Preventing adolescents' externalizing and internalizing symptoms: Effects of the Penn Resiliency Program.
Preventing adolescents' externalizing and internalizing symptoms: Effects of the Penn Resiliency Program.
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发表时间：
2013-11
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通讯作者：
J. J. Cutuli-J.;J. Gillham;T. Chaplin;K. Reivich;M. Seligman;R. Gallop;R. Abenavoli;Derek R. Freres
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作者：
J. J. Cutuli-J.;J. Gillham;T. Chaplin;K. Reivich;M. Seligman;R. Gallop;R. Abenavoli;Derek R. Freres
本研究报告了对宾夕法尼亚大学心理弹性计划（PRP）的一项既往研究的次要结果分析，该计划是一项针对中学生的认知行为抑郁预防计划。中学生（N = 697）被随机分配到PRP，PEP（替代干预），或控制条件。Gillham等人，（2007）报告了分析PRP对抑郁症状的平均和临床水平的影响。我们研究PRP的影响，家长，教师和自我报告的青少年的外化和更广泛的内化（抑郁/焦虑，躯体投诉，社会退缩）症状超过三年的随访。相对于没有干预的对照组，PRP减少了父母报告的青少年内化症状，从干预后的第一次评估开始，并持续到大多数随访评估。PRP也减少了父母报告的行为问题相对于无干预。没有证据表明PRP项目对教师或青少年症状的自我报告产生了影响。总体而言，PRP并没有减少症状相对于替代干预，虽然有一个行为问题的延迟效应的建议。这些研究结果进行了讨论，注意发展轨迹和干预措施，解决不同形式的负面结果的共同风险因素的重要性。
This study reports secondary outcome analyses from a past study of the Penn Resiliency Program (PRP), a cognitive-behavioral depression prevention program for middle-school aged children. Middle school students (N = 697) were randomly assigned to PRP, PEP (an alternate intervention), or control conditions. Gillham et al., (2007) reported analyses examining PRP's effects on average and clinical levels of depression symptoms. We examine PRP's effects on parent-, teacher-, and self-reports of adolescents' externalizing and broader internalizing (depression/anxiety, somatic complaints, and social withdrawal) symptoms over three years of follow-up. Relative to no intervention control, PRP reduced parent-reports of adolescents' internalizing symptoms beginning at the first assessment after the intervention and persisting for most of the follow-up assessments. PRP also reduced parent-reported conduct problems relative to no-intervention. There was no evidence that the PRP program produced an effect on teacher- or self-report of adolescents' symptoms. Overall, PRP did not reduce symptoms relative to the alternate intervention, although there is a suggestion of a delayed effect for conduct problems. These findings are discussed with attention to developmental trajectories and the importance of interventions that address common risk factors for diverse forms of negative outcomes.