About this trial
Mental health problems are amongst the major contributors to disease burden globally.
According to a recent study, 34% of young people worldwide (aged 10-19) suffer from depression and more than half of this population belongs to Southeast Asia such as Pakistan, India, and China.
Existing evidence shows that the access to mental health services in LMICs is limited and even fewer child psychiatric services are available.
One approach to overcome barriers such as limited availability of trained mental health professionals and risk of stigma may involve the use of simple, brief, scalable interventions based on basic psychological principles rather than treatment of psychopathology.
This study adapts and evaluates two brief interventions called behavioral activation single session intervention (BA-SSI) and 4-session Mindset intervention (MI) for teenage depression and anxiety in Pakistan, where access to mental health care is constrained by societal stigma and a shortage of clinicians.
Eligibility criteria
Qualifiers
Youth is between the age 12-15 years (inclusive) at the time of study enrollment.
Youth has one parent or legal guardian to give consent.
Youth speaks Urdu well enough to complete the paper based intervention.
Disqualifiers
Intellectual disability, as this may undermine comprehension of intervention material.
Adolescent with history of hospitalization or those who received inpatient treatment for a mental health problem within the past two months as the intervention being tested and this study is not designed for adolescent with acute medical and/or psychiatric treatment needs (if identified with any acute medical and/or psychiatric problem, they would be referred to appropriate health services through parents).
the school authority agrees to participate;
the schools shall be non-specialist public schools;
Trial design
Treatments tested in this trial
- Behavioral Activation - single session intervention (BA-SSI)
- 4-session Mindset intervention
Treatment groups
Sponsors and collaborators
Pakistan Institute of Living and Learning
Lead sponsor
Fatima Jinnah Women University
Collaborator