Mediators and Moderators of a School-Based Cognitive-Behavioral Depression Prevention Program.
Mediators and Moderators of a School-Based Cognitive-Behavioral Depression Prevention Program.
复制标题
基于学校的认知行为抑郁症预防计划的调解人和主持人。
DOI：
10.1007/s10608-016-9780-2
复制
发表时间：
2016-10
影响因子：
2.8
通讯作者：
McCarty CA
中科院分区：
文献类型：
--
作者：
Duong MT;Kelly BM;Haaland WL;Matsumiya B;Huey SJ Jr;McCarty CA
本研究测试了潜在的调解人和调解人的指示抑郁症预防计划，中学生，积极的思想和行动（PTA）。参与者是120名学生，他们被随机分配到PTA或简短的个人支持干预（个人支持计划，或ISP）。青少年在基线、干预后和12个月随访时完成了抑郁症状的测量。分层回归被用来测试三个主持人-少数民族地位，性别和基线抑郁症-和三个中介代表功能的结果，目标PTA-亲子沟通，对学校的态度，健康行为。少数民族在干预后没有中度PTA效应，但在12个月随访时有中度PTA效应。在12个月时，PTA似乎对白色参与者比少数民族青年更有效。随访分析表明，这种适度效应是由于少数民族青年，特别是那些在基线时症状较少的青年，在12个月内辍学的趋势。性别和基线抑郁症状均不影响PTA的效果。虽然PTA改善了健康行为和对学校的态度，但没有证据表明这些功能性结果中的任何一个都介导了PTA对抑郁症状的影响。未来的方向进行了讨论。
This study tested potential moderators and mediators of an indicated depression prevention program for middle school students, Positive Thoughts and Actions (PTA). Participants were 120 students randomly assigned to PTA, or a brief, individually administered supportive intervention (Individual Support Program, or ISP). Youths completed measures of depressive symptoms at baseline, post-intervention, and 12-month follow-up. Hierarchical regression was used to test three moderators—ethnic minority status, gender, and baseline depressive symptoms—and three mediators representing functional outcomes targeted by PTA—parent-child communication, attitude towards school, and health behavior. Ethnic minority status did not moderate PTA effects at post-intervention but did moderate PTA effects at 12-month follow-up. At 12 months, PTA appeared to be more effective for White participants than ethnic minority youth. Follow-up analyses suggested this moderation effect was due to the tendency of ethnic minority youth, especially those with fewer symptoms at baseline, to drop out by 12 months. Neither gender nor baseline depressive symptoms moderated the effects of PTA. Although PTA improved health behavior and attitudes toward school, there was no evidence that any of these functional outcomes measured mediated the impact of PTA on depressive symptoms. Future directions are discussed.
登录
查看更多内容
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.8
作者：
Chen, Jie;Rizzo, John
通讯作者：
Rizzo, John
影响因子：
5.1
作者：
Fulkerson, JA;Sherwood, NE;Story, M
通讯作者：
Story, M
影响因子：
8.2
作者：
Fritz, Matthew S.;MacKinnon, David P.
通讯作者：
MacKinnon, David P.
DOI：
10.1080/19345747.2011.618213
发表时间：
2012-01-01
影响因子：
1.8
作者：
Gelman, Andrew;Hill, Jennifer;Yajima, Masanao
通讯作者：
Yajima, Masanao