Evaluation of Universal, Indicated, and Combined Cognitive-Behavioral Approaches to the Prevention of Depression Among Adolescents

A cluster, stratified randomized design was used to evaluate the impact of universal, indicated, and combined universal plus indicated cognitive- behavioral approaches to the prevention of depression among 13- to 15-year-olds initially reporting elevated symptoms of depression. None of the intervent...

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Bibliographic Details
Published inJournal of consulting and clinical psychology Vol. 74; no. 1; pp. 66 - 79
Main Authors Sheffield, Jeanie K, Spence, Susan H, Rapee, Ronald M, Kowalenko, Nick, Wignall, Ann, Davis, Anna, McLoone, Jordana
Format Journal Article
LanguageEnglish
Published United States American Psychological Association 01.02.2006
Subjects
Adolescent
Adolescents
Anxiety
Behavior Modification
Cognitive Restructuring
Cognitive Therapy - methods
Combined Modality Therapy
Coping
Depression (Psychology)
Depressive Disorder - diagnosis
Depressive Disorder - prevention & control
Depressive Disorder - psychology
Emotional Development
Female
Follow-Up Studies
Health Promotion
Humans
Intervention
Male
Multivariate Analysis
Prevention
Psychopathology
Psychotherapy, Brief
Queensland
Risk Factors
School Health Services
Social Adjustment
Symptoms (Individual Disorders)
Well Being
Queensland
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Summary:A cluster, stratified randomized design was used to evaluate the impact of universal, indicated, and combined universal plus indicated cognitive- behavioral approaches to the prevention of depression among 13- to 15-year-olds initially reporting elevated symptoms of depression. None of the intervention approaches differed significantly from a no-intervention condition or from each other on changes in depressive symptoms, anxiety, externalizing problems, coping skills, and social adjustment. All high-symptom students, irrespective of condition, showed a significant decline in depressive symptoms and improvement in emotional well-being over time although they still demonstrated elevated levels of psychopathology compared with the general population of peers at 12-month follow-up. There were also no significant intervention effects for the universal intervention in comparison with no intervention for the total sample of students in those conditions.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006x.74.1.66