A Randomized Trial of the Positive Thoughts and Action Program for Depression Among Early Adolescents
A Randomized Trial of the Positive Thoughts and Action Program for Depression Among Early Adolescents
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DOI：
10.1080/15374416.2013.782817
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发表时间：
2013-07-01
影响因子：
4.2
通讯作者：
McCauley, Elizabeth
中科院分区：
文献类型：
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作者：
McCarty, Carolyn A.;Violette, Heather D.;McCauley, Elizabeth
本研究旨在比较为中学生量身定制的基于群体的认知行为预防干预（积极思考与行动[PTA]）与简短的个人支持干预（个人支持计划[ISP]）的结果。对120名早期青少年（72名女孩，48名男孩，年龄=11-15岁）进行了一项随机对照试验，这些青少年从学校人群中选择了抑郁症状升高的人群。在干预前（时间1）和干预后（时间2，干预前5-7个月），从家长、青少年和/或教师处获得内化问题、外化问题、个人适应、学校问题和人际关系的测量值。一般线性模型重复测量分析显示，GroupxTime对青少年报告的抑郁症状和内化症状有显著的相互作用，但对父母报告的抑郁症状没有影响。与接受ISP的青少年相比，PTA组的青少年在干预后表现出更大的下降，抑郁症状的效应量（Cohen's d）为0.36,95% CI[- 0.02,]。[73]和0.44,95% CI[。05年,。[82]，用于内化症状。PTA青年在个人适应（不足感、自尊）和家长报告的社交技能方面也有改善，但在外在症状、学校问题或人际关系方面，各组之间没有差异。在认知行为预防干预中，青少年参与个人目标设定和实践社会情感技能，如PTA，可能有利于减少抑郁症状，而不仅仅是一般的支持和同情。
This study was conducted to compare the outcomes of a group-based cognitive-behavioral preventive intervention (Positive Thoughts and Actions [PTA]) tailored to youth in middle school with a brief, individually administered supportive intervention (Individual Support Program [ISP]). A randomized, controlled trial was conducted with 120 early adolescents (72 girls, 48 boys; age=11-15 years) who had elevated depressive symptoms and were selected from a school-based population. Measures of internalizing problems, externalizing problems, personal adjustment, school problems, and interpersonal relations were obtained from parents, youth, and/or teachers at preintervention (Time 1) and postintervention (Time 2, 5-7 months after preintervention). General linear model repeated measures analyses yielded a significant GroupxTime interaction on youth-reported, but not parent-reported, depressive symptoms and internalizing symptoms. Youth in the PTA group showed greater decreases following intervention compared to youth who received ISP, yielding effect sizes (Cohen's d) of 0.36 for depressive symptoms, 95% CI [-.02, .73], and 0.44, 95% CI [.05, .82], for internalizing symptoms. PTA youth also showed improvements in their personal adjustment (sense of inadequacy, self-esteem), and parent-reported social skills, but no differences emerged between groups for externalizing symptoms, school problems, or interpersonal relationships. Cognitive-behavioral preventive interventions in which youth engage in personal goal-setting and practice social-emotional skills, such as PTA, may be beneficial for the reduction of depressive symptoms over and above general support and empathy.