Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2020
Mechanisms of Change in the Prevention of Depression: An Indicated School-Based Prevention Trial at the Transition to High School.
Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00071513 (Middle School to High School Transition Project), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Middle School to High School Transition Project
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Depression in nursing students during the COVID-19 pandemic: Systematic review and meta-analysis.PloS one · 2024Pooled it
- The role of school connectedness in the prevention of youth depression and anxiety: a systematic review with youth consultation.BMC public health · 2022Pooled it
- Parallel Changes in Positive Youth Development and Self-awareness: the Role of Emotional Self-regulation, Self-esteem, and Self-reflection.Prevention science : the official journal of the Society for Prevention Research · 2022Trial
- Dyslexia, School-Connectedness, Depression, and Anxiety During the Transition From Primary to Secondary School.Dyslexia (Chichester, England) · 2026Article
- Annual Research Review: Improving school climate to improve child and adolescent mental health and reduce inequalities.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- The burden of depressive disorder among the global 10-24 age group and the construction of an early risk factors model.Frontiers in psychiatry · 2025Article
- The Association Between School Connectedness and Sleep Health in Children and Adolescents: A Systematic Review.Nature and science of sleep · 2025Review
- Understanding the Characteristics of At-Risk Youths in Guatemala: Evidence from a Sports for Human Development Program.Children (Basel, Switzerland) · 2023Article
- Is Teachers' Depression Contagious to Students? A Study Based on Classes' Hierarchical Models.Frontiers in public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveDepression represents a major public health concern, and prevalence increases significantly during adolescence. The high school transition may exacerbate the risk of depression for youth with pre-existing vulnerability. The High School Transition Program (HSTP) is a brief, skills-based intervention that has demonstrated efficacy in preventing depression in adolescents. The current study aimed to evaluate the theorized mechanisms of change of the HSTP intervention by testing a multiple mediation model including school attachment (SA) and self-esteem (SE) as two mediators of treatment outcomes.
methodStudents (N= 497; 61.5% girls) with elevated depressive symptoms, identified for the intervention program via an eighth-grade screening, were randomized to a brief intervention (n = 247) or the HSTP (n = 233) from 2003 to 2008. Participants completed measures at five time points. The first assessment occurred at the start of the second semester of eighth grade and the last assessment occurred at the end of ninth grade. A multiple mediation model tested whether SA and SE contributed to changes in depression for youth in the HSTP.
resultsThe mediation model, including contemporaneously assessed SE and SA, was not supported. There was evidence of sequential mediation, such that students who participated in the HSTP intervention reported higher SA, which in turn predicted improved SE, and in turn contributed to amelioration of depressive symptoms.
conclusionThe HSTP intervention ameliorated depressive symptoms by targeting factors specific to the school transition (ie, SA). Results suggest youth at risk for depression may benefit from prevention efforts that enhance students' capacity to effectively manage identified environmental stressors, such as school transitions. CLINICAL TRIAL REGISTRATION INFORMATION: Middle School to High School Transition Project: Depression and Substance Abuse Prevention; https://clinicaltrials.gov/; NCT00071513.
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Registered trials
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