Depression Prevention for African-American Adolescents

描述：(改编自调查者摘要)低收入、市中心的非裔美国青少年患抑郁症的风险很高，因为 与青春期、贫困和少数民族有关的压力源。这是一个 探索性项目，将使用受控随机设计来检查 为期15个疗程、以小组为基础的认知-行为抑郁预防的影响 干预措施适用于低收入、市中心的非裔美国青少年。 本研究将为今后的有效性研究奠定基础。 参与者将是1029名大一学生和765名大二非裔美国学生， 就读于芝加哥低收入地区的三所市中心高中 邻里关系。他们将被送往流行病学中心 研究-抑郁量表(CES-D)和青少年健康评估-2000，a 心理测量学声音仪器集合，用于评估各种研究 感兴趣的变量。那些决心冒着生命危险的学生 将采访基于CES-D分数升高(即_24)的抑郁症 使用DISCIV。感兴趣的变量包括压力、应对、攻击性、 社会生态因素和其他情绪/身体健康指标 和调整。有抑郁风险但没有抑郁症的学生 当前抑郁、躁郁症、心境恶劣、环胸症和/或品行障碍 将被随机分配到文化适应的15节课，以小组为基础， 认知-行为抑郁预防性干预或“日常护理” 控制条件。在完成预防干预后，学生在 将使用CESD、DISC-IV和 AHA-2000，并将在6个月后跟踪进行后续评估。学生 符合DSM-IV的上述障碍的标准将是 由学校卫生中心工作人员现场治疗或转介 基于社区的服务。这项研究将使用多种数据来源，包括： 教师报告、学校档案数据和初级卫生保健记录。

DESCRIPTION: (adapted from Investigator's abstract) Low income, inner-city, African-American adolescents are at high risk for depression, due to the many stressors associated with being adolescent, poor, and minority. This is an exploratory project that will use a controlled randomized design to examine the impact of a 15-session, group-based, cognitive-behavioral depression preventive intervention adapted for low income, inner-city African-American adolescents. This study will lay the groundwork for a future effectiveness study. Participants will be 1029 freshmen and 765 sophomore African-American students, attending three inner-city high schools located in low-income Chicago neighborhoods. They will be administered the Center for Epidemiologic Studies-Depression Scale (CES-D) and the Adolescent Health Assessment-2000, a collection of psychometrically sound instruments which assess the various study variables of interest. Those students who are determined to be at-risk for depression, based on elevated CES-D scores (i.e., _24), will be interviewed using the DISCIV. Variables of interest include stress, coping, aggression, socio-ecological factors, and other indicators of emotional/physical well-being and adjustment. Students who are at-risk for depression but who do not have a current Depressive, Bipolar, Dysthymic, Cyclothymic and/or Conduct Disorder will be randomized to either the culturally adapted 15-session, group-based, cognitive-behavioral depression preventive intervention or the "usual care" control condition. Upon completion of the preventive intervention, students in both conditions will be reassessed using the CESD, the DISC-IV, and the AHA-2000 and will be tracked for follow-up assessments at 6 months. Students who meet DSM.-IV criteria for the above mentioned disorders will either be treated by on-site school based health center staff or referred for community-based service. The study will employ multiple data sources including: teachers' reports, school archival data and primary health care records.