Journal of Abnormal Child Psychology

, Volume 34, Issue 2, pp 195–211 | Cite as

Preventing Depression Among Early Adolescents in the Primary Care Setting: A Randomized Controlled Study of the Penn Resiliency Program

  • Jane E. Gillham
  • John Hamilton
  • Derek R. Freres
  • Ken Patton
  • Robert Gallop
Article

This study evaluated the Penn Resiliency Program's effectiveness in preventing depression when delivered by therapists in a primary care setting. Two-hundred and seventy-one 11- and 12-year-olds, with elevated depressive symptoms, were randomized to PRP or usual care. Over the 2-year follow-up, PRP improved explanatory style for positive events. PRP's effects on depressive symptoms and explanatory style for negative events were moderated by sex, with girls benefiting more than boys. Stronger effects were seen in high-fidelity groups than low-fidelity groups. PRP did not significantly prevent depressive disorders but significantly prevented depression, anxiety, and adjustment disorders (when combined) among high-symptom participants. Findings are discussed in relation to previous PRP studies and research on the dissemination of psychological interventions.

KEY WORDS:

depression prevention primary care children adolescence 

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Jane E. Gillham
    • 1
    • 6
  • John Hamilton
    • 2
  • Derek R. Freres
    • 3
  • Ken Patton
    • 4
  • Robert Gallop
    • 5
  1. 1.Psychology Department, Swarthmore College and Psychology DepartmentUniversity of PennsylvaniaPennsylvaniaUSA
  2. 2.The Permanente Medical Group of California and Kellogg College University of OxfordCaliforniaUSA
  3. 3.Annenberg School for Communication, University of PennsylvaniaPennsylvaniaUSA
  4. 4.The Permanente Medical Group of CaliforniaCaliforniaUSA
  5. 5.Department of Mathematics Applied Statistics ProgramWest Chester UniversityWest ChesterUSA
  6. 6.Psychology DepartmentSwarthmore CollegeSwarthmoreUSA

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