Skip to main content
Log in

De effectiviteit van een depressie preventie programma (‘Op Volle Kracht’) bij adolescente meisjes met verhoogde depressieve symptomen

Een gerandomiseerde studie

  • Wetenschappelijke artikelen
  • Published:
Tijdschrift voor gezondheidswetenschappen Aims and scope

Jonge adolescente meisjes met depressieve symptomen hebben een verhoogd risico om een depressie te ontwikkelen later in de adolescentie of in volwassenheid. Daarom is preventie in deze risicogroep belangrijk. Het doel van de huidige studie was het onderzoeken van het effect van de Cognitieve Gedrags Therapie (CGT) component van het depressie preventie programma ‘Op Volle Kracht’ (OVK) bij Nederlandse adolescente meisjes met verhoogde depressieve symptomen. In het totaal namen 102 adolescente meisjes (11-15 jaar) deel aan de huidige studie. De meisjes in de experimentele groep (n = 50) volgden de acht CGT-lessen van OVK en rapporteerden hun depressieve klachten één week voor de start van de lessen, na iedere les, na één maand follow-up en na zes maanden follow-up. De meisjes in de controle groep (n = 52) rapporteerden alleen hun depressieve klachten op dezelfde tijdsmomenten als de experimentele groep. Analyses lieten zien dat de afname van depressieve symptomen significant groter was voor de meisjes in de experimentele groep dan voor de meisjes in de controle groep, en dat de meisjes in de experimentele groep op de zes maanden follow-up significant minder depressieve symptomen hadden dan de meisjes in de controle groep. Deze bevindingen laten zien dat de CGT-component van OVK effectief is in het reduceren van depressieve symptomen.

Abstract

Randomized Controlled Trial Testing the Effectiveness of a Depression Prevention Program (‘Op Volle Kracht’) Among Adolescent Girls with Elevated Depressive Symptoms

Young adolescent girls with elevated depressive symptoms are at high risk to develop a depression during adolescence or adulthood. Therefore, prevention of depression in this high-risk group is important. The aim of the present study was to examine the effectiveness of the Cognitive Behavioural Therapy (CBT) component of the depression prevention program ‘Op Volle Kracht’ (OVK) among Dutch adolescent girls with elevated depressive symptoms. In total, 102 adolescent girls (11-15 years) participated in this study. The girls in the experimental group (n = 50) followed the eight CBT-lessons of OVK and reported depressive symptoms one week prior to the start of the lessons, after every lesson, at one-month and six-months follow-up. The girls in the control group (n = 52) exclusively reported depressive symptoms at the same time points. Latent Growth Curve Modeling showed that the decrease in depressive symptoms was significantly larger for the girls in the experimental group than for the girls in the control group. Furthermore, it was found that at six-months follow-up, the girls in the experimental group had significantly lower levels of depressive symptoms than the girls in the control group. These findings indicate that the CBT-component of OVK is effective in reducing depressive symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figuur 1.
Figuur 2.
Figuur 3.

Literatuur

  1. Murray CJL, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global burden of disease study. Lancet 1997;349:1498-1504. doi: 10.1016/S0140-6736(96)07492-2.

    CAS  Google Scholar 

  2. Caspi A, Sugden K, Moffitt TE et al. Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 2003;301:386-9. doi: 10.1126/science.1083968.

    Article  PubMed  CAS  Google Scholar 

  3. Chaplin TM, Gillham JE, Reivich K et al. Depression prevention for early adolescent girls: a pilot study of all girls versus co-ed groups. J Early Adoles 2006;26:110-6. doi: 10.1177/0272431605282655.

    Article  Google Scholar 

  4. Lewinsohn PM, Rohde P, Seeley JR. Major depressive disorder in older adolescents: Prevalence, risk factors, and clinical implications. Clin Psych Rev 1998;18:76594. doi: 10.1016/S0272-7358(98)00010-5.

    Article  Google Scholar 

  5. Nolen-Hoeksema S, Girgus JS. The emergence of gender differences in depression during adolescence. Psychol Bull 1994;115:424-43. doi: 10.1037/0033-2909.115.3.424.

    Article  PubMed  CAS  Google Scholar 

  6. Gotlib IH, Lewinsohn PM, Seeley JR. Symptoms versus a diagnosis of depression: Differences in psychosocial functioning. J ConsultClin Psych 1995;63:90-100. doi: 10.1037/0022-006X.63.1.90.

    CAS  Google Scholar 

  7. Gillham JE, Brunwasser SM, Freres DR. Handbook of depression in children and adolescents. New York: The Guilford Press, 2008.

    Google Scholar 

  8. TakYR, Zundert RMP van, Kuijpers RCWM et al. (2012). A randomized controlled trialtesting the effectiveness of a universal school-based depression prevention program ‘Op Volle Kracht’ in the Netherlands. BMC Public Health 2012;12:21-29. doi: 10.1186/1471-2458-12-21.

    Article  Google Scholar 

  9. Kindt KCM, Zundert RMP van, Engels RCME. Evaluation of a Dutch school-based depression prevention program for youths in highrisk neighborhoods: study protocol of a two-armed randomized controlled trial. BMC Public Health, 2012;12:212-8. doi: 10.1186/1471-2458-12-212.

