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Schulalter

Wirksamkeit von schulbasierten Gruppeninterventionen zur Depressionsprävention

Ein systematisches Review

Published Online:August 29, 2011https://doi.org/10.1026/0942-5403/a000061

Abstract

Fünf bis zehn Prozent aller Kinder und Jugendlichen in Deutschland leiden an depressiven Symptomen. Chronische Depressionen gehen regelmäßig mit ersten Erkrankungssymptomen im Kindes- und Jugendalter einher. Der frühen Prävention depressiver Störungen kommt folglich eine hohe Bedeutung zu. Wir untersuchten die Wirksamkeit nichtpharmakologischer schulbasierter Gruppeninterventionen zur Depressionsprävention anhand eines systematischen Literaturreviews. Signifikante Verbesserungen depressiver Störungen konnten in 61 Prozent der eingeschlossenen Studien festgestellt werden. Aufgrund der Heterogenität von Studiendurchführung und –design können keine eindeutigen Aussagen abgeleitet werden, welche Faktoren zu einem Erfolg oder Misserfolg der Programme beitragen. Eine flächendeckende Umsetzung erscheint aufgrund der offenen Fragen zur optimalen Ausgestaltung verfrüht.


Efficacy of school-based group interventions for the prevention of depression: A systematic review

Between five and ten percent of children and adolescents have depressive disorders. Chronic depressions are frequently accompanied by first symptoms in childhood and adolescents. Hence, early prevention of depressive disorders is of high importance. We analysed the efficacy of nonpharmacological school-based group interventions for the prevention of depression in children and adolescents by conducting a systematic literature review. Significant improvement in depressive disorders could be assessed in 61 percent of the included studies. Due to the heterogeneity of the study implementation and design, no positive conclusion can be drawn regarding the parameters which lead to a success or a failure of the programmes. As a result of the uncertainty regarding the optimal design of group interventions for the prevention of depression in children and adolescents, a comprehensive implementation of those programs seems to be too early.

Literatur

  • Andrews, G. , Szabo, M. (2002). Preventing major depression in young people. The British Journal of Psychiatry, 181, 460 – 462. First citation in articleCrossref, Google Scholar

  • Baldwin, D. S. , Papakostas, G. I. (2006). Symptoms of fatigue and sleepiness in major depressive disorder. Journal of Clinical Psychiatry, 67 (Suppl 6), 9 – 15. First citation in articleCrossref, Google Scholar

  • Barrett, P. , Turner, C. (2001). Prevention of anxiety symptoms in primary school children: Preliminary results from a universal school-based trial. British Journal of Clinical Psychology, 40, 399 – 410. First citation in articleCrossref, Google Scholar

  • Barrett, P. M. , Farrell, L. J. , Ollendick, T. H. , Dadds, M. (2006). Long-term outcomes of an Australian universal prevention trial of anxiety and depression symptoms in children and youth: An evaluation of the friends program. Journal of Clinical Child Adolescent Psychology, 35, 403 – 411. First citation in articleCrossref, Google Scholar

  • Birmaher, B. , Arbelaez, C. , Brent, D. (2002). Course and outcome of child and adolescent major depressive disorder. Child and Adolescent Psychiatric Clinics of North America, 11, 619 – 637. First citation in articleCrossref, Google Scholar

  • Calear, A. L. , Christensen, H. (2010). Systematic review of school-based prevention and early intervention programs for depression. Journal of Adolescents, 33, 429 – 438. First citation in articleCrossref, Google Scholar

  • Calear, A. L. , Christensen, H. , Mackinnon, A. , Griffiths, K. M. , O’Kearney, R. (2009). The YouthMood Project: A cluster randomized controlled trial of an online cognitive behavioral program with adolescents. Journal of Consulting and Clinical Psychology, 77, 1021 – 1032. First citation in articleCrossref, Google Scholar

  • Chaplin, T. M. , Gillham, J. E. , Reivich, K. , Elkon, A. G. , Samuels, B. , Freres, D. R. , Winder, B. & Seligman, M. E. (2006). Depression prevention for early adolescent girls – A pilot study of all girls versus co-ed groups. The Journal of Early Adolescence, 26, 110 – 126. First citation in articleCrossref, Google Scholar

  • Clarke, G. N. , Hawkins, W. , Murphy, M. , Sheeber, L. (1993). School-based primary prevention of depressive symptomatology in adolescents: Findings from two studies. Journal of Adolescent Research, 8, 183 – 204. First citation in articleCrossref, Google Scholar

