Skip to main content
Übersicht

Prävention von Depression bei Kindern und Jugendlichen

Published Online:https://doi.org/10.1026//0942-5403.12.3.154

Zusammenfassung. Depressive Störungen in Kindheit und Jugendalter sind unter anderem durch die hohe Prävalenz und Persistenz depressiver Störungen bis ins Erwachsenenleben, bedeutenden Komorbiditäten mit anderen psychischen Störungen und psychosozialen Problemen von hoher individueller und gesellschaftlicher Bedeutung. Aufgrund dieser Erkenntnisse haben verschiedene Autoren weltweit damit begonnen Präventionsprogramme zu entwickeln und zu evaluieren. In diesem Artikel werden die Probleme der Präventionsforschung und die Effektivität von Prävention bei Kindern und Jugendlichen dargestellt. Den Schwerpunkt bildet dabei ein Überblick über derzeit vorliegende Programme und deren Evaluationen unter besonderer Berücksichtigung von Programmen, die in deutscher Sprache vorliegen. Abschließend werden mögliche Entwicklungsrichtungen der zukünftigen Präventionsforschung aufgezeigt.


Prevention of depression in children and adolescents

Abstract. Depressive disorders in childhood and adolescents are a widespreading problem because of their high prevalence and persistence until adulthood, important comorbidities with other psychiatric disorders, and extensive psychosocial consequences. For these reasons authors all over the world have developed and evaluated prevention programs. In this article problems of prevention research and the effectiveness of prevention in children and adolescents are presented. A review of existing programs and their evaluations, especially of programs in German, is the main aim of this article. Finally further developments in prevention research are presented.

Literatur

  • Beardslee, W. R. , Gladstone, T. R. G. (2001). Prevention of childhood depression: Recent findings and future prospects. Biological Psychiatry, 49, 1101– 1110 First citation in articleCrossrefGoogle Scholar

  • Beardslee, W. R. , Salt, P. , Versage, E. M. , Gladstone, T. R. G. , Wright, E. , Rothberg, P. C. (1997). Sustained change in parents receiving preventive interventions for families with depression. American Journal of Psychiatry, 154, 510– 515 First citation in articleCrossrefGoogle Scholar

  • Beardslee, W. R. , Versage, E. M. , Wright, E. , Salt, P. (1997). Examination of preventive interventions for families with depression: Evidence of change. Development and Psychopathology, 9, 109– 130 First citation in articleCrossrefGoogle Scholar

  • Beardslee, W. R. , Wright, E. , Salt, P. , Drezner, K. (1997). Examination of children's responses to two preventive intervention strategies over time. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 196– 204 First citation in articleCrossrefGoogle Scholar

  • Beck, A. T. (1967). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press First citation in articleGoogle Scholar

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press First citation in articleGoogle Scholar

  • Birmaher, B. , Ryan, N. D. , Williamson, D. E. , Brent, D.A. , Kaufman, J. , Dahl, R. E. , Perel, J. , Nelson, B. (1996). Childhood and adolescent depression: A review of the past 10 years. Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1427– 1439 First citation in articleCrossrefGoogle Scholar

  • Cardemil, E. V. , Reivich, K. J. , Seligman, M. E. P. (2002). The prevention of depressive symptoms in low-income minority middle school student.. Prevention and Treatment, 5, Article 8 [Online] First citation in articleCrossrefGoogle Scholar

  • Clarke, G. N. , Hawkins, W. , Murphy, M. , Sheeber, L. , Lewinsohn, P. M. , Seeley, J. R. (1995). Targeted prevention of unipolar depressive disorder in an at-risk sample of high school adolescents: a randomized trial of a group cognitive intervention. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 312– 321 First citation in articleCrossrefGoogle Scholar

  • Clarke, G. N. , Hornbrook, M. , Lynch, F. , Polen, M. , Gale, J. , Beardslee, W. , O'Connor, E. , Seeley, J. (2001). A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Archives of General Psychiatry, 58, 1127– 1134 First citation in articleCrossrefGoogle Scholar

  • Clarke, G. N. , Lewinsohn, P. M. , Hops, H. (1990). Instructor's manual for the Adolescent Coping with Depression Course. Eugene: Castalia Press First citation in articleGoogle Scholar

