The Depression Prevention Initiative: Impact on Adolescent Internalizing and Externalizing Symptoms in a Randomized Trial.
The Depression Prevention Initiative: Impact on Adolescent Internalizing and Externalizing Symptoms in a Randomized Trial.
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DOI：
10.1080/15374416.2016.1197839
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Young JF
中科院分区：
文献类型：
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作者：
Benas JS;McCarthy AE;Haimm CA;Huang M;Gallop R;Young JF
这项随机对照试验研究了两个以学校为基础的抑郁症预防计划对青少年内化和外化症状的纵向影响，由青少年，他们的父母和他们的老师测量。186名青少年参与了这项研究。平均年龄为14.01（SD = 1.22）岁，样本为66.7%的女性。三分之一的样本属于少数民族。青少年接受人际心理治疗-青少年技能培训或团体咨询。在基线、干预后和6个月随访时，使用Achenbach经验评估系统中的青少年、家长和教师报告对症状进行评估。青少年报告的人际心理治疗青少年技能培训的最强大的效果。青少年在人际心理治疗，青少年技能培训报告通过6个月的随访，显着更大的减少内化症状和显着更大的减少外化症状在干预期间相比，团体咨询。不太强大的影响时，发现检查家长和教师的报告，虽然有证据表明，显着的组内变化，家长和教师报告的内化症状的干预措施和显着的组间差异，教师报告的外化症状。这项研究提供了额外的证据支持人际心理治疗青少年技能培训作为青少年抑郁症预防计划的有效性。人际心理治疗-青少年技能培训似乎对青少年报告的宽带内化和外化症状具有快速作用。这表明人际心理治疗-青少年技能培训可以作为一种跨诊断的预防性干预。此外，考虑到青少年、家长和教师的不同报告，本研究表明了尽可能从多个来源收集信息的重要性。
This randomized controlled trial examined the longitudinal effects of two school-based indicated depression prevention programs on adolescents’ internalizing and externalizing symptoms, as measured by adolescents, their parents, and their teachers. One hundred eighty-six adolescents participated in this study. The average age was 14.01 (SD = 1.22) years, and the sample was 66.7% female. One third of the sample belonged to a racial minority. Youth received either Interpersonal Psychotherapy–Adolescent Skills Training or group counseling. Symptoms were assessed using adolescent, parent, and teacher reports on the Achenbach System of Empirically Based Assessment at baseline, postintervention, and 6-month follow-up. Adolescents reported the most robust effects in favor of Interpersonal Psychotherapy–Adolescent Skills Training. Adolescents in Interpersonal Psychotherapy–Adolescent Skills Training reported significantly greater reductions in internalizing symptoms through the 6-month follow-up and significantly greater reductions in externalizing symptoms during the intervention as compared to group counseling. Less robust effects were found when examining parent and teacher reports, although there was evidence of significant within-group change in parent- and teacher-reported internalizing symptoms for both interventions and significant between-group differences in teacher-reported externalizing symptoms. This study provides additional evidence supporting the efficacy of Interpersonal Psychotherapy–Adolescent Skills Training as a depression prevention program for adolescents. Interpersonal Psychotherapy– Adolescent Skills Training appears to have fast-acting effects on broadband internalizing and externalizing symptoms as reported by adolescents. This suggests that Interpersonal Psychotherapy–Adolescent Skills Training may serve as a transdiagnostic preventive intervention. Moreover, given the disparate reports of adolescents, parents, and teachers, this study demonstrates the significance of collecting information from multiple sources when possible.