  • Currie, S. R. , Wang, J. (2004). Chronic back pain and major depression in the general Canadian population. Pain, 107, 54 – 60. First citation in articleCrossref, Google Scholar

  • Gameroff, M. J. , Olfson, M. (2006). Major depressive disorder, somatic pain, and health care costs in an urban primary care practice. Journal of Clinical Psychiatry, 67, 1232 – 1239. First citation in articleCrossref, Google Scholar

  • Gillham, J. E. , Reivich, K. J. , Freres, D. R. , Chaplin, T. M. , Shatté, A. J. , Samuels, B. , Elkon, A. G. , Litzinger, S. et al. (2007). School-based prevention of depressive symptoms: A randomized controlled study of the effectiveness and specificity of the Penn Resiliency Program. Journal of Consulting and Clinical Psychology, 75, 9 – 19. First citation in articleCrossref, Google Scholar

  • Gould, M. S. , Greenberg, T. , Velting, D. M. , Shaffer, D. (2003). Youth suicide risk and preventative interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 386 – 405. First citation in articleCrossref, Google Scholar

  • Grobe, T. , Dörning, H. (2003). Gesundheitsreport der Techniker Krankenkasse mit Daten und Fakten zu Arbeitsunfähigkeiten und Arzneiverordnungen. Schwerpunkt: Depressive Erkrankungen (Gesundheitsreport 2002–Veröffentlichungen zum betrieblichen Gesundheitsmanagement der TK Band 3). Hamburg: Techniker Krankenkasse. First citation in articleGoogle Scholar

  • Grobe, T. , Dörning, H. (2009). Gesundheitsreport der Techniker Krankenkasse mit Daten und Fakten zu Arbeitsunfähigkeiten und Arzneiverordnungen. Schwerpunktthema: Gesundheit von Beschäftigten in Zeitarbeitsunternehmen (Gesundheitsreport 2009–Veröffentlichungen zum betrieblichen Gesundheitsmanagement der TK Band 21). Hamburg: Techniker Krankenkasse. First citation in articleGoogle Scholar

  • Groen, G. , Petermann, F. (2008). Was wirkt in der Therapie von Depression bei Kindern und Jugendlichen wirklich? Kindheit und Entwicklung, 17, 243 – 251. First citation in articleLink, Google Scholar

  • Groen, G. , Petermann, F. (2011). Depressive Kinder und Jugendliche (2., erweit. Aufl.). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Hall, R. , de Antueno, C. , Webber, A. (2007). Canadian Research Ethics Board. Publication bias in the medical literature: A review by a Canadian Research Ethics Board. Canadian Journal of Anaesthesia, 54, 380 – 388. First citation in articleCrossref, Google Scholar

  • Hetrick, S. , Merry, S. , McKenzie, J. , Sindahl, P. , Proctor, M. (2007). Selective serotonin reuptake inhibitors (SSRIs) for depressive disorders in children and adolescents. Cochrane Database of Systematic Review, 3, CD004851. First citation in articleGoogle Scholar

  • Horowitz, J. L. , Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology, 74, 401 – 15. First citation in articleCrossref, Google Scholar

  • Horowitz, J. L. , Garber, J. , Ciesla, J. A. , Young, J. F. , Mufson, L. (2007). Prevention of depressive symptoms in adolescents: A randomized trial of cognitive-behavioral and interpersonal prevention programs. Journal of Consulting and Clinical Psychology, 75, 693 – 706. First citation in articleCrossref, Google Scholar

  • Hung, C. I. , Chia-Yih, L. , Yu-Ting, C. , Shuu-Jiun, W. (2009). Migraine. A missing link between somatic symptoms and major depressive disorder. Journal of Affective Disorders, 117,108 – 115. First citation in articleCrossref, Google Scholar

  • Jacobi, F. , Hoyer, J. , Wittchen, H. U. (2004). Seelische Gesundheit in Ost und West: Analysen auf der Grundlage des Bundes-Gesundheitssurveys. Zeitschrift für Klinische Psychologie und Psychotherapie, 33, 251 – 260. First citation in articleLink, Google Scholar

  • Jadad, A. R. , Moore, A. , Carroll, D. , Jenkinson, C. , Reynolds, D. J. M. , Gavaghan, D. J. , McQuay, H. J. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Control Clinical Trial, 17, 1 – 12. First citation in articleCrossref, Google Scholar

