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Behav Res Ther. 2016 Jul;82:21-7. doi: 10.1016/j.brat.2016.05.001. Epub 2016 May 3.

Pilot trial of a dissonance-based cognitive-behavioral group depression prevention with college students.

Author information

1
Oregon Research Institute, Eugene, USA. Electronic address: paulr@ori.org.
2
Oregon Research Institute, Eugene, USA.

Abstract

OBJECTIVE:

Conduct a pilot trial testing whether a new cognitive-behavioral (CB) group prevention program that incorporated cognitive-dissonance change principles was feasible and appeared effective in reducing depressive symptoms and major depressive disorder onset relative to a brochure control condition in college students with elevated depressive symptoms.

METHOD:

59 college students (M age = 21.8, SD = 2.3; 68% female, 70% White) were randomized to the 6-session Change Ahead group or educational brochure control condition, completing assessments at pretest, posttest, and 3-month follow-up.

RESULTS:

Recruitment and screening methods were effective and intervention attendance was high (86% attended all 6 sessions). Change Ahead participants showed medium-large reductions in depressive symptoms at posttest (M d = 0.64), though the effect attenuated by 3-month follow-up. Incidence of major depression onset at 3-month follow-up was 4% for Change Ahead participants versus 13% (difference ns).

CONCLUSIONS:

Change Ahead appears highly feasible and showed positive indications of reduced acute phase depressive symptoms and MDD onset relative to a minimal intervention control in this initial pilot. Given the brevity of the intervention, its apparent feasibility, and the lack of evidence-based depression prevention programs for college students, continued evaluation of Change Ahead appears warranted.

KEYWORDS:

Cognitive dissonance; Cognitive-behavioral; College students; Depression; Prevention

PMID:
27176493
PMCID:
PMC4891249
DOI:
10.1016/j.brat.2016.05.001
[Indexed for MEDLINE]
Free PMC Article

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