Lisa Townsend1, Rashelle Musci2, Elizabeth Stuart3, Kathryn Heley4, Mary Beth Beaudry5, Barbara Schweizer5, Anne Ruble5, Karen Swartz5, Holly Wilcox2. 1. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland; Kennedy Krieger Institute, Baltimore, Maryland. Electronic address: ltownsend01@msn.com. 2. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland. 3. Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore Maryland; Department of Health, Policy, and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland. 4. Department of Health, Policy, and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland. 5. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland.
Abstract
PURPOSE: Depression is a debilitating illness with frequent onset during adolescence. Depression affects women more often than men; men are more likely to complete suicide and less likely to seek treatment. The Adolescent Depression Awareness Program (ADAP) is a school-based depression intervention that educates adolescents about depression symptoms and addresses accompanying stigma. The study aims examined gender differences in the ADAP's impact on depression literacy and stigma. METHODS: Data came from a randomized trial (2012-2015). Six thousand six hundred seventy-nine students from 54 schools in several states were matched into pairs and randomized to the intervention or wait-list control. Teachers delivered the ADAP as part of the health curriculum. Depression literacy and stigma outcomes were measured before intervention, 6 weeks later, and at 4 months. Multilevel models evaluated whether gender moderated the effect of ADAP on depression literacy and stigma. RESULTS: At 4 months, there was a main effect of the ADAP on depression literacy (odds ratio [OR] = 3.3, p = .001) with intervention students achieving depression literacy at higher rates than controls. Gender exhibited a main effect, with women showing greater rates of depression literacy than men (OR = 1.51, p = .001). There was no significant intervention × gender interaction. The ADAP did not exhibit a significant main effect on stigma. There was a main effect for gender, with women demonstrating less stigma than men (OR = .65, p = .001). There was no significant interaction between the intervention and gender on stigma. CONCLUSIONS: The ADAP demonstrates effectiveness for increasing rates of depression literacy among high school students. In this study, gender was not associated with ADAP's effectiveness.
RCT Entities:
PURPOSE:Depression is a debilitating illness with frequent onset during adolescence. Depression affects women more often than men; men are more likely to complete suicide and less likely to seek treatment. The Adolescent Depression Awareness Program (ADAP) is a school-based depression intervention that educates adolescents about depression symptoms and addresses accompanying stigma. The study aims examined gender differences in the ADAP's impact on depression literacy and stigma. METHODS: Data came from a randomized trial (2012-2015). Six thousand six hundred seventy-nine students from 54 schools in several states were matched into pairs and randomized to the intervention or wait-list control. Teachers delivered the ADAP as part of the health curriculum. Depression literacy and stigma outcomes were measured before intervention, 6 weeks later, and at 4 months. Multilevel models evaluated whether gender moderated the effect of ADAP on depression literacy and stigma. RESULTS: At 4 months, there was a main effect of the ADAP on depression literacy (odds ratio [OR] = 3.3, p = .001) with intervention students achieving depression literacy at higher rates than controls. Gender exhibited a main effect, with women showing greater rates of depression literacy than men (OR = 1.51, p = .001). There was no significant intervention × gender interaction. The ADAP did not exhibit a significant main effect on stigma. There was a main effect for gender, with women demonstrating less stigma than men (OR = .65, p = .001). There was no significant interaction between the intervention and gender on stigma. CONCLUSIONS: The ADAP demonstrates effectiveness for increasing rates of depression literacy among high school students. In this study, gender was not associated with ADAP's effectiveness.
Authors: S G Kornstein; A F Schatzberg; M E Thase; K A Yonkers; J P McCullough; G I Keitner; A J Gelenberg; C E Ryan; A L Hess; W Harrison; S M Davis; M B Keller Journal: J Affect Disord Date: 2000-10 Impact factor: 4.839
Authors: Karen L Swartz; Elizabeth A Kastelic; Sally G Hess; Todd S Cox; Lizza C Gonzales; Sallie P Mink; J Raymond DePaulo Journal: Health Educ Behav Date: 2007-07-25
Authors: Ronald C Kessler; Patricia Berglund; Olga Demler; Robert Jin; Doreen Koretz; Kathleen R Merikangas; A John Rush; Ellen E Walters; Philip S Wang Journal: JAMA Date: 2003-06-18 Impact factor: 56.272
Authors: Josée M Dussault; Chifundo Zimba; Jullita Malava; Harriet Akello; Melissa A Stockton; Michael Udedi; Bradley N Gaynes; Mina C Hosseinipour; Brian W Pence; Jones Masiye Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2021-11-20 Impact factor: 4.519
Authors: Sotiria V Anastasopoulou; Konstantinos S Bonotis; Chrissi Hatzoglou; Konstantinos C Dafopoulos; Konstantinos I Gourgoulianis Journal: Womens Health Rep (New Rochelle) Date: 2022-02-10
Authors: Jing Ling Tay; Yong Shian Shawn Goh; Kang Sim; Piyanee Klainin-Yobas Journal: Int J Environ Res Public Health Date: 2022-08-08 Impact factor: 4.614