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Building Depression Resilience in Adolescents: A 2-year Evaluation of the Resourceful Adolescent Program (RAP) in a South West Sydney High School

Published online by Cambridge University Press:  12 February 2016

Pandora Petrovski ,
Stephen Matthey  and
Leanne Clarke
Pandora Petrovski*
Affiliation:
South Western Sydney Area Health Service, Australia
Stephen Matthey
Affiliation:
South Western Sydney Area Health Service, Australia
Leanne Clarke
Affiliation:
South Western Sydney Area Health Service, Australia
*
Infant, Child and Adolescent Mental Health Service, South West Sydney Area Health Service, 2nd Floor, 157–161 George Street, Liverpool, NSW 2170, Australia. Email:[email protected]
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Abstract

The Resourceful Adolescent Program (RAP), an 11-session depression prevention program, was provided to Year 9 students at a South West Sydney High School. Students were assessed using the Children's Depression Inventory and the Adolescent Coping Scale. These assessments were conducted prior to the start of the program, the end of the program, at 6 months, at 1 year and again at 2 years. Further, at the 2-year time point, students were asked to complete a questionnaire — Use and Usefulness of RAP Skills Evaluation Form (2 years on) — to help ascertain the “practical effectiveness” of RAP. The results provide some support for the efficacy of RAP as a depression prevention program with high-school students of approximately 15 years of age. A significant main effect was found for time on the CDI, with follow-up comparisons showing that pretreatment scores were significantly higher than scores at any of the other subsequent time points. There were no main effects or interactions for ethnicity or sex. For the measures of coping, no change was evidenced. This was a surprising result as one of the main objectives of RAP was to increase positive coping skills. The Use and Usefulness of Rap Skills Evaluation Form (2 years on) showed that most of the students found the program to be of some use; however, less than half stated they had utilised some of the skills taught in the program. More importantly, of the students who stated they had experienced difficult situations over the last 12 months, 23 (66%) said that they had used skills taught in RAP to help them; however, there was limited support regarding the helpfulness of these skills during the difficult situations. In spite of a number of methodological issues limiting the interpretations of the findings, the current long-term evaluation provides an important contribution to the small body of literature available on the effectiveness of RAP.

Type
Articles
Information
Journal of Psychologists and Counsellors in Schools , Volume 13 , Issue 1: Mental Health Issues and Schools , July 2003 , pp. 63 - 76
Copyright
Copyright © Cambridge University Press 2003

