OBJECTIVE To examine short-term (i.e., postintervention) outcomes from a randomized controlled trial comparing a school-based telehealth-delivered depression prevention program, Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), to services as usual (SAU). We expected IPT-AST would be acceptable and feasible and that IPT-AST adolescents would experience greater reductions in depression symptoms, anxiety symptoms, and impairment compared with SAU. METHOD Adolescents (N = 242; Mage = 14.80 years, SD = 0.70; 65% female; 21% Black; 13% Hispanic/Latinx) with elevated scores on the Center for Epidemiologic Studies Depression Scale (Radloff, 1977) at screening provided data at baseline, 2-month (midpoint of IPT-AST), and 3-month (postintervention) assessments. They reported depression symptoms on the Center for Epidemiologic Studies Depression Scale, anxiety symptoms on the Screen for Child Anxiety Related Emotional Disorders (Birmaher et al., 1997), and impairment on the Columbia Impairment Scale (Bird et al., 1993). Baseline depression diagnosis was examined as a moderator. RESULTS Hierarchical linear models showed that adolescents reported significant reductions in depression symptoms and impairment across conditions. IPT-AST adolescents reported significantly greater reductions in anxiety symptoms than SAU adolescents, d = .39, 95% CI [.05, .72], p = .003. Depression diagnosis moderated outcomes (ds = .33-.34, ps ≤ .05), such that IPT-AST adolescents without a diagnosis at baseline showed greater improvements in depression and anxiety symptoms than SAU adolescents. Adolescents in SAU with a depression diagnosis at baseline showed greater improvements in impairment compared with IPT-AST. Attendance and satisfaction data demonstrated the feasibility and acceptability of telehealth-delivered IPT-AST. CONCLUSIONS Results support telehealth-delivered IPT-AST as a promising intervention for improving short-term outcomes among adolescents with depression symptoms but without a depression diagnosis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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远程医疗提供的抑郁症预防：一项基于学校的随机对照试验的短期结果。


目的 检查一项随机对照试验的短期（即干预后）结果，该试验比较了以学校为基础的远程医疗提供的抑郁症预防计划、人际心理治疗-青少年技能培训 （IPT-AST） 与照常服务 （SAU）。我们预计 IPT-AST 是可接受和可行的，并且与 SAU 相比，IPT-AST 青少年的抑郁症状、焦虑症状和损伤会减轻更多。方法 青少年 （N = 242;法师 = 14.80 岁，SD = 0.70;65% 为女性;21% 黑人;13% 西班牙裔/拉丁裔）在筛选时流行病学研究中心抑郁量表 （Radloff， 1977） 得分较高，提供了基线、2 个月 （IPT-AST 中点） 和 3 个月 （干预后） 评估的数据。他们在流行病学研究中心抑郁量表上报告了抑郁症状，在儿童焦虑相关情绪障碍筛查中报告了焦虑症状（Birmaher 等人，1997 年），在哥伦比亚损伤量表上报告了损害（Bird 等人，1993 年）。基线抑郁症诊断作为调节因素进行检查。结果分层线性模型显示，青少年报告不同条件下的抑郁症状和损害显着减少。IPT-AST 青少年报告的焦虑症状减轻幅度显著高于 SAU 青少年，d = .39,95% CI [.05， .72]，p = .003。抑郁诊断调节了结局 （ds = .33-.34，ps ≤ .05），因此基线时未诊断的 IPT-AST 青少年比 SAU 青少年表现出更大的抑郁和焦虑症状改善。与 IPT-AST 相比，基线时诊断为抑郁症的 SAU 青少年的损伤改善更大。 出勤率和满意度数据证明了远程医疗提供的 IPT-AST 的可行性和可接受性。结论 结果支持远程医疗提供的 IPT-AST 是一种很有前途的干预措施，可以改善有抑郁症状但未诊断为抑郁症的青少年的短期结局。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。