Indicated Preventive Interventions for Highrisk Adolescents of Emotional Disordersa Systematic Review

  1. David Jimenez Vazquez 1
  2. Luiz Joaquin García López 1
  3. Manuel Vivas Fernández 1
  1. 1 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

Revista:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Año de publicación: 2024

Título del ejemplar: (Mayo 2024)

Volumen: 11

Número: 2

Tipo: Artículo

Otras publicaciones en: Revista de Psicología Clínica con Niños y Adolescentes

Resumen

En la actualidad, los trastornos emocionales como la ansiedad y la depresión son muy prevalentes en la población adolescente, y cada vez es más necesario centrar la atención en el desarrollo de intervenciones preventivas que reviertan esta situación, especialmente entre los jóvenes de alto riesgo. En este sentido, el objetivo de este estudio fue analizar, mediante una revisión sistemática, el alcance de los efectos de las intervenciones de prevención indicada para la ansiedad y la depresión en adolescentes (entre 12 y 18 años), así como sus características metodológicas. Se utilizaron diversas bases de datos internacionales, siendo PsycINFO, PubMed y Medline las elegidas. Después de aplicar los criterios de elegibilidad, se incluyeron 12 estudios para su revisión. Los resultados revelaron que todos los programas de prevención indicada de problemas emocionales analizados se centraron en la prevención de la depresión y cuentan con características variadas en cuanto al número de integrantes de las intervenciones grupales, el número de sesiones o frecuencia de éstas. Si bien, la mayoría de los programas utilizaron técnicas de Terapia Cognitivo-Conductual, logrando reducir la sintomatología depresiva y la progresión a trastornos, con resultados mantenidos en algunos casos hasta por dos años, en contraste con la investigación basada en la Terapia Interpersonal, que solo se mantuvo durante seis meses. En conclusión, los programas de prevención indicada para la depresión son efectivos en la reducción de la progresión hacia un trastorno depresivo. Se requieren más investigaciones en esta área para determinar si la Terapia Cognitivo-Conductual podría generar mejores resultados que otros enfoques.

