Category: Child / Adolescent - Depression

Symposium

Symposium 59 - Prevention of Depressive Disorders Among "At-Risk" Adolescents

Friday, November 17
3:45 PM - 5:15 PM
Location: Indigo Ballroom B, Level 2, Indigo Level

Keywords: Adolescent Depression | Prevention | School
Presentation Type: Symposium

Title:  Prevention of Depressive Disorders among “At risk” Adolescents


 


Abstract Body:


 


            Despite the wide spread knowledge of the prevalence of depression and the development of efficacious acute treatments (Craighead et al., 2017a), Major Depressive Disorder (MDD) is now the second leading cause of disability worldwide (Ferrari et al., 2013), with a lifetime prevalence of ~17% (Kessler et al., 2005). Initial episodes of MDD increase during adolescence and grow from about 2% of the population having an MDE by age 14 to approximately 15% by age 18. During middle adolescence, the ratio of depressed females to males increases to about 2:1 (Hankin et al., 1998).


 


            MDD is associated with increased substance abuse, greater health service utilization, academic failure, interpersonal problems, suicide, and delays in “normative” patterns of neural connectivity (Casey et al., 2008; Geidd et al., 1999). Therefore, it is important to prevent depressive episodes so that normal neural development can continue, social and academic skills can advance, and genetically vulnerable individuals can avoid early onset or ever having MDD at all.


 


Evidence is increasing that MDD can be prevented or at least forestalled. Meta-analyses have found limited evidence of the effectiveness of programs targeting universal sample, somewhat stronger support for selective samples, and the strongest support for indicated samples (e.g., Merry et al., 2011; Werner-Seidler et al., 2017). This symposium includes three papers focused on the prevention of depression and identification of moderators and mediators of prevention programs.


 


Presentation 1 will report on a culturally adapted program that prevented the initial episode of MDD over a 2-year period in a group of 168 Portuguese adolescents at risk for an initial episode of depression. In addition to the successful prevention program, replicating the authors’ prior work in Iceland, genetic and clinical markers of the prevention response will be reported.


 


Presentation 2 will report on the prevention of relapse of MDD by studying at-risk teens who engage in a technology-based intervention through primary care. Participants included a widely-diverse group of individuals, demonstrating the external validity of their prevention program.  


 


Presentation 3 evaluated a model in which improvements in cognitive style mediated effects of a cognitive behavioral prevention program on adolescent depression and early-adulthood well-being. At risk adolescents (N=316) were assessed 5 times over 33 months. Early improvements in cognitive style predicted long-term benefits in emotional well-being in early adulthood.


 


The discussant will present a critique and integration of the findings from the three presentations. Twenty minutes will be saved for questions and discussion with the audience.


 


The symposium addresses the theme of the convention by presenting data relevant to effectiveness and mechanisms of change obtained across contexts in studying dissemination of CBT with diverse populations, settings, and professions.


 


 

Learning Objectives:

Ed Craighead

J. Rex Fuqua Professor, Department of Psychiatry and Behavioral Sciences and Department of Psychology
Emory University

Presentation(s):

Send Email for Ed Craighead

Judy Garber

Professor
Vanderbilt University

Presentation(s):

    Send Email for Judy Garber

    V. Robin Weersing

    Professor
    San Diego State University

    Presentation(s):

    Send Email for V. Robin Weersing

    Ed Craighead

    J. Rex Fuqua Professor, Department of Psychiatry and Behavioral Sciences and Department of Psychology
    Emory University

    Presentation(s):

    Send Email for Ed Craighead

    Tracy Gladstone

    Professor
    Wellesley Centers for Women, Wellesley College

    Presentation(s):

    Send Email for Tracy Gladstone

    Steven Brunwasser

    Vanderbilt University

    Presentation(s):

    Send Email for Steven Brunwasser


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