دورية أكاديمية
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Treatment and Prevention of Depression and Anxiety in Youth: Test of Cross-Over Effects.

التفاصيل البيبلوغرافية
العنوان: Treatment and Prevention of Depression and Anxiety in Youth: Test of Cross-Over Effects.
المؤلفون: Garber J; Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee. jgarber.vanderbilt@gmail.com., Brunwasser SM; Division of Allergy, Pulmonary, & Critical Care Medicine, Vanderbilt University School of Medicine., Zerr AA; San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology., Schwartz KT; San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology., Sova K; Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee., Weersing VR; San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology.
المصدر: Depression and anxiety [Depress Anxiety] 2016 Oct; Vol. 33 (10), pp. 939-959.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 9708816 Publication Model: Print Cited Medium: Internet ISSN: 1520-6394 (Electronic) Linking ISSN: 10914269 NLM ISO Abbreviation: Depress Anxiety Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Wiley, c1997-
مواضيع طبية MeSH: Anxiety Disorders/*therapy , Depressive Disorder/*therapy , Psychotherapy/*methods, Adolescent ; Anxiety Disorders/diagnosis ; Anxiety Disorders/psychology ; Child ; Comorbidity ; Cross-Over Studies ; Depressive Disorder/psychology ; Evidence-Based Medicine ; Female ; Humans ; Male ; Randomized Controlled Trials as Topic ; Research Design
مستخلص: Anxiety and depression are highly comorbid and share several common etiological processes. Therefore, it may be more efficient to develop interventions that treat or prevent these problems together rather than as separate entities. The present meta-analytic review examined whether interventions for children and adolescents that explicitly targeted either anxiety or depression showed treatment specificity or also impacted the other outcome (i.e. cross-over effects). We addressed this question both within the same type of study (i.e. treatment, prevention) and across study types. Only randomized controlled trials (RCTs) that assessed both constructs with dimensional measures were included in this review. For treatment studies, RCTs targeting anxiety (n = 18) showed significant effects on both anxious and depressive symptoms, although more strongly on anxiety than depression; similarly, RCTs treating depression (n = 9) yielded significant effects on both depressive and anxious symptoms, but stronger effects on depression than anxiety. Thus, there were cross-over effects in treatments purportedly targeting either anxiety or depression, and also treatment specificity, such that larger effects were seen for the target problem at which the treatment was aimed. Anxiety prevention studies (n = 14) significantly affected anxious, but not depressive symptoms, indicating no cross-over effect of anxiety prevention trials on depression. For depression prevention studies (n = 15), the effects were not significant for either depressive or anxiety symptoms, although the effect was significantly larger for depressive than for anxious symptoms. Post-hoc analyses revealed that the effect on depressive symptoms was significant in depression preventions trials of targeted but not universal samples. Implications for transdiagnostic interventions are discussed.
Competing Interests: and Conflicts of Interest: The authors have no disclosures or conflicts of interest to report.
(© 2016 Wiley Periodicals, Inc.)
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معلومات مُعتمدة: R01 MH064735 United States MH NIMH NIH HHS; R01 MH084935 United States MH NIMH NIH HHS; T32 MH018921 United States MH NIMH NIH HHS; U54 HD083211 United States HD NICHD NIH HHS; R01 MH100260 United States MH NIMH NIH HHS; K12 HS022990 United States HS AHRQ HHS; R01 MH100258 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: adolescents; anxiety; children; depression; meta-analysis; prevention; treatment
تواريخ الأحداث: Date Created: 20161005 Date Completed: 20171226 Latest Revision: 20231111
رمز التحديث: 20231111
مُعرف محوري في PubMed: PMC5094283
DOI: 10.1002/da.22519
PMID: 27699941
قاعدة البيانات: MEDLINE
الوصف
تدمد:1520-6394
DOI:10.1002/da.22519