Abstract
This paper reports on school and social functioning outcomes in a randomized depression prevention study that compared Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) with usual school counseling (SC). Outcome analyses were performed utilizing hierarchical linear models and mixed model analysis of variance. IPT-AST adolescents had significantly greater improvements than SC adolescents in total social functioning and friend functioning during the intervention. IPT-AST adolescents also demonstrated improvements in school, dating, and family functioning and emotional engagement in school, although these improvements were not significantly greater than seen in SC adolescents. Finally, in the 18 months following the intervention, IPT-AST adolescents were less likely than SC adolescents to be asked to leave school for academic or behavioral reasons. These findings extend the potential range of impact of depression prevention programs such as IPT-AST and provide preliminary evidence of the benefits of these programs on school and social functioning.
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Alexander, K. L., Entwisle, D. R., & Horsey, C. S. (1997). From first grade forward: Early foundations of high school dropout. Sociology of Education, 70, 87–107.
Anderman, E. M. (2002). School effects on psychological outcomes during adolescence. Journal of Educational Psychology, 94, 795–809.
Andrews, B., & Wilding, J. M. (2004). The relation of depression and anxiety to life-stress and achievement in students. British Journal of Psychology, 95, 509–521.
Asarnow, J. R., Jaycox, L. H., Duan, N., LaBorde, A. P., Rea, M. M., Tang, L., et al. (2005). Depression and role impairment among adolescents in primary care clinics. Journal of Adolescent Health, 37, 477–483.
Berndt, E. R., Koran, L. M., Finkelstein, S. N., Gelenberg, A. J., Kornstein, S. G., Miller, I. M., et al. (2000). Lost human capital from early-onset chronic depression. The American Journal of Psychiatry, 157(6), 940–947.
Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., et al. (1996). Childhood and adolescent depression: A review of the past 10 years, part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1427–1439.
Brendgen, M., Wanner, B., Morin, A. J. S., & Vitaro, F. (2005). Relations with parents and with peers, temperament, and trajectories of depressed mood during early adolescence. Journal of Abnormal Child Psychology, 33, 579–594.
Clarke, G. N., Hawkins, W., Murphy, M., Sheeber, L. A., Lewinsohn, P. M., & Seeley, J. R. (1995). Targeted prevention of unipolar depressive disorder in an at-risk sample of high school adolescents: A randomized trial of a group cognitive intervention. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 312–321.
Colman, I., Wadsworth, M. E. J., Croudace, T. J., & Jones, P. B. (2007). Forty-year psychiatric outcomes following assessment for internalizing disorder in adolescence. American Journal of Psychiatry, 164, 126–133.
Compas, B. E., Connor, J., & Wadsworth, M. (1997). Prevention of depression. In R. P. Weissberg, T. P. Gullota, R. L. Hampton, B. A. Ryan, & G. R. Adams (Eds.), Issues in children’s and families’ lives. Enhancing children’s wellness (Vol. 8, pp. 129–174). Thousand Oaks, CA: Sage Publications.
Connell, J. P., Spencer, M. B., & Aber, J. L. (1994). Educational risk and resilience in African-American youth: Context, self, action, and outcomes in school. Child Development, 65, 493–506.
Finn, J. D., & Rock, D. A. (1997). Academic success among students at risk for school failure. Journal of Applied Psychology, 82, 221–234.
Fredricks, J. A., Blumenfeld, P. C., & Paris, A. H. (2004). School engagement: Potential of the concept, state of the evidence. Review of Educational Research, 74, 59–109.
Furrer, C., & Skinner, E. (2003). Sense of relatedness as a factor in children’s academic engagement and performance. Journal of Educational Psychology, 95, 148–162.
Greenberg, M. T. (2004). Current and future challenges in school-based prevention: The researcher perspective. Prevention Science, 5, 5–13.
Greenberg, M., Domitrovich, C., & Bumbarger, B. (2001). The prevention of mental disorders in school-aged children: Current state of the field. Prevention & Treatment, 4, Article 1. Available on the World Wide Web: http://journals.apa.org/prevention/volume4/pre0040001a.html.
