Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression?

Spence, Susan H., Sawyer, Michael G., Sheffield, Jeanie, Patton, George, Bond, Lyndal, Graetz, Brian and Kay, Debra (2014) Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression?. International Journal of Environmental Research and Public Health, 11 5: 5113-5132. doi:10.3390/ijerph110505113


Author Spence, Susan H.
Sawyer, Michael G.
Sheffield, Jeanie
Patton, George
Bond, Lyndal
Graetz, Brian
Kay, Debra
Title Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression?
Journal name International Journal of Environmental Research and Public Health   Check publisher's open access policy
ISSN 1661-7827
1660-4601
Publication date 2014-05-13
Sub-type Article (original research)
DOI 10.3390/ijerph110505113
Open Access Status DOI
Volume 11
Issue 5
Start page 5113
End page 5132
Total pages 20
Place of publication Basel, Switzerland
Publisher Molecular Diversity Preservation International
Collection year 2015
Language eng
Abstract To date, universal, school-based interventions have produced limited success in the long-term prevention of depression in young people. This paper examines whether family relationship support moderates the outcomes of a universal, school-based preventive intervention for depression in adolescents. It reports a secondary analysis of data from the beyondblue schools research initiative. Twenty-five matched pairs of secondary schools were randomly assigned to an intervention or control condition (N = 5633 Grade 8 students). The multi-component, school-based intervention was implemented over a 3-year period, with 2 years of follow-up in Grades 11 and 12. For those available at follow-up, small but significantly greater reductions in depressive and anxiety symptoms and improvements in emotional wellbeing were found over time for the intervention group compared to the control among those who experienced low family relationship support in Grade 8. For those who did not experience low family relationship support in Grade 8, no significant effects of the invention were found over the control condition. This pattern of results was also found for the intent-to-treat sample for measures of depression and anxiety. Previous research may have overlooked important moderating variables that influence the outcome of universal approaches to the prevention of depression. The findings raise issues of the relative costs and benefits of universal versus targeted approaches to the prevention of depression.
Keyword Adolescents
Anxiety
Depression
Prevention
School
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
 
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