OBJECTIVE To test potential cognitive and interpersonal moderators of two evidence-based youth depression prevention programs. METHOD Two hundred four adolescents (Mage = 14.62 years, SD = 1.65; 56% female; 71% White, 11% Black, 11% multiracial, 5% Asian, 2% other races, 18% Hispanic/Latinx) were randomized to either a cognitive-behavioral (Coping With Stress [CWS]) or interpersonal (Interpersonal Psychotherapy-Adolescent Skills Training [IPT-AST]) prevention program. Potential moderators, selected based on theory and research, included rumination, negative cognitive style, dysfunctional attitudes, hopelessness, parent-adolescent conflict, negative interactions with parents and friends, and social support from parents and friends. Depression symptoms were assessed repeatedly through 18 months postintervention. RESULTS After adjusting for multiple comparisons, rumination (B = -2.02, SE = .61, p = .001, d = .47), hopelessness (B = -2.03, SE = .72, p = .005, d = .41), and conflict with father (B = 1.68, SE = .74, p = .02, d = .32) moderated intervention effects on change in depression symptoms from postintervention through 18-month follow-up. For example, at high levels of conflict with father, youth in IPT-AST reported a significant decrease in symptoms during follow-up, whereas youth in CWS reported a nonsignificant change in symptoms. At low levels of conflict with father, youth in IPT-AST reported a significant increase in symptoms during follow-up, whereas youth in CWS reported a nonsignificant change in symptoms. CONCLUSIONS These exploratory secondary analyses of Personalized Depression Prevention study data highlight specific cognitive and interpersonal risk factors that could be considered when determining which prevention program may be most effective for a given adolescent. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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两个循证抑郁症预防计划的认知和人际调节因素。


目的 测试两个基于证据的青少年抑郁症预防计划的潜在认知和人际调节因素。方法 204 名青少年（法师 = 14.62 岁，SD = 1.65；56% 女性；71% 白人，11% 黑人，11% 多种族，5% 亚洲人，2% 其他种族，18% 西班牙裔/拉丁裔）被随机分配到任一组认知行为（应对压力 [CWS]）或人际（人际心理治疗-青少年技能培训 [IPT-AST]）预防计划。根据理论和研究选择的潜在调节因素包括沉思、消极认知方式、功能失调的态度、绝望、父母与青少年的冲突、与父母和朋友的消极互动以及来自父母和朋友的社会支持。干预后 18 个月内反复评估抑郁症状。结果 调整多重比较后，沉思 (B = -2.02, SE = .61, p = .001, d = .47), 绝望 (B = -2.03, SE = .72, p = .005, d = . 41) 和与父亲的冲突 (B = 1.68, SE = .74, p = .02, d = .32) 调节了从干预后到 18 个月随访期间抑郁症状变化的干预效果。例如，在与父亲发生高度冲突的情况下，IPT-AST 中的青少年在随访期间报告症状显着减轻，而 CWS 中的青少年报告症状没有显着变化。在与父亲冲突程度较低的情况下，IPT-AST 中的青少年在随访期间报告症状显着增加，而 CWS 中的青少年报告症状没有显着变化。 结论 这些对个性化抑郁症预防研究数据的探索性二次分析强调了在确定哪种预防计划对特定青少年最有效时可以考虑的特定认知和人际风险因素。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。