Twelve-Month Outcomes of a Randomized Trial of the Positive Thoughts and Action Program for Depression Among Early Adolescents.
Twelve-Month Outcomes of a Randomized Trial of the Positive Thoughts and Action Program for Depression Among Early Adolescents.
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DOI：
10.1007/s11121-015-0615-2
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发表时间：
2016-04
期刊：
影响因子：
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通讯作者：
McCarty CA
中科院分区：
文献类型：
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作者：
Duong MT;Cruz RA;King KM;Violette HD;McCarty CA
本研究的目的是考察针对中学生的基于团体的认知行为预防干预措施（积极想法和行动，简称 PTA）相对于简短的、单独实施的支持性干预措施（个人支持计划，简称 ISP）在 12 个月内对抑郁症和抑郁症状的影响。一项随机临床试验对 120 名抑郁症状加重的学校人群（73 名女孩和 47 名男孩；年龄 12-14 岁）进行了研究。青少年在基线、干预后以及进入随访阶段的 6 个月和 12 个月时完成了抑郁症状的测量。从父母和/或青少年那里获得了内化问题、外化问题、学校适应、人际关系和健康行为的测量结果。多水平模型表明，PTA 对青少年报告的抑郁症状的影响持续到 12 个月的随访；干预后 d = .36，6 个月随访时 d = .24，12 个月随访时 d = .21。 PTA 青少年还报告称，干预后的内化症状较低，d = 0.44，在 12 个月的随访中，d = 0.39。父母报告的内化症状和健康行为发现了有时限的影响。新抑郁发作的发生率在干预组中没有差异（21% ISP；17% PTA）。结果表明，PTA 具有长期功效，PTA 是一种认知行为预防干预措施，青少年可以通过该干预措施制定个人目标并练习社交情感技能。
This study was conducted to examine the 12-month effects on depression and depressive symptoms of a group-based cognitive-behavioral preventive intervention for middle school students (Positive Thoughts and Actions, or PTA), relative to a brief, individually administered supportive intervention (Individual Support Program, or ISP). A randomized clinical trial was conducted with 120 early adolescents (73 girls and 47 boys; age 12–14 years) drawn from a school-based population who had elevated depressive symptoms. Youths completed measures of depressive symptoms at baseline, post-intervention, and 6 and 12 months into the follow-up phase. Measures of internalizing problems, externalizing problems, school adjustment, interpersonal relationships, and health behavior were obtained from parents and/or youth. Multilevel models indicated that the effect of PTA on youth-reported depressive symptoms persisted until 12-month follow-up; d = .36 at post-intervention, d =.24 at 6-month follow-up, and d = .21 at 12-month follow-up. PTA youths also reported lower internalizing symptoms at post-intervention, d = .44, and at 12-month follow-up, d = .39. Time-limited effects were found for parent-reported internalizing symptoms and health behavior. Onset of new depressive episodes did not differ based on intervention group (21% ISP; 17% PTA). Results demonstrate support for the long-term efficacy of PTA, a cognitive-behavioral preventive intervention in which youths engage in personal goal-setting and practice social-emotional skills.