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| Id | 615 | |
| Author | Rohde P., Stice E., Gau J.M. | |
| Title | Effects of Three Depression Prevention Interventions on Risk for Depressive Disorder Onset in the Context of Depression Risk Factors | |
| Reference | Rohde P., Stice E., Gau J.M.; Effects of Three Depression Prevention Interventions on Risk for Depressive Disorder Onset in the Context of Depression Risk Factors ;Prevention Science vol:13 issue: 6 page:584 |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870310216&doi=10.1007%2fs11121-012-0284-3&partnerID=40&md5=75b564446844e045f7819fa3a87e7341 |
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| Abstract | Study aims were to identify subgroups of adolescents with elevated depressive symptoms who had the highest likelihood of developing future major/minor depressive disorder on the basis of depression risk factors and participation in three depression prevention programs, with the goal of evaluating the preventive effect of indicated prevention interventions in the context of known risk factors. Adolescents (N = 341) with elevated depressive symptoms were randomized to one of four prevention intervention conditions (cognitive-behavioral group, supportive-expressive group, cognitive-behavioral bibliotherapy, educational brochure control). By 2-year follow-up, 14% showed onset of major/minor depressive disorders. Classification tree analysis (CTA) revealed that negative attributional style was the most important risk factor: Youth with high scores showed a 4-fold increase in depression onset compared to youth who did not endorse this attributional style. For adolescents with negative attributional style, prevention condition emerged as the most important predictor: Those receiving bibliotherapy showed a 5-fold reduction in depression disorder onset relative to adolescents in the three other intervention conditions. For adolescents who reported low negative attributional style scores, elevated levels of depressive symptoms at baseline emerged as the most potent predictor. Results implicate two key pathways to depression involving negative attributional style and elevated depressive symptoms in this population, and suggest that bibliotherapy may offset the risk conveyed by the most important depression risk factor in this sample. © 2012 Society for Prevention Research. |
Effects of Three Depression Prevention Interventions on Risk for Depressive Disorder Onset in the Context of Depression Risk Factors. Bibliotherapy participants were given copies of Feeling Good a highly regarded and empirically supported self-help book and were encouraged to read the book at their own pace. Depressive symptoms and diagnosis were assessed with items measuring MDD symptoms adapted from the Schedule for Affective Disorders and Schizophrenia for School-Age Children ; the scoring of items on this semi-structured interview was modified to b etter capture the timing of symptom occurrence. Namely among adolescents who endorsed high levels of negative attributional style prevention condition was selected as the next predictor with bibliotherapy resulting in significantly lower risk of future depressive disorder onset compared to the two other active prevention interventions and the brochure control group which did not significantly differ. Contrary to findings with community samples major life events low social support past MDD female sex negative cognitions and substance use were not selected for inclusion in the CTA models.
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