Effectiveness of a peer-to-peer, self-management intervention for young people with depression and anxiety in Denmark: an observational study and a propensity score-matched comparison

This study investigated the effectiveness of a 7-weeks peer-to-peer program for young people aged 15 to 25 years with depression or anxiety symptoms in Denmark. A total of 483 participants (72% women) participated in the program and the evaluation. The participants completed questionnaires at baseli...

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Vydané v:Frontiers in public health Ročník 12; s. 1377105
Hlavní autori: Andersen, Susan, Thygesen, Lau Caspar, Jensen, Marie Pil, Lauridsen, Sigurd, Folker, Anna Paldam, Nielsen, Maj Britt Dahl
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Switzerland Frontiers Media S.A 09.10.2024
Predmet:
Adolescent
Adult
Anxiety
Denmark
depression
Depression - psychology
Depression - therapy
effect
Female
Humans
Male
Peer Group
peer-to-peer
Propensity Score
Public Health
Self Efficacy
Self-Management
Surveys and Questionnaires
Young Adult
young people
Denmark
anxiety
depression
young people
self-management
effect
peer-to-peer
ISSN:2296-2565, 2296-2565
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Shrnutí:This study investigated the effectiveness of a 7-weeks peer-to-peer program for young people aged 15 to 25 years with depression or anxiety symptoms in Denmark. A total of 483 participants (72% women) participated in the program and the evaluation. The participants completed questionnaires at baseline, postintervention, and at 5-month follow-up to assess changes in depression symptoms (using Beck's Depression Inventory-II), anxiety symptoms (using Spielbergers State-Trait Anxiety Inventory for Adults) and self-efficacy in controlling or managing the illness (using the personal control subscale from the Illness Perception Questionnaire-Revised). Analyses were done using repeated measures mixed linear regression models. Moreover, a register-based matched comparison group was derived as a comparison to assess changes in being in education and employment at 8-month follow-up. Within the intervention group, both depression and anxiety scores declined across the 5-month follow-up compared to baseline (  = -9.6, 95% CI: -11.2, -8.1 for depression symptoms). The self-efficacy score increased from baseline to post-intervention (  = 1.4, 95% CI: 1.0, 1.8) and this level was maintained at follow-up. More than half of the participants were in education at baseline while 24% received social transfer payments. Compared with matched comparison group, a lower proportion of the intervention group remaining in education (71% vs. 80%). Among participants who were employed at baseline, a higher proportion of the intervention group were enrolled in education (27% vs. 19%) and were unemployed (14% vs. 4%) compared to the matched comparison group. This study supports the effectiveness of a peer-to-peer intervention for depression and anxiety symptoms, and self-efficacy in symptom control. However, mixed effects on education and employment were observed, indicating a negative impact on education among those initially enrolled and a higher proportion of employed participants starting education.
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Edited by: Eva Yin-han Chung, Swansea University, United Kingdom
Reviewed by: Juan Diego Ramos-Pichardo, University of Huelva, Spain
Karl Schweizer, Goethe University Frankfurt, Germany
ISSN:2296-2565
2296-2565
DOI:10.3389/fpubh.2024.1377105