Cited by 132Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentPsychological Treatments and Assessments

Efficacy trial of a brief cognitive-behavioral depression prevention program for high-risk adolescents: effects at 1- and 2-year follow-up

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Stice, Eric, Rohde, Paul, Gau, Jeff M., Wade, Emily·2010·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: To evaluate the effects of a brief group cognitive-behavioral (CB) depression prevention program for high-risk adolescents with elevated depressive symptoms at 1- and 2-year follow-up. METHOD: In this indicated prevention trial, 341 at-risk youths were randomized to a group CB intervention, group supportive expressive intervention, CB bibliotherapy, or educational brochure control condition. RESULTS: Significantly greater reductions in depressive symptoms were shown by group CB participants relative to brochure control participants by 1-year follow-up and bibliotherapy participants by 1- and 2-year follow-up but not relative to supportive expressive participants. Supportive expressive participants showed greater symptom reduction than CB bibliotherapy participants did at 2-year follow-up. Risk for onset of major or minor depression over the 2-year follow-up was significantly lower for group CB participants (14%; odds ratio = 2.2) and CB bibliotherapy participants (3%; odds ratio = 8.1) than for brochure controls (23%). CONCLUSIONS: Results indicate that this group CB intervention reduces initial symptoms and risk for future depressive episodes, although both supportive expressive therapy and CB bibliotherapy also produce intervention effects that persist long term. Indeed, CB bibliotherapy emerged as the least expensive method of reducing risk for future episodes of depression.

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  • Bibliotherapy did not show significant improvement in initial depressive symptoms in the Rohde et al. RCT.

    “While the study suggests that bibliotherapy might have potential for long-term depression prevention and may be cost-effective (approximately $8 per participant), it did not show significant improvement in initial depressive symptoms.”
  • Bibliotherapy might have potential for long-term depression prevention.

    “While the study suggests that bibliotherapy might have potential for long-term depression prevention and may be cost-effective (approximately $8 per participant), it did not show significant improvement in initial depressive symptoms.”
  • Bibliotherapy may be cost-effective (approximately $8 per participant).

    “While the study suggests that bibliotherapy might have potential for long-term depression prevention and may be cost-effective (approximately $8 per participant), it did not show significant improvement in initial depressive symptoms.”
  • In a large-scale RCT by Rohde et al., after a two-year follow-up, the incidence of new-onset depression was 3% in the bibliotherapy group, lower than in the group CBT (14%) and control (23%) groups.

    “After a two-year follow-up, the incidence of new-onset depression in the bibliotherapy group was 3%, lower than in the group CBT (14%) and control (23%) groups.”
  • Baseline differences among groups in the Rohde et al. RCT may have influenced the outcomes.

    “Moreover, baseline differences among groups may have influenced the outcomes (45).”

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1 of the 42 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Gillham JE Reivich KJ Freres DR Lascher M Litzinger S Shatte A Seligman ME 2006 School-based prevention of depression and anxiety symptoms in early adolescence: A pilot of a parent intervention component School Psychology Quarterly 21 323 348b

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Authors
Stice, E., Rohde, P., Gau, J. M., & Wade, E.
Affiliations
  • The University of Texas at Austin (US)
  • Oregon Research Institute (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2010
Volume
78
Issue
6
Pages
856-867
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2074214033
Cited by
131
References
42
Citations by year
2026: 3 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 6 · 2019: 8 · 2018: 10 · 2017: 16 · 2016: 11 · 2015: 11 · 2014: 9 · 2013: 11 · 2012: 15
FWCI
12.56
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (MH67183; MH80853)
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, cognitive behavioral therapy, adolescents, at-risk youth, depressive symptoms, bibliotherapy, supportive-expressive therapy, long-term follow-up, cost-effectiveness
MeSH terms
Adolescent, Analysis of Variance, Bibliotherapy, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Psychotherapy, Brief, Risk Factors, Severity of Illness Index, Cognitive Behavioral Therapy, Odds Ratio, Treatment Outcome, Young Adult

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