Effects of a Middle School Dating Violence Prevention Program on Depression at 5-Year Follow-Up.

IF 5.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2025-05-08 DOI:10.1016/j.jadohealth.2025.03.007

Jeff R Temple, Elizabeth R Baumler, Leila Wood

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引用次数: 0

Abstract

Purpose: We examined long-term mental health benefits of Fourth R, an intervention designed to teach healthy relationship skills and prevent adolescent relationship abuse. While we previously showed it to prevent relationship violence, the potential crossover effects on broader mental health outcomes, such as depression and anxiety, remain unexplored.

Methods: We randomized Texas middle schools to receive either Fourth R (n = 12; n = 1,332) or standard health curricula (n = 12; n = 1,533) and assessed racially/ethnically diverse participants at baseline and 5 years postintervention.

Results: After accounting for age, gender, race/ethnicity, adverse childhood experiences, and baseline distress, we found that students receiving the intervention were less likely to be depressed at the 5-year follow-up (odds ratio = 0.69, 95% confidence interval: 0.49, 0.97) compared to students in control schools.

Discussion: Findings suggest that promoting healthy relationship skills in middle school can have enduring benefits for mental health, offering schools a cost-effective way to address multiple behavioral health challenges.

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中学约会暴力预防项目对抑郁症5年随访的影响。

目的：我们研究了第四R的长期心理健康益处，这是一种旨在教授健康关系技巧和预防青少年关系滥用的干预措施。虽然我们之前证明了它可以防止关系暴力，但对更广泛的心理健康结果（如抑郁和焦虑）的潜在交叉影响仍未被探索。方法：我们将德克萨斯州的中学随机化，接受第四R (n = 12；N = 1332)或标准卫生课程(N = 12；N = 1533)，并在基线和干预后5年对不同种族/民族的参与者进行评估。结果：在考虑了年龄、性别、种族/民族、不良童年经历和基线困扰等因素后，我们发现，与对照学校的学生相比，接受干预的学生在5年随访中患抑郁症的可能性更低（优势比= 0.69,95%可信区间：0.49,0.97）。讨论：研究结果表明，在中学促进健康的人际关系技巧可以对心理健康产生持久的好处，为学校提供了一种经济有效的方式来应对多种行为健康挑战。

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 Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.