Abstract
We describe the development, feasibility, and acceptability of a novel preventive intervention for depression in African American girls living in urban poverty. Our approach targeted individual and interpersonal vulnerabilities that have been shown to confer risk for depression in samples of African American girls living in low-income, urban settings, including suppression of negative emotion and lack of assertiveness with peers, memory for positive emotion, active coping, and family connection. Focus groups and an open trial were conducted to refine the goals and mechanisms for skill building. A randomized controlled trial (RCT) of the new program (Cities Mother-Daughter Project) was conducted with 3rd–5th grade students from Chicago Public Schools (CPS). Three cycles of screening, randomization, and deployment were conducted to assess feasibility, satisfaction, and usability. Results indicate that feasibility was weak; whereas, satisfaction and usability were high. Future directions for testing efficacy are discussed.
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Beardslee, W. R., Gladstone, T. R., Wright, E. J., & Cooper, A. B. (2003). A family-based approach to the prevention of depressive symptoms in children at risk: Evidence of parental and child change. Pediatrics, 112, 119–131.
Breland-Noble, A., Buriss, A., & Poole, H. K. (2010). Engaging depressed African American adolescents in treatment: Lessons from The AAKOMA Project. Journal of Clinical Psychology: In Session, 66, 868–879.
Bronfenbrenner, U. (1979). A future perspective. Thousand Oaks, CA: Sage.
Cardemil, E. V., O’Donnell, E. H., Esposito-Smythers, C., D’Eramo, K. S., Derrick, B. E., Spirito, A., Grant, K. E., & Lambert, S. F. (2014). Depressive symptoms in low-income, urban fifth and sixth graders: Contextual and cognitive factors. Journal of Prevention and Intervention in the Community, 42, 183–195.
Cardemil, E. V., Reivich, K. J., & Seligman, M. E. (2002). The prevention of depressive symptoms in low-income minority middle school students. Prevention and Treatment, 5.
Cardemil, E. V., Reivich, K. J., Beevers, C. G., Seligman, M. E., & James, J. (2007). The prevention of depressive symptoms in low-income, minority children: Two-year follow-up. Behaviour Research and Therapy, 45, 313–327.
Carter, J. S., Legato, L., Meyerson, D. A., & Grant, K. E. (2015). An examination of cognitive risk factors in low-income urban youth of color: Psychometric properties and associations with psychological symptoms. Manuscript submitted for publication.
Chandra, A., Scott, M. M., Jaycox, L. H., Meredith, L. S., Tanielian, T., & Burnam, A. (2009). Racial/ethnic differences in teen and parent perspectives toward depression treatment. Journal of Adolescent Health, 44, 546–553.
Compas, B. E., Forehand, R., Keller, G., Champion, J. E., Rakow, A., Reeslund, K. L., McKee, L., Fear, J. M., Colletti, C. J. M., Hardcastle, E., Merchant, M. J., Roberts, L., Potts, J., Garai, E., Coffelt, N., Roland, E., Sterba, S. K., & Cole, D. A. (2009). Randomized controlled trial of a family cognitive behavioral preventive intervention for children of depressed parents. Journal of Consulting and Clinical Psychology, 77, 1007–1020.
Cooley, M. R., Boyd, R. C., & Grades, J. J. (2004). Feasibility of an anxiety preventive intervention for community violence exposed African-American children. The Journal of Primary Prevention, 25, 105–123.
Corbin, J., & Strauss, A. (2008). Basics of qualitative research. Thousand Oaks, CA: Sage.
Dearing, E. (2004). The developmental implications of restrictive and supportive parenting across neighborhoods and ethnicities: Exceptions are the rule. Journal of Applied Developmental Psychology, 25, 555–575.
Feng, X., Keenan, K., Hipwell, A. E., Hinze, A. E., Babinski, D. E., Henneberger, A., Rischall, M., Boeldt, D., Coyne, C., & Butch, J. (2009). Longitudinal associations between emotion regulation and depression: Moderation by the caregiving environment. Developmental Psychology, 45, 798–808.
