A Feasibility Trial of a Novel Approach to Depression Prevention: Targeting Proximal Risk Factors and Application of a Model of Health-Behaviour Change
Publication: Canadian Journal of Community Mental Health
19 January 2016
Abstract
We aimed to develop and conduct a feasibility trial of a brief intervention to target proximal risk factors (i.e., cognitive vulnerability) to prevent depression, as well as to improve understanding of the mechanism of change in our prevention program by the incorporation of the theory of planned behaviour. Thirty-seven university students participated in an open feasibility trial of a brief CBT-based depression prevention program. Participants completed an online questionnaire pre- and post-intervention. Results indicated that participants experienced pre- to post-intervention improvements in their self-perceived capacity to learn strategies and an increase in positive affect, demonstrating its preliminary effectiveness in reducing risk factors for depression.
Résumé
Notre objectif a été de concevoir et mettre en oeuvre une étude de faisabilité d'un programme d'intervention de courte durée visant les facteurs de risque proximaux (i.e., vulnérabilité cognitive) pour prévenir la dépression, et améliorer la compréhension des mécanismes de changement dans notre programme de prévention, en incorporant la théorie du comportement planifié. Trente-sept étudiants universitaires ont participé à l’étude ouverte de faisabilité d'un programme de prévention de la dépression de courte durée axée sur la TCC. Les participants ont complétés un questionnaire en ligne précédant et suivant l'intervention. Les résultats montrent que les participants ont subi, entre la période pré et post-intervention, une amélioration dans leur capacité à se percevoir capable d'apprendre des stratégies et une augmentation de leur affect positif, démontrant l'efficacité préliminaire de l'intervention à réduire les facteurs de risque de la dépression.
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References
Abramson L. Y., Metalsky G. I., and Alloy L. B. Hopelessness depression: A theory-based subtype of depression Psychological Review 1989 96 2 358 -372
Adlaf E. M., Gliksman L., Demers A., and Newton-Taylor B. The prevalence of elevated psychological distress among Canadian undergraduates: Findings from the 1998 Canadian campus survey Journal of American College Health 2001 50 2 67 -72
Ajzen I. The theory of planned behavior Organizational Behavior and Human Decision Processes 1991 50 2 179 -211
Ajzen, I. (2006). TPB measurement: Conceptual and methodological considerations. 2006-01-30)[2011-05-15]. Retrieved from http://www.People.Umass.Edu/aizen/pdf/tpb.Measurement.Pdf on June 25, 2013.
Alloy L. B., Black S. K., Young M. E., Goldstein K. E., Shapero B. G., Stange J. P., …, and Abramson L. Y. Cognitive vulnerabilities and depression versus other psychopathology symptoms and diagnoses in early adolescence Journal of Clinical Child & Adolescent Psychology 2012 41 5 539 -560
Armitage C. J. and Conner M. Efficacy of the theory of planned behaviour: A meta-analytic review British Journal of Social Psychology 2001 40 4 471 -499
Beck A. T. The evolution of the cognitive model of depression and its neurobiological correlates The American Journal of Psychiatry 2008 165 8 969 -977
Beck A. T. and Dozois D. J. A. Cognitive therapy: Current status and future directions Annual Review of Medicine 2011 62 1 397 -409
Bradley, K. L., Santor, D. A., & Moreno, E., (2015). Re-examination of the cognitive mechanism of change hypothesis in cognitive behaviour therapy: The role of theory of planned behaviour constructs. Manuscript submitted for publication.
Bradley, K. L., Santor, D. A., & Oram, R. (2015). The “start making a change” program: A randomized control trial of an intervention to promote mental wellness and readiness to change destructive thinking patterns. Manuscript in preparation.
Burns, D. D. (1999). The Feeling Good Handbook. New York: Penguin Group.