  • Kapfhammer, H. P. (2006). Somatic symptoms in depression. Dialogues in Clinical Neuroscience, 8, 227 – 239. First citation in articleGoogle Scholar

  • King, C. A. , Kirschenbaum, D. S. (1990). An experimental evaluation of a school-based program for children at risk: Wisconsin Early Intervention. Journal of Community Psychology, 18, 167 – 177. First citation in articleCrossref, Google Scholar

  • Klein, J. B. , Jacobs, R. H. , Reinecke, M. A. (2007). Cognitive-behavioral therapy for adolescent depression: A meta-analytic investigation of changes in effect-size estimates. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1403 – 1413. First citation in articleCrossref, Google Scholar

  • Klever-Deichert, G. , Gerber, A. , Schröer, M. A. , Plamper, E. (2006). International erfolgreiche Interventionen der Prävention und Gesundheitsförderung und ihre Übertragbarkeit auf Deutschland–Entwicklung und exemplarische Anwendung eines Bewertungsinstruments. Studien zu Gesundheit, Medizin und Gesellschaft, 9, 1 – 208. First citation in articleGoogle Scholar

  • Kumpfer, K. L. (1998). Selective Prevention Interventions: The Strengthening Families Program. In R. S. Ashery, E. E. Robertson , K. L. Kumpfer, (Eds.), Drug Abuse Prevention Through Family Intervention (NIDA Research Monograph Series Nr. 177; pp. 160 – 207). Rockville MD. First citation in articleGoogle Scholar

  • Lamb, J. M. , Puskar, K. R. , Sereika, S. M. , Corcoran, M. (1998). School-based intervention to promote coping in rural teens. American Journal of Maternal/Child Nursing, 23, 187 – 194. First citation in articleCrossref, Google Scholar

  • Lehmkuhl, G. , Walter, D. , Lehmkuhl, U. (2008). Depressive Störungen im Kindes- und Jugendalter. Bundesgesundheitsblatt – Gesundheitsforschung–Gesundheitsschutz, 51, 399 – 405. First citation in articleCrossref, Google Scholar

  • Lewinsohn, P. M. , Rohde, P. , Seeley, J. R. (1998). Major depressive disorder in older adolescents: Prevalence, risk factors, and clinical implications. Clinical Psychology Review, 18, 765 – 794. First citation in articleCrossref, Google Scholar

  • Lowry-Webster, H. M. , Barrett, P. M. , Lock S. A., (2003). Universal prevention trial of anxiety symptomology during childhood: Results at 1-year follow-up. Behaviour Change, 20, 25 – 43. First citation in articleCrossref, Google Scholar

  • Lüngen, M. , Passon, A. M. (2011). Eine rationale Strategie für Prävention und Gesundheitsförderung. Kriterien und Möglichkeiten der Implementierung. Prävention und Gesundheitsförderung, 6, 6 – 10. First citation in articleCrossref, Google Scholar

  • Manz, R. , Junge, J. , Margraf, J. (2001). Prävention von Angst und Depression bei Jugendlichen–Ergebnisse einer Follow-Up-Untersuchung nach 6 Monaten. Zeitschrift für Gesundheitspsychologie, 9, 168 – 179. First citation in articleLink, Google Scholar

  • Merry, S. , McDowell, H. , Hetrick, S. , Bir, J. , Muller, N. (2004). Psychological and/or educational interventions for the prevention of depression in children and adolescents. Cochrane Database of Systematic Reviews, 2, CD003380. First citation in articleGoogle Scholar

  • Murray, C. J. L. , Lopez, A. D. (Eds.). (1996). The Global Burden of Disease: A comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Camebridge, MA: Harvard University Press. First citation in articleGoogle Scholar

  • Pattison, C. , Lynd-Stevenson, R. M. (2001). The prevention of depressive symptoms in children: The immediate and long-term outcomes of a school-based program. Behaviour Change,18, 92 – 102. First citation in articleCrossref, Google Scholar

  • Pössel, P. , Hautzinger, M. (2003). Prävention von Depression bei Kindern und Jugendlichen. Kindheit und Entwicklung, 12, 154 – 163. First citation in articleLink, Google Scholar