Referencias bibliográficas

  • Angold, A., Costello, E. J., Messer, S. C., & Pickles, A. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5(4), 237–249.
  • Ahlen, J., Lenhard, F. & Ghaderi, A. Universal Prevention for Anxiety and Depressive Symptoms in Children: A Meta-analysis of Randomized and Cluster-Randomized Trials. Journal of Primary Prevention 36, 387–403 (2015). https://doi.org/10.1007/s10935-015-0405-4
  • Arnarson, E. O., & Craighead, W. E. (2009). Prevention of depression among Icelandic adolescents. Behaviour Research and Therapy, 47(7), 577–585. https://doi.org/10.1016/j.brat.2009.03.011
  • Arnarson, E. O., & Craighead, W. E. (2011). Prevention of depression among Icelandic adolescents: a 12-month follow-up. Behaviour Research and Therapy, 49(3), 170–174. https://doi.org/10.1016/j.brat.2010.12.008
  • Arrondo, G., Solmi, M., Dragioti, E., Eudave, L., Ruiz-Goikoetxea, M., Ciaurriz-Larraz, A. M., Magallon, S., Carvalho, A. F., Cipriani, A., Fusar-Poli, P., Larsson, H., Correll, C. U., & Cortese, S. (2022). Associations between mental and physical conditions in children and adolescents: An umbrella review. Neuroscience and Biobehavioral Reviews, 137, 104662. https://doi. org/10.1016/j.neubiorev.2022.104662
  • Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Conklin, L. R., Boswell, J. F., Ametaj, A., Carl, J. R., Boettcher, H. T., & Cassiello-Robbins, C. (2017). The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Compared With Diagnosis-Specific Protocols for Anxiety Disorders: A Randomized Clinical Trial. JAMA Psychiatry, 74(9), 875–884. https://doi.org/10.1001/jamapsychiatry.2017.2164
  • Barlow, D. H., Harris, B. A., Eustis, E. H., & Farchione, T. J. (2020). The unified protocol for transdiagnostic treatment of emotional disorders. World psychiatry: official journal of the World Psychiatric Association (WPA), 19(2), 245–246. https://doi.org/10.1002/wps.20748
  • Beardslee, W. R., Brent, D. A., Weersing, V. R., Clarke, G. N., Porta, G., Hollon, S. D., Gladstone, T. R., Gallop, R., Lynch, F. L., Iyengar, S., DeBar, L., & Garber, J. (2013). Prevention of depression in at-risk adolescents: longer-term effects. JAMA Psychiatry, 70(11), 1161–1170. https://doi. org/10.1001/jamapsychiatry.2013.295
  • Beck, A. & Steer, R. (1993) Beck anxiety inventory. Psychological Corporation. Beck, A., Steer, R. & Brown, G. (1996) Beck depression inventory. Psychological Corporation.
  • Beck, A.T., Rush, A.J., Shaw, B.F. & Emery, G. (1979). Cognitive therapy of depression. Guilford press.
  • Blossom, J. B., Adrian, M. C., Stoep, A. V., & McCauley, E. (2020). Mechanisms of Change in the Prevention of Depression: An Indicated School-Based Prevention Trial at the Transition to High School. Journal of the American Academy of Child and Adolescent Psychiatry, 59(4), 541–551. https://doi. org/10.1016/j.jaac.2019.05.031
  • Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramírez, R., Fábregas, L., Chavez, L., Alegría, M., Bauermeister, J. J., & Martínez Taboas, A. (2001). Test-retest reliability of the Spanish version of the Diagnostic Interview Schedule for Children (DISC-IV). Journal of Abnormal Child Psychology, 29(5), 433–444. https://doi.org/10.1023/a:1010499520090
  • Brière, F. N., Reigner, A., Yale-Soulière, G., & Turgeon, L. (2019). Effectiveness trial of brief indicated cognitive-behavioral group depression prevention in French-Canadian secondary schools. School Mental Health: A Multidisciplinary Research and Practice Journal, 11(4), 728–740. https://doi. org/10.1007/s12310-019-09316-2
  • Brown, C. H., Brincks, A., Huang, S., Perrino, T., Cruden, G., Pantin, H., Howe, G., Young, J. F., Beardslee, W., Montag, S., & Sandler, I. (2018). Two-Year Impact of Prevention Programs on Adolescent Depression: an Integrative Data Analysis Approach. Prevention Science: the official journal of the Society for Prevention Research, 19(Suppl 1), 74–94. https://doi.org/10.1007/ s11121-016-0737-1
  • Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D.H. (2019). What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention. Clinical Psychology: Science and Practice, 26(2), e12278. https://doi. org/10.1037/h0101755
  • Calear, A. L., & Christensen, H. (2010). Systematic review of school-based prevention and early intervention programs for depression. Journal of Adolescence, 33(3), 429–438. https://doi.org/10.1016/j.adolescence.2009.07.004
  • Canals-Sans, J., Hernández-Martínez, C., Sáez-Carles, M., & Arija-Val, V. (2018). Prevalence of DSM-5 depressive disorders and comorbidity in Spanish early adolescents: Has there been an increase in the last 20 years? Psychiatry Research, 268, 328–334. https://doi.org/10.1016/j.psychres.2018.07.023