  • Clarke, G. N. , Rohde, P. , Lewinsohn, P. M. , Hops, H. , Seeley, J. R. (1999). Cognitive-behavioral treatment of adolescent depression: Efficacy of acute group treatment and booster sessions. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 272– 279 First citation in articleCrossrefGoogle Scholar

  • Compas, B. E. , Connor, J. , Wadsworth, M. (1997). Prevention of depression. In R. P. Weissberg, T. P. Gullotta, R. L. Hampton, B. A. Ryan & G. R. Adams (Eds.), Healthy Children 2010: Enhancing children's wellness (pp. 129-174). London: Sage First citation in articleGoogle Scholar

  • Dilling, H. , Mombour, W. , Schmidt, M. H. (1992). Internationale Klassifikation psychischer Störungen ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien. Bern: Huber First citation in articleGoogle Scholar

  • Dodge, K. A. (1986). A social information processing model of social competence in children. In M. Perlmutter (Eds.), Eighteenth Annual Minnesota Symposium on Child Psychology (pp. 77-125). Hillsdale: Erlbaum First citation in articleGoogle Scholar

  • Dodge, K. A. (1993). Social-cognitive mechanisms in the development of conduct disorder and depression. Annual Review of Psychology, 44, 559– 584 First citation in articleCrossrefGoogle Scholar

  • Durlak, J. A. , Wells, A. M. (1997). Primary prevention mental health programs for children and adolescents: A meta-analytic review. American Journal of Community Psychology, 25, 115– 152 First citation in articleCrossrefGoogle Scholar

  • Ellis, A. (1962). Reason and emotion in psychotherapy. Secaucus: Lyle Stuart First citation in articleGoogle Scholar

  • Esser, G. , Ihle, W. , Schmidt, M. H. , Blanz, B. (2000). Der Verlauf psychischer Störungen vom Kindes- zum Erwachsenenalter. Zeitschrift für Klinische Psychologie, 29, 276– 283 First citation in articleLinkGoogle Scholar

  • Gillham, J. E. , Reivich, K. J. (1999). Prevention of depressive symptoms in schoolchildren: A research update. Psychological Science, 10, 461– 462 First citation in articleCrossrefGoogle Scholar

  • Gillham, J. E. , Reivich, K. J. , Jaycox, L. H. , Seligman, M. E. P. (1995). Prevention of depressive symptoms in schoolchildren: Two-year follow-up. Psychological Science, 6, 343– 351 First citation in articleCrossrefGoogle Scholar

  • Gillham, J. E. , Shatté, A. J. , Freres, D. R. (2000). Preventing depression: a review of cognitive-behavioral and family interventions. Applied and Preventive Psychology, 9, 63– 88 First citation in articleCrossrefGoogle Scholar

  • Goldstein, H. (1995). Multilevel statistical models. (2nd ed.). London: Arnold First citation in articleGoogle Scholar

  • Greenberg, M. T. , Domitrovich, C. , Bumbarger, B. (2001). The prevention of mental disorders in school-aged children: current state of the field.. Prevention and Treatment, 4, Article 1 [Online] First citation in articleCrossrefGoogle Scholar

  • Groen, G. , Pössel, P. , Al-Wiswasi, S. , Petermann, F. (2003). Universelle, schulbasierte Prävention der Depression im Jugendalter: Ergebnisse einer Follow-Up-Studie. Kindheit und Entwicklung, 12, 164– 174 First citation in articleLinkGoogle Scholar

  • Hankin, B. L. , Abramson, L. Y. , Moffitt, T. E. , Silva, P. A. , McGee, R. , Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128– 140 First citation in articleCrossrefGoogle Scholar

  • Harrington, R. , Clark, A. (1998). Prevention and early intervention for depression in adolescence and early adult life. European Archive of Psychiatry and Clinical Neuroscience, 248, 32– 45 First citation in articleCrossrefGoogle Scholar

  • Hopkins, K. D. (1982). The unit of analysis: Group means versus individual observations. American Educational Research Journal, 19, 5– 18 First citation in articleCrossrefGoogle Scholar

  • Horn, A. B. , Hautzinger, M. (2003). Emotionsregulation und Gedankenunterdrückung: Aspekte der Entwicklung von Depressionen und deren Implikationen. Kindheit und Entwicklung, 12, 133– 144 First citation in articleLinkGoogle Scholar

  • Horn, A. B. , Hautzinger, M. (inVorbereitung). JES! Jugendpräventionsprogramm mit Expressivem Schreiben. First citation in articleGoogle Scholar

