Young Jami F, Jones Jason D, Schwartz Karen T G, So Amy, Dysart Gillian C, Kanine Rebecca M, Gillham Jane E, Gallop Robert, Davis Molly
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Roberts Center for Pediatric Research, Children's Hospital of Philadelphia.
Department of Psychology, Montclair State University.
J Consult Clin Psychol. 2025 Apr;93(4):213-225. doi: 10.1037/ccp0000913. Epub 2024 Oct 31.
To examine short-term (i.e., postintervention) outcomes from a randomized controlled trial comparing a school-based telehealth-delivered depression prevention program, Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), to services as usual (SAU). We expected IPT-AST would be acceptable and feasible and that IPT-AST adolescents would experience greater reductions in depression symptoms, anxiety symptoms, and impairment compared with SAU.
Adolescents ( = 242; = 14.80 years, = 0.70; 65% female; 21% Black; 13% Hispanic/Latinx) with elevated scores on the Center for Epidemiologic Studies Depression Scale (Radloff, 1977) at screening provided data at baseline, 2-month (midpoint of IPT-AST), and 3-month (postintervention) assessments. They reported depression symptoms on the Center for Epidemiologic Studies Depression Scale, anxiety symptoms on the Screen for Child Anxiety Related Emotional Disorders (Birmaher et al., 1997), and impairment on the Columbia Impairment Scale (Bird et al., 1993). Baseline depression diagnosis was examined as a moderator.
Hierarchical linear models showed that adolescents reported significant reductions in depression symptoms and impairment across conditions. IPT-AST adolescents reported significantly greater reductions in anxiety symptoms than SAU adolescents, = .39, 95% CI [.05, .72], = .003. Depression diagnosis moderated outcomes (s = .33-.34, s ≤ .05), such that IPT-AST adolescents without a diagnosis at baseline showed greater improvements in depression and anxiety symptoms than SAU adolescents. Adolescents in SAU with a depression diagnosis at baseline showed greater improvements in impairment compared with IPT-AST. Attendance and satisfaction data demonstrated the feasibility and acceptability of telehealth-delivered IPT-AST.
Results support telehealth-delivered IPT-AST as a promising intervention for improving short-term outcomes among adolescents with depression symptoms but without a depression diagnosis. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
通过一项随机对照试验，比较基于学校的远程医疗提供的抑郁症预防项目——人际心理治疗-青少年技能培训（IPT-AST）与常规服务（SAU）的短期（即干预后）结果。我们预期IPT-AST是可接受且可行的，并且与SAU相比，接受IPT-AST的青少年在抑郁症状、焦虑症状和功能损害方面会有更大程度的减轻。
在筛查时流行病学研究中心抑郁量表（拉德洛夫，1977）得分较高的青少年（n = 242；M = 14.80岁，SD = 0.70；65%为女性；21%为黑人；13%为西班牙裔/拉丁裔）在基线、2个月（IPT-AST的中点）和3个月（干预后）评估时提供数据。他们报告了流行病学研究中心抑郁量表上的抑郁症状、儿童焦虑相关情绪障碍筛查量表（比尔马赫等人，1997）上的焦虑症状以及哥伦比亚功能损害量表（伯德等人，1993）上的功能损害。将基线抑郁诊断作为一个调节变量进行检验。
分层线性模型显示，青少年在所有条件下报告的抑郁症状和功能损害都有显著减轻。接受IPT-AST的青少年报告的焦虑症状减轻程度显著大于接受SAU的青少年，b = 0.39，95%置信区间[0.05，0.72]，p = 0.003。抑郁诊断调节了结果（βs = 0.33 - 0.34，ps ≤ 0.05），即基线时未被诊断出抑郁的接受IPT-AST的青少年在抑郁和焦虑症状方面的改善比接受SAU的青少年更大。基线时被诊断出抑郁的接受SAU的青少年在功能损害方面的改善比接受IPT-AST的青少年更大。出勤和满意度数据证明了通过远程医疗提供IPT-AST的可行性和可接受性。
结果支持通过远程医疗提供IPT-AST作为一种有前景的干预措施，可改善有抑郁症状但未被诊断出抑郁的青少年的短期结果。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
