Your browser doesn't support javascript.
loading
Prospective Follow-Up of Adolescents With and at Risk for Depression: Protocol and Methods of the Identifying Depression Early in Adolescence Risk Stratified Cohort Longitudinal Assessments.
Piccin, Jader; Viduani, Anna; Buchweitz, Claudia; Pereira, Rivka B; Zimerman, Aline; Amando, Guilherme R; Cosenza, Victor; Ferreira, Leonardo Z; McMahon, Natália A G; Melo, Ramásio F; Richter, Danyella; Reckziegel, Frederico D S; Rohrsetzer, Fernanda; Souza, Laila; Tonon, André C; Costa-Valle, Marina Tuerlinckx; Zajkowska, Zuzanna; Araújo, Ricardo Matsumura; Hauser, Tobias U; van Heerden, Alastair; Hidalgo, Maria Paz; Kohrt, Brandon A; Mondelli, Valeria; Swartz, Johnna R; Fisher, Helen L; Kieling, Christian.
Afiliación
  • Piccin J; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Viduani A; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Buchweitz C; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Pereira RB; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Zimerman A; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Amando GR; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Cosenza V; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Ferreira LZ; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • McMahon NAG; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Melo RF; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Richter D; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Reckziegel FDS; Laboratório de Cronobiologia e Sono, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
  • Rohrsetzer F; Universidade Federal de Pelotas (UFPEL), Pelotas, Brazil.
  • Souza L; Universidade Federal de Pelotas (UFPEL), Pelotas, Brazil.
  • Tonon AC; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Costa-Valle MT; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Zajkowska Z; Universidade Federal de Pelotas (UFPEL), Pelotas, Brazil.
  • Araújo RM; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Hauser TU; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • van Heerden A; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Hidalgo MP; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Kohrt BA; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Mondelli V; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Swartz JR; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
  • Fisher HL; Prodia - Child & Adolescent Depression Program, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.
  • Kieling C; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
JAACAP Open ; 2(2): 145-159, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38863682
ABSTRACT

Objective:

To present the protocol and methods for the prospective longitudinal assessments-including clinical and digital phenotyping approaches-of the Identifying Depression Early in Adolescence Risk Stratified Cohort (IDEA-RiSCo) study, which comprises Brazilian adolescents stratified at baseline by risk of developing depression or presence of depression.

Method:

Of 7,720 screened adolescents aged 14 to 16 years, we recruited 150 participants (75 boys, 75 girls) based on a composite risk score 50 with low risk for developing depression (LR), 50 with high risk for developing depression (HR), and 50 with an active untreated major depressive episode (MDD). Three annual follow-up assessments were conducted, involving clinical measures (parent- and adolescent-reported questionnaires and psychiatrist assessments), active and passive data sensing via smartphones, and neurobiological measures (neuroimaging and biological material samples). Retention rates were 96% (Wave 1), 94% (Wave 2), and 88% (Wave 3), with no significant differences by sex or group (p > .05). Participants highlighted their familiarity with the research team and assessment process as a motivator for sustained engagement.

Discussion:

This protocol relied on novel aspects, such as the use of a WhatsApp bot, which is particularly pertinent for low- to-middle-income countries, and the collection of information from diverse sources in a longitudinal design, encompassing clinical data, self-reports, parental reports, Global Positioning System (GPS) data, and ecological momentary assessments. The study engaged adolescents over an extensive period and demonstrated the feasibility of conducting a prospective follow-up study with a risk-enriched cohort of adolescents in a middle-income country, integrating mobile technology with traditional methodologies to enhance longitudinal data collection.
This article details the study protocol and methods used in the longitudinal assessment of 150 Brazilian teenagers with depression and at risk for depression as part of the Identifying Depression Early in Adolescence Risk Stratified Cohort (IDEA-RiSCo). Over 3 years, the authors collected clinical and digital data using innovative mobile technology, including a WhatsApp bot. Most adolescents participated in all the study phases, showing feasibility of prospective follow-up in a middle-income country. This approach allowed for a deeper understanding of depression in young populations, particularly in areas where mental health research is scarce.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JAACAP Open Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JAACAP Open Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos