title: A cognitive-behavioral treatment for depression in rural American Indian middle school students.
abstract: Rural American Indian (AI) middle school students with depressive symptoms who participated in a culturally modified version of the Adolescent Coping with Depression (CWD-A) course (n = 8) reported significant improvement in depressive symptoms at post-intervention and at 3-month follow-up. There was also a nonsignificant but clinically relevant decrease in participants' anxiety symptoms. Students reported satisfaction with the intervention, and it was potentially more cost-effective and less stigmatizing than the individualized treatment-as-usual interventions to which it was compared. These results suggest the CWD-A is a promising approach for reducing depressive and anxiety symptoms in rural AI students and should be further evaluated with a larger sample of students.
authors.affiliation: Child and Adolescent Behavioral Health department, St. Cloud Hospital, 1900 Centracare Circle, Suite 1000, St. Cloud, MN 56303, USA. listug-lundel@centracare.com
authors.forename: Lori
authors.initials: L
authors.lastname: Listug-Lunde
authors.forename: Nancy
authors.initials: N
authors.lastname: Vogeltanz-Holm
authors.forename: John
authors.initials: J
authors.lastname: Collins
mesh_terms: D000293:Adolescent; D001007:Anxiety / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods / Q000592:standards; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008297:Male; D012424:Rural Population; D013334:Students / Q000523:psychology; D016896:Treatment Outcome