Flannery-Schroeder, E. C. (2006). Reducing anxiety to prevent depression. American Journal of Preventive Medicine, 31, 136–142.
Gaylord-Harden, N. K., Taylor, J. J., Campbell, C. L., Kesselring, C. M., & Grant, K. E. (2009). Maternal attachment and depressive symptoms in urban adolescents: The influence of coping strategies and gender. Journal of Clinical Child and Adolescent Psychology, 38, 684–695.
Garber, J. (2008). Prevention of depression: Are we there yet? Clinical Psychology: Science and Practice, 15, 336–341.
Garber, J., Clarke, G. N., Weersing, V. R., Beardslee, W. R., Brent, D. A., Gladstone, T. R., DeBar, L. L., Lynch, F. L., D’Angelo, E., Hollon, S. D., Shamseddeen, W., & Iyengar, S. (2009). Prevention of depression in at-risk adolescents: A randomized controlled trial. Journal of the American Medical Association, 301, 2215–2224.
Grant, K. E., Compas, B. E., Stuhlmacher, A., Thurm, A. E., McMahon, S., & Halpert, J. (2003). Stressors and child and adolescent psychopathology: Moving from markers to mechanisms of risk. Psychological Bulletin, 129, 447–466.
Grant, K. E., Compas, B. E., Thurm, A. E., McMahon, S., Gipson, P., Campbell, A., Krochock, K., & Westerholm, R. I. (2006). Stressors and child and adolescent psychopathology: Evidence of moderating and mediating effects. Clinical Psychology Review, 26, 257–283.
Grant, K. E., Compas, B. E., Thurm, A. E., McMahon, S. D., & Gipson, P. (2004a). Stressors and child and adolescent psychopathology: Measurement issues and prospective effects. Journal of Clinical Child & Adolescent Psychology, 33, 412–425.
Grant, K. E., Katz, B. N., Thomas, K. J., O’Koon, J. H., Meza, C. M., DiPasquale, A. M., & Rodriguez, V. O. (2004b). Psychological symptoms affecting low-income urban youth. Journal of Adolescent Research, 19, 616–634.
Grant, K. E., Lyons, A. L., Finkelstein, J. S., Conway, K. M., & Reynolds, L. K. (2004c). Gender differences in rates of depressive symptoms among low-income urban youth: A test of two mediational hypotheses. Journal of Youth and Adolescence, 33, 523–533.
Grant, K. E., McCormick, A., Poindexter, L., Simpkins, T., Janda, C. M., Thomas, K. J., Campbell, A., Carleton, R., & Taylor, J. J. (2005). Exposure to violence and parenting as mediators between poverty and psychological symptoms in urban African American adolescents. Journal of Adolescence, 28, 507–521.
Grant, K. E., McMahon, S. D., Carter, J. S., Carleton, R., Adam, E., & Chen, E. (2014). The influence of stressors on the development of psychopathology. In M. Lewis & K. D. Rudolph (Eds.), Handbook of developmental psychopathology (3rd ed.). New York: Springer.
American Psychological Association. (2014). Guidelines for prevention in psychology. American Psychologist, 69, 285–296.
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.
Keenan, K., & Hipwell, A. E. (2005). Preadolescent clues to understanding depression in girls. Clinical Child and Family Psychology Review, 8, 89–105.
Keenan, K., Hipwell, A. E., Feng, X., Hinze, A. E., Babinski, D. E., Henneberger, A., & Rischall, M. (2008). Subthreshold symptoms of depression in girls are stable and predictive of depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1433–1442.
Keenan, K., Hipwell, A. E., Feng, X., Loeber, R., & Klostermann, S. (2009a). Depression begets depression: Comparing the predictive utility of depression and anxiety symptoms to later depression. Journal of Child Psychology and Psychiatry, 50, 1167–1175.
Keenan, K., Hipwell, A. E., Hinze, A. K., & Babinski, D. E. (2009b). Equanimity to excess: Inhibiting the expression of negative emotion is associated with depression symptoms in preadolescent girls. Journal of Abnormal Child Psychology, 37, 739–47.
