青少年抑郁症状的预防:认知行为与人际预防项目的随机试验

Prevention of depressive symptoms in adolescents: a randomized trial of cognitive-behavioral and interpersonal prevention programs.

作者信息

Horowitz Jason L, Garber Judy, Ciesla Jeffrey A, Young Jami F, Mufson Laura

机构信息

Department of Psychiatry, University of Minnesota, Minneapolis, MN 55454, USA.

出版信息

J Consult Clin Psychol. 2007 Oct;75(5):693-706. doi: 10.1037/0022-006X.75.5.693.

Abstract

This study evaluated the efficacy of 2 programs for preventing depressive symptoms in adolescents. Participants were 380 high school students randomly assigned to a cognitive-behavioral program (CB), an interpersonal psychotherapy-adolescent skills training program (IPT-AST), or a no-intervention control. The interventions involved eight 90-min weekly sessions run in small groups during wellness classes. At postintervention, students in both the CB and IPT-AST groups reported significantly lower levels of depressive symptoms than did those in the no-intervention group, controlling for baseline depression scores; the 2 intervention groups did not differ significantly from each other. The effect sizes, using Cohen's d, for the CB intervention and the IPT-AST intervention were 0.37 and 0.26, respectively. Differences between control and intervention groups were largest for adolescents with high levels of depressive symptoms at baseline. For a high-risk subgroup, defined as having scored in the top 25th percentile on the baseline depression measure, the effect sizes for the CB and the IPT-AST interventions were 0.89 and 0.84, respectively. For the whole sample, sociotropy and achievement orientation moderated the effect of the interventions. Intervention effects were short term and were not maintained at 6-month follow-up.

摘要

本研究评估了两个预防青少年抑郁症状项目的效果。参与者为380名高中生,他们被随机分配到认知行为项目(CB)、人际心理治疗-青少年技能培训项目(IPT-AST)或无干预对照组。干预措施包括在健康课程期间以小组形式开展的八次每周90分钟的课程。干预后,在控制基线抑郁评分的情况下,CB组和IPT-AST组的学生报告的抑郁症状水平均显著低于无干预组;两个干预组之间无显著差异。使用科恩d值计算,CB干预和IPT-AST干预的效应大小分别为0.37和0.26。对照组与干预组之间的差异在基线时抑郁症状水平较高的青少年中最为明显。对于一个被定义为在基线抑郁测量中得分处于前25%的高风险亚组,CB干预和IPT-AST干预的效应大小分别为0.89和0.84。对于整个样本,社会依赖和成就取向调节了干预的效果。干预效果是短期的,在6个月的随访中未得到维持。

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