Christopher M. S., Jacob K. L., Neuhaus E. C., Neary T. J., and Fiola L. A. Cognitive and behavioral changes related to symptom improvement among patients with a mood disorder receiving intensive cognitive-behavioral therapy Journal of Psychiatric Practice 2009 15 2 95 -102
Cohen J. A power primer Psychological bulletin 1992 112 1 155 -159
Coie J. D., Watt N. F., West S. G., Hawkins J. D., Asarnow J. R., Markman H. J., …, and Long B. The science of prevention: A conceptual framework and some directions for a national research program American Psychologist 1993 48 10 1013 -1022
Collins K. A., Westra H. A., Dozois D. J., and Burns D. D. Gaps in accessing treatment for anxiety and depression: Challenges for the delivery of care Clinical Psychology Review 2004 24 5 583 -616
Cuijpers P., Berking M., Andersson G., Quigley L., Kleiboer A., and Dobson K. S. A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie 2013 58 7 376 -85 Retrieved from http://publications.cpa-apc.org/browse/documents/600 on May 5, 2014
Deitweiler J. B. and Whisman M. A. The role of homework assignments in cognitive therapy for depression: Potential methods for enhancing adherence Clinical Psychology: Science and Practice 1999 6 3 267 -282
Dozois D. J. A., Bieling P. J., Evraire L. E., Patelis-Siotis I., Hoar L., Chudzik S., …, and Westra H. A. Changes in core beliefs (early maladaptive schemas) and self-representation in cognitive therapy and pharmacotherapy for depression International Journal of Cognitive Therapy 2014 7 3 217 -234
Dozois D. J. A., Bieling P. J., Patelis-Siotis I., Hoar L., Chudzik S., McCabe K., and Westra H. A. Changes in self-schema structure in cognitive therapy for major depressive disorder: A randomized clinical trial Journal of Consulting and Clinical Psychology 2009 77 6 1078 -1088
Eisenberg D., Gollust S. E., Golberstein E., and Hefner J. L. Prevalence and correlates of depression, anxiety, and suicidality among university students The American Journal of Orthopsychiatry 2007 77 4 534 -542
Fournier J. C., DeRubeis R. J., Hollon S. D., Gallop R., Shelton R. C., and Amsterdam J. D. Differential change in specific depressive symptoms during antidepressant medication or cognitive therapy Behaviour Research and Therapy 2013 51 7 392 -398
Fredrickson B. L. The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions American psychologist 2001 56 3 218 -226
Garratt G., Ingram R. E., Rand K. L., and Sawalani G. Cognitive processes in cognitive therapy: Evaluation of the mechanisms of change in the treatment of depression Clinical Psychology: Science and Practice 2007 14 3 224 -239
German R. E., Lorenzo-Luaces L., and DeRubeis R. J. Patients’ attributions about symptom improvement in CBT for depression: Development of a rating system and an initial test of validity International Journal of Cognitive Therapy 2014 7 3 272 -286
Hayden E. P., Hankin B. L., Mackrell S. V. M., Sheikh H. I., Jordan P. L., Dozois D. J. A., …, and Badanes L. S. Parental depression and child cognitive vulnerability predict children's cortisol reactivity Development and Psychopathology 2014 26 Special Issue 4pt2 1445 -1460
Hayden E. P., Klein D. N., Durbin C. E., and Olino T. M. Positive emotionality at age 3 predicts cognitive styles in 7-year-old children Development and Psychopathology, null 2006 02 409 -423
Hobbis I. and Sutton S. Are techniques used in cognitive behaviour therapy applicable to behaviour change interventions based on the theory of planned behaviour? Journal of Health Psychology 2005 10 1 7 -18
Hollon S. D. and Kendall P. C. Cognitive self-statements in depression: Development of an automatic thoughts questionnaire Cognitive Therapy and Research 1980 4 383 -395
Horowitz J. L. and Garber J. The prevention of depressive symptoms in children and adolescents: A meta-analytic review Journal of Consulting and Clinical Psychology 2006 74 3 486 -503
Hyland P. E., McLaughlin C. G., Boduszek D., and Prentice G. R. Intentions to participate in counselling among front-line, at-risk Irish government employees: An application of the theory of planned behaviour British Journal of Guidance & Counselling 2012 40 3 279 -299
Hughes A. A. and Kendall P. C. Psychometric properties of the Positive and Negative Affect Scale for Children (PANAS-C) in children with anxiety disorders Child Psychiatry and Human Development 2009 40 3 343 -352
