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Int. J. Environ. Res. Public Health 2014, 11(4), 3803-3821; doi:10.3390/ijerph110403803
Article

Predictors of Prevention Failure in College Students Participating in Two Indicated Depression Prevention Programs

1,* , 2
, 3
 and 1
Received: 25 October 2013; in revised form: 6 March 2014 / Accepted: 24 March 2014 / Published: 4 April 2014
(This article belongs to the Special Issue Adolescent Depression Prevention)
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Abstract: The purpose of this study was to identify subgroups of university students with the highest likelihood of remaining at elevated levels of depressive symptoms six months following the receipt of a depressive prevention intervention on the basis of known risk factors and participation in one of two depression prevention programs. Data from a randomized controlled trial evaluating depression prevention among 133 college students with elevated depressive symptoms were analyzed. Participants were randomized to a cognitive-behavioral or relaxation training group preventive intervention. Classification tree analysis showed that older age was the strongest risk factor for persistently elevated depression. Additional risk factors were: (1) for younger students, fewer daily pleasant activities; (2) for those with higher level of pleasant activities, higher level of stressful events; and (3) for those with higher level of stressful events, lower assertiveness. Results offer directions for prevention foci, identify specific subgroups of college students to target for depression prevention efforts, and suggest that research aim to help older, non-traditional students or graduating students manage the transition from college to the work force.
Keywords: depression; prevention; risk factors; college students; classification tree analysis depression; prevention; risk factors; college students; classification tree analysis
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Blanco, V.; Rohde, P.; Vázquez, F.L.; Otero, P. Predictors of Prevention Failure in College Students Participating in Two Indicated Depression Prevention Programs. Int. J. Environ. Res. Public Health 2014, 11, 3803-3821.

AMA Style

Blanco V, Rohde P, Vázquez FL, Otero P. Predictors of Prevention Failure in College Students Participating in Two Indicated Depression Prevention Programs. International Journal of Environmental Research and Public Health. 2014; 11(4):3803-3821.

Chicago/Turabian Style

Blanco, Vanessa; Rohde, Paul; Vázquez, Fernando L.; Otero, Patricia. 2014. "Predictors of Prevention Failure in College Students Participating in Two Indicated Depression Prevention Programs." Int. J. Environ. Res. Public Health 11, no. 4: 3803-3821.



Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert