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Effects of a brief ED-based alcohol and violence intervention on depressive symptoms
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5 2017
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Source: Gen Hosp Psychiatry. 46:44-48
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Alternative Title:Gen Hosp Psychiatry
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Description:Objective
Depressive symptoms frequently co-exist in adolescents with alcohol use and peer violence. This paper’s purpose was to examine the secondary effects of a brief alcohol-and-violence-focused ED intervention on depressive symptoms.
Method
Adolescents (ages 14–18) presenting to an ED for any reason, reporting past year alcohol use and aggression, were enrolled in a randomized control trial (control, therapist-delivered brief intervention [TBI], or computer-delivered brief intervention [CBI]). Depressive symptoms were measured at baseline, 3, 6, and 12 months using a modified 10-item Center for Epidemiological Studies Depression Scale (CESD-10). Poisson regression was used (adjusting for baseline age, gender, and depressive symptoms) to compare depressive symptoms at follow-up.
Results
Among 659 participants, higher baseline depressive symptoms, female gender, and age >16 were associated with higher depressive symptoms over time. At 3 months, CBI and TBI groups had significantly lower CESD-10 scores than the control group; at 6 months, intervention and control groups did not differ; at 12 months, only CBI had a significantly lower CESD-10 score than control.
Conclusions
A single-session brief ED-based intervention focused on alcohol use and violence also reduces depressive symptoms among at-risk youth. Findings also point to the potential efficacy of using technology in future depression interventions.
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Pubmed ID:28622815
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Pubmed Central ID:PMC5474937
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