Evaluation of a group cognitive-behavioral depression prevention program for young adolescents: a randomized effectiveness trial.
Evaluation of a group cognitive-behavioral depression prevention program for young adolescents: a randomized effectiveness trial.
复制标题
DOI：
10.1080/15374416.2012.706517
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Seligman ME
中科院分区：
文献类型：
--
作者：
Gillham JE;Reivich KJ;Brunwasser SM;Freres DR;Chajon ND;Kash-Macdonald VM;Chaplin TM;Abenavoli RM;Matlin SL;Gallop RJ;Seligman ME
抑郁是青春期常见的心理问题。最近的研究表明，群体认知行为干预可以减少和预防青年抑郁症的症状。很少有研究测试这种干预措施的有效性时，由学校教师和辅导员（而不是研究团队的工作人员）。我们评估了宾夕法尼亚大学青少年弹性计划（PRP-A）的有效性，这是一项以学校为基础的团体干预措施，针对抑郁症的认知行为风险因素。我们将408名中学生（10-15岁）随机分配到三种条件中的一种：PRP-A，PRP-AP（青少年参与PRP-A，父母被邀请参加父母干预部分）或学校照常控制。青少年在基线、干预后立即和6个月随访时完成了抑郁和焦虑症状、认知方式和应对措施。PRP-A相对于学校正常对照组减少了抑郁症状。绝望的基线水平调节干预效果。在平均水平和高水平的绝望的参与者中，PRP（A和AP）显着改善抑郁症状，焦虑症状，绝望和积极应对相对于控制。在低基线绝望的参与者中，我们没有发现干预效果。PRP-AP并不比单独使用PRP-A更有效。我们没有发现干预对抑郁或焦虑的临床水平有影响。这些发现表明，由学校教师和辅导员提供的认知行为干预可能是有益的。这些干预措施可能对绝望情绪升高的学生最有帮助。
Depression is a common psychological problem in adolescence. Recent research suggests that group cognitive-behavioral interventions can reduce and prevent symptoms of depression in youth. Few studies have tested the effectiveness of such interventions when delivered by school teachers and counselors (as opposed to research team staff). We evaluated the effectiveness of the Penn Resiliency Program for adolescents (PRP-A), a school-based group intervention that targets cognitive behavioral risk factors for depression. We randomly assigned 408 middle school students (ages 10-15) to one of three conditions: PRP-A, PRP-AP (in which adolescents participated in PRP-A and parents were invited to attend a parent intervention component), or a school-as-usual control. Adolescents completed measures of depression and anxiety symptoms, cognitive style, and coping at baseline, immediately after the intervention, and at 6-month follow-up. PRP-A reduced depression symptoms relative to the school as usual control. Baseline levels of hopelessness moderated intervention effects. Among participants with average and high levels of hopelessness, PRP (A and AP) significantly improved depression symptoms, anxiety symptoms, hopelessness, and active coping relative to control. Among participants with low baseline hopelessness, we found no intervention effects. PRP-AP was not more effective than PRP-A alone. We found no intervention effects on clinical levels of depression or anxiety. These findings suggest that cognitive-behavioral interventions can be beneficial when delivered by school teachers and counselors. These interventions may be most helpful to students with elevated hopelessness.