Psychological and educational interventions for preventing depression in children and adolescents

Abstract

Background Depression is common in young people, has a marked negative impact and is associated with self-harm and suicide. Preventing its onset would be an important advance in public health. Objectives To determine whether psychological or educational interventions, or both, are effective in preventing the onset of depressive disorder in children and adolescents. Search methods The Cochrane Depression, Anxiety and Neurosis Review Group's trials registers (CCDANCTR) were searched at the editorial base in July 2010. Update searches of MEDLINE, EMBASE, PsycINFO and ERIC were conducted by the authors in September 2009. Conference abstracts, reference lists of included studies and reviews were searched and experts in the field contacted. Selection criteria Randomised controlled trials of psychological or educational prevention programmes, or both, compared with placebo, any comparison intervention, or no intervention for young people aged 5 to 19 years-old, who did not currently meet diagnostic criteria for depression or who were below the clinical range on standardised, validated, and reliable rating scales of depression, or both, were included. Data collection and analysis Two authors independently assessed studies for inclusion and rated their quality. Sample sizes were adjusted to take account of cluster designs and multiple comparisons. We contacted study authors for additional information where needed. 1 Psychological and educational interventions for preventing depression in children and adolescents (Review)

Prevención de la depresión en niños y adolescentes: Revisión y reflexión [Prevention of depression in children and adolescents: Review and reflection]

“…Las características del contenido de la intervención (por ejemplo, un enfoque en la formación de resolución de prob lemas o la reducción de co gniciones negativas) y su diseño (por ejemplo, el uso o no de asignación aleatoria y la evaluación mediante entrevistas estructuradas o sin ellas) era independiente de los tamaños del efecto. Merry et al (2011) 53 estudios 1. Se halló una reducción significativa del riesgo de tener un trastorno depresivo tras la intervención y en los seguimientos a los 3, 9 y 12 meses.…”

Promoción de la resiliencia en niños con sintomatología depresiva

“…Positive effects on personal and social outcomes have been found for some depression prevention programs (Merry et al, 2011). Moreover, some evidence has been found that preventive interventions for depression can be effective strategies for health savings (Mihalopoulos et al, 2011).…”

“…In a recent meta-analysis of Merry, Hetrick, Cox, Brudevold-Iversen & McDowell (2011), concluded that there is sufficient evidence to say that prevention programs for depression, targeted and universal, can prevent the onset of depressive disorders. For an even more recent review see .…”

JGZ-richtlijn Psychosociale problemen

“…Bij het voorkomen en verminderen van emotionele problemen bij kinderen en jeugdigen maken de meeste interventies gebruik van cognitieve gedragstherapie (Van Rooijen & Ince, 2013;Bienvenu & Ginsburg, 2007;Ginsburg, 2004;Horowitz & Garber, 2006;Meijer, Smit, Schoemaker & Cuijpers, 2006;Barrett & Turner, 2004;Merry, Hetrick, Cox, Brudevold-Iversen, Bir & McDowell, 2011;Mychailyszyn e.a., 2012). De adviezen die de JGZ geeft aan ouders en kind kunnen gestoeld worden op deze aanpak.…”