Poppelaars Marlou, Tak Yuli R, Lichtwarck-Aschoff Anna, Engels Rutger C M E, Lobel Adam, Merry Sally N, Lucassen Mathijs F G, Granic Isabela
Behavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands.
Behavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands; Trimbos-Institute, P.O. Box 725, 3500 AS Utrecht, The Netherlands.
Behav Res Ther. 2016 May;80:33-42. doi: 10.1016/j.brat.2016.03.005. Epub 2016 Mar 19.
Limited research has indicated the effectiveness of the school-based Cognitive Behavioral Therapy (CBT) prevention program 'Op Volle Kracht (OVK)' and the computerized CBT program 'SPARX' in decreasing depressive symptoms. Therefore, a randomized controlled trial of the effectiveness of OVK and SPARX was conducted among Dutch female adolescents (n = 208, mean age = 13.35) with elevated depressive symptoms. Participants were randomly assigned to one of four conditions: OVK only (n = 50), SPARX only (n = 51), OVK and SPARX combined (n = 56) and a monitoring control condition (n = 51). Participants in the first three conditions received OVK lessons and/or the SPARX game. Depressive symptoms were assessed before interventions started, weekly during the interventions, and immediately after the interventions ended, with follow-up assessments at 3, 6 and 12 months. Intention to treat results showed that depressive symptoms decreased in all conditions (F(12, 1853.03) = 14.62, p < .001), with no difference in depressive symptoms between conditions. Thus, all conditions, including the monitoring control condition, were equally effective in reducing depressive symptoms. Possible explanations for the decrease of depressive symptoms in all conditions are discussed and suggestions for future research are provided. Dutch Trial Register: NTR3737.
有限的研究表明，基于学校的认知行为疗法（CBT）预防项目“全力出击（OVK）”和计算机化CBT项目“SPARX”在减轻抑郁症状方面具有有效性。因此，针对抑郁症状有所加重的荷兰女性青少年（n = 208，平均年龄 = 13.35岁）开展了一项关于OVK和SPARX有效性的随机对照试验。参与者被随机分配到以下四种情况之一：仅接受OVK（n = 50）、仅接受SPARX（n = 51）、同时接受OVK和SPARX（n = 56）以及一个监测对照情况（n = 51）。前三种情况的参与者接受了OVK课程和/或SPARX游戏。在干预开始前、干预期间每周以及干预结束后立即对抑郁症状进行评估，并在3个月、6个月和12个月时进行随访评估。意向性分析结果显示，所有情况下抑郁症状均有所减轻（F(12, 1853.03) = 14.62，p <.001），各情况之间抑郁症状无差异。因此，所有情况，包括监测对照情况，在减轻抑郁症状方面同样有效。文中讨论了所有情况下抑郁症状减轻的可能原因，并提供了未来研究的建议。荷兰试验注册编号：NTR3737。
