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Cited by 182Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentPsychological Treatments and Assessments

Brief cognitive-behavioral depression prevention program for high-risk adolescents outperforms two alternative interventions: a randomized efficacy trial

Open access
Stice, Eric, Rohde, Paul, Seeley, John R., Gau, Jeff M.·2008·Journal of Consulting and Clinical Psychology
DOI 10.1037/a0012645PMC PMC2553682
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Abstract

In this depression prevention trial, 341 high-risk adolescents (mean age = 15.6 years, SD = 1.2) with elevated depressive symptoms were randomized to a brief group cognitive-behavioral (CB) intervention, group supportive-expressive intervention, bibliotherapy, or assessment-only control condition. CB participants showed significantly greater reductions in depressive symptoms than did supportive-expressive, bibliotherapy, and assessment-only participants at posttest, though only the difference compared with assessment controls was significant at 6-month follow-up. CB participants showed significantly greater improvements in social adjustment and reductions in substance use at posttest and 6-month follow-up than did participants in all 3 other conditions. Supportive-expressive and bibliotherapy participants showed greater reductions in depressive symptoms than did assessment-only controls at certain follow-up assessments but produced no effects for social adjustment and substance use. CB, supportive-expressive, and bibliotherapy participants showed a significantly lower risk for major depression onset over the 6-month follow-up than did assessment-only controls. The evidence that this brief CB intervention reduced risk for future depression onset and outperformed alternative interventions for certain ecologically important outcomes suggests that this intervention may have clinical utility.

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  • Participatory experiences enhance intervention efficacy via guided skills practice in the natural environment.

    “It is important to incorporate participatory experiences such as these into the intervention to enhance overall efficacy via guided skills practice in the natural environment [99, 100].”

    From LIBER8 design and methods: An integrative intervention for loss of control eating among African American and White adolescent girls (2013) · cites this paper as [100]

    The Methods section (‘CB Depression Prevention Intervention’; page unavailable) says the program actively engaged adolescents, used in-session skills exercises, and assigned homework to help them apply skills in daily life. It also says interventions that actively engage participants are more effective than psychoeducation. The paper does not establish that guided practice in a natural environment was the mechanism that enhanced efficacy; its guided exercises were in-session, while daily-life application was assigned as homework. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Assigning homework between sessions allows skills learned to be practiced.

    “In addition, homework will be assigned between sessions so that the skills learned can be practiced [100].”

    From LIBER8 design and methods: An integrative intervention for loss of control eating among African American and White adolescent girls (2013) · cites this paper as [100]

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Research works printed but not linked: 1

  1. Treatment for Adolescents with Depression Study Team The Treatment for Adolescents with Depression Study (TADS): Short-Term Effectiveness and Safety Outcomes Journal of the American Medical Association 2004 292 807 820

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Related

Authors
Stice, E., Rohde, P., Seeley, J. R., & Gau, J. M.
Affiliations
Oregon Research Institute (US)
ORCID
Venue
Journal of Consulting and Clinical Psychology
Publisher
American Psychological Association (APA)
Published
2008
Volume
76
Issue
4
Pages
595-606
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
DOI
10.1037/a0012645
PMC
PMC2553682
OpenAlex
W1971467163
Cited by
182
References
61
Citations by year
2026: 2 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 12 · 2020: 6 · 2019: 10 · 2018: 9 · 2017: 11 · 2016: 15 · 2015: 17 · 2014: 10 · 2013: 13 · 2012: 18
FWCI
18.15
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (MH67183)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
depression prevention, high-risk adolescents, cognitive-behavioral intervention, brief group intervention, bibliotherapy, depressive symptoms, social adaptation, substance use, intervention efficacy
MeSH terms
Adolescent, Bibliotherapy, Culture, Major Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Personality Assessment, Psychotherapy, Brief, Psychotherapy, Group, Risk Factors, Social Adjustment, Social Environment, Social Support, Cognitive Behavioral Therapy

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