Efficacy Trial of a Brief Cognitive-Behavioral Depression Prevention Program for High-Risk Adolescents: Effects at 1- and 2-Year Follow-Up
Efficacy Trial of a Brief Cognitive-Behavioral Depression Prevention Program for High-Risk Adolescents: Effects at 1- and 2-Year Follow-Up
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DOI：
10.1037/a0020544
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发表时间：
2010-12-01
影响因子：
5.9
通讯作者：
Wade, Emily
中科院分区：
文献类型：
--
作者：
Stice, Eric;Rohde, Paul;Wade, Emily
目的：评估短期团体认知行为 (CB) 抑郁症预防计划对抑郁症状加重的高危青少年 1 年和 2 年随访的效果。方法：在这项指示性预防试验中，341 名高危青少年被随机分配至团体 CB 干预组、团体支持性表达干预组、CB 阅读疗法或教育手册对照条件组。结果：在 1 年的随访中，CB 组参与者的抑郁症状明显明显减轻，与小册子对照组参与者相比，在 1 年和 2 年的随访中，阅读疗法参与者的抑郁症状明显减轻，但与支持性表达参与者相比则不然。在 2 年的随访中，支持性表达的参与者比 CB 阅读疗法的参与者表现出更大的症状减轻。 CB 组参与者（14%；比值比 = 2.2）和 CB 阅读疗法参与者（3%；比值比 = 8.1）在 2 年随访期间发生重度或轻度抑郁症的风险显着低于手册对照组（23%）。结论：结果表明，尽管支持性表达疗法和 CB 阅读疗法也产生长期持续的干预效果，但该组 CB 干预可减少初始症状和未来抑郁发作的风险。事实上，CB 阅读疗法已成为降低未来抑郁症发作风险最便宜的方法。
Objective: To evaluate the effects of a brief group cognitive-behavioral (CB) depression prevention program for high-risk adolescents with elevated depressive symptoms at 1- and 2-year follow-up. Method: In this indicated prevention trial, 341 at-risk youths were randomized to a group CB intervention, group supportive expressive intervention, CB bibliotherapy, or educational brochure control condition. Results: Significantly greater reductions in depressive symptoms were shown by group CB participants relative to brochure control participants by 1-year follow-up and bibliotherapy participants by 1- and 2-year follow-up but not relative to supportive expressive participants. Supportive expressive participants showed greater symptom reduction than CB bibliotherapy participants did at 2-year follow-up. Risk for onset of major or minor depression over the 2-year follow-up was significantly lower for group CB participants (14%; odds ratio = 2.2) and CB bibliotherapy participants (3%; odds ratio = 8.1) than for brochure controls (23%). Conclusions: Results indicate that this group CB intervention reduces initial symptoms and risk for future depressive episodes, although both supportive expressive therapy and CB bibliotherapy also produce intervention effects that persist long term. Indeed, CB bibliotherapy emerged as the least expensive method of reducing risk for future episodes of depression.