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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >The Family Check Up and Adolescent Depression: An Examination of Treatment Responders and Non-Responders
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The Family Check Up and Adolescent Depression: An Examination of Treatment Responders and Non-Responders

机译：家庭检查和青少年抑郁症：治疗响应者和非响应者的检查

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Abstract The Family Check Up (FCU) is a family-centered intervention for reducing children’s problem behavior through improving parenting skills and family interactions. Although the FCU was designed to prevent conduct problems, we have also found the program to be effective in preventing escalating symptoms of depression in early adolescence. The current analyses examine heterogeneous patterns of response to treatment in an effort to identify factors associated with differential response to family intervention. We examined heterogeneity in trajectories of youth-reported depressive symptoms from grades 6 to 9, using a Latent Growth Mixture Modeling framework to identify patterns of treatment response and non-response. Three symptom trajectories were identified, including the following: (1) a large class exhibiting stable, low symptom levels, (2) a class exhibiting high and stable depressive symptoms, and (3) a class exhibiting low initial symptoms that increased over time. Significant intervention effects were identified only among the third class, as a preventive effect on depression from 7th to 9th grade for youth with low initial symptoms. No effect of intervention was observed in the other two classes. Comparisons of classes 2 and 3 suggested that class 3 members were more likely to be females with high baseline antisocial behavior, but lower initial levels of depression. The findings suggest the importance of exploring heterogeneity within a prevention design, as well as the importance of tailored approaches to the prevention of adolescent depression.
机译：摘要家庭检查（FCU）是通过提高育儿技能和家庭互动来减少儿童问题行为的家庭中心干预。虽然FCU被旨在防止行为问题，但我们还发现该计划有效地预防青春期早期抑郁症状的症状。目前分析检查对治疗的反应的异质模式，以判断与对家庭干预的差异反应相关的因素。我们使用潜在的生长混合模拟框架检查青年报告的抑郁症状轨迹的异质性，以确定治疗反应模式和非反应模式。鉴定了三种症状轨迹，包括以下内容：（1）大类表现出稳定，低症状水平，（2）表现出高稳定抑郁症状的阶级，（3）一类表现出随时间的初始症状的阶级。只有在第三个课程中才确定了显着的干预效果，作为对青少年的第7至第9年级的抑郁症的预防效果，具有低初始症状。在其他两类中没有观察到干预的影响。课程2和3的比较建议，第3级成员更有可能成为具有高基线反社会行为的女性，但较低的抑郁症。研究结果表明，在预防设计中探索异质性的重要性，以及量身定制的方法对预防青少年抑郁症的重要性。

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