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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Two-Year Impact of Prevention Programs on Adolescent Depression: an Integrative Data Analysis Approach
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Two-Year Impact of Prevention Programs on Adolescent Depression: an Integrative Data Analysis Approach

机译：预防计划对青少年抑郁症的两年影响：一种综合数据分析方法

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Abstract This paper presents the first findings of an integrative data analysis of individual-level data from 19 adolescent depression prevention trials ( n ?=?5210) involving nine distinct interventions across 2?years post-randomization. In separate papers, several interventions have been found to decrease the risk of depressive disorders or elevated depressive/internalizing symptoms among youth. One type of intervention specifically targets youth without a depressive disorder who are at risk due to elevated depressive symptoms and/or having a parent with a depressive disorder. A second type of intervention targets two broad domains: prevention of problem behaviors, which we define as drug use/abuse, sexual risk behaviors, conduct disorder, or other externalizing problems, and general mental health. Most of these latter interventions improve parenting or family factors. We examined the shared and unique effects of these interventions by level of baseline youth depressive symptoms, sociodemographic characteristics of the youth (age, sex, parent education, and family income), type of intervention, and mode of intervention delivery to the youth, parent(s), or both. We harmonized eight different measures of depression utilized across these trials and used growth models to evaluate intervention impact over 2?years. We found a significant overall effect of these interventions on reducing depressive symptoms over 2?years and a stronger impact among those interventions that targeted depression specifically rather than problem behaviors or general mental health, especially when baseline symptoms were high. Implications for improving population-level impact are discussed.
机译：摘要本文介绍了来自19名青少年抑郁症预防试验（n？= 5210）的各个级数据的综合数据分析的第一个发现，涉及九年后的九个不同干预措施。在单独的论文中，已经发现一些干预措施降低了青年中抑郁症或抑郁/内化症状的风险。一种介入的干预特异性针对青春期而没有由于抑郁症状升高和/或具有抑郁症的父母，患有风险的抑郁症。第二种类型的干预目标是两个广泛的域名：预防问题行为，我们将其定义为药物使用/滥用，性风险行为，进行疾病或其他外化问题，以及一般的心理健康。这些后一种干预中的大多数改善了育儿或家庭因素。通过基线青年抑郁症状，青年（年龄，性别，家长教育和家庭收入），干预类型以及对青年的干预方式，父母的父母的类型，父母，父母的干预类型和父母的干预方式（s）或两者。我们在这些试验中统一了八种不同的抑郁措施，并使用增长模型来评估2多年的干预措施。我们发现这些干预措施对减少抑郁症状的显着整体效果，减少了2年的抑郁症状，并且在那些针对抑郁症的干预措施的更强烈影响，特别是当基线症状高时，患有抑郁症的干预措施。讨论了提高人口级别影响的影响。

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