Targeted Prevention of Unipolar Depressive Disorder in an At-Risk Sample of High School Adolescents: A Randomized Trial of a Group Cognitive Intervention

Clarke, Gregory N.; Hawkins, Wesley E.; Murphy, Mary; Sheeber, Lisa; Lewinsohn, Peter M.; Seeley, John R.

doi:10.1097/00004583-199503000-00016

Cited by 611 publications

(560 citation statements)

References 29 publications

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“…Studies of adolescents with elevated depressive symptoms-Some of the most promising results to date have come from the work of Clarke and colleagues (Clarke et al, 1995;. Using a cognitive intervention consisting of fifteen 45-60 minute small group sessions, Clarke and colleagues are one of the few prevention research teams to report results on diagnostic outcomes.…”

Section: Targeted Interventionsmentioning

confidence: 99%

“…Clarke et al (1995) randomly assigned 150 9 th and 10 th grade students who scored highly on a depression symptom screening measure, but did not meet criteria for current MDD or dysthymia, to intervention or usual care conditions. Clarke et al (1995) found a significant reduction in the one-year incidence of MDD and dysthymia as compared to the control condition (25.7% vs. 14.5%). Interestingly, there were not significant differences in depressive symptoms or global functioning during follow-up.…”

Section: Targeted Interventionsmentioning

confidence: 99%

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Prevention of depression in youth: A qualitative review and future suggestions

Sutton

2007

Clinical Psychology Review

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Since 1990, significant efforts have been made towards developing interventions to prevent depression in youth. Meta-analyses of preventive interventions have consistently yielded small but significant effect sizes in the short-term prevention of depression. However, the maintenance of intervention effects over extended follow-ups ranging from 6 months to 3 years has not been consistently demonstrated. In this qualitative review, significant methodological issues that continue to be of concern are discussed. Illustrative studies are described to highlight the accomplishments and limitations of interventions to date. Particular areas in need of attention include the implementation of booster sessions, use of appropriate statistical analyses, examination of multiple outcome variables, augmentation of protective factors, and exploration of mediators and moderators of intervention effects. Future directions for the field of depression prevention are outlined.

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Section: Targeted Interventionsmentioning

confidence: 99%

Section: Targeted Interventionsmentioning

confidence: 99%

Prevention of depression in youth: A qualitative review and future suggestions

Sutton

2007

Clinical Psychology Review

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“…[29][30][31] The resulting intervention briefly introduces the cognitivebehavioral model of depression, helps participants identify negative cognitions and precipitating circumstances, and teaches them to generate positive thoughts that can be used to replace negative cognitions. Furthermore, because treatments that focus on instigating active participation in reinforcing activities have been found to be efficacious for alleviating depression in adult samples, [32][33] our intervention also encourages participants to reengage in activities that used to give them pleasure (e.g., playing a favorite sport) and to partake in a wider variety of pleasurable activities to improve mood.…”

Section: Introductionmentioning

confidence: 99%

“…We based our program on the Clarke et al 30 intervention for high-risk dysthymic adolescents because it appeared to be the most promising extant program. Clarke et al 30 randomly assigned 150 high-risk adolescents to a 15-session CBT intervention or an assessment-only usual care control condition.…”

Section: Introductionmentioning

confidence: 99%

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Experimental test of the affect‐regulation theory of bulimic symptoms and substance use: A randomized trial

Burton

Stice

Bearman

et al. 2006

Intl J Eating Disorders

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Objective: Conduct a randomized trial to test whether a cognitive behavioral intervention designed to decrease depressive symptoms produces subsequent decreases in bulimic and substance use symptoms.Method: Female participants (N ¼ 145) with elevated depressive symptoms were randomly assigned to a 4-session depression intervention or a measurement-only condition and assessed through 6-month follow-up.Results: Relative to control participants, intervention participants showed decreases in depressive symptoms. Intervention participants also showed significantly greater reductions in bulimic symptoms, but not substance use, and change in depressive symptoms mediated this effect for bulimic symptoms. Conclusion:The results provide experimental support for the theory that affect disturbances contribute to bulimic pathology, but do not support the affect regulation theory of substance use. V V C 2006 by Wiley Periodicals, Inc.

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