Preventing depression and promoting resilience: feasibility study of a school-based cognitive-behavioural intervention.

The British journal of psychiatry. Supplement Pub Date : 2013-01-01 DOI:10.1192/bjp.bp.112.119172

Paul Stallard, Rhiannon Buck

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Abstract

Background: The limited reach and effectiveness of psychological treatments for adolescent depression have fuelled interest in alternative approaches designed to promote resilience. Schools offer a convenient location for the widespread delivery of depression prevention programmes, although little research has evaluated the feasibility of delivering interventions in this setting.

Aims: To investigate the feasibility of delivering and evaluating a universal school-based depression prevention programme for children aged 12-16 years.

Method: A three-arm pilot study was conducted in one UK secondary school (n = 834).

Results: Interventions had good reach (96%), with high rates of consent (89%) and reasonable retention (78%). The majority of intervention sessions were delivered as intended, with 85% of students attending seven or more sessions. The programme was acceptable to students and teachers, with the specific content of the active intervention being rated differently from the control programmes.

Conclusions: Delivering and undertaking methodologically robust evaluations of universal school-based depression programmes is feasible.

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预防抑郁和促进心理弹性：基于学校的认知行为干预的可行性研究。

背景：青少年抑郁症心理治疗的有限范围和有效性激发了人们对旨在促进心理弹性的替代方法的兴趣。学校为广泛开展抑郁症预防项目提供了一个便利的地点，尽管很少有研究评估在这种情况下实施干预措施的可行性。目的：探讨在12-16岁儿童中实施和评估一项普遍的以学校为基础的抑郁症预防计划的可行性。方法：在英国一所中学进行了一项三臂试验研究（n = 834）。结果：干预效果良好（96%），同意率高（89%），保留率合理（78%）。大多数干预课程都按照预期进行，85%的学生参加了七次或更多的干预课程。该方案是学生和教师可以接受的，积极干预的具体内容被评为不同于控制方案。结论：对普遍的以学校为基础的抑郁症项目进行方法学上强有力的评估是可行的。

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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The British journal of psychiatry. Supplement

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