McCarty Carolyn A, Violette Heather D, McCauley Elizabeth
Seattle Children's Hospital and University of Washington, Center for Child Health, Behavior, and Development, 1100 Olive Way, Suite 500, MS MPW 8-1 Seattle, WA 98101, USA.
Depress Res Treat. 2011;2011:241386. doi: 10.1155/2011/241386. Epub 2010 Sep 5.
Despite the importance of adolescent depression, few school-based prevention programs have been developed and tested in the United States with middle school populations. This study examined the acceptability and changes in targeted outcomes for a new preventative program, Positive Thoughts and Actions (PTA). Sixty-seven 7th grade students with elevated depressive symptoms were recruited from public schools and randomized to the 12-week PTA program with a parent-component or to a school-as-usual control group. The PTA prevention program was well received by students and parents, yielding high rates of participation and satisfaction among those randomized to receive the intervention. However, analyses of the efficacy of the program in changing depressive symptoms were not significant. In terms of our proximal program targets, most differences were not statistically significant, though effect sizes suggested advantage of PTA over control group in coping, cognitive style, and parent-child communication. This preliminary research highlights a need for further testing of programs for school-based prevention of depression and promotion of positive emotional health.
尽管青少年抑郁症很重要，但在美国，针对中学生群体开展并测试的基于学校的预防项目却很少。本研究考察了一项新的预防项目“积极思考与行动”（PTA）的可接受性以及目标结果的变化情况。从公立学校招募了67名抑郁症状较为严重的七年级学生，并将他们随机分为两组，一组参加为期12周的带有家长参与部分的PTA项目，另一组作为照常上课的对照组。PTA预防项目受到了学生和家长的好评，在随机接受干预的人群中参与率和满意度都很高。然而，该项目在改变抑郁症状方面的疗效分析并不显著。就我们的近期项目目标而言，大多数差异在统计学上并不显著，不过效应量表明PTA在应对、认知风格和亲子沟通方面比对照组更具优势。这项初步研究凸显了对基于学校的抑郁症预防和促进积极情绪健康项目进行进一步测试的必要性。