  • Horn, A. B. , Pössel, P. , Hautzinger, M. (2002, October). Chronic thought suppression and expressive writing in adolescence. 16th conference of the European Health Psychology Society EHPS, Lissabon, Portugal First citation in articleGoogle Scholar

  • Hurrelmann, K. , Settertobulte, W. (2002). Prävention und Gesundheitsförderung. In F. Petermann (Hrsg.), Lehrbuch der Klinischen Kinderpsychologie und -psychotherapie (5. korr. Aufl.; S.131-148). Göttingen: Hogrefe First citation in articleGoogle Scholar

  • Ihle, W. , Herrle, J. (2002a). Prävention, Behandlung und Rückfallprophylaxe depressiver Störungen im Jugendalter. Ein kognitiv-verhaltenstherapeutisches Gruppenprogramm nach Clarke & Lewinsohn. Tübingen: DGVT First citation in articleGoogle Scholar

  • Ihle, W. , Herrle, J. (2002b). Mit depressiven Störungen im Jugendalter umgehen lernen. Ein Arbeitsbuch für Kursteilnehmer. Tübingen: DGVT First citation in articleGoogle Scholar

  • Ihle, W. , Jahnke, D. , Spieß, L. , Herrle, J. (2002). Evaluation eines kognitiv-verhaltenstherapeutischen Gruppenprogramms für depressive Jugendliche und junge Erwachsene. Kindheit und Entwicklung, 11, 238– 247 First citation in articleLinkGoogle Scholar

  • Jaycox, L. H. , Reivich, K. J. , Gillham, J. , Seligman, E. P. (1994). Prevention of depressive symptoms in school children. Behavior Research and Therapy, 32, 801– 816 First citation in articleCrossrefGoogle Scholar

  • Junge, J. , Neumer, S.-P. , Manz, R. , Margraf, J. (2002). Gesundheit und Optimismus. GO! Trainingsprogramm für Jugendliche. Weinheim: Beltz First citation in articleGoogle Scholar

  • Kasen, S. , Cohen, P. , Skodol, A. E. , Johnson, J. G. , Smailes, E. M. , Brook, J. S. (2001). Childhood depression and adult personality disorder. Alternative pathways of continuity. Archives of General Psychiatry, 58, 231– 236 First citation in articleCrossrefGoogle Scholar

  • Kaslow, N. J. , Racusin, G. R. (1990). Childhood depression: Current status and future directions. In A. S. Bellack, M. Hersen & A. E. Kazdin (Eds.), International handbook of behavior modification and therapy (2nd ed.; pp. 649-668). New York: Plenum First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M. , Clarke, G. N. , Hautzinger, M. (1999). Psychologische Interventionen bei Depressionen im Jugendalter. Verhaltenstherapie, 9, 124– 130 First citation in articleCrossrefGoogle Scholar

  • Lewinsohn, P. M. , Hoberman, H. M. , Hautzinger, M. (1985). An integrative theory of depression. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 331-359). New York: Academic Press First citation in articleGoogle Scholar

  • Lowry-Webster, H. M. , Barrett, P. M. , Dadds, M. R. (2001). A universal prevention trial of anxiety and depressive symptomatology in childhood: Preliminary data from an Australian study. Behaviour Change, 18, 36– 50 First citation in articleCrossrefGoogle Scholar

  • Manz, R. (2001). Primäre Prävention von Angst- und depressiven Symptomen bei Adoleszenten - Ergebnisse einer quasi-experimentellen Studie. Zeitschrift für Gesundheitspsychologie, 9, 229– 241 First citation in articleGoogle Scholar

  • Michael, K. D. , Crowley, S. L. (2002). How effective are treatments for child and adolescent depression? A meta-analytic review. Clinical Psychology Review, 22, 247– 269 First citation in articleCrossrefGoogle Scholar

  • Pennebaker, J. W. (1997). Writing about emotional experience as a therapeutic process. Psychological Science, 8, 162– 166 First citation in articleCrossrefGoogle Scholar

  • Pössel, P. , Baldus, Ch. , Horn, A. B. , Hautzinger, M. , Groen, G. Influence of general self-efficacy on the effects of a school-based universal primary prevention program of depressive symptoms in adolescents. Manuscript submitted for publication First citation in articleGoogle Scholar

