Cognitive and interpersonal moderators of two evidence-based depression prevention programs.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-04-18 DOI:10.1037/ccp0000886

Jason D Jones, Karen T G Schwartz, Molly Davis, Robert Gallop, B. Hankin, Jami F. Young

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Abstract

OBJECTIVE To test potential cognitive and interpersonal moderators of two evidence-based youth depression prevention programs. METHOD Two hundred four adolescents (Mage = 14.62 years, SD = 1.65; 56% female; 71% White, 11% Black, 11% multiracial, 5% Asian, 2% other races, 18% Hispanic/Latinx) were randomized to either a cognitive-behavioral (Coping With Stress [CWS]) or interpersonal (Interpersonal Psychotherapy-Adolescent Skills Training [IPT-AST]) prevention program. Potential moderators, selected based on theory and research, included rumination, negative cognitive style, dysfunctional attitudes, hopelessness, parent-adolescent conflict, negative interactions with parents and friends, and social support from parents and friends. Depression symptoms were assessed repeatedly through 18 months postintervention. RESULTS After adjusting for multiple comparisons, rumination (B = -2.02, SE = .61, p = .001, d = .47), hopelessness (B = -2.03, SE = .72, p = .005, d = .41), and conflict with father (B = 1.68, SE = .74, p = .02, d = .32) moderated intervention effects on change in depression symptoms from postintervention through 18-month follow-up. For example, at high levels of conflict with father, youth in IPT-AST reported a significant decrease in symptoms during follow-up, whereas youth in CWS reported a nonsignificant change in symptoms. At low levels of conflict with father, youth in IPT-AST reported a significant increase in symptoms during follow-up, whereas youth in CWS reported a nonsignificant change in symptoms. CONCLUSIONS These exploratory secondary analyses of Personalized Depression Prevention study data highlight specific cognitive and interpersonal risk factors that could be considered when determining which prevention program may be most effective for a given adolescent. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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两个以证据为基础的抑郁症预防计划的认知和人际调节因素。

目的测试两种基于证据的青少年抑郁症预防计划的潜在认知和人际调节因素。方法将 244 名青少年（平均年龄 = 14.62 岁，标准差 = 1.65；56% 为女性；71% 为白人，11% 为黑人，11% 为多种族，5% 为亚洲人，2% 为其他种族，18% 为西班牙裔/拉丁裔）随机分配到认知行为（应对压力 [CWS]）或人际（人际心理疗法-青少年技能培训 [IPT-AST]）预防计划中。根据理论和研究选取的潜在调节因素包括反刍、消极认知风格、功能失调态度、绝望、父母与青少年冲突、与父母和朋友的消极互动以及父母和朋友的社会支持。结果经多重比较调整后，反刍（B = -2.02，SE = .61，p = .001，d = .47）、绝望（B = -2.03，SE = .72，p = .005，d = .41）和与父亲的冲突（B = 1.68，SE = .74，p = .02，d = .32）调节了干预对干预后至 18 个月随访期间抑郁症状变化的影响。例如，在与父亲冲突程度较高的情况下，接受 IPT-AST 的青少年在随访期间的症状明显减少，而接受 CWS 的青少年的症状变化则不明显。结论这些对个性化抑郁预防研究数据的探索性二次分析强调了在确定哪种预防计划对特定青少年最有效时可以考虑的特定认知和人际风险因素。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.