Cutuli J J, Gillham Jane E, Chaplin Tara M, Reivich Karen J, Seligman Martin E P, Gallop Robert J, Abenavoli Rachel M, Freres Derek R
Int J Emot Educ. 2013 Nov 1;5(2):67-79.
This study reports secondary outcome analyses from a past study of the Penn Resiliency Program (PRP), a cognitive-behavioral depression prevention program for middle-school aged children. Middle school students (N = 697) were randomly assigned to PRP, PEP (an alternate intervention), or control conditions. Gillham et al., (2007) reported analyses examining PRP's effects on average and clinical levels of depression symptoms. We examine PRP's effects on parent-, teacher-, and self-reports of adolescents' externalizing and broader internalizing (depression/anxiety, somatic complaints, and social withdrawal) symptoms over three years of follow-up. Relative to no intervention control, PRP reduced parent-reports of adolescents' internalizing symptoms beginning at the first assessment after the intervention and persisting for most of the follow-up assessments. PRP also reduced parent-reported conduct problems relative to no-intervention. There was no evidence that the PRP program produced an effect on teacher- or self-report of adolescents' symptoms. Overall, PRP did not reduce symptoms relative to the alternate intervention, although there is a suggestion of a delayed effect for conduct problems. These findings are discussed with attention to developmental trajectories and the importance of interventions that address common risk factors for diverse forms of negative outcomes.
本研究报告了对过去一项关于佩恩复原力项目（PRP）的研究的二次结果分析，该项目是一项针对中学生的认知行为抑郁症预防项目。中学生（N = 697）被随机分配到PRP组、PEP组（一种替代干预措施）或对照组。吉利姆等人（2007年）报告了关于PRP对抑郁症状平均水平和临床水平影响的分析。我们考察了PRP在三年随访期间对青少年外化症状以及更广泛的内化症状（抑郁/焦虑、躯体不适和社交退缩）的家长报告、教师报告和自我报告的影响。相对于无干预对照组，PRP从干预后的首次评估开始就减少了家长报告的青少年内化症状，并且在大多数随访评估中持续存在。相对于无干预组，PRP还减少了家长报告的行为问题。没有证据表明PRP项目对青少年症状的教师报告或自我报告产生影响。总体而言，相对于替代干预措施，PRP并没有减轻症状，尽管有迹象表明对行为问题有延迟效应。我们结合发展轨迹以及针对多种负面结果常见风险因素的干预措施的重要性对这些发现进行了讨论。
