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Effects of Three Depression Prevention Interventions on Risk for Depressive Disorder Onset in the Context of Depression Risk Factors

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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.

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Acknowledgements

This study was supported by research grants MH067183 and MH080853 from the National Institute of Mental Health.

Thanks go to project research assistants, Courtney Byrd, Kathryn Fischer, Amy Folmer, Cassie Goodin, Jacob Mase, and Emily Wade, a multitude of undergraduate volunteers, the Austin Independent School District, and the participants who made this study possible.

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  1. Oregon Research Institute, 1715 Franklin Blvd., Eugene, OR, 97403, USA

    Paul Rohde, Eric Stice & Jeff M. Gau

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  1. Paul Rohde
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Correspondence to Paul Rohde.

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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. Prev Sci 13, 584–593 (2012). https://doi.org/10.1007/s11121-012-0284-3

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