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Two-Year Impact of Personality-Targeted, Teacher-Delivered Interventions on Youth Internalizing and Externalizing Problems: A Cluster-Randomized Trial.
- Source :
-
Journal of the American Academy of Child & Adolescent Psychiatry . Sep2013, Vol. 52 Issue 9, p911-920. 10p. - Publication Year :
- 2013
-
Abstract
- Objective: To assess the 2-year impact of teacher-delivered, brief, personality-targeted interventions on internalizing and externalizing symptoms in an adolescent U.K. sample. Method: This cluster-randomized trial was run in 19 London schools (N = 1,024 adolescents). Trained school-based professionals delivered two 90-minute, CBT-based group interventions targeting 1 of 4 personality-risk profiles: anxiety sensitivity, hopelessness, impulsivity, or sensation seeking. Self-report depression, anxiety, and conduct disorder symptoms were assessed at 6-month intervals. Results: Interventions were associated with significantly reduced depressive, anxiety, and conduct symptoms (p < .05) over 2 years in the full sample, reduced odds of severe depressive symptoms (odds ratio [OR] = 0.74, CI = 0.58-0.96), and conduct problems (OR = 0.79, CI = 0.65-0.96), and a nonsignificant reduction in severe anxiety symptoms (OR = 0.79, CI = 0.59-1.05). Evaluating a priori personality-specific hypotheses revealed strong evidence for impulsivity-specific effects on severe conduct problems, modest evidence of anxiety sensitivity-specific effects on severe anxiety, and no evidence for hopelessness-specific effects on severe depressive symptoms. Conclusions: Brief, personality-targeted interventions delivered by educational professionals can have a clinically significant impact on mental health outcomes in high-risk youth over 2 years, as well as personality-specific intervention effects in youth most at risk for a particular problem, particularly for youth with high levels of impulsivity. Clinical trial registration information--Adventure: The Efficacy of Personality-Targeted Interventions for Substance Misuse and Other Risky Behaviors as Delivered by Educational Professionals; http://clinicaltrials.gov; NCT00776685. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08908567
- Volume :
- 52
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 90063009
- Full Text :
- https://doi.org/10.1016/j.jaac.2013.05.020