{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:54:13Z","timestamp":1785430453048,"version":"3.56.0"},"reference-count":61,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0790966726101876_as1\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Climbing therapy offers a promising therapeutic strategy for Major Depressive Disorder (MDD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101876_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A single-arm feasibility study of a 10-week manualised climbing therapy group programme for people diagnosed with DSM-5 MDD of at least moderate severity was conducted. Feasibility (measured by retention, adherence, acceptability, and tolerability) was the primary outcome. The Montgomery\u2013\u00c5sberg Depression Rating Scale (MADRS), the Patient Health Questionnaire-9 (PHQ-9), the Positive and Negative Affect Schedule (PANAS), the Generalised Anxiety Disorder-7 (GAD-7), the General Self-Efficacy Scale (NGSE), and the Perceived Stress Scale (PSS) were completed one week before the intervention began (baseline\/week 0) and post-intervention (week 11). Semi-structured interviews with participants and facilitators and were conducted and analysed using Thematic Analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101876_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of a total of 12 participants, 9 completed the intervention. The mean age (SD) was 37.56 (7.86) years. The overall attendance rate was 88%, and there were no serious adverse events. The mean (SD) MADRS scores at baseline and week 11 were 25.67 (5.26) and 17.11 (8.25),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01; PHQ-9, 17.56 (3.87) and 13.78 (5.91),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.07; PANAS-Positive, 18.78 (5.35) and 24.33 (8.50),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04; PANAS-Negative, 28.22 (10.26) and 27.33 (10.96),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.76; GAD-7, 12.00 (4.09) and 10.11 (6.60),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.22; NGSE, 21.78 (5.86) and 25.44 (6.22),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02; PSS, 25.78 (5.06) and 25.44 (7.00),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.81. Achievement, confidence, and social connectedness were identified as key themes from the semi-structured interviews.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966726101876_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A climbing therapy programme for adults with MDD was feasible, acceptable and well-tolerated. Preliminary clinical findings encourage further investigation in a larger trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ipm.2026.10187","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T08:06:02Z","timestamp":1774425962000},"page":"1-9","source":"Crossref","is-referenced-by-count":0,"title":["Climbing high: a mixed-methods feasibility study of climbing therapy for major depressive disorder in Ireland"],"prefix":"10.1017","author":[{"given":"Stephanie","family":"O\u2019Connor","sequence":"first","affiliation":[{"name":"Tallaght Adult Mental Health Service, HSE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aine","family":"O\u2019Reilly","sequence":"additional","affiliation":[{"name":"Tallaght Adult Mental Health Service, HSE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashlie","family":"Macpherson","sequence":"additional","affiliation":[{"name":"Trinity College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Burke","sequence":"additional","affiliation":[{"name":"Tallaght Adult Mental Health Service, HSE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7128-7246","authenticated-orcid":false,"given":"Cornelia","family":"Carey","sequence":"additional","affiliation":[{"name":"Tallaght Adult Mental Health Service, HSE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Ledden","sequence":"additional","affiliation":[{"name":"Tallaght Adult Mental Health Service, HSE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9545-0615","authenticated-orcid":false,"given":"John R.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Tallaght Adult Mental Health Service, HSE"},{"id":[{"id":"https:\/\/ror.org\/02tyrky19","id-type":"ROR","asserted-by":"publisher"}],"name":"Trinity College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"S0790966726101876_ref6","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S0790966726101876_ref15","unstructured":"DOH (2020) Sharing the Vision: A Mental Health Policy for Everyone [Online]. 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