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Eating, sleeping and moving recommendations in clinical practice guidelines for paediatric depression: umbrella

Susan C Campisi1, Karolin R Krause2, Benjamin W C Chan3

  • 1Department of Psychiatry, Hospital for Sick Children, Canada.

Bjpsych Open
|October 5, 2021
PubMed

Insights

Lifestyle interventions for child and youth depression are gaining traction. However, current clinical practice guidelines (CPGs) offer limited, often opinion-based, recommendations for nutrition, sleep, and exercise.

Area of Science:

  • Pediatric mental health research
  • Evidence-based practice in child psychiatry
  • Clinical guideline development

Background:

  • First-line treatments for pediatric depression show limited effectiveness.
  • Growing interest in lifestyle interventions like nutrition, sleep, and exercise for pediatric depression.

Purpose of the Study:

  • To review pediatric depression clinical practice guidelines (CPGs) for quality.
  • To identify and catalogue lifestyle recommendations (nutrition, sleep, exercise) from high-quality CPGs.

Main Methods:

  • Searched multiple databases (Medline, EMBASE, PsycINFO, Web of Science, CINAHL) and grey literature for CPGs.
  • Included CPGs meeting minimum/high-quality standards (AGREE II), focusing on pediatric depression and lifestyle recommendations.
  • Extracted data on CPG characteristics and the nature of lifestyle recommendations.

Main Results:

  • Ten high-quality pediatric depression CPGs included lifestyle recommendations.
  • Recommendations were mostly qualitative, with limited quantitative exercise details in two CPGs.
  • Half of the recommendations lacked explicit supporting evidence from the literature.

Conclusions:

  • There is increasing attention to lifestyle interventions for pediatric depression.
  • Current CPG recommendations for nutrition, sleep, and exercise are largely based on expert opinion, not clinical trials.
Abstract

Keywords:
Depressiveadolescent clinical practice guidelinesdietexercisesleep

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