Yu 2002‐study 3.
Methods | Design: RCT Conducted by the team who developed the intervention: yes |
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Participants | Description: targeted Cut‐point for inclusion for indicated studies: those with scores in the top 25% for their age bracket on combined z scores on the CDI and on the perception of family relationships item of the Cohesion and Conflict subscale of the FES What risk was basis of inclusion for selected studies: N/A Diagnostic interview to exclude those with current or previous depression: diagnostic interview not undertaken, however, those with current and/or past episodes of depression not excluded Baseline severity of depression: CDI: 17.1 (moderate) Mean age: 11.8 Age range: 8 to 15 Percentage male: 55.5% Setting: school State what psychiatric diagnoses were excluded: exclusion criteria not specified Suicide risk excluded: exclusion criteria not specified Parents with history of schizophrenia/bipolar disorder excluded: exclusion criteria not specified Country: China |
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Interventions | Broad category: CBT (for further information on intervention components, see Table 3) Manualised: yes Online: no Name of programme: Penn Resiliency Program, Chinese adaption Number of sessions: 10 sessions Length of sessions: 120 minutes Intensity (total number of hours): 20 hours Duration of treatment period: 10 weeks Group size: 10 to 14 Delivered by: non‐mental health experts Fidelity: not assessed Type of comparison: NT |
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Outcomes | Diagnosis: CDI ≥ 15.0 (moderate depression) and CDI ≥ 20.0 (severe depression) Name of self‐report depression measure: CDI Name of clinical report depression measure: N/A Name of anxiety measure: N/A Name of general functioning measure: N/A Assessment points: post‐intervention and 6 months (short‐term) |
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Notes | Author contacted for methodological detail: no Author contacted for treatment manual: no Author contacted for outcome data: no |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information specified |
Allocation concealment (selection bias) | Unclear risk | No information specified |
Blinding (performance bias and detection bias) Subjects | High risk | The nature of the trial suggests it is unlikely participants could have remained blind to the fact they were allocated to a no treatment control group. However, without access to the participant information sheets and PLS, level of blinding cannot be ascertained. |
Blinding (performance bias and detection bias) Assessors | Unclear risk | Outcomes self‐reported. Assessor blinding therefore not applicable. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Proportion of participants with incomplete post‐intervention self‐reported depression scores: 2.3% Means and SDs used in meta‐analysis based on what data: observed cases Intention‐to‐treat analyses: N/A |
Selective reporting (reporting bias) | Unclear risk | Protocol not available |
Other bias | High risk | Trial conducted by those who developed the intervention |
Implementation integrity | Unclear risk | Implementation integrity assessed: unclear if assessed Implementation integrity adequate: N/A Implementation integrity reported: N/A |
ADHD: attention deficit hyperactivity disorder ADIS‐C: Anxiety Disorders Interview Schedule for Children ASQ: Attribution Style Questionniare
AP: attention placebo BAI: Beck Anxiety Inventory BDI: Beck Depression Inventory BDI‐II: Beck Depression Inventory‐second revision BSI: Brief Symptom Inventory
BT: behavioural therapy CASAFS: Child and Adolescent Social and Adaptive Functioning Scale
CATCH‐IT: Competent Adulthood Transition with Cognitive‐behavioral and Interpersonal Training CBT: cognitive behavioural therapy CDI: Children's Depression Inventory CDRS‐R: Children's Depression Rating Scale‐Revised CDS: Children's Depression Scale CES‐D: Center for Epidemiologic Studies Depression Scale CGAS: Children's Global Assessment Scale
CSAQ: Cognitive Somatic Anxiety Questionniare
CURB: DASS: Depression Anxiety Stress Scale
DICA‐IV: Diagnostic Interviewfor Children and Adolescents, version four DISC‐IV: Diagnostic Interview Schedule for Children, version four DISCAP: Diagnostic Interview Schedule for Children, Adolescents, and Parents
FES: Family Environment Scale
GLMM: Generalised Linear Mixed Model GP: general practitioner
HAM‐D: Hamilton Depression Rating Scale HMO: health maintenance organisation IPT: interpersonal therapy IPT‐AST: interpersonal psychotherapy‐adolescent skills training ITT: intention‐to‐treat K‐SADS: Kiddie‐Schedule for Affective Disorders and Schizophrenia for School‐Age Children K‐SADS‐E: Kiddie‐Schedule for Affective Disorders and Schizophrenia‐Epidemiological version K‐SADS‐PL: Kiddie‐Schedule for Affective Disorders and Schizophrenia‐Present and Lifetime version
LARS&LISA‐T: Ease of Handling Social Aspects in Everyday Life‐Training (English Translation) LIFE: Longitudinal Interval Follow‐up Evaluation LOCF: last observation carried forward MASQ: Mood and Anxiety Symptom Questionnaire MDD: major depressive disorder MFQ: Mood and Feeling Questionnaire N/A: not available NIMH: National Institute of Mental Health NT: no treatment PIR: Peer Interpersonal Relatedness
PHQ‐9: Patient Health Questionniare‐9 item version. PLS: plain language statement PQ‐LES‐Q: Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire PRP: Penn Resilience Program
RAP‐PIR: Resourceful Adolescent Program‐Peer Interpersonal Relatedness RADS: Reynold's Adolescent Depression Scale RADS‐2: Reynold's Adolescent Depression Scale, version two RCADS: Revised Child Anxiety and Depression Scale RCMAS: Revised Children's Manifest Anxiety Scale RCT: randomised controlled trial SACQ: Student Adaption to College Questionnaire SAI‐C: State Anxiety Inventory for Children SAS‐SR‐Y: Social Adjustment Scale‐Self‐Report for Youth SAS: Social Adjustment Scale SBB‐DES: Selbstbeurteilungsbogen‐Depressive Störungen (Self‐Report Questionnaire‐Depression) SCAS: Spence Children's Anxiety Scale SCID‐I: Structured Clinical Interview for DSM‐IV SD: standard deviation SMFQ: Short Mood Feeling Questionnaire SWEMWBS: Short Warwick‐Edinburgh Mental Well‐Being Scale TAU: treatment as usual WL: wait‐list YSR: Youth Self‐Report