Evaluation of universal, indicated, and combined cognitive-behavioral approaches to the prevention of depression among adolescents

Jeanie K. Sheffield*, Nick Kowalenko, Anna Davis, Susan H. Spence, Ronald M. Rapee, Ann Wignall, Jordana McLoone

*Corresponding author for this work

    Research output: Contribution to journalArticle

    138 Citations (Scopus)

    Abstract

    A cluster, stratified randomized design was used to evaluate the impact of universal, indicated, and combined universal plus indicated cognitive-behavioral approaches to the prevention of depression among 13- to 15-year-olds initially reporting elevated symptoms of depression. None of the intervention approaches differed significantly from a no-intervention condition or from each other on changes in depressive symptoms, anxiety, externalizing problems, coping skills, and social adjustment. All high-symptom students, irrespective of condition, showed a significant decline in depressive symptoms and improvement in emotional well-being over time although they still demonstrated elevated levels of psychopathology compared with the general population of peers at 12-month follow-up. There were also no significant intervention effects for the universal intervention in comparison with no intervention for the total sample of students in those conditions.

    Original languageEnglish
    Pages (from-to)66-79
    Number of pages14
    JournalJournal of consulting and clinical psychology
    Volume74
    Issue number1
    DOIs
    Publication statusPublished - Feb 2006

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