  • Canals, J., Voltas, N., Hernández-Martínez, C., Cosi, S., & Arija, V. (2019). Prevalence of DSM-5 anxiety disorders, comorbidity, and persistence of symptoms in Spanish early adolescents. European Child & Adolescent Psychiatry, 28(1), 131–143. https://doi.org/10.1007/s00787-018-1207-z
  • Cano-Vindel, A., Muñoz-Navarro, R., Moriana, J. A., Ruiz-Rodríguez, P., Medrano, L. A., & González-Blanch, C. (2021). Transdiagnostic group cognitive behavioural therapy for emotional disorders in primary care: the results of the PsicAP randomized controlled trial. Psychological Medicine, 1–13. Advance online publication. https://doi.org/10.1017/ S0033291720005498
  • Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? International Journal of Mental Health Systems, 14, 23. https://doi.org/10.1186/s13033-020-00356-9
  • Costello, E. J., & Angold, A. (1988). Scales to assess child and adolescent depression: checklists, screens, and nets. Journal of the American Academy of Child and Adolescent Psychiatry, 27(6), 726–737. https://doi. org/10.1097/00004583-198811000-00011
  • Cova, F., Rincón, P., & Melipillán, R. (2011). Evaluación de la eficacia de un programa preventivo para la depresión en adolescentes de sexo femenino. Terapia Psicológica, 29(2), 245–250. https://doi.org/10.4067/S0718- 48082011000200011
  • Duong, M. T., Cruz, R. A., King, K. M., Violette, H. D., & McCarty, C. A. (2016). Twelve-Month Outcomes of a Randomized Trial of the Positive Thoughts and Action Program for Depression Among Early Adolescents. Prevention Science: the official journal of the Society for Prevention Research, 17(3), 295–305. https://doi.org/10.1007/s11121-015-0615-2
  • Dvorsky, M. R., Girio-Herrera, E., & Owens, J. S. (2014). School-based screening for mental health in early childhood. In M. D. Weist, N. A. Lever, C. P. Bradshaw, & J. Sarno Owens (Eds.), Handbook of school mental health: Research, training, practice, and policy (pp. 297–310). Springer Science + Business Media. https://doi.org/10.1007/978-1-4614-7624-5_22
  • Eggert, L. L., Herting, J. R., & Thompson, E. A. (1994). High school questionnaire: Profile of experiences. Seattle: University of Washington, Department of Psychosocial and Community Health.
  • Ehrenreich-May, J., & Kennedy, S. M. (Eds.). (2021). Applications of the unified protocols for transdiagnostic treatment of emotional disorders in children and adolescents. Oxford University Press.
  • Ehrenreich-May, J., Kennedy, S. M., Sherman, J. A., Bilek, E. L., Buzzella, B. A., Bennett, S. M., & Barlow, D. H. (2018). The unified protocol for transdiagnostic treatment of emotional disorders in children and adolescents. Oxford University Press.
  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition. (SCID-I/P). Biometrics Research, New York State Psychiatric Institute.
  • Fisak, B. J., Jr, Richard, D., & Mann, A. (2011). The prevention of child and adolescent anxiety: a meta-analytic review. Prevention Science: the official journal of the Society for Prevention Research, 12(3), 255–268. https://doi. org/10.1007/s11121-011-0210-0
  • Garcia-Lopez, L. J., Jimenez-Vazquez, D., Muela-Martinez, J. A., Piqueras, J. A., Espinosa-Fernandez, L., Canals-Sans, J., Vivas-Fernandez, M., Morales-Hidalgo, P., Diaz-Castela, M.M., Rivera, M., & Ehrenreich-May, J. (2023). Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders. Current Psychology. https://doi.org/10.1007/s12144-023-05421-3
  • Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A., Cochrane Bias Methods Group, & Cochrane Statistical Methods Group (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ (Clinical Research ed.), 343, d5928. https://doi.org/10.1136/bmj.d5928
  • Hodges, K., & Craighead, W. E. (1990). Relationship of Children’s Depression Inventory factors to diagnosed depression. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2(4), 489–492. https://doi. org/10.1037/1040-3590.2.4.489
  • Horowitz, J. L., & Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology, 74(3), 401–415. https://doi.org/10.1037/0022- 006X.74.3.401
  • Jovanović, V. (2022). Internalizing behaviors in adolescence: The unique contribution of life satisfaction beyond positive and negative affect. Personality and Individual Differences, 192, 1–6. https://doi.org/10.1016/j. paid.2022.111593
  • Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. https://doi. org/10.1097/00004583-199707000-00021
  • Keller, M. B., Lavori, P. W., Friedman, B., Nielsen, E., Endicott, J., McDonald-Scott, P., & Andreasen, N. C. (1987). The Longitudinal Interval Follow-up Evaluation. A comprehensive method for assessing outcome in prospective longitudinal studies. Archives of General Psychiatry, 44(6), 540–548. https://doi.org/10.1001/archpsyc.1987.01800180050009
  • Keller, M. E. (1993) Adolescent-Longitudinal Interval Follow-Up Evaluation (A-LIFE). Unpublished instrument. Available from M. E. Keller, Department of Psychiatry, Brown University School of Medicine, Providence, RI.