Hysenbegasi A., Hass S. L., and Rowland C. R. The impact of depression on the academic productivity of university students The Journal of Mental Health Policy and Economics 2005 8 3 145 -51 Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.424.663&rep=rep1&type=pdf on November 14, 2010
Ingram R. E. and Ritter J. Vulnerability to depression: Cognitive reactivity and parental bonding in high-risk individuals Journal of Abnormal Psychology 2000 109 4 588 -596
Jacobson N. S., Dobson K. S., Truax P. A., Addis M. E., Koerner K., Gollan J. K., …, and Prince S. E. A component analysis of cognitive-behavioral treatment for depression Journal of Consulting and Clinical Psychology 1996 64 2 295 -304
Joormann J., Talbot L., and Gotlib I. H. Biased processing of emotional information in girls at risk for depression Journal of Abnormal Psychology 2007 116 1 135 -143
Kwon S. and Oei T. P. S. Cognitive change processes in a group cognitive behavior therapy of depression Journal of Behavior Therapy and Experimental Psychiatry 2003 34 1 73 -85
Ladouceur C. D., Dahl R. E., Williamson D. E., Birmaher B., Ryan N. D., and Casey B. J. Altered emotional processing in pediatric anxiety, depression, and comorbid anxiety-depression Journal of Abnormal Child Psychology 2005 33 2 165 -177
Laurent J., Catanzaro S. J., Joiner T. E. Jr, Rudolph K. D., Potter K. I., Lambert S., …, and Gathright T. A measure of positive and negative affect for children: Scale development and preliminary validation Psychological Assessment 1999 11 3 326 -338
Laurent J., Joiner T. E. Jr, and Catanzaro S. J. Positive affect, negative affect, and physiological hyperarousal among referred and nonreferred youths Psychological Assessment 2011 23 4 945 -957
Lightsey O. R. Jr “Thinking positive” as a stress buffer: The role of positive automatic cognitions in depression and happiness Journal of Counseling Psychology 1994 41 3 325 -334
Lightsey O. R. Jr, Gharghani G. G., Katz A. M., McKinney V. A., and Rarey E. B. Positive automatic cognitions mediate the relationship between personality and trait positive affect Journal of Happiness Studies 2013 14 115 -134
Mackrell S. V. M., Johnson E. M., Dozois D. J. A., and Hayden E. P. Negative life events and cognitive vulnerability to depression: Informant effects and sex differences in the prediction of depressive symptoms in middle childhood Personality and Individual Differences 2013 54 4 463 -468
Mezulis A. H., Hyde J. S., and Abramson L. Y. The developmental origins of cognitive vulnerability to depression: Temperament, parenting, and negative life events in childhood as contributors to negative cognitive style Developmental Psychology 2006 42 6 1012 -1025
Mikolajczyk, R. T., Maxwell, A. E., Naydenova, V., Meier, S., & El Ansari, W. (2008). Depressive symptoms and perceived burdens related to being a student: Survey in three European countries. Clinical Practice and Epidemiology in Mental Health : CP & EMH, 4, 19.
Mo P. K. H. and Mak W. W. S. Help-seeking for mental health problems among Chinese: The application and extension of the theory of planned behavior Social Psychiatry and Psychiatric Epidemiology 2009 44 8 675 -684
Netemeyer R. G., Williamson D. A., Burton S., Biswas D., Jindal S., Landreth S., …, and Primeaux S. Psychometric properties of shortened versions of the Automatic Thoughts Questionnaire Educational and Psychological Measurement 2002 62 1 111 -129
Quilty L. C., Dozois D. J. A., Lobo D. S. S., Ravindran L. N., and Bagby R. M. Cognitive structure and processing during cognitive behavioral therapy vs. pharmacotherapy for depression International Journal of Cognitive Therapy 2014 7 3 235 -250
Quilty L. C., McBride C., and Bagby R. M. Evidence for the cognitive mediational model of cognitive behavioural therapy for depression Psychological Medicine 2008 38 11 1531 -41
Oostrom I., Franke B., Vasquez A. A., Rinck M., Tendolkar I., Verhagen M., …, and Janzing J. G. Never-depressed females with a family history of depression demonstrate affective bias Psychiatry research 2013 205 1 54 -58
Persons, J. B., Davidson, J., & Tompkins, M. A. (2001). Essential Components of Cognitive-Behavior Therapy for Depression. USA: American Psychological Association.
