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School-Based Primary Prevention of Depressive Symptomatology in Adolescents
Findings from Two Studies
Gregory N. Clarke
Oregon Health Sciences University
Wesley Hawkins
Johns Hopkins Medical School
Mary Murphy
Clackamas County Health Department, Oregon City, Oregon
Lisa Sheeber
University of Cincinnati
Two school-based primary prevention interventions for adolescent depressive symptomatology and disorder were examined in separate studies with high school samples of 9th and 10th-grade adolescents. In Study 1, a three-session educational intervention was associated with a short-term reduction in extreme-scoring cases of depressive symptoms among boys, but not girls, when compared to a randomly assigned control condition. However, this effect was not sustained over a 12-week follow-up period. In Study 2, a five-session behavioral skills training intervention, failed to demonstrate any differences compared to a random control condition. Neither of the two interventions had any effect on depression knowledge, attitudes toward treatment, or actual treatment seeking. The failure of these interventions to yield long-term effects is discussed in the context of successful prevention interventions for nonneurotic problem behaviors. The authors conclude that depression may be best prevented with a competency-based intervention targeting several disorders.
Journal of Adolescent Research, Vol. 8, No. 2,
183-204 (1993)
DOI: 10.1177/074355489382004
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