Shochet I M, Dadds M R, Holland D, Whitefield K, Harnett P H, Osgarby S M
School of Applied Psychology, Griffith University, Queensland, Australia 4111.
J Clin Child Psychol. 2001 Sep;30(3):303-15. doi: 10.1207/S15374424JCCP3003_3.
Evaluated whether a universal school-based program, designed to prevent depression in adolescents, could be effectively implemented within the constraints of the school environment. Participants were 260 Year 9 secondary school students. Students completed measures of depressive symptoms and hopelessness and were then assigned to 1 of 3 groups: (a) Resourceful Adolescent Program-Adolescents (RAP-A), an 11-session school-based resilience building program, as part of the school curriculum; (b) Resourceful Adolescent Program-Family (RAP-F), the same program as in RAP-A, but in which each student's parents were also invited to participate in a 3-session parent program; and (c) Adolescent Watch, a comparison group in which adolescents simply completed the measures. The program was implemented with a high recruitment (88%), low attrition rate (5.8%), and satisfactory adherence to program protocol. Adolescents in either of the RAP programs reported significantly lower levels of depressive symptomatology and hopelessness at post-intervention and 10-month follow-up, compared with those in the comparison group. Adolescents also reported high satisfaction with the program. The study provides evidence for the efficacy of a school-based universal program designed to prevent depression in adolescence.
评估一项旨在预防青少年抑郁症的全校性项目能否在学校环境的限制条件下有效实施。参与者为260名九年级中学生。学生们完成了抑郁症状和绝望感的测量，然后被分为3组中的1组：(a) 足智多谋青少年项目-青少年组（RAP-A），这是一个为期11节的全校性复原力培养项目，作为学校课程的一部分；(b) 足智多谋青少年项目-家庭组（RAP-F），与RAP-A项目相同，但每个学生的家长也被邀请参加一个为期3节的家长项目；(c) 青少年观察对照组，该组青少年仅完成测量。该项目实施时招募率很高（88%），流失率很低（5.8%），并且对项目方案的依从性令人满意。与对照组相比，参与任何一个RAP项目的青少年在干预后和10个月随访时报告的抑郁症状和绝望感水平显著更低。青少年对该项目也表示高度满意。该研究为一项旨在预防青少年抑郁症的全校性通用项目的有效性提供了证据。
