Rural American Indian (AI) middle school students with depressive symptoms who participated in a culturally modified version of the Adolescent Coping with Depression (CWD-A) course (n = 8) reported significant improvement in depressive symptoms at post-intervention and at 3-month follow-up. There was also a nonsignificant but clinically relevant decrease in participants' anxiety symptoms. Students reported satisfaction with the intervention, and it was potentially more cost-effective and less stigmatizing than the individualized treatment-as-usual interventions to which it was compared. These results suggest the CWD-A is a promising approach for reducing depressive and anxiety symptoms in rural AI students and should be further evaluated with a larger sample of students.
A cognitive-behavioral treatment for depression in rural American Indian middle school students.
Listug-Lunde L; Vogeltanz-Holm N; Collins J
American Indian And Alaska Native Mental Health Research (Online)
2013
20
1
National Center for American Indian and Alaska Native Mental Health Research
Clinical Trial
Cognitive Therapy methods; Cognitive Therapy standards; Depression therapy; Indians, North American psychology; Adolescent; Anxiety therapy; Child; Female; Humans; Male; Rural Population; Students psychology; Treatment Outcome; Adolescent: 13-18 years; Child: 6-12 years; All Child: 0-18 years; Female; Male
Tribal Adaptation