scholarly journals Indicated prevention for college student marijuana use: A randomized controlled trial.

2013 ◽  
Vol 81 (4) ◽  
pp. 702-709 ◽  
Author(s):  
Christine M. Lee ◽  
Jason R. Kilmer ◽  
Clayton Neighbors ◽  
David C. Atkins ◽  
Cheng Zheng ◽  
...  
2009 ◽  
Vol 23 (4) ◽  
pp. 598-612 ◽  
Author(s):  
Heather LaChance ◽  
Sarah W. Feldstein Ewing ◽  
Angela D. Bryan ◽  
Kent E. Hutchison

2014 ◽  
Vol 45 (7) ◽  
pp. 1401-1412 ◽  
Author(s):  
P. Otero ◽  
F. Smit ◽  
P. Cuijpers ◽  
A. Torres ◽  
V. Blanco ◽  
...  

BackgroundAlthough depression is a common problem among non-professional caregivers, only one trial has evaluated the efficacy of indicated prevention targeting this population and the long-term efficacy is unknown. The aim of this study was to evaluate the long-term efficacy of a brief intervention for the indicated prevention of depression in a sample of female caregivers.MethodA randomized controlled trial was conducted involving 173 participants (mean age 53.9 years) who were allocated to the intervention (n = 89) or the usual-care control group (n = 84). Blinded interviewers conducted assessments at 1, 3, 6 and 12 months of follow-up. The main outcome measure was the incidence of major depression and the secondary outcomes were compliance with treatment, depressive symptoms, emotional distress and caregiver burden.ResultsAt the 12-month follow-up, a lower incidence of depression as evaluated using the Structured Clinical Interview for Axis I Disorders of the DSM-IV was found in the intervention group compared with the control group (10.1%v.25.0%). The relative risk was 0.40 and statistically significant [χ2 = 6.68, degrees of freedom = 1,p = 0.010, 95% confidence interval (CI) 0.20–0.81], and the number needed to treat was 7 (95% CI 4–27). There was a significant delay in the onset of depression in the intervention group (p = 0.008). The good complier caregivers had a lower incidence of depression. The intervention effect on depressive symptoms, emotional distress and caregiver burden were maintained for 12 months.ConclusionsThis is the first study to demonstrate that a brief problem-solving intervention can prevent the onset of depression among non-professional caregivers over the longer term.


2017 ◽  
Author(s):  
Corinna Jacobi ◽  
Kristian Hütter ◽  
Ulrike Völker ◽  
Katharina Möbius ◽  
Robert Richter ◽  
...  

BACKGROUND Web-based preventive interventions can reduce risk and incidence of bulimia and binge eating disorders among young high-risk women. However, their specific effects on core symptoms of anorexia nervosa (AN) are rather weak. OBJECTIVE The primary objective of this study was to evaluate the efficacy of an indicated, parent-based, Web-based preventive program Eltern als Therapeuten (E@T) in reducing risk factors and symptoms of AN. METHODS Girls aged between 11 and 17 years were screened by selected risk factors and early symptoms of AN. At-risk families were then randomized to E@T or an assessment-only control condition. Assessments took place at pre- and postintervention (6 weeks later) and at 6- and 12-month follow-up (FU). RESULTS A total of 12,377 screening questionnaires were handed out in 86 German schools, and 3941 including consent returned. Overall, 477 (447/3941, 12.10%) girls were identified as at risk for AN and 256 of those could be contacted. In all, 66 families (66/256, 25.8% of those contacted) were randomized to the E@T or a wait-list control condition, 43 (43/66, 65%) participated in postassessments, and 27 (27/66, 41%) in 12-month FUs. Due to low participation and high dropout rates of parents, recruitment was terminated prematurely. At 12-month FU, girls’ expected body weight (EBW) percentage was significantly greater for intervention participants compared with control participants (group by time interaction beta=21.0 [CI 5.81 to 36.13], P=.007; group by time squared interaction beta=−15.5 [CI −26.6 to −4.49], P=.007; estimated Cohen d=0.42]. No other significant effects were found on risk factors and attitudes of disturbed eating. CONCLUSIONS Despite a significant increase in girls’ EBW percentage, parental participation and adherence to the intervention were low. Overall, parent-based, indicated prevention for children at risk for AN does not seem very promising, although it might be useful for parents who engage in the intervention. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN): 18614564; http://www.isrctn.com/ISRCTN18614564 (Archived by WebCite at http://www.webcitation.org/74FTV1EpF).


Author(s):  
Tyler L. Malone ◽  
Adam Kern ◽  
Emily Klueh ◽  
Daniel Eisenberg

This study sought to determine the efficacy of particular strategies for delivering information about coping skills for stress to college student-athletes. This study analyzed 166 undergraduate varsity student-athletes. Among these participants, 60.8% were female (n = 101). The authors used a randomized controlled trial to compare video-based and text-based interventions designed to deliver coping skills information. Five weeks after the intervention, the participants completed a follow-up survey containing simple self-report questions regarding the memorability, use, and helpfulness of the coping skills information. In general, both strategies led to the use of coping skills by a sizeable proportion of the sample. The participants in the video-based deep breathing intervention were more than twice as likely to use coping skills compared with participants in the text-based intervention (risk ratio = 2.20, 95% confidence interval [1.02, 4.71], p = .03). Overall, the results suggest that both video- and text-based interventions have the potential to promote coping skills.


Addiction ◽  
2017 ◽  
Vol 113 (3) ◽  
pp. 440-453 ◽  
Author(s):  
Michael D. Stein ◽  
Celeste M. Caviness ◽  
Emily F. Morse ◽  
Kristin R. Grimone ◽  
Daniel Audet ◽  
...  

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