Prevention of Depression in At-Risk Adolescents
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Purpose
This study examines the impact of a group cognitive behavioral program aimed at preventing depressive disorders and symptoms in adolescents at risk for developing depression.
| Condition | Intervention |
|---|---|
|
Depression |
Behavioral: Cognitive-behavioral prevention program Other: Usual care |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Prevention of Depression in At-Risk Adolescents |
- Onset of a probable or definite depressive episodes (i.e., Depression Symptom Rating greater or equal to 4) [ Time Frame: Measured continuously through month 33 ] [ Designated as safety issue: No ]
- Number of depression-free days [ Time Frame: Measured continuously through Month 33 ] [ Designated as safety issue: No ]
| Enrollment: | 316 |
| Study Start Date: | March 2003 |
| Study Completion Date: | January 2009 |
| Primary Completion Date: | March 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Participants receive a group cognitive-behavioral prevention program
|
Behavioral: Cognitive-behavioral prevention program
Cognitive-behavioral prevention program includes 8 weekly and 6 monthly group sessions.
|
|
Active Comparator: 2
Participants receive usual care
|
Other: Usual care
Participants receive usual care
|
Detailed Description:
Depression is a prevalent, chronic, and impairing condition that is often undetected and becomes more difficult to treat as chronicity increases. There is an increasing need to conduct large-scale depression prevention studies in adolescents. This study evaluates a cognitive-behavioral prevention (CBP) program to determine its effectiveness in preventing depressive disorders in at-risk adolescents. The study also will ascertain the costs this intervention to inform attempts at future dissemination of the program in "real world" settings.
Participants in this study are randomly assigned to receive either CBP for eight weekly and 6 monthly continuation sessions or usual care. Depressive symptoms and disorders, levels of functioning, and medical and mental health care utilization are assessed at baseline and again at 2, 8, 20, and 32 months after intake.
Eligibility| Ages Eligible for Study: | 13 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- A parent has had a depressive disorder during child's life
- Adolescent has had a past depressive episode or has current subsyndromal depressive symptoms measured on the Center for Epidemiological Studies Depression Scale (CES-D)
Exclusion Criteria:
- adolescent or parent ever diagnosed with bipolar I or schizophrenia;
- adolescent has a current DSM-IV mood disorder diagnosis
Contacts and Locations| United States, Massachusetts | |
| Harvard University Medical School | |
| Boston, Massachusetts, United States, 02115-5794 | |
| United States, Oregon | |
| Kaiser Permanente Center for Health Research | |
| Portland, Oregon, United States, 97227 | |
| United States, Pennsylvania | |
| University of Pittsburgh Medical Center | |
| Pittsburgh, Pennsylvania, United States, 15213-2593 | |
| United States, Tennessee | |
| Vanderbilt University | |
| Nashville, Tennessee, United States, 37203-5721 | |
| Principal Investigator: | Judy Garber, PhD | Vanderbilt University |
More Information
No publications provided by Vanderbilt University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Judy Garber, Professor, Vanderbilt University |
| ClinicalTrials.gov Identifier: | NCT00073671 History of Changes |
| Other Study ID Numbers: | R01 MH64735, R01MH064735, DSIR 84-CTP |
| Study First Received: | December 2, 2003 |
| Last Updated: | March 26, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by Vanderbilt University:
|
Adolescent |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 18, 2013