TY  - JOUR
PY  - 2013//
TI  - Randomized clinical trial of a primary care internet-based intervention to prevent adolescent depression: One-year outcomes
JO  - Journal of the Canadian Academy of Child and Adolescent Psychiatry
A1  - Saulsberry, Alexandria
A1  - Marko-Holguin, Monika
A1  - Blomeke, Kelsey
A1  - Hinkle, Clayton
A1  - Fogel, Joshua
A1  - Gladstone, Tracy R. G.
A1  - Bell, Carl
A1  - Reinecke, Mark
A1  - Corden, Marya
A1  - Van Voorhees, Benjamin W.
SP  - 106
EP  - 117
VL  - 22
IS  - 2
N2  - 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>
LA  - en
SN  - 1719-8429
UR  - http://dx.doi.org/
ID  - ref1
ER  -