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Randomized Controlled Trial
. 2008 Aug;76(4):595-606.
doi: 10.1037/a0012645.

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

Eric Stice  1 , Paul Rohde, John R Seeley, Jeff M Gau
Affiliations
Randomized Controlled Trial

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

Eric Stice et al. J Consult Clin Psychol. 2008 Aug.

Abstract

In this depression prevention trial, 341 high-risk adolescents (mean age = 15.6 years, 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 did supportive-expressive, bibliotherapy, and assessment-only participants at posttest, though only the difference compared with assessment controls 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 did participants in all 3 other conditions. Supportive-expressive and bibliotherapy participants showed greater reductions in depressive symptoms than did assessment-only controls at certain follow-up assessments but produced no effects for social adjustment and substance use. CB, supportive-expressive, and bibliotherapy participants showed a significantly lower risk for major depression onset over the 6-month follow-up than did 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.

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Figures

Figure 1
Figure 1
Covariate-adjusted survival curves for onset of major depression by intervention condition
Figure 1
Figure 1
Covariate-adjusted survival curves for onset of major depression by intervention condition
Figure 1
Figure 1
Covariate-adjusted survival curves for onset of major depression by intervention condition
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References

    1. Ackerson J, Scogin F, McKendree-Smith N, Lyman RD. Cognitive bibliotherapy for mild and moderate adolescent depressive symptomatology. Journal of Counseling and Clinical Psychology. 1998;66:685–690. - PubMed
    1. American Psychological Association Task Force on Psychological Intervention Guidelines. Template for developing guidelines: Interventions for mental disorders and psychological aspects of physical disorders. Washington, DC: APA; 1995.
    1. Beck AT. Cognitive therapy and the emotional disorders. New York: International University Press; 1976.
    1. Beck AT, Steer RM, Garbin M. Psychometric properties of the Beck Depression Inventory: 25 years of evaluation. Clinical Psychology Review. 1988;8:77–100.
    1. Brent DA, Holder D, Kolko D, Birmaher B, Baugher M, Roth C, Iyengar S, Johnson BA. A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Archives of General Psychiatry. 1997;54:877–885. - PubMed

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