  • Pössel, P. , Baldus, C. , Horn, A. B. , Groen, G. , Hautzinger, M. (2005). Influence of general self-efficacy on the effects of a school-based universal primary prevention program of depressive symptoms in adolescents: A randomized and controlled follow-up study. Journal of Child Psychology and Psychiatry, 46, 982 – 994. First citation in articleCrossref, Google Scholar

  • Robert Koch-Institut (Hrsg.). (2011). Daten und Fakten: Ergebnisse der Studie „Gesundheit in Deutschland aktuell 2009“ (Beitrage zur Gesundheitsberichterstattung des Bundes). Berlin: Robert Koch-Institut, Abteilung für Epidemiologie und Gesundheitsberichterstattung. First citation in articleGoogle Scholar

  • Roberts, C. , Kane, R. , Bishop, B. , Cross, D. , Fenton, J. , Hart, B. (2010). The prevention of anxiety and depression in children from disadvantaged schools. Behaviour Research and Therapy, 48, 68 – 73. First citation in articleCrossref, Google Scholar

  • Roberts, C. , Kane, R. , Thomson, H. , Bishop, B. , Hart, B. (2003). The prevention of depressive symptoms in rural school children: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 71, 622 – 628. First citation in articleCrossref, Google Scholar

  • Rooney, R. , Roberts, C. , Kane, R. , Pike, L. , Winsor, A. , White, J. , Brown, A. (2006). The prevention of depression in 8- to 9-year-old children: A pilot study. Australian Journal of Guidance and Counselling, 16, 76 – 90. First citation in articleCrossref, Google Scholar

  • Sawyer, M. G. , Pfeiffer, S. , Spence, S. H. , Bond, L. , Graetz, B. , Kay, D. , Patton, G. , Sheffield, J. (2010). School-based prevention of depression: A randomised controlled study of the beyondblue schools research initiative. Journal of Child Psychology and Psychiatry, 51, 199 – 209. First citation in articleCrossref, Google Scholar

  • Sheffield, J. K. , Spence, S. H. , Rapee, R. M. , Kowalenko, N. , Wignall, A. , Davis, A. , McLoone, J. (2006). Evaluation of universal, indicated, and combined cognitive-behavioral approaches to the prevention of depression among adolescents. Journal of Consulting and Clinical Psychology, 74, 66 – 79. First citation in articleCrossref, Google Scholar

  • Spence, S. H. , Sheffield, J. K. , Donovan, C. L. (2003). Preventing adolescent depression: An evaluation of the problem solving for life program. Journal of Consulting and Clinical Psychology, 71, 3 – 13. First citation in articleCrossref, Google Scholar

  • Thapar, A. , Collishaw, S. , Potter, R. , Thapar, A. K. (2010). Managing and preventing depression in adolescents. British Medical Journal, 340, c209. First citation in articleCrossref, Google Scholar

  • Vaccarino, A. L. , Sills, T. L. , Evans, K. R. , Kalali, A. H. (2008). Prevalence and association of somatic symptoms in patients with Major Depressive Disorder. Journal of Affective Disorders, 110, 270 – 276. First citation in articleCrossref, Google Scholar

  • Weissman, M. M. , Wolk, S. , Wickramaratne, P. , Goldstein, R. B. , Adams, P. , Greenwald, S. , Ryan, N. D. , Dahl, R. E. (1999). Children with prepubertal-onset major depressive disorder and anxiety grown up. Archives of General Psychiatry, 56, 797 – 801. First citation in articleCrossref, Google Scholar

  • Wittchen, H. (2000). „Depression 2000“. Eine bundesweite Depressions-Screening-Studie in Allgemeinarztpraxen. Fortschritte der Medizin, 118, 4 – 10. First citation in articleGoogle Scholar

  • World Health Organization (Ed.). (2008). The global burden of disease: 2004 update. Zugriff am 09. 05. 2011 unter http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf. First citation in articleGoogle Scholar

  • World Health Organization, Department of Measurement and Health Information (Ed.). (2009). Mortality and burden of disease estimates for WHO member states in 2004. Zugriff am 03. 05. 2011 unter: www.who.int/healthinfo/global_burden_disease/gbddeathdalycountryestimates2004.xls. First citation in articleGoogle Scholar

  • Young, J. F. , Mufson, L. , Davies, M. (2006). Efficacy of interpersonal psychotherapy – Adolescent Skills Training: An indicated preventive intervention for depression. Journal of Child Psychology and Psychiatry, 47, 1254 – 1262. First citation in articleGoogle Scholar