What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden

BACKGROUND: Adolescents are a vulnerable group when it comes to the risk of developing depression. Preventing the onset of depressive episodes in this group is therefore a major public health priority. In the last decades, school-based cognitive-behavioural interventions have been a common primary p...

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Published in:International Journal of Circumpolar Health
Main Authors: Zetterström Dahlqvist, Heléne, Landstedt, Evelina, Gillander Gådin, Katja
Format: Article in Journal/Newspaper
Language:English
Published: Department of Health Sciences, Mitthögskolan, Sundsvall 2015
Subjects:
Online Access:http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112490
https://doi.org/10.3402/ijch.v74.29805
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spelling ftumeauniv:oai:DiVA.org:umu-112490 2023-10-09T21:50:46+02:00 What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden Zetterström Dahlqvist, Heléne Landstedt, Evelina Gillander Gådin, Katja 2015 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112490 https://doi.org/10.3402/ijch.v74.29805 eng eng Department of Health Sciences, Mitthögskolan, Sundsvall International Journal of Circumpolar Health, 1239-9736, 2015, 74, orcid:0000-0003-2996-3348 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112490 doi:10.3402/ijch.v74.29805 PMID 26538463 ISI:000363987000001 info:eu-repo/semantics/openAccess cognitive-behavioural interventions school-based selective interventions depressive symptoms naturalistic setting psychosocial factors sexual harassment Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Learning Lärande Article in journal info:eu-repo/semantics/article text 2015 ftumeauniv https://doi.org/10.3402/ijch.v74.29805 2023-09-22T13:57:00Z BACKGROUND: Adolescents are a vulnerable group when it comes to the risk of developing depression. Preventing the onset of depressive episodes in this group is therefore a major public health priority. In the last decades, school-based cognitive-behavioural interventions have been a common primary prevention approach. However, evidence on what girls actually are allocated to such interventions when no researchers are involved is scarce. OBJECTIVE: To explore how a selective cognitive-behavioural program (Depression In Swedish Adolescents) developed to prevent depression in adolescents, was implemented in a naturalistic setting in schools in northern part of Sweden. The focus was on characteristics of participants allocated to the intervention. DESIGN: Cross-sectional baseline data on depressive symptoms, school environment and socio-economic factors were collected in 2011 by means of questionnaires in schools in a municipality in the northern part of Sweden. Intervention participants were identified in a follow-up questionnaire in 2012. Students (n=288) included in the analyses were in the ages of 14-15. RESULTS: Sixty-six girls and no boys were identified as intervention participants. They reported higher levels of depressive symptoms, lower personal relative affluence, more sexual harassment victimization and less peer support compared to female non-participants (n=222). Intervention participants were more likely to attend schools with a higher proportion of low parental education levels and a lower proportion of students graduating with a diploma. CONCLUSIONS: The developers of the intervention originally intended the program to be universal or selective, but it was implemented as targeted in these schools. It is important for school administrations to adhere to program fidelity when it comes to what students it is aimed for. Implications for effectivenss trials of cognitive-behavioural interventions in the school setting is discussed. Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health Northern Sweden Umeå University: Publications (DiVA) International Journal of Circumpolar Health 74 1 29805
institution Open Polar
collection Umeå University: Publications (DiVA)
op_collection_id ftumeauniv
language English
topic cognitive-behavioural interventions
school-based
selective interventions
depressive symptoms
naturalistic setting
psychosocial factors
sexual harassment
Public Health
Global Health
Social Medicine and Epidemiology
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Learning
Lärande
spellingShingle cognitive-behavioural interventions
school-based
selective interventions
depressive symptoms
naturalistic setting
psychosocial factors
sexual harassment
Public Health
Global Health
Social Medicine and Epidemiology
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Learning
Lärande
Zetterström Dahlqvist, Heléne
Landstedt, Evelina
Gillander Gådin, Katja
What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden
topic_facet cognitive-behavioural interventions
school-based
selective interventions
depressive symptoms
naturalistic setting
psychosocial factors
sexual harassment
Public Health
Global Health
Social Medicine and Epidemiology
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Learning
Lärande
description BACKGROUND: Adolescents are a vulnerable group when it comes to the risk of developing depression. Preventing the onset of depressive episodes in this group is therefore a major public health priority. In the last decades, school-based cognitive-behavioural interventions have been a common primary prevention approach. However, evidence on what girls actually are allocated to such interventions when no researchers are involved is scarce. OBJECTIVE: To explore how a selective cognitive-behavioural program (Depression In Swedish Adolescents) developed to prevent depression in adolescents, was implemented in a naturalistic setting in schools in northern part of Sweden. The focus was on characteristics of participants allocated to the intervention. DESIGN: Cross-sectional baseline data on depressive symptoms, school environment and socio-economic factors were collected in 2011 by means of questionnaires in schools in a municipality in the northern part of Sweden. Intervention participants were identified in a follow-up questionnaire in 2012. Students (n=288) included in the analyses were in the ages of 14-15. RESULTS: Sixty-six girls and no boys were identified as intervention participants. They reported higher levels of depressive symptoms, lower personal relative affluence, more sexual harassment victimization and less peer support compared to female non-participants (n=222). Intervention participants were more likely to attend schools with a higher proportion of low parental education levels and a lower proportion of students graduating with a diploma. CONCLUSIONS: The developers of the intervention originally intended the program to be universal or selective, but it was implemented as targeted in these schools. It is important for school administrations to adhere to program fidelity when it comes to what students it is aimed for. Implications for effectivenss trials of cognitive-behavioural interventions in the school setting is discussed.
format Article in Journal/Newspaper
author Zetterström Dahlqvist, Heléne
Landstedt, Evelina
Gillander Gådin, Katja
author_facet Zetterström Dahlqvist, Heléne
Landstedt, Evelina
Gillander Gådin, Katja
author_sort Zetterström Dahlqvist, Heléne
title What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden
title_short What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden
title_full What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden
title_fullStr What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden
title_full_unstemmed What students do schools allocate to a cognitive-behavioural intervention? : Characteristics of adolescent participants in Northern Sweden
title_sort what students do schools allocate to a cognitive-behavioural intervention? : characteristics of adolescent participants in northern sweden
publisher Department of Health Sciences, Mitthögskolan, Sundsvall
publishDate 2015
url http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112490
https://doi.org/10.3402/ijch.v74.29805
genre Circumpolar Health
International Journal of Circumpolar Health
Northern Sweden
genre_facet Circumpolar Health
International Journal of Circumpolar Health
Northern Sweden
op_relation International Journal of Circumpolar Health, 1239-9736, 2015, 74,
orcid:0000-0003-2996-3348
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112490
doi:10.3402/ijch.v74.29805
PMID 26538463
ISI:000363987000001
op_rights info:eu-repo/semantics/openAccess
op_doi https://doi.org/10.3402/ijch.v74.29805
container_title International Journal of Circumpolar Health
container_volume 74
container_issue 1
container_start_page 29805
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