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Brief cognitive-behavioral depression prevention program for high-risk adolescents outperforms two alternative interventions: A randomized efficacy trial.

2008; American Psychological Association; Volume: 76; Issue: 4 Linguagem: Inglês

10.1037/a0012645

1939-2117

Eric Stice, Paul Rohde, John R. Seeley, Jeff M. Gau,

Maternal Mental Health During Pregnancy and Postpartum

In this depression prevention trial, 341 high-risk adolescents (M age = 15.6,SD = 1.2) with elevated depressive symptoms were randomized to a brief group cognitive-behavioral (CB) intervention, group supportive-expressive intervention, bibliotherapy, or assessment-only control condition.CB participants showed significantly greater reductions in depressive symptoms than supportiveexpressive, bibliotherapy, and assessment-only participants at posttest, though only the latter effect was significant at 6-month follow-up.CB participants showed significantly greater improvements in social adjustment and reductions in substance use at posttest and 6-month follow-up than participants in all three other conditions.Supportive-expressive and bibliotherapy participants showed greater reductions in depressive symptoms than assessment-only controls at certain followup assessments, but produced no effects for social adjustment and substance use.CB, supportiveexpressive, and bibliotherapy participants showed a significantly lower risk for major depression onset over the 6-month follow-up than assessment-only controls.The evidence that this brief CB intervention reduced risk for future depression onset and outperformed alternative interventions for certain ecologically important outcomes suggests that this intervention may have clinical utility.