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J Consult Clin Psychol. 2006 Feb;74(1):66-79.

Evaluation of universal, indicated, and combined cognitive-behavioral approaches to the prevention of depression among adolescents.

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School of Psychology, University of Queensland, Brisbane, QLD, and Royal North Shore Hospital, St. Leonards, New South Wales, Australia.


A cluster, stratified randomized design was used to evaluate the impact of universal, indicated, and combined universal plus indicated cognitive- behavioral approaches to the prevention of depression among 13- to 15-year-olds initially reporting elevated symptoms of depression. None of the intervention approaches differed significantly from a no-intervention condition or from each other on changes in depressive symptoms, anxiety, externalizing problems, coping skills, and social adjustment. All high-symptom students, irrespective of condition, showed a significant decline in depressive symptoms and improvement in emotional well-being over time although they still demonstrated elevated levels of psychopathology compared with the general population of peers at 12-month follow-up. There were also no significant intervention effects for the universal intervention in comparison with no intervention for the total sample of students in those conditions.

[Indexed for MEDLINE]

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