A meta-analytic review of depression prevention programs for children and adolescents: factors that predict magnitude of intervention effects.

Abstract:

:In this meta-analytic review, the authors summarized the effects of depression prevention programs for youth as well as investigated participant, intervention, provider, and research design features associated with larger effects. They identified 47 trials that evaluated 32 prevention programs, producing 60 intervention effect sizes. The average effect for depressive symptoms from pre-to-posttreatment (r = .15) and pretreatment to-follow-up (r = .11) were small, but 13 (41%) prevention programs produced significant reductions in depressive symptoms and 4 (13%) produced significant reductions in risk for future depressive disorder onset relative to control groups. Larger effects emerged for programs targeting high-risk individuals, samples with more females, samples with older adolescents, programs with a shorter duration and with homework assignments, and programs delivered by professional interventionists. Intervention content (e.g., a focus on problem-solving training or reducing negative cognitions) and design features (e.g., use of random assignment and structured interviews) were unrelated to effect sizes. Results suggest that depression prevention efforts produce a higher yield if they incorporate factors associated with larger intervention effects (e.g., selective programs with a shorter duration that include homework).

journal_name

J Consult Clin Psychol

authors

Stice E,Shaw H,Bohon C,Marti CN,Rohde P

doi

10.1037/a0015168

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

486-503

issue

3

eissn

0022-006X

issn

1939-2117

pii

2009-08093-011

journal_volume

77

pub_type

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