Adolescent Depression: Evaluation Of A Preventive Intervention And Identification Of Risk Factors
Funder
National Health and Medical Research Council
Funding Amount
$307,313.00
Summary
This project will evaluate the long-term effectiveness of a school-based program to prevent depression among adolescents. It also aims to identify factors that predict the onset of depression in those who do not receive the intervention. The intervention focuses on the training of interpersonal problem solving skills and enhancement of optimistic thinking styles within a classroom-based curriculum. This project extends the current research program of the applicant. The intervention has already b ....This project will evaluate the long-term effectiveness of a school-based program to prevent depression among adolescents. It also aims to identify factors that predict the onset of depression in those who do not receive the intervention. The intervention focuses on the training of interpersonal problem solving skills and enhancement of optimistic thinking styles within a classroom-based curriculum. This project extends the current research program of the applicant. The intervention has already been developed and implemented with 1600 young people, with the support of local education authorities. The evaluation uses well-researched measures and includes a control group of adolescents who do not receive the intervention. Around 5% of adolescents experience clinical levels of depression and an even larger percentage show subclinical levels. Depression results in many debilitating consequences such as impaired school, work and social functioning and is also a risk factor in adolescent suicide. The prevention of mental health problems is a priority for Commonwealth and State governments and yet there is minimal research to demonstrate the effectiveness of preventive interventions, particularly in the area of depression. If the present study demonstrates a positive outcome, it will provide important guidelines as to preventive materials that should be included in the school curriculum. It is predicted that: a) the intervention will be associated with lower levels of depression over the 4 year follow-up, particularly for adolescents who are assessed as showing mild symptoms of depression, poor problem solving skills or pessimistic cognitive style prior to intervention b) risk factors for the development of depression in adolescents who do not receive the intervention will include initial mild symptoms of depression, poor problem solving skills and pessimistic attributional style.Read moreRead less
Socioeconomic Variation In Community Risk Profiles Associated With Health And Behaviour Problems In Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$459,700.00
Summary
Until recently, emotional and behavioural problems of adolescence have tended to be dismissed as part of the normal turbulence of adolescent development; however, attitudes to adolescent health and health promotion have changed quickly. Downward age-trends in tobacco, alcohol and illicit drug use have made adolescents a major target for health promotion. The practical potential for adolescent mental health promotion has gained considerable ground and knowledge of the modifiable determinants of y ....Until recently, emotional and behavioural problems of adolescence have tended to be dismissed as part of the normal turbulence of adolescent development; however, attitudes to adolescent health and health promotion have changed quickly. Downward age-trends in tobacco, alcohol and illicit drug use have made adolescents a major target for health promotion. The practical potential for adolescent mental health promotion has gained considerable ground and knowledge of the modifiable determinants of youth mental health problems has been progressed by a growing number of studies examining distal and proximal predictors in community samples. The project plans to comprehensively assess locally elevated risk factors and depressed protective factors predictive of a range of adolescent health and behaviour problems including substance abuse, obesity and depression in 30 communities across three Australian States. These communities will be selected from the entire socioeconomic spectrum to determine how the social context of our neighbourhoods may influence the health and behaviour of adolescents . Surveys of students in grade 6 and year 8 will be conducted. Each participating student will be weighed and measured and asked to complete a questionnaire that assesses a comprehensive range of community risk and protective factors.Read moreRead less
The Effectiveness Of A School-based Parent Education Program In The Promotion Of Adolescent Health: A Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$422,900.00
Summary
Youth mental health and behaviour problems such as depression, suicidal behaviour, tobacco use, alcohol abuse and illicit drug use are currently priority issues within Australian national and state public health policies. This project has been designed to contribute to knowledge on the effectiveness of interventions that can be used to prevent youth mental health and behaviour problems. Until recent years the development of programs to support families through the transition into adolescence has ....Youth mental health and behaviour problems such as depression, suicidal behaviour, tobacco use, alcohol abuse and illicit drug use are currently priority issues within Australian national and state public health policies. This project has been designed to contribute to knowledge on the effectiveness of interventions that can be used to prevent youth mental health and behaviour problems. Until recent years the development of programs to support families through the transition into adolescence has been neglected. This is remiss, as there is evidence that a range of youth mental health and behaviour problems may be preventable through interventions through this transition. The overall objective of this project is to evaluate the effectiveness of a multi-level, family intervention designed to promote adolescent health within secondary schools. The intervention will be implemented over the first two years of high school and incorporates both universal components (for all families) and selected components (for families with particular difficulties). The intervention elements have been developed and partially evaluated in work undertaken by the applicant and collaborators over the past five years. To evaluate this intervention a representative sample of 12 Victorian secondary schools will be randomly assigned to intervention and compared to 12 control schools with prior matching on school demographics and student behaviour variables. Intervention processes will be closely monitored and evaluated for impacts on relevant risk and protective factors. Effectiveness will be evaluated by testing whether reductions in youth mental health and behaviour problems were greater for intervention families compared to controls. The evaluation has been designed to test the theory that improvement across the whole secondary school environment can be encouraged by preventing the negative peer influences that can emerge within families experiencing adolescent adjustment problemsRead moreRead less