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References

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
Baron, P., & Campbell, T.L. (1993). Gender differences in the expression of depressive symptoms in middle adolescents: An extension of earlier findings. Adolescence, 28, 903–911.Google ScholarPubMed
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Bevan, K. (2000). Young people, culture, migration and mental health: A review of the literature. In Bahir, M. & Bennett, D. (Eds.), Deeper dimensions — Culture youth and mental health (pp. 1–63). Australia: NSW Transcultural Mental Health Centre.Google Scholar
Burbach, D.J., Farha, J.G., & Thorpe, J.S. (1986). Assessing depression in community samples of children using self-report inventories: Ethical considerations. Journal of Abnormal Child Psychology, 14, 579–589.Google Scholar
Cheng, T.A. (1989). Symptomatology of minor psychiatric morbidity: A crosscultural comparison. Psychological Medicine, 19, 697–708.Google Scholar
Ebert, D., & Martus, P. (1994). Somatization as a core symptom of melancholic type depression: evidence from a cross-cultural study. Journal of Affective Disorders, 32, 253–256.Google Scholar
Frydenberg, E., & Lewis, R. (1993). Adolescent Coping Scale. Victoria: The Australian Council for Educational Research.Google Scholar
Fuller, A. (1998). From surviving to thriving: Promoting mental health in young people. Australia: ACER Press.Google Scholar
Geldard, K., & Geldard, D. (1999). Counselling adolescents. London: Sage Publications.Google Scholar
Gillham, J.E., Reivich, K.J., Jaycox, L.H., & Seligman, M.E.P. (1995). Prevention of depressive symptoms in schoolchildren: Two-year follow-up. Psychological Science, 6, 343–351.Google Scholar
Gregory, S.E., VonKorff, M., Piccinelli, M., Fullerton, C., & Ormel, J. (1999). An international study of the relations between somatic symptoms and depression. The New England Journal of Medicine, 341, 1329–1335.Google Scholar
Hodges, K. (1990). Depression and anxiety in children: A comparison of self-report questionnaires to clinical interview. Psychological Assessment, 2, 376–381.CrossRefGoogle Scholar
Kleinman, A. (1982). Neurasthenia and depression: A study of somatization and culture in China. Culture, Medicine & Psychiatry, 6, 119–190.Google Scholar
Kleinman, A., & Good, B. (1986). Culture and depression. Berkeley, CA: University of California Press.Google Scholar
Klimidis, S., Stuart, G., Minas, I.H., & Ata, A.W. (1994). Immigrant status and gender effects on psychopathology and self-concept in adolescents: A test of the migration-morbidity hypothesis. Comprehensive Psychiatry, 35, 393–404.Google Scholar
Kovacs, M. (1992). Children's Depression Inventory. Canada: Multi-Health Systems, Inc.Google Scholar
Marsella, A.J., & Kaplan, A. (2002) Cultural considerations for understanding, assessing, and treating depressive experience and disorder. In Reinecke, M.A. & Davison, M.R. (Eds.), Comparative treatments of depression (pp. 47–78). New York: Springer Publishing Company, Inc.Google Scholar
Matthey, S., & Petrovski, P. (2002). The Children's Depression Inventory: Error in cut-off scores for screening purposes. Psychological Assessment, 14, 146–149.Google Scholar
Mitchell, P. (2000). Valuing young lives: Evaluation of the National Youth Suicide Prevention Strategy. Australia: Australian Institute of Family Studies.Google Scholar
Montague, R. (1999a). The Resourceful Adolescent Program in Western Sydney. Paper presented at the Australian Early Intervention Network Conference, Adelaide, Australia.Google Scholar
Montague, R. (1999b). Training workshop for the Resourceful Adolescent Program. Presented at Centacare, Campbelltown, NSW.Google Scholar
Mrazek, P.B., & Haggerty, R.J. (1994). Reducing risks for mental disorders — Frontiers of preventative intervention research. Washington DC: Academy Press.Google Scholar
Muris, P., Bogie, N., & Hoogsteder, A. (2001). Effects of an early intervention group program for anxious and depressed adolescents: A pilot study. Psychological Reports, 88, 481–482.CrossRefGoogle ScholarPubMed
Nash, H. (2000). Building resilience in schools. Health Promotion Business Unit Greater Murray Health Service. Retrieved September 16, 2002, from http://project.ysp.org.au/school/rap.pdfGoogle Scholar
National Health and Medical Research Council. (1997). Depression in young people: A guide for mental health professionals. Australia: Australian Government Publishing Service.Google Scholar
Pfeiffer, W. (1968). The symptomatology of depression viewed transculturally. Transcultural Psychiatry Research Review, 5, 121–124.Google Scholar
Seligman, M.E.P., Castellon, C., Cacciola, J., Schulman, P., Luborsky, L., Ollove, M., et al. (1988). Explanatory style change during cognitive therapy for unipolar depression. Journal of Abnormal Psychology, 97, 1–6.Google Scholar
Shain, B.N., Naylor, M., & Alessi, N. (1990). Comparison of self-rated and clinician-rated measures of depression in adolescents. American Journal of Psychiatry, 147, 793–795.Google Scholar
Shochet, I. (2002). The Resourceful Adolescent Program (RAP): A school-based resilience-building approach for preventing adolescent depression. Auseinetter, 15(2), 24–25.Google Scholar
Shochet, I., & Dadds, M. (1997). Adolescent depression and the family: a paradox. Clinical Child sychology and Psychiatry, 2, 307–312.CrossRefGoogle Scholar
Shochet, I., Dadds, M., Holland, D., Whitefield, K., Harnett, P., & Osgarby, S. (2001). The efficacy of a universal school-based program to prevent adolescent depression. Journal of Clinical Child Psychology, 30, 303–315.Google Scholar
Shochet, I.M., & O'Gorman, J.G. (1995). Ethical issues in research on adolescent depression and suicidal behaviour. Australian Psychologist, 30, 183–186.CrossRefGoogle ScholarPubMed
Shochet, I., Holland, D., & Whitefield, K. (1997). Resourceful Adolescent Program. Queensland: Griffith University.Google Scholar
Williams, C.L., & Berry, J.W. (1991). Primary prevention of acculturative stress among refugees. American Psychologist, 46, 632–641.CrossRefGoogle ScholarPubMed
Zhang, J., & Norvilitis, J.M. (2002). Measuring Chinese psychological well-being with Western developed instruments. Journal of Personality Assessment, 79, 492–511.Google Scholar