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21-02-2018 | Original Article

Youth Cognitive-Behavioral Depression Prevention: Testing Theory in a Randomized Controlled Trial

Auteurs: Steven M. Brunwasser, Derek R. Freres, Jane E. Gillham

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2018

Abstract

This study tested the plausibility of a theoretical model of change for the Penn Resiliency Program (PRP), a cognitive-behavioral (CB) depression prevention program for adolescents. Middle school students (N = 697) were randomized to PRP, an assessment-only control condition (CON), or a placebo-control condition (PLA). Explanatory style and depressive symptoms were evaluated over 24 months of follow-up. Relative to both CON and PLA, there were significant indirect effects of PRP on 12-month levels of depressive symptoms through improvements in explanatory style in two of three participating schools. Within a third school, where PRP was not effective in targeting depressive symptoms (Gillham et al. in J Consult Clin Psychol 75(1):9–19, 2007), there was no evidence of group differences in growth in explanatory style or indirect effects. When effective, PRP’s CB training provides incremental value over non-specific components and there are indirect effects on depressive symptoms through improvements in explanatory style.

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This conclusion is predicated on the assumption that the placebo intervention is effective in reproducing all of the non-specific processes present in the primary intervention.

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Titel: Youth Cognitive-Behavioral Depression Prevention: Testing Theory in a Randomized Controlled Trial
Auteurs: Steven M. Brunwasser
Derek R. Freres
Jane E. Gillham
Publicatiedatum: 21-02-2018
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-018-9897-6

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