAAS), scores ranging from 1-6 with higher scores indicating higher mindful awareness | Baseline, after 7 weeks of intervention/wait, and 1 month after post-intervention |