    Article  PubMed  Google Scholar 

  10. Stice E, Shaw H, Bohon C, Marti CN, Rohde P. A meta-analytic review of depression prevention programs for children and adolescents: factors that predict magnitude of intervention effects. J Consul Clin Psych 2009;77:486-503. doi: 10.1037/a0015168.

    Article  Google Scholar 

  11. Beck AT. Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press, 1967.

    Google Scholar 

  12. Beck AT. Cognitive therapy and the emotional disorders. New York: International Universities Press, 1976.

    Google Scholar 

  13. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York: The Guilford Press, 1979.

    Google Scholar 

  14. Steinberg L. Cognitive and affective development in adolescence. Trends Cogn Sciences 2005;9:69-74. doi:10.1016/j.tics.2004.12.005.

    Article  Google Scholar 

  15. Cicchetti D, Rogosch FA. A developmental psychopathology perspective on adolescence. J Consul Clin Psych 2002;70:6-20. doi: 10.1037/0022-006X.70.1.6.

    Article  Google Scholar 

  16. Kazdin AE. Understanding how and why psychotherapy leads to change. Psychother Res 2009; 19:418-28. doi: 10.1080/10503300802448899.

    Article  PubMed  Google Scholar 

  17. Timbremont B, Braet C. Children’s Depression Inventory: Handleiding Nederlandse versie. Lisse: Swets Test Publishers, 2002.

    Google Scholar 

  18. Hanewald GJFP. CES-D. De Nederlandse versie. Een onderzoek naar de betrouwbaarheid en de validiteit. Amsterdam, Vakgroep klinische Psychologie, Universiteit van Amsterdam, interne publicatie, 1987.

  19. Gillham JE, Reivich KJ. Cultivating optimism in childhood and adolescence. Ann Am Acad Polit Soc Science 2004;591:146-63. doi: 10.1177/0002716203260095.

    Article  Google Scholar 

  20. Muthén LA, Muthén BO. Mplus user’s guide, fifth ed., Los Angeles, CA: Muthén and Muthén, 1998-2007.

    Google Scholar 

  21. Enders CK. Applied missing data analysis. New York, London: The Guilford Press, 2010.

    Google Scholar 

  22. Johnson DR, Young R. Toward best practices in analyzing datasets with missing data: comparisons and recommendations. J Marriage Family 2011;73:926-45. doi: 10.1111/j.1741-3737.2011.00861.x.

    Article  Google Scholar 

  23. Byrne BM. (1998). Structural Equation Modeling with LISREL, PRELIS and SIMPLIS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum Associates, 1998.

    Google Scholar 

  24. Bentler PM. Comparative fit indexes in structural equation models. Psych Bull 1990;107: 238-46. doi: 10.1037/0033-2909.107.2.238.

    Article  CAS  Google Scholar 

  25. Smit F, Bohlmeijer E, Cuijpers P. Wetenschappelijke onderbouwing depressiepreventie. Epidemiologie, aangrijpingspunten, huidige praktijk, nieuwe richtingen. Utrecht: Trimbos-instituut, 2003.

    Google Scholar 

  26. Chen F, Curran PJ, Bollen KA, Kirby J, Paxton P. An empirical evaluation of the use of fixed cutoff points in RMSEA test statistic in structural equation models. Soc Res Meth 2008;36:462-94. doi: 10.1177/0049124108314720.

    Article  Google Scholar 

  27. Herzog W, Boomsma A. Small-sample robust estimators of noncentrality-based and incremental model fit. Structural Equation Modeling: AMultidisciplinary Journal 2009; 16:1-27. doi: 10.1080/10705510802561279.

    Article  Google Scholar 

  28. Stice E, Rohde P, Seeley JR, Gau JM. Testing mediators of intervention effects in randomized controlled trials: an evaluation of three depression prevention programs. J Consult Clin Psych 2010;78:273-80. doi: 10.1037/a0018396.

    Article  Google Scholar 

  29. Arrindell WA. Changes in waiting-list patients over time: data on some commonly-used measures. Beware! Behav Res Ther 2001;39:1227-47. doi: 10.1016/S0005-7967(00)00104-2.

    Article  CAS  Google Scholar 

  30. Gillham JE, Hamilton J, Freres DR, Patton K, Gallop R. Preventing depression among early adolescents in the primary care setting: A randomized controlled study of the Penn Resiliency Program. J Abnorm Child Psych 2006;34:203-19. doi: 10.1007/s10802-005-9014-7.

    Article  Google Scholar 

  31. Jaycox LH, Reivich KJ, Gillham J, Seligman MEP. (1994). Prevention of depressive symptoms in school children. Behav Res Ther 19944;32:801-16. doi: 10.1016/0005-7967(94)90160-0.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ron H.J. Scholte.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scholte, R., Wijnhoven, L., Creemers, D. et al. De effectiviteit van een depressie preventie programma (‘Op Volle Kracht’) bij adolescente meisjes met verhoogde depressieve symptomen. Tijds. gezondheids.wetenschappen 91, 405–413 (2013). https://doi.org/10.1007/s12508-013-0138-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12508-013-0138-9

Keywords

Keywords

Navigation