Depression Prevention for African-American Adolescents

描述：（改编自研究者摘要）低收入，市中心， 非洲裔美国青少年患抑郁症的风险很高，因为许多人 与青少年、穷人和少数民族相关的压力源。这是一 探索性项目，将使用对照随机设计来检查 15个疗程、基于小组的认知行为抑郁症预防治疗的影响 干预措施适用于低收入，市中心的非洲裔美国青少年。 这项研究将为今后的有效性研究奠定基础。 参与者将是1029名大一和765名大二的非洲裔美国学生， 就读于三所位于低收入芝加哥市中心的高中 邻里关系他们将由流行病学中心管理 抑郁量表（CES-D）和青少年健康评估-2000，a 收集心理测量声音仪器，评估各种研究 感兴趣的变量。那些决定要冒风险的学生 抑郁症，基于升高的CES-D评分（即，#20024;将接受采访。 使用DISCIV。感兴趣的变量包括压力，应对，侵略， 社会生态因素和其他情绪/身体健康指标 和调整。学生谁是在抑郁症的风险，但谁没有 目前患有抑郁症、双相情感障碍、心境恶劣、循环型情感障碍和/或行为障碍 将被随机分配到文化适应的15节，基于组， 认知行为抑郁症预防干预或“常规护理” 控制条件完成预防性干预后，学生们 这两种情况都将使用CESD、DISC-IV和 AHA-2000，并将在6个月时进行随访评估。学生 谁满足DSM。上述疾病的IV标准将是 由学校健康中心工作人员现场治疗或转诊 社区服务。该研究将采用多个数据源，包括： 教师报告、学校档案数据和初级保健记录。

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.