BACKGROUND: The prevalence of @entity1032 in young @entity1 is the highest of any age group, with the onset of @entity308 , @entity148 and substance use peaking between 18 and 24 years. Effective treatments that target sub-threshold or mild to moderate levels of disorder in young @entity1 are required to reduce the risk of persistence and recurrence. The aims of this study are to evaluate whether treatments that are less intensive than cognitive-behaviour therapy, such as problem solving therapy and exercise treatments, are acceptable and effective in managing @entity308 and @entity148 in young @entity1 and to identify possible attributes in those who are likely to respond to these treatments. METHODS/DESIGN: This is a factorial randomised controlled trial conducted at a large, metropolitan youth mental health service. @entity1 are young help-seekers aged 15-25 years with sub-threshold or mild to moderate levels of @entity308 and @entity148 (with or without comorbid substance use). The interventions comprise 4 treatment combinations delivered by psychologists over 6 sessions on a weekly basis: a psychological intervention (problem solving therapy versus supportive counselling) and an exercise intervention (behavioural exercise versus psychoeducation). Structured assessments occur at baseline, mid-point, end-point (6 weeks) and at a 6- and 12-month follow-up. The primary outcomes are @entity308 and @entity148 as measured by the Beck Depression and @entity148 Inventories. Secondary outcomes include remission (defined as no longer meeting the diagnostic criteria for a disorder if threshold level was reached at baseline, or no longer scoring in the clinical range on scale scores if sub-threshold at baseline), substance use, and functioning. DISCUSSION: The effectiveness of less complex psychological and exercise interventions in young help-seekers with sub-threshold or mild to moderate presentations of high @entity74 is yet to be explored. This study has been designed to examine the effectiveness of these interventions delivered alone, or in combination, in a youth-specific service. If effective, the interventions have the potential to prevent the progression of early symptoms and distress to later and potentially more serious stages of @entity146 and reduce the likelihood of ongoing problems associated with the risk of persistence and recurrence. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12608000550303.

The effectiveness of simple psychological and exercise interventions for high prevalence mental health problems in young XXXX : a factorial randomised controlled trial.

@entity1 :: ('9606', 'Species') :: ['Participants', 'people'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental illness'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity146 :: ('MESH:D001523', 'Disease') :: ['mental disorder'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety symptoms', 'Anxiety', 'anxiety'] @entity74 :: ('MESH:D030342', 'Disease') :: ['prevalence disorders']
@entity1 :: (9606,Species) :: ['people']
