OBJECTIVE: To assess the 2-year impact of teacher-delivered, brief, personality-targeted interventions on internalizing and externalizing symptoms in an adolescent U.K. sample. METHOD: This cluster-randomized trial was run in 19 London schools (N = 1,024 adolescents). Trained school-based professionals delivered two 90-minute, CBT-based group interventions targeting 1 of 4 personality-risk profiles: anxiety sensitivity, hopelessness, impulsivity, or sensation seeking. Self-report depression, anxiety, and conduct disorder symptoms were assessed at 6-month intervals. RESULTS: Interventions were associated with significantly reduced depressive, anxiety, and conduct symptoms (p < .05) over 2 years in the full sample, reduced odds of severe depressive symptoms (odds ratio [OR] = 0.74, CI = 0.58-0.96), and conduct problems (OR = 0.79, CI = 0.65-0.96), and a nonsignificant reduction in severe anxiety symptoms (OR = 0.79, CI = 0.59-1.05). Evaluating a priori personality-specific hypotheses revealed strong evidence for impulsivity-specific effects on severe conduct problems, modest evidence of anxiety sensitivity-specific effects on severe anxiety, and no evidence for hopelessness-specific effects on severe depressive symptoms. CONCLUSIONS: Brief, personality-targeted interventions delivered by educational professionals can have a clinically significant impact on mental health outcomes in high-risk youth over 2 years, as well as personality-specific intervention effects in youth most at risk for a particular problem, particularly for youth with high levels of impulsivity. Clinical trial registration information-Adventure: The Efficacy of Personality-Targeted Interventions for Substance Misuse and Other Risky Behaviors as Delivered by Educational Professionals.
OBJECTIVE: To assess the 2-year impact of teacher-delivered, brief, personality-targeted interventions on internalizing and externalizing symptoms in an adolescent U.K. sample. METHOD: This cluster-randomized trial was run in 19 London schools (N = 1,024 adolescents). Trained school-based professionals delivered two 90-minute, CBT-based group interventions targeting 1 of 4 personality-risk profiles: anxiety sensitivity, hopelessness, impulsivity, or sensation seeking. Self-report depression, anxiety, and conduct disorder symptoms were assessed at 6-month intervals. RESULTS: Interventions were associated with significantly reduced depressive, anxiety, and conduct symptoms (p < .05) over 2 years in the full sample, reduced odds of severe depressive symptoms (odds ratio [OR] = 0.74, CI = 0.58-0.96), and conduct problems (OR = 0.79, CI = 0.65-0.96), and a nonsignificant reduction in severe anxiety symptoms (OR = 0.79, CI = 0.59-1.05). Evaluating a priori personality-specific hypotheses revealed strong evidence for impulsivity-specific effects on severe conduct problems, modest evidence of anxiety sensitivity-specific effects on severe anxiety, and no evidence for hopelessness-specific effects on severe depressive symptoms. CONCLUSIONS: Brief, personality-targeted interventions delivered by educational professionals can have a clinically significant impact on mental health outcomes in high-risk youth over 2 years, as well as personality-specific intervention effects in youth most at risk for a particular problem, particularly for youth with high levels of impulsivity. Clinical trial registration information-Adventure: The Efficacy of Personality-Targeted Interventions for Substance Misuse and Other Risky Behaviors as Delivered by Educational Professionals.
Authors: Ferry X Goossens; J Lammers; S A Onrust; P J Conrod; B Orobio de Castro; K Monshouwer Journal: Eur Child Adolesc Psychiatry Date: 2015-10-12 Impact factor: 4.785
Authors: Lisa K Brents; Shanti Prakash Tripathi; Jonathan Young; G Andrew James; Clinton D Kilts Journal: J Psychiatr Res Date: 2015-03-12 Impact factor: 4.791
Authors: Jeanne E Savage; Elizabeth C Long; Sally I-Chun Kuo; Megan E Cooke; Jinni Su; Peter B Barr; Jessica E Salvatore Journal: Policy Insights Behav Brain Sci Date: 2017-08-24
Authors: Thomas J Crowley; Manish S Dalwani; Susan K Mikulich-Gilbertson; Susan E Young; Joseph T Sakai; Kristen M Raymond; Shannon K McWilliams; Melissa J Roark; Marie T Banich Journal: PLoS One Date: 2015-07-15 Impact factor: 3.240
Authors: Maeve O'Leary-Barrett; Robert O Pihl; Eric Artiges; Tobias Banaschewski; Arun L W Bokde; Christian Büchel; Herta Flor; Vincent Frouin; Hugh Garavan; Andreas Heinz; Bernd Ittermann; Karl Mann; Marie-Laure Paillère-Martinot; Frauke Nees; Tomas Paus; Zdenka Pausova; Luise Poustka; Marcella Rietschel; Trevor W Robbins; Michael N Smolka; Andreas Ströhle; Gunter Schumann; Patricia J Conrod Journal: PLoS One Date: 2015-06-05 Impact factor: 3.240