  • Kovacs, M. (1985). The Children’s Depression, Inventory (CDI). Psychopharmacology Bulletin, 21(4), 995–998.
  • Kovacs, M. (1992). Children’s Depression Inventory manual. Multi-Health Systems, Inc.
  • Lawrence, P. J., Rooke, S. M., & Creswell, C. (2017). Review: Prevention of anxiety among at-risk children and adolescents a systematic review and meta-analysis. Child and Adolescent Mental Health, 22(3), 118–130. https://doi.org/10.1111/camh.12226
  • *Makover, H., Adrian, M., Wilks, C., Read, K., Stoep, A. V., & McCauley, E. (2019). Indicated Prevention for Depression at the Transition to High School: Outcomes for Depression and Anxiety. Prevention Science: the official journal of the Society for Prevention Research, 20(4), 499–509. https://doi.org/10.1007/s11121-019-01005-5
  • March, J. S., Parker, J. D., Sullivan, K., Stallings, P., & Conners, C. K. (1997). The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 554–565. https://doi.org/10.1097/00004583- 199704000-00019
  • Matos, A. P., Pinheiro, M., Costa, J. J., do Céu Salvador, M., Arnarson, E. Ö., & Craighead, W. E. (2019). Prevention of Initial Depressive Disorders Among at-Risk Portuguese Adolescents. Behavior Therapy, 50(4), 743–754. https://doi.org/10.1016/j.beth.2018.11.005
  • Mrazek, P.J. & Haggerty, R.J. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. National Academy Press (US).
  • Neil, A. L., & Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29(3), 208–215. https://doi.org/10.1016/j.cpr.2009.01.002
  • Norton, P. J., Provencher, M. D., Kilby, C. J., & Roberge, P. (2021). Impact of group transdiagnostic cognitive-behavior therapy for anxiety disorders on comorbid diagnoses: Results from a pragmatic randomized clinical trial in primary care. Depression and Anxiety, 10.1002/da.23184. Advance online publication. https://doi.org/10.1002/da.23184
  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical Research ed.), 372, n71. https://doi. org/10.1136/bmj.n71
  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(3), 345–365. https://doi. org/10.1111/jcpp.12381
  • Poznanski, E. O., Grossman, J. A., Buchsbaum, Y., Banegas, M., Freeman, L., & Gibbons, R. (1984). Preliminary studies of the reliability and validity of the children’s depression rating scale. Journal of the American Academy of Child Psychiatry, 23(2), 191–197. https://doi.org/10.1097/00004583- 198403000-00011
  • Poznanski, E.O., & Mokros, H.B. (1996). Children’s Depression Rating Scale, Revised (CDRS-R). Western Psychological Services.
  • Racine, N., McArthur, B. A., Cooke, J. E., Eirich, R., Zhu, J., & Madigan, S. (2021). Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19: A Meta-analysis. JAMA Pediatrics, 175(11), 1142–1150. https://doi.org/10.1001/jamapediatrics.2021.2482
  • Radloff, L. S. (1977). The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
  • Rapee, R. M., Wignall, A., Sheffield, J., Kowalenko, N., Davis, A., McLoone, J., & Spence, S. H. (2006). Adolescents’ reactions to universal and indicated prevention programs for depression: perceived stigma and consumer satisfaction. Prevention Science: the official journal of the Society for Prevention Research, 7(2), 167–177. https://doi.org/10.1007/s11121-006-0035-4
  • Reinecke, M. A., Ryan, N. E., & DuBois, D. L. (1998). Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 37(1), 26–34. https://doi.org/10.1097/00004583- 199801000-00013
  • Robberegt, S. J., Brouwer, M. E., Kooiman, B. E. A. M., Stikkelbroek, Y. A. J., Nauta, M. H., & Bockting, C. L. H. (2023). Meta-Analysis: Relapse Prevention Strategies for Depression and Anxiety in Remitted Adolescents and Young Adults. Journal of the American Academy of Child and Adolescent Psychiatry, 62(3), 306–317. https://doi.org/10.1016/j.jaac.2022.04.014
  • Roberge, P., Provencher, M. D., Gaboury, I., Gosselin, P., Vasiliadis, H. M., Benoît, A., Carrier, N., Antony, M. M., Chaillet, N., Houle, J., Hudon, C., & Norton, P. J. (2022). Group transdiagnostic cognitive-behavior therapy for anxiety disorders: a pragmatic randomized clinical trial. Psychological Medicine, 52, 2460–2470. https://doi.org/10.1017/S0033291720004316
  • Rocha, T. B., Graeff-Martins, A. S., Kieling, C., & Rohde, L. A. (2015). Provision of mental healthcare for children and adolescents: a worldwide view. Current Opinion in Psychiatry, 28(4), 330–335. https://doi.org/10.1097/ YCO.0000000000000169
  • Sandín, B., Chorot, P., & Valiente, R.M. (2012). Transdiagnóstico: Nueva frontera en psicología clínica. Revista de Psicopatología y Psicología Clínica, 17, 185-203. https://doi.org/10.5944/rppc.vol.17.num.3.2012.11839
  • Shapiro R. & Keller, M. (1979). Longitudinal Interval Follow-Up Evaluation (LIFE). Massachusetts General Hospital.
