What Are the Active Ingredients in Preventative Interventions for Depression?
What Are the Active Ingredients in Preventative Interventions for Depression?
复制标题
DOI：
10.1111/j.1468-2850.2008.00143.x
复制
发表时间：
2008-12-01
影响因子：
5.8
通讯作者：
Dozois, David J. A.
中科院分区：
文献类型：
--
作者：
Collins, Kerry A.;Dozois, David J. A.
越来越多的预防计划出现，以解决个人在整个生命周期中抑郁症患病率上升的问题。在这篇文章中，经验支持的预防计划进行审查和讨论，努力隔离“积极”的干预，可能会促进更强的结果组成部分。具体的干预措施进行了对比，在选择性和指示的方案，在预防领域内的挑战突出，并讨论了未来的研究领域。迄今为止，针对高危儿童的方案取得了可喜的成果，但尚不清楚这些多成分方案的哪些要素对结果影响最大。结果表明，认知技能，人际交往的方法，并列入父母的治疗成分是重要的机制的变化。需要进一步开展拆解研究，以确定具体技术的价值，确定母体干预的最佳形式，并评估剂量效应。
Prevention programs have increasingly emerged to address the rising prevalence rates of depressive disorders among individuals across the life span. In the present article, empirically supported prevention programs are reviewed and discussed in an effort to isolate "active" components of intervention that may facilitate stronger outcomes. Specific interventions are contrasted across selective and indicated programs, challenges within the field of prevention highlighted, and areas for future research discussed. To date, targeted programs with at-risk children have yielded promising results, but it is unclear which elements of these multicomponent programs have the greatest impact on outcome. Results suggest that cognitive skills, interpersonal approaches, and the inclusion of parent treatment components are important mechanisms of change. Dismantling studies are further needed to identify the value of specific techniques, ascertain the optimal format of parent interventions, and evaluate dosing effects.