Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression?

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dc.contributor.authorSpence, S.
dc.contributor.authorSawyer, M.
dc.contributor.authorSheffield, J.
dc.contributor.authorPatton, G.
dc.contributor.authorBond, L.
dc.contributor.authorGraetz, B.
dc.contributor.authorKay, D.
dc.date.issued2014
dc.descriptionPublished: 13 May 2014
dc.description.abstractTo date, universal, school-based interventions have produced limited success in the long-term prevention of depression in young people. This paper examines whether family relationship support moderates the outcomes of a universal, school-based preventive intervention for depression in adolescents. It reports a secondary analysis of data from the beyondblue schools research initiative. Twenty-five matched pairs of secondary schools were randomly assigned to an intervention or control condition (N = 5633 Grade 8 students). The multi-component, school-based intervention was implemented over a 3-year period, with 2 years of follow-up in Grades 11 and 12. For those available at follow-up, small but significantly greater reductions in depressive and anxiety symptoms and improvements in emotional wellbeing were found over time for the intervention group compared to the control among those who experienced low family relationship support in Grade 8. For those who did not experience low family relationship support in Grade 8, no significant effects of the invention were found over the control condition. This pattern of results was also found for the intent-to-treat sample for measures of depression and anxiety. Previous research may have overlooked important moderating variables that influence the outcome of universal approaches to the prevention of depression. The findings raise issues of the relative costs and benefits of universal versus targeted approaches to the prevention of depression.
dc.description.statementofresponsibilitySusan H. Spence, Michael G. Sawyer, Jeanie Sheffield, George Patton, Lyndal Bond, Brian Graetz and Debra Kay
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2014; 11(5):5113-5132
dc.identifier.doi10.3390/ijerph110505113
dc.identifier.issn1661-7827
dc.identifier.issn1660-4601
dc.identifier.orcidSawyer, M. [0000-0002-7834-0561]
dc.identifier.urihttp://hdl.handle.net/2440/97617
dc.language.isoen
dc.publisherMDPI
dc.rights© 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
dc.source.urihttps://doi.org/10.3390/ijerph110505113
dc.subjectdepression; anxiety; prevention; adolescents; school
dc.titleDoes the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression?
dc.typeJournal article
pubs.publication-statusPublished

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