Radloff L. S. The CES-D scale a self-report depression scale for research in the general population Applied Psychological Measurement 1977 1 3 385 -401
Rawal A., Collishaw S., Thapar A., and Rice F. A direct method of assessing underlying cognitive risk for adolescent depression Journal of Abnormal Child Psychology 2013 41 8 1279 -1288
Renaud J., Russell J. J., and Myhr G. Predicting who benefits most from cognitive-behavioral therapy for anxiety and depression Journal of Clinical Psychology 2014 70 1 924 -932
Seeds P. M. and Dozois D. J. A. Prospective evaluation of a cognitive vulnerability-stress model for depression: The interaction of schema self-structures and negative life events Journal of Clinical Psychology 2010 66 12 1307 -1323
Seligman M. E. P., Schulman P., DeRubeis R. J., and Hollon S. D. The prevention of depression and anxiety Prevention and Treatment 1999 2 1 8a
Seligman M. E. P., Schulman P., and Tryon A. M. Group prevention of depression and anxiety symptoms Behaviour Research and Therapy 2007 45 6 1111 -1126
Skogstad P., Deane F. P., and Spicer J. Social-cognitive determinants of help-seeking for mental health problems among prison inmates Criminal Behaviour and Mental Health : CBMH 2006 16 1 43 -59
Stice E., Shaw H., Bohon C., Marti C. N., and Rohde P. A meta-analytic review of depression prevention programs for children and adolescents: Factors that predict magnitude of intervention effects Journal of Consulting and Clinical Psychology 2009 77 3 486 -503
Strunk D. R., Adler A. D., and Hollars S. N. Cognitive therapy skills predict cognitive reactivity to sad mood following cognitive therapy for depression Cognitive Therapy and Research 2013 37 6 1214 -1219
Strunk D. R., Brotman M. A., and DeRubeis R. J. The process of change in cognitive therapy for depression: Predictors of early inter-session symptom gains Behaviour Research and Therapy 2010 48 7 599 -606
Sutton J. M. Prevention of depression in youth: A qualitative review and future suggestions Clinical Psychology Review 2007 27 5 552 -571
Taylor L. and Ingram R. E. Cognitive reactivity and depressotypic information processing in children of depressed mothers Journal of Abnormal Psychology 1999 108 2 202 -210
van der Zanden R., Galindo-Garre F., Curie K., Kramer J., and Cuijpers P. Online cognitive-based intervention for depression: Exploring possible circularity in mechanisms of change Psychological Medicine 2014 44 06 1159 -1170
Vázquez F. L., Torres A., Blanco V., Díaz O., Otero P., and Hermida E. Comparison of relaxation training with a cognitive-behavioural intervention for indicated prevention of depression in university students: A randomized controlled trial Journal of Psychiatric Research 2012 46 11 1456 -1463
Voelker R. Mounting student depression taxing campus mental health services JAMA 2003 289 16 2055 -2056
Vrijsen J. N., Becker E. S., Arias-Vásquez A., van Dijk M. K., Speckens A., and van Oostrom I. What is the contribution of different cognitive vulnerability and stressful childhood events to the presence and number of previous depressive episodes? Psychiatry research 2014 217 3 134 -142
Wang C. E., Halvorsen M., Eisemann M., and Waterloo K. Stability of dysfunctional attitudes and early maladaptive schemas: A 9-year follow-up study of clinically depressed subjects Journal of Behavior Therapy and Experimental Psychiatry 2010 41 4 389 -396
Webb C. A., Auerbach R. P., and DeRubeis R. J. Processes of change in CBT of adolescent depression: Review and recommendations Journal of Clinical Child & Adolescent Psychology 2012 41 5 654 -665
Yan J., Kong T., He Y., McWhinnie C. M., Yao S., and Xiao J. Daily hassles and depression in individuals with cognitive vulnerability to depression: The mediating role of maladaptive cognitive emotion regulation strategies Nordic Psychology 2015 67 1 87 -100
Yao S., Fang J., Zhu X., and Zuroff D. C. The Depressive Experiences Questionnaire: Construct validity and prediction of depressive symptoms in a sample of Chinese undergraduates Depression and anxiety 2009 26 10 930 -937
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Published In
Canadian Journal of Community Mental Health
Volume 35 • Number 1 • February 2016
Pages: 47 - 61
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Version of record online: 19 January 2016
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BradleyKristina L., SantorDarcy A., and OramRylee. 2016. A Feasibility Trial of a Novel Approach to Depression Prevention: Targeting Proximal Risk Factors and Application of a Model of Health-Behaviour Change. Canadian Journal of Community Mental Health.
35(1): 47-61. https://doi.org/10.7870/cjcmh-2015-025
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