Hankin, B. L., Stone, L., & Wright, P. A. (2010). Corumination, interpersonal stress generation, and internalizing symptoms: Accumulating effects and transactional influences in a multiwave study of adolescents. Development and Psychopathology, 22, 217–235.
Horowitz, J. L., & Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology, 74, 401–415.
Humensky, J., Kuwabara, S. A., Fogel, J., Wells, C., Goodwin, B., & Van Voorhees, B. W. (2010). Adolescents with depressive symptoms and their challenges with learning in school. The Journal of School Nursing, 25, 377–392.
Jacobson, K. C., & Rowe, D. C. (1999). Genetic and environmental influences on the relationships between family connectedness, school connectedness, and adolescent depressed mood: Sex differences. Developmental Psychology, 35, 926–939.
Jaycox, L. H., Reivich, K. J., Gillham, J., & Seligman, M. E. P. (1994). Prevention of depressive symptoms in school children. Behaviour Research and Therapy, 32, 801–816.
Jaycox, L., Stein, B. D., Paddock, S., Miles, J. V. N., Chandra, A., Meredith, L., et al. (2009). Impact of teen depression on academic, social, and physical functioning. Pediatrics, 124, e596–e605.
Kaufman, J., Birmaher, B., Brent, D., & Rao, U. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.
Kazdin, A. E. (2002). The state of child and adolescent psychotherapy research. Child and Adolescent Mental Health, 7, 53–59.
Kazdin, A. E., & Kendall, P. C. (1998). Current progress and future plans for developing effective treatments: Comments and perspectives. Journal of Clinical Child Psychology, 27, 217–226.
Keller, M. B., McCullough, J. P., Klein, D. N., Arnow, B., Dunner, D. L., Gelenberg, A. J., et al. (2000). A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy, and their combination for the treatment of chronic depression. The New England Journal of Medicine, 342, 1462–1470.
Kenward, M. G., & Roger, J. H. (1997). Small sample inference for fixed effects from restricted maximum likelihood. Biometrics, 53, 983–997.
Kessler, R. C., Foster, C. L., Saunders, W. B., & Stang, P. E. (1995). Social consequences of psychiatric disorders I: Educational attainment. The American Journal of Psychiatry, 152, 1026–1032.
La Greca, A. M., & Harrison, H. M. (2005). Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology, 34, 49–61.
Li, Y., & Lerner, R. M. (2011). Trajectories of school engagement during adolescence: Implications for grades, depression, delinquency, and substance use. Developmental Psychology, 47(1), 233–247.
Loukas, A., Ripperger-Suhler, K. G., & Horton, K. D. (2009). Examining temporal associations between school connectedness and early adolescent adjustment. Journal of Youth and Adolescence, 38, 804–812.
Marks, H. M. (2000). Student engagement in instructional activity: Patterns in the elementary, middle, and high school years. American Educational Research Journal, 37, 153–184.
Monroe, S. M., Rohde, R., Seeley, J. R., & Lewinsohn, P. M. (1999). Life events and depression in adolescence: Relationship loss as a prospective risk factor for first onset of major depressive disorder. Journal of Abnormal Psychology, 108, 606–614.
Mufson, L., Dorta, K. P., Wickramaratne, P., Nomura, Y., Olfson, M., & Weissman, M. M. (2004). A randomized effectiveness trial of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 63, 577–584.
Mufson, L., Weissman, M. M., Moreau, D., & Garfinkel, R. (1999). Efficacy of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 56, 573–579.
Paternite, C. E., & Johnston, T. C. (2005). Rationale and strategies for central involvement of educators in effective school-based mental health programs. Journal of Youth and Adolescence, 34, 41–49.
Patrick, B. C., Skinner, E. A., & Connell, J. P. (1993). What motivates children’s behavior and emotion? Joint effects of perceived control and autonomy in the academic domain. Journal of Personality and Social Psychology, 65, 781–791.
President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Washington, DC: President’s New Freedom Commission on Mental Health.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
Rosselló, J., & Bernal, G. (1999). The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. Journal of Consulting and Clinical Psychology, 67, 734–745.
