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No long-lasting effects of classroom-based cognitive behavioural and interpersonal prevention programmes on depressive symptoms in adolescents

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Jason L Horowitz

Correspondence to: Jason L Horowitz, University of Minnesota, Department of Psychiatry, F256 2B West, 2450 Riverside Avenue, Minneapolis, MN 55454, USA; horow015@umn.edu

QUESTION

Question:

Are cognitive behavioural and interpersonal prevention programmes effective for preventing depressive symptoms in adolescents?

Patients:

380 adolescents (average age 14.4 years) attending wellness classes in high school. These adolescents were not selected on the basis of having depressive symptoms or being at risk for depression.

Setting:

Three high schools, Tennessee, USA; 2004–5.

Intervention:

Cognitive behavioural programme (CB-P), interpersonal psychotherapy-adolescent skills training programme (IPT-P), or no intervention (control). The prevention programmes were given in small groups (8–15 students) as weekly 90 minute sessions for eight weeks as part of wellness classes. Participants in the control group received their standard wellness curriculum (details not given).

Outcomes:

Depressive symptoms (Children’s Depression Inventory (CDI) minus question about suicidal ideation, Center for Epidemiological Studies Depression …

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