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dc.contributor.authorMatos, A Paula
dc.contributor.authorPinheiro, M do Rosário
dc.contributor.authorCosta, José J
dc.contributor.authordo Céu Salvador, M
dc.contributor.authorArnarson, Eiríkur Ö
dc.contributor.authorCraighead, W Edward
dc.date.accessioned2019-09-04T10:15:46Z
dc.date.available2019-09-04T10:15:46Z
dc.date.issued2019-07
dc.date.submitted2019-09
dc.identifier.citationPrevention of Initial Depressive Disorders Among at-Risk Portuguese Adolescents. 2019, 50(4):743-754 Behav Theren_US
dc.identifier.issn1878-1888
dc.identifier.pmid31208684
dc.identifier.doi10.1016/j.beth.2018.11.005
dc.identifier.urihttp://hdl.handle.net/2336/621034
dc.descriptionTo access publisher's full text version of this article click on the hyperlink belowen_US
dc.description.abstractThis study evaluated whether Arnarson and Craighead's (2009, 2011) developmentally based behavioral and cognitive program that prevented the initial episode of depressive disorders among Icelandic adolescents could be adapted to prevent depressive disorders among "at-risk" Portuguese adolescents. One hundred sixty-eight Portuguese mid-adolescents (primarily 14 to 15 years old), who had subsyndromal symptoms of depression but who had never met criteria for a depressive disorder, were identified by classroom screening with the CDI and subsequent K-SADS-PL interview. All 168 adolescents were offered participation in the 14-week prevention program; 70 agreed to participate in the program, and 98 agreed to participate only in an assessment control group. Psychological disorders were evaluated at baseline, 6-, 12-, 18-, and 24-month assessments. During the 2-year follow-up period, 12 students in the assessment-only group experienced an initial depressive disorder versus 2 in the prevention group. Survival analyses indicated a significantly lower rate of initial episodes of depressive disorders, χ2(1) = 4.261, p = .039, among the prevention group participants compared to the assessment only comparison group. The hazard ratio was .207, and the NNT was 11. Survival analyses indicated no significant differences between the prevention condition and the assessment only condition in the occurrence of other psychiatric disorders, χ2(1) = 1.080, p =.299. The findings indicate the program can be successfully adapted for use in Portuguese schools, and they provide a preliminary indication that those "at-risk" adolescents who chose to participate in the program, compared to those who chose to participate only in the assessments, developed fewer initial episodes of depressive disorders over the course of 24 months. The program effects were similar to the outcomes of the prior study of this program in Iceland. As in the Icelandic version of the program, its effects appeared to be specific to the depressive disorders for which the program was designed.en_US
dc.description.sponsorshipFCT - Fundacao para a Ciencia e a Tecnologia (Portuguese Foundation for Science and Technology) Realan Foundation, Atlanta, GAen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.urlhttps://www.sciencedirect.com/science/article/pii/S0005789418301527en_US
dc.subjectPortuguese adolescentsen_US
dc.subjectdepression preventionen_US
dc.subjectdysthymiaen_US
dc.subjectindicated preventionen_US
dc.subjectschool-based prevention programen_US
dc.subjectUnglingaren_US
dc.subjectÞunglyndien_US
dc.subject.meshAdolescenten_US
dc.subject.meshDepressive Disorderen_US
dc.subject.meshPreventive Psychiatryen_US
dc.titlePrevention of Initial Depressive Disorders Among at-Risk Portuguese Adolescents.en_US
dc.typeArticleen_US
dc.contributor.department1 University of Coimbra. 2 Landspítali-University Hospital. 3 Emory University. Electronic address: ecraigh@emory.edu.en_US
dc.identifier.journalBehavior Therapyen_US
dc.rights.accessNational Consortium - Landsaðganguren_US
dc.departmentcodePSC12
dc.source.journaltitleBehavior therapy


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