@article{ref1,
title="Randomized clinical trial of a primary care internet-based intervention to prevent adolescent depression: One-year outcomes",
journal="Journal of the Canadian Academy of Child and Adolescent Psychiatry",
year="2013",
author="Saulsberry, Alexandria and Marko-Holguin, Monika and Blomeke, Kelsey and Hinkle, Clayton and Fogel, Joshua and Gladstone, Tracy R. G. and Bell, Carl and Reinecke, Mark and Corden, Marya and Van Voorhees, Benjamin W.",
volume="22",
number="2",
pages="106-117",
abstract="We developed a primary care/Internet-based intervention for adolescents at risk for depression (CATCH-IT, Competent Adulthood Transition with Cognitive-behavioral, Humanistic and Interpersonal Training). This phase II clinical trial compares two forms of primary care provider (PCP) engagement (motivational interview [MI] and brief advice [BA]) for adolescents using the Internet program. METHOD: ADOLESCENTS SCREENING POSITIVE FOR DEPRESSION WERE RECRUITED FROM PRIMARY CARE PRACTICES AND RANDOMLY ASSIGNED TO A VERSION OF THE INTERVENTION: PCP MI + Internet program or PCP BA + Internet program. Between-group and within-group comparisons were conducted on depressive disorder outcome measures at baseline and one-year post-enrollment. Regression analyses examined factors predicting declines in depressed mood. RESULTS: Both groups demonstrated significant within-group decreases in depressed mood, loneliness, and self-harm ideation. While no between-group differences were noted in depressed mood or depressive disorder measures at one-year, fewer participants in the MI group had experienced a depressive episode. Greater participant automatic negative thoughts and more favorable ratings of a component of the Internet-based training experience predicted declines in depressed mood at one-year. CONCLUSIONS: A primary care/Internet-based intervention for depression prevention demonstrated sustained reductions in depressed mood, and, when coupled with motivational interviewing, reduction in the likelihood of being diagnosed with a depressive episode. This tool may help extend the services at the disposal of a primary care provider and can provide a bridge for adolescents at risk for depression prior to referral to mental health specialists. KEYWORDS: Internet, adolescent depression, prevention and intervention, primary care<p /> <p>Language: en</p>",
language="en",
issn="1719-8429",
doi="",
url="http://dx.doi.org/"
}