Rudolph, K. D., Hammen, C., & Burge, D. (1994). Interpersonal functioning and depressive symptoms in childhood: Addressing the issues of specificity and comorbidity. Journal of Abnormal Child Psychology, 22, 355–371.
Salmela-Aro, K., Savolainen, H., & Holopainen, L. (2009). Depressive symptoms and school burnout during adolescence: Evidence from two cross-lagged longitudinal studies. Journal of Youth and Adolescence, 38, 1316–1327.
Schwarz, C. J. (1993). The mixed-model ANOVA: The truth, the computer packages, the books. American Statistician, 47, 48–59.
Sedlak, M. W. (1997). The uneasy alliance of mental health services and the schools: An historical perspective. American Journal of Orthopsychiatry, 67, 349–362.
Sheeber, L., Hops, H., Alpert, A., Davis, B., & Andrews, J. (1997). Family support and conflict: Prospective relations to adolescent depression. Journal of Abnormal Child Psychology, 25, 333–344.
Shochet, I. M., Dadds, M. R., Ham, D., & Montague, R. (2006). School connectedness is an underemphasized parameter in adolescent mental health: Results of a community prediction study. Journal of Clinical Child and Adolescent Psychology, 35, 170–179.
Skinner, E. A., Wellborn, J. G., & Connell, J. P. (1990). What it takes to do well in school and whether I’ve got it: A process model of perceived control and children’s engagement and achievement in school. Journal of Educational Psychology, 82, 22–32.
Stice, E., Shaw, H., Bohon, C., Marti, C. N., & Rohde, P. (2009). A meta-analytic review of depression prevention programs for children and adolescents: Factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77, 486–503.
Sweeting, H., Young, R., West, P., & Der, G. (2006). Peer victimization and depression in early-mid adolescence: A longitudinal study. British Journal of Educational Psychology, 76, 577–594.
Verbeke, G., & Molenberghs, G. (2000). Linear mixed models for longitudinal data. New York: Springer.
Weissman, M. M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33, 1111–1115.
Weist, M. D., & Paternite, C. E. (2006). Building an interconnected policy-training-practice-research agenda to advance school mental health. Education and Treatment of Children, 29, 173–196.
Wellborn, J. G., & Connell, J. P. (1987). Manual for the Rochester assessment package for schools. Rochester, NY: University of Rochester.
Whitlock, J. L. (2006). Youth perceptions of life at school: Contextual correlations of school connectedness in adolescence. Applied Developmental Science, 10, 13–29.
Young, J. F., Gallop, R., & Mufson, L. (2009). Mother-child conflict and its moderating effects on depression outcomes in a preventive intervention for adolescent depression. Journal of Clinical Child and Adolescent Psychology, 38, 696–704.
Young, J. F., Makover, H. B., Cohen, J. R., Mufson, L., Gallop, R., & Benas, J. S. (2012). Interpersonal Psychotherapy-Adolescent Skills Training: Anxiety outcomes and impact of comorbidity. Journal of Clinical Child and Adolescent Psychology (in press).
Young, J. F., & Mufson, L. (2003). Manual for Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST). Unpublished manual.
Young, J. F., Mufson, L., & Davies, M. (2006a). Efficacy of interpersonal psychotherapy adolescent skills training: An indicated preventive intervention for depression. Journal of Child Psychology and Psychiatry, 47, 1254–1262.
Young, J. F., Mufson, L., & Davies, M. (2006b). Impact of comorbid anxiety in an effectiveness study of interpersonal psychotherapy for depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 904–912.
Young, J. F., Mufson, L., & Gallop, R. (2010). Preventing depression: A randomized trial of interpersonal psychotherapy-adolescent skills training. Depression and Anxiety, 27, 426–433.
Acknowledgments
This study was funded by a Career Development Award (5K32 MH071320) from the National Institute of Mental Health to Dr. Young.
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Young, J.F., Kranzler, A., Gallop, R. et al. Interpersonal Psychotherapy-Adolescent Skills Training: Effects on School and Social Functioning. School Mental Health 4, 254–264 (2012). https://doi.org/10.1007/s12310-012-9078-9
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DOI: https://doi.org/10.1007/s12310-012-9078-9