Adolescent Alcohol And Tobacco Use/abuse: The Efficacy Of A Brief Motivational Interviewing And Skills Training Program
Funder
National Health and Medical Research Council
Funding Amount
$153,610.00
Summary
Alcohol abuse (regular and episodic heavy drinking) and tobacco use are common and increasing amongst young Australians. Around 49% of adolescents are regular drinkers, and 15.5% of females and 33% of males are occasional binge drinkers. Between 17.5% and 35.5% of adolescents smoke and this has increased from 1987. While the majority of young Australians moderate their drinking and smoking over time, about 5% will become heavy drinkers and 20% will become regular smokers. The public health conse ....Alcohol abuse (regular and episodic heavy drinking) and tobacco use are common and increasing amongst young Australians. Around 49% of adolescents are regular drinkers, and 15.5% of females and 33% of males are occasional binge drinkers. Between 17.5% and 35.5% of adolescents smoke and this has increased from 1987. While the majority of young Australians moderate their drinking and smoking over time, about 5% will become heavy drinkers and 20% will become regular smokers. The public health consequences of heavy drinking and smoking are now well documented. There are many studies exploring the effectiveness of universal prevention programs designed to reduce the chance of alcohol and tobacco problems in high school students. These are associated with short term reductions in the chance of smoking and heavy drinking, however it is unclear whether these programs work for adolescents who are at high risk of alcohol problems and sustained smoking. We know a lot about the sorts of risk factors associated with these problems. They include early onset of use, parental involvement and use, particular personality traits, poor marks, peer use, and poor social skills. There is no research that clearly evaluates prevention programs for adolescents who show these risk factors. In this research, a program tailored for high-risk adolescents will be compared to an educational program similar to what is often received in Australian high schools. It is expected that high-risk students will not show changes in the educational program, but will show long-term improvements after completing the enhanced program. If these results hold, the research will have very important implications for detecting high-risk students and modifying the ways in which these adolescents are treated so that we minimise the chance of further development of alcohol and tobacco problems. This could result in large health cost savings in the future.Read moreRead less
A New Approach To Curbing Risky Trajectories Of Adolescent Alcohol-tobacco Use: A Tailored Brief Program For Parents.
Funder
National Health and Medical Research Council
Funding Amount
$320,271.00
Summary
Parent-adolescent interactions predict adolescent involvement in alcohol and tobacco use, and parent-oriented programs reduce conduct problems. Nevertheless, parent training is a rare alcohol-tobacco-related prevention strategy. This research will evaluate a brief parent program for adolescents at risk of escalating alcohol-tobacco problems. The technology should be cost-effective and readily complement existing school prevention strategies.
The Role Of Cannabis In An Nrg1 Animal Model Of Genetic Vulnerability To Schizophrenia
Funder
National Health and Medical Research Council
Funding Amount
$455,323.00
Summary
The link between psychosis and cannabis use has been discussed for decades. As the majority of users do not develop schizophrenia, it seems that other risk factors are necessary to trigger psychosis. Adolescence may be a time of particular vulnerability to the effects of cannabis use. We aim to use an animal model for schizophrenia to clarify cannabis' impact on the development of schizophrenia when interacting with the risk factors genetic vulnerability and age of onset of cannabis use.
Identifying Endophenotypes For Eating Disorders And Their Relationship To Specific Genotypes And Environments
Funder
National Health and Medical Research Council
Funding Amount
$507,419.00
Summary
Around 15% of Australian women will have an eating disorder at some time in their life, and half of these will experience significant levels of depression and suicidality. The current project seeks to build better models of the initiation and maintenance of eating disorders that can inform development of effective treatments, with identification of genes and environments that predict the various components that define eating disorders (i.e., behaviours, temperaments and cognitive flexibility).
Prospective Study Of The Influence Of Social Networks & School Environments On Emotional Well-being Of Young Adults
Funder
National Health and Medical Research Council
Funding Amount
$202,200.00
Summary
It has become clearer in recent years that the role of the social environment may be as important as individual or interpersonal factors in understanding the risk and protective factors associated with disease prevention. Adolescence is the time when many preventable causes of premature morbidity and mortality arise. It is likely that the social environments encountered during early adolescence will have an impact on the development of emotional and physical well being in early adulthood. This s ....It has become clearer in recent years that the role of the social environment may be as important as individual or interpersonal factors in understanding the risk and protective factors associated with disease prevention. Adolescence is the time when many preventable causes of premature morbidity and mortality arise. It is likely that the social environments encountered during early adolescence will have an impact on the development of emotional and physical well being in early adulthood. This study will prospectively research the impact of school environment and quality of social networks in early adolescence on the emotional well being and health risk behaviours of young adults through the continued surveillance of a cohort of 2,782 students participating in the Gatehouse Project. This cohort has been surveyed four times; twice in Year 8 1997; once in Year 9 1998 and Year 10 1999. In 2002 the cohort will be on average 18 years old and will be first year post-secondary school. The major aim of the study is to investigate the prospective relationships between school environment in early adolescence and the mental and behavioural outcomes for young people in young adulthood. The continued surveillance of this cohort will allow us to assess the long term effects of school environments and adequacy of social networks at early adolescence on the emotional well being and social connectedness of older adolescents. This will contribute to our understanding of risk and protective factors in school-social environments that impact the health and well being of young adults. It will also inform further preventive intervention work that needs to take place in schools and communities to improve health outcomes for young adults.Read moreRead less