Abstract for DNP project Essay
Abstract for DNP project Essay
Submit your abstract for The PICOT question: In women with Major Depression (P), how does a daily self-help tool (I) compared to medication management (C) alone affect the patient’s mood (O)? . Follow the directions below to submit your work: Prepare an abstract that will describe your DNP project as if it was complete and you were submitting your abstract for peer review for a poster/paper presentation to a professional audience. Complete the sample abstract submission materials for a national conference as if you were going to submit your scholarly work. Follow the APA guidelines when formulating your abstract.
Major depression describes a chronic mental disorder presenting a high prevalence in the society. In 2010, depressive disorders were ranked as the second main causes of disabilities in the US, Canada and the entire world in general. It is also considered to be the third highest disease burden globally in relation to the associated strokes and suicidal deaths. Across the globe, depressive disorders in women compared to men remain at 1.7:1 worldwide with major depressive disorder causing a rise in 43% of disability-adjusted life years in the United States (Van Grieken et al. 2018).
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The high prevalence of major depression among women is linked to biological and socioeconomic factors. There are increased rates of abuse of women in the contemporary society particularly related to violence and sexual abuse. Abstract for DNP project Essay. Domestic violence is associated with physical, sexual or emotional harassment and harm by persons within the domestic circle of the victim. These include relatives, partners, immediate family members and ex-partners. On the other hand, sexual abuse entails forcing, threatening or taking advantage of the victim into unwanted sexual activities. In this case, no consent is given. These forms of abuse of women have mentally disturbing consequences that eventually result in depression.
Other socioeconomic factors include low income which makes women struggle in poverty while raising children mostly alone, low education and illiteracy as well as insufficient income to sustain households and improve the quality of life. Biological factors influencing major depression in women include their increased sensitivity to interpersonal relationships and the vulnerability to health conditions related to depression linked to ovarian hormonal changes which cause anxiety, postmenopausal depression, postpartum depression and premenstrual dysphoric disorder (Sadeghi et al. 2019). As such, it is believed that the occurrence of major depression in women correlates with hormonal changes and increase particularly during puberty, menstruation, pregnancy and menopause.
The management of major depression in women can be done using both pharmacological and psychotherapeutic approaches. This paper seeks to answer the PICOT question, in women with Major Depression (P), how does a daily self-help tool (I) compared to medication management (C) alone affect the patient’s mood (O)? Self-care is a life skill that seeks to improve the habits and behaviors of an individual to ensure their physical and mental wellbeing. A daily self-help tool entails keeping a self-care journal that helps a major depressive disorder patient to invest in themselves and dedicate their time in tracking, checking and logging in their moods, sleep and activities throughout the day. This helps prioritize oneself by majoring on what makes them happy and peaceful in the future.
A wellness log can also be employed in tracking habits, log in results and attain wellness goals within a particular period of time. Here, patients can engage in workouts, sleep routine, nutrition and water intake as they record their goals and achievements throughout the period (Biesheuvel-Leliefeld et al., 2017). This is a very effective strategy of maintaining both physical and mental wellbeing since it improves self-care and imparts the patient with essential life skills that replace negative thoughts that lead to depression. Abstract for DNP project Essay.
On the other hand, medication management of major depression is effective in managing the condition. However, it can be costly particularly for women with low household incomes and lack insurances. Moreover, its goal is to manage the symptoms which does not resolve the underlying causes of the illness. As such, there is an increased chance of relapse unlike in the daily self-care tool that seeks to permanently modify habits and change the entire lifestyle of an individual thus providing a permanent solution to major depression in women.
References
Biesheuvel-Leliefeld, K. E., et al., (2017). Effectiveness of supported self-help in recurrent depression: a randomized controlled trial in primary care. Psychotherapy and Psychosomatics, 86(4), 220-230.
Sadeghi, K., et al., (2019). Effectiveness of Self-Help Mindfulness on Depression, Anxiety, and Stress. International Journal of Applied Behavioral Sciences, 5(4), 10-18.
van Grieken, R. A., et al., (2018). The use and helpfulness of self-management strategies for depression: The experiences of patients. PloS one, 13(10), e0206262.
Sampling Methods
The PICOT question: In women with Major Depression (P), how does a daily self-help tool (I) compared to medication management (C) alone affect the patient’s mood (O)?
