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Prevention of depression in first-year university students with high harm avoidance

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Title: Prevention of depression in first-year university students with high harm avoidance
Authors: Saigo, Tatsuo / Hayashida, Masaki / Tayama, Jun / Ogawa, Sayaka / Bernick, Peter / Takeoka, Atsushi / Shirabe, Susumu
Issue Date: 10-Oct-2018
Publisher: Wolters Kluwer Health, Inc.
Citation: Medicine, 97(44), e13009; 2018
Description: High harm avoidance (HA) scores on the temperament and character inventory appear to be a risk factor for depressive disorders and suicide. Since 2012, we have conducted group cognitive behavioral therapy (G-CBT) interventions for students at Nagasaki University with high HA and without depressive disorders, with the aim of preventing depression. Here, we report on the effects of the G-CBT at 1-year follow-up for the 2012 to 2015 period. Forty-two participants with high HA were included in the final analysis. Outcomes were measured with the Beck Depression Inventory II, Manifest Anxiety Scale, 28-item General Health Questionnaire, and Brief Core Schema Scales at baseline, and at 6-month, and 1-year follow-ups.Repeated-measures analyses of variance revealed a significant decrease in mean depressive symptom scores at the 6-month follow-up point; this decrease was maintained at 1 year. Improvements in cognitive schemas were also seen at 6 months and 1 year.We observed improvements in cognitive schemas associated with depression as a result of the G-CBT intervention, with effects maintained at 1 year post intervention. This intervention may be effective in positively modifying the cognitions of students with HA and preventing future depression.
Keywords: depression / group cognitive behavioral therapy / harm avoidance / high-risk approach / temperament and character inventory
URI: http://hdl.handle.net/10069/38706
ISSN: 00257974
DOI: 10.1097/MD.0000000000013009
Rights: ©2018 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0(CCBY-NC),where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited.The work cannot be used commercially without permission from the journal.http://creativecommons.org/licenses/by-nc/4.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/38706

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