  • Sheffield, J. K., Spence, S. H., Rapee, R. M., Kowalenko, N., Wignall, A., Davis, A., & McLoone, J. (2006). Evaluation of universal, indicated, and combined cognitive-behavioral approaches to the prevention of depression among adolescents. Journal of Consulting and Clinical Psychology, 74(1), 66–79. https://doi.org/10.1037/0022-006X.74.1.66
  • Silverman, W. K. & Albano A. M. (1996). Anxiety Disorders Interview Schedule for DSM-IV—Child Version: Parent Interview Schedule. Psychological Corporation.
  • Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., Salazar de Pablo, G., Il Shin, J., Kirkbride, J. B., Jones, P., Kim, J. H., Kim, J. Y., Carvalho, A. F., Seeman, M. V., Correll, C. U., & Fusar-Poli, P. (2022). Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Molecular Psychiatry, 27(1), 281–295. https://doi.org/10.1038/ s41380-021-01161-7
  • Soriano-Sánchez, J. G. (2022). Factores psicológicos y consecuencias del Síndrome Fear of Missing Out. Revista de Psicología y Educación. 17(1), 69-78. .https://doi.org/10.23923/rpye2022.01.217
  • Spence S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566. https://doi.org/10.1016/ s0005-7967(98)00034-5
  • Stark, K. D., Streusand, W., Arora, P., & Patel, P. (2011). Childhood depression: The ACTION treatment program. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (pp. 190–233). Guilford Press.
  • Stockings, E. A., Degenhardt, L., Dobbins, T., Lee, Y. Y., Erskine, H. E., Whiteford, H. A., & Patton, G. (2016). Preventing depression and anxiety in young people: a review of the joint efficacy of universal, selective and indicated prevention. Psychological Medicine, 46(1), 11–26. https://doi. org/10.1017/S0033291715001725
  • Stoll, R. D., Pina, A. A., & Schleider, J. (2020). Brief, Non-Pharmacological, Interventions for Pediatric Anxiety: Meta-Analysis and Evidence Base Status. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 49(4), 435–459. https://doi.org/ 10.1080/15374416.2020.1738237
  • Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2019). Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005-2017. Journal of Abnormal Psychology, 128(3), 185–199. https://doi.org/10.1037/ abn0000410
  • Verboom, C. E., Sijtsema, J. J., Verhulst, F. C., Penninx, B. W., & Ormel, J. (2014). Longitudinal associations between depressive problems, academic performance, and social functioning in adolescent boys and girls. Developmental Psychology, 50(1), 247–257. https://doi.org/10.1037/a0032547
  • Vivas-Fernandez, M., Garcia-Lopez, L. J., Piqueras, J. A., Muela-Martinez, J. A., Canals-Sans, J., Espinosa-Fernandez, L., Jimenez-Vazquez, D., DiazCastela, M. D. M., Morales-Hidalgo, P., Rivera, M., & Ehrenreich-May, J. (2023a). Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders. Child and Adolescent Psychiatry and Mental Health, 17(1), 77. https://doi. org/10.1186/s13034-023-00616-9
  • Vivas-Fernandez, M., Jimenez-Vazquez, D. & Garcia-Lopez, L.-J. (2024). Interventions for selective prevention of emotional problems in adolescents: a systematic review. Revista de Psicología Clínica con Niños y Adolescentes, 11, 1-12. https://doi: 10.21134/rpcna.2024.11.2.1
  • Werling, A. M., Walitza, S., Eliez, S., & Drechsler, R. (2022). Impact of the COVID-19 pandemic on mental health and family situation of clinically referred children and adolescents in Switzerland: results of a survey among mental health care professionals after 1 year of COVID-19. Journal of Neural Transmission (Vienna, Austria: 1996), 129(5-6), 675–688. https:// doi.org/10.1007/s00702-022-02512-6
  • Werner-Seidler, A., Perry, Y., Calear, A. L., Newby, J. M., & Christensen, H. (2017). School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis. Clinical Psychology Review, 51, 30–47. https://doi.org/10.1016/j.cpr.2016.10.005
  • Werner-Seidler, A., Spanos, S., Calear, A. L., Perry, Y., Torok, M., O’Dea, B., Christensen, H., & Newby, J. M. (2021). School-based depression and anxiety prevention programs: An updated systematic review and meta-analysis. Clinical Psychology Review, 89, 102079. https://doi.org/10.1016/j. cpr.2021.102079
  • World Health Organization (2021, November 17) Adolescent mental health. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health.
  • World Health Organization (2022) Adolescent Health. https://www.who.int/ health-topics/adolescent-health#tab=tab_2.
  • Young, J. F., Benas, J. S., Schueler, C. M., Gallop, R., Gillham, J. E., & Mufson, L. (2016). A Randomized Depression Prevention Trial Comparing Interpersonal Psychotherapy--Adolescent Skills Training to Group Counseling in Schools. Prevention Science: the official journal of the Society for Prevention Research, 17(3), 314–324. https://doi.org/10.1007/s11121-015-0620-5
  • Young, J. F., Mufson, L., & Gallop, R. (2010). Preventing depression: a randomized trial of interpersonal psychotherapy-adolescent skills training. Depression and Anxiety, 27(5), 426–433. https://doi.org/10.1002/da.20664