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Adolescent depression: A primary ca...

Moldenhauer, Zendi.

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Adolescent depression: A primary care pilot intervention study.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Adolescent depression: A primary care pilot intervention study./
作者:	Moldenhauer, Zendi.
面頁冊數:	279 p.
附註:	Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0656.
Contained By:	Dissertation Abstracts International65-02B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3120695
ISBN:	0496680509

Adolescent depression: A primary care pilot intervention study.
Moldenhauer, Zendi.

Adolescent depression: A primary care pilot intervention study. - 279 p.

Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0656.

Thesis (Ph.D.)--University of Rochester School of Nursing, 2004.

This pilot study tested the efficacy of a 6-week, individual, cognitive-behavioral intervention, delivered by advanced practice nurses in the primary health care setting to adolescents with elevated depressive symptoms and their parents. The primary aim of this pilot study was to evaluate the effects of a theoretically driven reproducible intervention program with mild to moderately depressed adolescents on: (a) depressive symptoms, (b) depressogenic cognition, (c) behavior, (d) self-esteem, and (e) family communication. The secondary aims were to (a) determine the feasibility of implementing such an intervention in the primary care setting, (b) evaluate the impact of involving parents in the adolescent intervention, and (c) obtain feedback from adolescents and their parents to inform the design of a larger clinical trial to test the theoretical model and efficacy of the intervention.

ISBN: 0496680509Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Adolescent depression: A primary care pilot intervention study.
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500 $a Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0656.
500 $a Supervisor: Bernadette Mazurek Melnyk.
502 $a Thesis (Ph.D.)--University of Rochester School of Nursing, 2004.
520 $a This pilot study tested the efficacy of a 6-week, individual, cognitive-behavioral intervention, delivered by advanced practice nurses in the primary health care setting to adolescents with elevated depressive symptoms and their parents. The primary aim of this pilot study was to evaluate the effects of a theoretically driven reproducible intervention program with mild to moderately depressed adolescents on: (a) depressive symptoms, (b) depressogenic cognition, (c) behavior, (d) self-esteem, and (e) family communication. The secondary aims were to (a) determine the feasibility of implementing such an intervention in the primary care setting, (b) evaluate the impact of involving parents in the adolescent intervention, and (c) obtain feedback from adolescents and their parents to inform the design of a larger clinical trial to test the theoretical model and efficacy of the intervention.
520 $a Compared to adolescents in the control group, adolescents completing the CWD-A experimental intervention, had: (a) fewer depressive symptoms, (b) less suicidal ideation, (c) less depressogenic cognition, (d) fewer problematic adolescent behaviors, (e) discussed problematic behaviors with their parents with less anger, and (f) had improved family communication. In addition, adolescents in both groups improved in self-esteem, personal beliefs, and dysfunctional depressogenic attitudes post-intervention. There were moderate to large effect sizes for the CWD-A intervention on adolescent: (a) problem solving, (b) communication, (c) behavior control, and (d) intensity of conflict in discussing problematic behaviors. There were small effect sizes for the CWD-A intervention on adolescent: (a) anxiety, (b) personal beliefs, (c) affective involvement, (d) depressogenic cognition, (e) teenage role, (f) total family functioning, and (g) suicidal ideation.
520 $a Compared to parents in the control group, parents completing the CWD-P experimental intervention, had: (a) fewer depressive symptoms, (b) stronger beliefs in their ability to parent their depressed adolescent, and (c) were more affectively involved with their adolescents. In addition, parents in both groups rated their teens as exhibiting fewer problematic behaviors and as having less intense discussions about these behaviors post-intervention. (Abstract shortened by UMI.)
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