A whole-of-society approach to depression prevention during the global pandemic: Preliminary data from three large-scale trials.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2025-04-01 Epub Date: 2025-02-17 DOI:10.1037/ccp0000938

Tracy R G Gladstone, Patrick Pössel, Cheryl Lefaiver, Kristin L Berg, Kristen Kenan, Katherine R Buchholz, Iulia Mihaila, Marian L Fitzgibbon, Brianna Sheppard, Hélène A Gussin, Cathy Joyce, Huma Khan, Jason Canel, Michael Gerges, Michael Berbaum, Linda Schiffer, Kathleen R Diviak, Matthew Lowther, Rebecca T Feinstein, Amanda Knepper, Erica Plunkett, Katherine Lashway, Pia M Montenegro, Amy Kane, Yang Liu, Aubrey Thornton, Eleanor Powell, Emily Pela, Caterina Patriarca, Ashley McHugh, Mathew Chong, Calvin Rusiewski, Shion Kabasele, Allen Shi, Patrick Ryczek, Kenneth Rasinski, Benjamin W Van Voorhees

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引用次数: 0

Abstract

Objective: Despite the prevalence of depressive disorders among youth, there is no health system model to address the prevention of these disorders.

Method: With the goal of creating effective, tolerable, and scalable interventions for the prevention of adolescent depression, we have fielded three randomized clinical trials, centered in health care delivery organizations that use a whole-of-society approach: (a) Path 2 Purpose (N = 664), comparing the Competent Adulthood Transition with Cognitive Behavioral, Humanistic, and Interpersonal Training (CATCH-IT; B. W. Van Voorhees et al., 2015), guided digital health intervention to a synchronous mental health specialist-led group cognitive behavioral intervention, Coping with Depression Course-Adolescent; (b) PATHway (N = 400), examining the efficacy of the CATCH-IT components; and (c) Behavioral Health Stratified Treatment (N = 780), which examines the feasibility and potential benefit of a coordinated care, risk stratification, and intervention matching approach for adolescents with intellectual and developmental disabilities using both CATCH-IT (lower risk) and the Coping with Depression Course-Adolescent (higher risk).

Results: The study samples for all three trials include youth from traditionally underrepresented groups (71.8%) with some economic distress (47.6%). Intervention utilization was moderate across trials. Feedback from study teams reveals general barriers to implementation and challenges specific to the pandemic.

Conclusions: We review these trials, report preliminary data on demographics and intervention utilization, and provide feedback from study teams on implementation challenges encountered. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

全球大流行期间预防抑郁症的全社会方法：来自三个大规模试验的初步数据。

目的：尽管青少年抑郁症的患病率，没有卫生系统模型来解决这些疾病的预防。方法：为了创造有效的、可容忍的、可扩展的干预措施来预防青少年抑郁症，我们进行了三个随机临床试验，以使用全社会方法的卫生保健服务组织为中心：(a)路径2目的（N = 664），比较成年胜任过渡与认知行为、人文主义和人际关系训练(CATCH-IT；b.w. Van Voorhees等人，2015)，指导数字健康干预同步心理健康专家领导的群体认知行为干预，应对抑郁症课程-青少年；(b) PATHway (N = 400)，检查CATCH-IT成分的功效；(c)行为健康分层治疗（N = 780），研究采用CATCH-IT（低风险）和青少年应对抑郁课程（高风险）对智力和发育障碍青少年进行协调护理、风险分层和干预匹配方法的可行性和潜在效益。结果：所有三个试验的研究样本都包括来自传统上代表性不足的群体（71.8%）的年轻人，他们有一些经济困难（47.6%）。在所有试验中，干预措施的使用是中等的。研究小组的反馈揭示了实施的一般障碍和大流行特有的挑战。结论：我们回顾了这些试验，报告了人口统计学和干预措施利用的初步数据，并提供了研究小组对实施中遇到的挑战的反馈。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.