Long-Term Effects from a School-Based Trial Comparing Interpersonal Psychotherapy-Adolescent Skills Training to Group Counseling.
Long-Term Effects from a School-Based Trial Comparing Interpersonal Psychotherapy-Adolescent Skills Training to Group Counseling.
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DOI：
10.1080/15374416.2018.1479965
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Gillham JE
中科院分区：
文献类型：
--
作者：
Young JF;Jones JD;Sbrilli MD;Benas JS;Spiro CN;Haimm CA;Gallop R;Mufson L;Gillham JE
青春期是抑郁症的脆弱发展时期，也是预防工作的适当时机。在这项研究中，186名抑郁症状加重的青少年（M年龄= 14.01，SD = 1.22; 66.7%女性; 32.2%少数民族）被随机分配接受由研究临床医生提供的人际心理治疗-青少年技能培训（IPT-AST; n = 95）或由学校辅导员提供的团体咨询（GC; n = 91）。我们之前报道了这项以学校为基础的随机对照试验的短期结果：通过6个月的随访，IPT-AST青少年在抑郁症状和整体功能方面有了显著的改善。在这里，我们介绍了干预后24个月的长期结果。我们检查了抑郁症状和整体功能变化率的差异以及抑郁症诊断率的差异。从基线到24个月的随访，这两种情况下的青少年在抑郁症状和整体功能方面都有显着改善，证明了以学校为基础的抑郁症预防计划的有效性。然而，从基线到24个月随访，两组在总体变化率或抑郁症诊断率方面没有差异。虽然IPT-AST在短期内表现出优于GC，但这些影响在长期随访中消失。具体来说，从6个月到24个月的随访，GC青年显示抑郁症状持续减少，而IPT-AST青年显示症状无显著增加。GC青少年的整体功能保持相对稳定，而IPT-AST青少年的功能出现了小幅但具有统计学意义的恶化。这项研究强调了以学校为基础的抑郁症预防工作的潜力和进一步研究的必要性。
Adolescence represents a vulnerable developmental period for depression and an opportune time for prevention efforts. In this study, 186 adolescents with elevated depressive symptoms (M age = 14.01, SD = 1.22; 66.7% female; 32.2% racial minority) were randomized to receive either Interpersonal Psychotherapy–Adolescent Skills Training (IPT-AST; n = 95) delivered by research clinicians or group counseling (GC; n = 91) delivered by school counselors. We previously reported the short-term outcomes of this school-based randomized controlled trial: IPT-AST youth experienced significantly greater improvements in depressive symptoms and overall functioning through 6-month follow-up. Here, we present the long-term outcomes through 24 months postintervention. We examined differences in rates of change in depressive symptoms and overall functioning and differences in rates of depression diagnoses. Youth in both conditions showed significant improvements in depressive symptoms and overall functioning from baseline to 24-month follow-up, demonstrating the efficacy of school-based depression prevention programs. However, the two groups did not differ in overall rates of change or in rates of depression diagnoses from baseline to 24-month follow-up. Although IPT-AST demonstrated advantages over GC in the short term, these effects dissipated over long-term follow-up. Specifically, from 6- to 24-month follow-up, GC youth showed continued decreases in depressive symptoms, whereas IPT-AST youth showed a nonsignificant increase in symptoms. GC youth remained relatively stable in overall functioning, whereas IPT-AST youth experienced a small but statistically significant worsening in functioning. This study highlights the potential of school-based depression prevention efforts and the need for further research.
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DOI：
10.1146/annurev-clinpsy-033109-132040
发表时间：
2010-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 6
影响因子：
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作者：
Munoz, Ricardo F.;Cuijpers, Pim;Leykin, Yan
通讯作者：
Leykin, Yan
影响因子：
5.9
作者：
Stice, Eric;Rohde, Paul;Wade, Emily
通讯作者：
Wade, Emily
影响因子：
8
作者：
Mihalopoulos, Cathrine;Vos, Theo;Carter, Rob
通讯作者：
Carter, Rob
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S
DOI：
10.1080/15374416.2016.1197839
发表时间：
2019
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Benas JS;McCarthy AE;Haimm CA;Huang M;Gallop R;Young JF
通讯作者：
Young JF