Abstract
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.
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
2001). Prevention of childhood depression: Recent findings and future prospects. Biological Psychiatry, 49, 1101– 1110
(1997). Sustained change in parents receiving preventive interventions for families with depression. American Journal of Psychiatry, 154, 510– 515
(1997). Examination of preventive interventions for families with depression: Evidence of change. Development and Psychopathology, 9, 109– 130
(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
(1967). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press
(1976). Cognitive therapy and the emotional disorders. New York: International Universities Press
(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
(2002). The prevention of depressive symptoms in low-income minority middle school student.. Prevention and Treatment, 5, Article 8 [Online]
(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
(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
(1990). Instructor's manual for the Adolescent Coping with Depression Course. Eugene: Castalia Press
(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
(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
(1992). Internationale Klassifikation psychischer Störungen ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien. Bern: Huber
(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
(1993). Social-cognitive mechanisms in the development of conduct disorder and depression. Annual Review of Psychology, 44, 559– 584
(1997). Primary prevention mental health programs for children and adolescents: A meta-analytic review. American Journal of Community Psychology, 25, 115– 152
(1962). Reason and emotion in psychotherapy. Secaucus: Lyle Stuart
(2000). Der Verlauf psychischer Störungen vom Kindes- zum Erwachsenenalter. Zeitschrift für Klinische Psychologie, 29, 276– 283
(1999). Prevention of depressive symptoms in schoolchildren: A research update. Psychological Science, 10, 461– 462
(1995). Prevention of depressive symptoms in schoolchildren: Two-year follow-up. Psychological Science, 6, 343– 351
(2000). Preventing depression: a review of cognitive-behavioral and family interventions. Applied and Preventive Psychology, 9, 63– 88
(1995). Multilevel statistical models. (2nd ed.). London: Arnold
(2001). The prevention of mental disorders in school-aged children: current state of the field.. Prevention and Treatment, 4, Article 1 [Online]
(2003). Universelle, schulbasierte Prävention der Depression im Jugendalter: Ergebnisse einer Follow-Up-Studie. Kindheit und Entwicklung, 12, 164– 174
(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
(1998). Prevention and early intervention for depression in adolescence and early adult life. European Archive of Psychiatry and Clinical Neuroscience, 248, 32– 45
(1982). The unit of analysis: Group means versus individual observations. American Educational Research Journal, 19, 5– 18
(2003). Emotionsregulation und Gedankenunterdrückung: Aspekte der Entwicklung von Depressionen und deren Implikationen. Kindheit und Entwicklung, 12, 133– 144
(inVorbereitung). JES! Jugendpräventionsprogramm mit Expressivem Schreiben.
(2002, October). Chronic thought suppression and expressive writing in adolescence. 16th conference of the European Health Psychology Society EHPS, Lissabon, Portugal
(2002). Prävention und Gesundheitsförderung. In F. Petermann (Hrsg.), Lehrbuch der Klinischen Kinderpsychologie und -psychotherapie (5. korr. Aufl.; S.131-148). Göttingen: Hogrefe
(2002a). Prävention, Behandlung und Rückfallprophylaxe depressiver Störungen im Jugendalter. Ein kognitiv-verhaltenstherapeutisches Gruppenprogramm nach Clarke & Lewinsohn. Tübingen: DGVT
(2002b). Mit depressiven Störungen im Jugendalter umgehen lernen. Ein Arbeitsbuch für Kursteilnehmer. Tübingen: DGVT
(2002). Evaluation eines kognitiv-verhaltenstherapeutischen Gruppenprogramms für depressive Jugendliche und junge Erwachsene. Kindheit und Entwicklung, 11, 238– 247
(1994). Prevention of depressive symptoms in school children. Behavior Research and Therapy, 32, 801– 816
(2002). Gesundheit und Optimismus. GO! Trainingsprogramm für Jugendliche. Weinheim: Beltz
(2001). Childhood depression and adult personality disorder. Alternative pathways of continuity. Archives of General Psychiatry, 58, 231– 236
(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
(1999). Psychologische Interventionen bei Depressionen im Jugendalter. Verhaltenstherapie, 9, 124– 130
(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
(2001). A universal prevention trial of anxiety and depressive symptomatology in childhood: Preliminary data from an Australian study. Behaviour Change, 18, 36– 50
(2001). Primäre Prävention von Angst- und depressiven Symptomen bei Adoleszenten - Ergebnisse einer quasi-experimentellen Studie. Zeitschrift für Gesundheitspsychologie, 9, 229– 241
(2002). How effective are treatments for child and adolescent depression? A meta-analytic review. Clinical Psychology Review, 22, 247– 269
(1997). Writing about emotional experience as a therapeutic process. Psychological Science, 8, 162– 166
(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
2003). Erste Ergebnisse eines Programms zur schulbasierten Prävention von depressiven Symptomen bei Jugendlichen. Zeitschrift für Gesundheitspsychologie, 11, 10– 20
(School-based universal primary prevention of depressive symptoms in adolescents: Results of a 6-month follow-up. Manuscript submitted for publication
inDruck). Lust An Realistischer Sicht & Leichtigkeit im sozialen Alltag - LARS&LISA. Manual eines schulbasierten universalen Präventionsprogramms von Depression bei Jugendlichen. Göttingen: Hogrefe
(1985). Psychosocial functioning in prepubertal children with major depressive disorders: I. Interpersonal relationships during the depressive episode. Archives of General Psychiatry, 42, 500– 507
(1991). Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. Journal of Abnormal Psychology, 100, 214– 222
(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
(1996). Diagnostisches und Statistisches Manual Psychischer Störungen (DSM IV). Göttingen: Hogrefe
(1994). Optimistische Kompetenzerwartung: Zur Erfassung einer personellen Bewältigungsressource. Diagnostica, 40, 105– 123
(2001). The efficacy of a universal school-based program to prevent adolescent depression. Journal of Clinical Child Psychology, 30, 303– 315
(1997). Resourceful adolescent program: Participant's manual. Brisbane, Australia: Griffith University
(1997). Resourceful adolescent program: Group leader's manual. Brisbane, Australia: Griffith University
(1998). Preventive interventions. In T. Ollendick (Ed.), Comprehensive Clinical Psychology, Vol. 5. Children & adolescents: Clinical formulation and treatment (pp. 295-315). Amsterdam: Elsevier
(1990). Psychological adjustment and experiences with peers during early adolescene: Reciprocal, incidental, or unidirectional relationships?. Journal of Abnormal Child Psychology, 18, 187– 198
(1999). Depressed adolescents grown up. Journal of the American Medical Association, 281, 1707– 1713
(2001). Prävention depressiver Störungen im Kindes- und Jugendalter. Kindheit und Entwicklung, 10, 248– 257
(1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine, 28, 109– 126
(2002). Preventing depressive symptoms in Chinese children.. Prevention and Treatment, 5, Article 9 [Online]
(