Keenan, K., Hipwell, A. E., Feng, X., Rischall, M., Henneberger, A., & Klostermann, S. (2010). Lack of assertion, peer victimization and risk for depression in girls: Testing a diathesis-stress model. Journal of Adolescent Health, 47, 526–528.
Kovacs, M. (1997). Chronic depression in childhood. In A. S. Hagop & G. B. Cassano (Eds.), Dysthymia and the spectrum of chronic depressions (pp. 208–219). New York, NY: U.S. Guilford Press.
Lang, M. C. and Tisher, M. (1978). Children’s depression scale (9–16 years) research edition, Melbourne, The Australian Council for Educational Research.
Lyons, A. L., Carlson, G. A., Thurm, A. E., Grant, K. E., & Gipson, P. Y. (2006). Gender differences in risk factors for depression during childhood. Cultural Diversity & Ethnic Minority Psychology, 12, 644–675.
McCauley, E., Myers, K., Mitchell, J., Calderon, R., Schloredt, K., & Treder, R. (1993). Depression in young people: Initial presentation and clinical course. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 714–722.
McLeod, J. D., & Nonnemaker, J. M. (2000). Poverty and child emotional and behavioral problems: Racial/ethnic differences in processes and effects. Journal of Health and Social Behavior, 41, 137–161.
Murray, C. J. L., & Lopez, A. D. (1996). The global burden of disease (Global burden of disease and injury, Vol. 1, pp. 117–200). Cambridge, MA: Harvard University Press.
Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115(3), 424–443.
Ollendick, T. H. (1983). Development and validation of the children’s assertiveness inventory. Child and Family Behavior Therapy, 5(3), 1–15.
Pastor, P. N., Reuben, C. A., & Falkenstern, A. (2004). Parental reports of emotional or behavioral difficulties and mental health service use among U.S. school-age children. In R. W. Manderscheid & J. T. Berry (Eds.), Mental health, United States, 2004 (pp. 189–199). Rockville, MD: U.S. DHHS.
Reynolds, C. R., & Kamphaus, R. W. (2004). The behavior assessment system for children (2nd ed.). Bloomington, MN: Pearson.
Stange, J. P., Hamlat, E. J., Hamilton, J. L., Abramson, L. Y., & Alloy, L. B. (2013). Overgeneral autobiographical memory, emotional maltreatment, and depressive symptoms in adolescence: Evidence of a cognitive vulnerability-stress interaction. Journal of Adolescence, 36(1), 201–208.
Stewart, D., & Shamdasani, P. (2014). Focus groups: Theory and practice. Newbury Park, CA: Sage.
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.
Thompson, V. L. S., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19.
Thurm, A. E., Carlson, G. A., Lyons, A. L., Grant, K. E., & Wagstaff, A. E. (2014). Depressive symptoms in young, urban schoolchildren: Environmental, social and cognitive risks. Journal of Prevention and Intervention in the Community, 42, 169–182.
United States Census. (2013). Income, poverty, and health insurance coverage in the United States: 2012: Current population reports. Available from https://www.census.gov/prod/2013pubs/p60-245.pdf.
United States Department of Health and Human Services. (2008). The 2008 health and human services poverty guidelines. Federal Register, 73.
Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the Positive and Negative Affect Schedule-Expanded Form. Ames: The University of Iowa.
Wu, P., Hoven, C. W., Cohen, P., Liu, X., Moore, R. E., Tiet, Q., & Bird, H. R. (2001). Factors associated with use of mental health services for depression by children and adolescents. Psychiatric Services, 52, 189–195.
Zeman, J., Shipman, K., & Penza-Clyve, S. (2001). Development and initial validation of the Children’s Sadness Management Scale. Journal of Nonverbal Behavior, 25, 187–205.
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This research was supported by a grant from the National Institute of Mental Health (R34MH092467).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Duffy, S., Brown, T.M., Katsonga-Phiri, T. et al. Development of an Empirically Based Preventive Intervention for Depression in Preadolescent African American Girls. Prev Sci 17, 503–512 (2016). https://doi.org/10.1007/s11121-016-0634-7
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DOI: https://doi.org/10.1007/s11121-016-0634-7