Int. J. Environ. Res. Public Health 2014, 11(5), 5113-5132; doi:10.3390/ijerph110505113
Article

Does the Absence of a Supportive Family Environment Influence the Outcome of a Universal Intervention for the Prevention of Depression?

1,* email, 2email, 3email, 4email, 5email, 6email and 7email
Received: 21 November 2013; in revised form: 30 April 2014 / Accepted: 5 May 2014 / Published: 13 May 2014
(This article belongs to the Special Issue Adolescent Depression Prevention)
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.
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.
Keywords: depression; anxiety; prevention; adolescents; school
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MDPI and ACS Style

Spence, S.H.; Sawyer, M.G.; Sheffield, J.; Patton, G.; Bond, L.; Graetz, B.; Kay, D. Does the Absence of a Supportive Family Environment Influence the Outcome of a Universal Intervention for the Prevention of Depression? Int. J. Environ. Res. Public Health 2014, 11, 5113-5132.

AMA Style

Spence SH, Sawyer MG, Sheffield J, Patton G, Bond L, Graetz B, Kay D. 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. 2014; 11(5):5113-5132.

Chicago/Turabian Style

Spence, Susan H.; Sawyer, Michael G.; Sheffield, Jeanie; Patton, George; Bond, Lyndal; Graetz, Brian; Kay, Debra. 2014. "Does the Absence of a Supportive Family Environment Influence the Outcome of a Universal Intervention for the Prevention of Depression?" Int. J. Environ. Res. Public Health 11, no. 5: 5113-5132.


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