  • Pössel, P. , Horn, A. B. , Hautzinger, M. (2003). Erste Ergebnisse eines Programms zur schulbasierten Prävention von depressiven Symptomen bei Jugendlichen. Zeitschrift für Gesundheitspsychologie, 11, 10– 20 First citation in articleLinkGoogle Scholar

  • Pössel, P. , Horn, A. B. , Hautzinger, M. , Groen, G. School-based universal primary prevention of depressive symptoms in adolescents: Results of a 6-month follow-up. Manuscript submitted for publication First citation in articleGoogle Scholar

  • Pössel, P. , Horn, A. B. , Seemann, S. , Hautzinger, M. (inDruck). Lust An Realistischer Sicht & Leichtigkeit im sozialen Alltag - LARS&LISA. Manual eines schulbasierten universalen Präventionsprogramms von Depression bei Jugendlichen. Göttingen: Hogrefe First citation in articleGoogle Scholar

  • Puig-Antich, J. , Lukens, E. , Davies, M. , Goetz, D. , Brennan-Quattrock, J. , Todak, G. (1985). Psychosocial functioning in prepubertal children with major depressive disorders: I. Interpersonal relationships during the depressive episode. Archives of General Psychiatry, 42, 500– 507 First citation in articleCrossrefGoogle Scholar

  • Rohde, P. , Lewinsohn, P. M. , Seeley, J. R. (1991). Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. Journal of Abnormal Psychology, 100, 214– 222 First citation in articleCrossrefGoogle Scholar

  • Rutter, M. (1986). The developmental psychopathology of depression: Issues and perspectives. In M. Rutter, C. E. Izard & P. B. Read (Eds.), Depression in young people (pp. 186-201). New York: Guilford First citation in articleGoogle Scholar

  • Saß, H. , Wittchen, H. U. , Zaudig, M. (1996). Diagnostisches und Statistisches Manual Psychischer Störungen (DSM IV). Göttingen: Hogrefe First citation in articleGoogle Scholar

  • Schwarzer, R. (1994). Optimistische Kompetenzerwartung: Zur Erfassung einer personellen Bewältigungsressource. Diagnostica, 40, 105– 123 First citation in articleGoogle Scholar

  • Shochet, I. M. , Dadds, M. R. , Holland, D. , Whitefield, K. , Harnett, P. H. , Osgarby, S. M. (2001). The efficacy of a universal school-based program to prevent adolescent depression. Journal of Clinical Child Psychology, 30, 303– 315 First citation in articleCrossrefGoogle Scholar

  • Shochet, I. M. , Holland, D. , Whitefield, K. (1997). Resourceful adolescent program: Participant's manual. Brisbane, Australia: Griffith University First citation in articleGoogle Scholar

  • Shochet, I. , Whitefield, K. , Holland, D. (1997). Resourceful adolescent program: Group leader's manual. Brisbane, Australia: Griffith University First citation in articleGoogle Scholar

  • Spence, S. (1998). Preventive interventions. In T. Ollendick (Ed.), Comprehensive Clinical Psychology, Vol. 5. Children & adolescents: Clinical formulation and treatment (pp. 295-315). Amsterdam: Elsevier First citation in articleCrossrefGoogle Scholar

  • Vernberg, E. M. (1990). Psychological adjustment and experiences with peers during early adolescene: Reciprocal, incidental, or unidirectional relationships?. Journal of Abnormal Child Psychology, 18, 187– 198 First citation in articleCrossrefGoogle Scholar

  • Weissman, M. M. , Wolk, S. , Goldstein, R. B. , Moreau, D. , Adams, P. , Greenwald, S. , Klier, C. M. , Ryan, N. D. , Dahl, R. E. , Wickramaratne, P. (1999). Depressed adolescents grown up. Journal of the American Medical Association, 281, 1707– 1713 First citation in articleCrossrefGoogle Scholar

  • Wiesner, M. , Reitzle, M. (2001). Prävention depressiver Störungen im Kindes- und Jugendalter. Kindheit und Entwicklung, 10, 248– 257 First citation in articleLinkGoogle Scholar

  • Wittchen, H.-U. , Nelson, C. B. , Lachner, G. (1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine, 28, 109– 126 First citation in articleCrossrefGoogle Scholar

  • Yu, D. L. , Seligman, M. E. P. (2002). Preventing depressive symptoms in Chinese children.. Prevention and Treatment, 5, Article 9 [Online] First citation in articleCrossrefGoogle Scholar