Adolescent depression: Evaluation of a preventive intervention and identification of risk factors

青少年抑郁症：预防性干预措施的评估和危险因素的识别

• 批准号: nhmrc : 102431
• 负责人: E/Pr Susan Spence
• 金额: $ 20.49万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2001
• 资助国家: 澳大利亚
• 起止时间: 2001-01-01 至 2002-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/adolescent-depression-evaluation-risk-factors/95389
• 关键词: Adolescent; depression; Evaluation; preventive; intervention

This project will evaluate the long-term effectiveness of a school-based program to prevent depression among adolescents. It also aims to identify factors that predict the onset of depression in those who do not receive the intervention. The intervention focuses on the training of interpersonal problem solving skills and enhancement of optimistic thinking styles within a classroom-based curriculum. This project extends the current research program of the applicant. The intervention has already been developed and implemented with 1600 young people, with the support of local education authorities. The evaluation uses well-researched measures and includes a control group of adolescents who do not receive the intervention. Around 5% of adolescents experience clinical levels of depression and an even larger percentage show subclinical levels. Depression results in many debilitating consequences such as impaired school, work and social functioning and is also a risk factor in adolescent suicide. The prevention of mental health problems is a priority for Commonwealth and State governments and yet there is minimal research to demonstrate the effectiveness of preventive interventions, particularly in the area of depression. If the present study demonstrates a positive outcome, it will provide important guidelines as to preventive materials that should be included in the school curriculum. It is predicted that: a) the intervention will be associated with lower levels of depression over the 4 year follow-up, particularly for adolescents who are assessed as showing mild symptoms of depression, poor problem solving skills or pessimistic cognitive style prior to intervention b) risk factors for the development of depression in adolescents who do not receive the intervention will include initial mild symptoms of depression, poor problem solving skills and pessimistic attributional style.

该项目将评估以学校为基础的预防青少年抑郁症计划的长期有效性。它还旨在确定预测那些未接受干预的人出现抑郁症的因素。干预措施的重点是在课堂课程中培养人际问题解决能力和增强乐观思维方式。该项目扩展了申请人当前的研究计划。在当地教育部门的支持下，该干预措施已在 1600 名年轻人中制定和实施。该评估采用经过充分研究的措施，并包括未接受干预的青少年对照组。大约 5% 的青少年患有临床水平的抑郁症，更大比例的青少年表现出亚临床水平。抑郁症会导致许多使人衰弱的后果，例如学业、工作和社会功能受损，也是青少年自杀的危险因素。预防心理健康问题是联邦政府和州政府的首要任务，但很少有研究证明预防性干预措施的有效性，特别是在抑郁症领域。如果本研究取得积极成果，它将为学校课程中应包含的预防材料提供重要指导。据预测：a) 干预措施将与 4 年随访期间较低的抑郁水平相关，特别是对于在干预前被评估为表现出轻度抑郁症状、较差解决问题能力或悲观认知风格的青少年。