| First Author
Year |
Conceptual
Framework |
Design/
Method |
Sample/Setting | Major
Variables |
Data
Analysis |
Findings | Application
to Practice |
| Bastiaansen
2018 |
None | Multi-site randomized controlled trial (RCT) | 150 individuals with depression aged 18 years-65 years
Mental healthcare organizations in Northern Netherlands |
Patient’s current mood
Physical activities Personalized feedback |
Within-person analyses
Qualitative analysesSPSS analysis |
Experience Sampling Method (ESM) is an effective therapeutic tool for people with depression | ESM tool can complement pharmacological treatment in people with depression |
| Bauer
2018 |
None |
Prospective Study |
1098 individuals with depressive symptoms | Depression symptoms
Daily PHQ-2 |
Multilevel confirmatory factor analysis | Daily PHQ-2 variability is a reliable measure of depressive symptoms | The PHQ-2 daily measures should be applied in practice to provide current, accurate data about depressive symptoms |
| Biesheuvel-Leliefeld
2017 |
None |
Randomized controlled trial |
248 individuals with a history of depression | Depressive symptoms | Logistic regression analysis
Poisson regression analysis
|
Supported self-help led to significant improvement of the depressive symptoms | Patients with depression should integrate self-help in their treatment regimen |
| Brewster
2019 |
Practice theory |
Ethnographic approach |
30 participants using photography for wellbeing | Self-care practices
Photography use
|
Constant comparative method | Photo-a-day & self-care practices improve the well-being of people with mental health issues | Photography & self-care practices can be promoted for people with depression to improve their well-being |
| Cormack
2019 |
None |
Longitudinal Observational StudyNew Cognition Kit app |
30 individuals with depression aged 19-63 years
iPhone ownership |
Depressed mood
Cognitive assessments |
Exploratory analyses | Wearable devices such as iPhone watch can be used to monitor symptoms in patients with depression | Wearable devices can be useful to monitor and assess cognition and mood in people with depression |
| Demyttenaere
2019 |
None | Qualitative
Online cognitive behavioral therapy (CBT) |
896 participants with depressive symptoms | CBT
Pharmacotherapy Symptom remission |
Thematic analysis | Treatment of patients with depression should be personalized | Psychotherapeutic interventions can supplement medication treatments in people with depression |
| Dold
2018 |
None | Cross‐sectional study | 1410 individuals with major depressive disorder aged ≥18 years | Psychiatric medications
Augmentation/combination strategies |
SPSS Descriptive statistics
ANCOVA Spearman’s correlation analyses Binary logistic regression analyses |
Augmentation of depression treatment has better efficacy in resistant depressive symptoms | Medication treatment in depression can be augmented with psychotherapies & other aspects like daily monitoring of symptoms |
| Sadeghi
2019 |
Theory of emotion | Randomized control trial (RCT) | Students at Kermanshah University of Medical Sciences
80 participants |
Anxiety
Depression Mindfulness Stress |
SPSS-20
Standard deviation, means & tests like Levene test, chi-squared test, independent t-test, Kolmogorov-Smirnov test, and ANCOVA
|
The mindfulness-based intervention reduced stress, anxiety & depression in the study participants | Mindfulness-based intervention can augment medication treatment for people with depression |
| Tol
2020 |
Stepped-care framework, |
Cluster randomized trial
|
Female South Sudanese refugees with psychological distress | Psychological distress | An intention-to-treat approach
Linear mixed-effects models |
Self-Help Plus is a suitable first-line intervention for people exposed to major stressors
|
Daily self-help should be integrated into the treatment plan of people with depressive symptoms |
| Van
2018 |
None | Qualitative
Online survey |
Adults aged 18 years and over
n=193 Diagnosed with major depressive disorder |
Family history of depression
Treatment for depression |
IBM SPSS
Descriptive statistics |
Treatment, psycho-education & physical activities most helpful in recovery
|
Self-management strategies for people with depression should be individualized |
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References
Bastiaansen, J. A., et al., (2018). Self-monitoring and personalized feedback based on the experiencing sampling method as a tool to boost depression treatment: a protocol of a pragmatic randomized controlled trial (ZELF-i). BMC psychiatry, 18(1), 276. https://doi.org/10.1186/s12888-018-1847-z
Bauer, A. M., et al., (2018). Comparing approaches to mobile depression assessment for measurement-based care: Prospective study. Journal of medical Internet research, 20(6), e10001. Abstract for DNP project Essay.
Biesheuvel-Leliefeld, K. E., et al., (2017). Effectiveness of supported self-help in recurrent depression: a randomized controlled trial in primary care. Psychotherapy and Psychosomatics, 86(4), 220-230.
Brewster, L., & Cox, A. M., (2019). The daily digital practice as a form of self-care: Using photography for everyday well-being. Health, 23(6), 621-638.
Cormack, F., et al., (2019). Wearable technology for high-frequency cognitive and mood assessment in major depressive disorder: Longitudinal observational study. JMIR mental health, 6(11), e12814.
Demyttenaere, K.., et al., (2019). Integrating patients’ expectations into the management of their depression: report of a symposium at the European College of Neuropsychopharmacology Congress. Advances in Therapy, 36(3), 73-90.
Dold, M., et al., (2018). Clinical correlates of augmentation/combination treatment strategies in major depressive disorder. Acta Psychiatrica Scandinavica, 137(5), 401–412. https://doi.org/10.1111/acps.12870
Sadeghi, K., et al., (2019). Effectiveness of Self-Help Mindfulness on Depression, Anxiety, and Stress. International Journal of Applied Behavioral Sciences, 5(4), 10-18.
Tol, W. A., et al., (2020). Guided self-help to reduce psychological distress in South Sudanese female refugees in Uganda: a cluster randomized trial. The Lancet Global Health, 8(2), e254-e263.
van Grieken, R. A., et al., (2018). The use and helpfulness of self-management strategies for depression: The experiences of patients. PloS one, 13(10), e0206262. Abstract for DNP project Essay.
