Depression knowledge in high school students: Effectiveness of the adolescent depression awareness program

• Published in: Journal of affective disorders Vol. 150; no. 3; pp. 1025 - 1030
• Main Authors: Ruble, Anne E, Leon, Phillip J, Gilley-Hensley, Laura, Hess, Sally G, Swartz, Karen L
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier B.V 25-09-2013; Elsevier
• Subjects: Adolescence; Adolescent; Adolescent Behavior; Adolescent depression; Adolescents; Adult and adolescent clinical studies; Attitudes; Awareness; Biological and medical sciences; Depression; Depression education; Depressive Disorder, Major - complications; Depressive Disorder, Major - psychology; Female; Health Education - methods; Health Knowledge, Attitudes, Practice; Health Promotion - methods; Helpseeking; High schools; Humans; Male; Medical sciences; Mood disorders; Morbidity-Mortality; Peer Group; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; School-based interventions; Schools; Students - psychology; Suicide - prevention & control; Surveys and Questionnaires; Depression education; School-based interventions; Adolescent depression; Human; Mood disorder; Grammar school; Awareness; Adolescent; Depression; Student; Knowledge; School environment
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2013.05.033

Abstract Background Major depression is a common disorder among teenagers and is associated with significant morbidity and mortality. Suicide is the third leading cause of death among 15–24 year olds. Early identification and treatment is essential to prevent suicide. Depression education is a potential intervention for improving knowledge about depression and help-seeking behavior. Methods The Adolescent Depression Awareness Program (ADAP) is a school-based depression education intervention with a core message that depression is a treatable medical illness. 710 high school students from six schools in Tulsa, OK participated in the study comparing changes in knowledge about depression and attitudes toward treatment-seeking between students receiving the intervention and those who did not. Changes in depression knowledge and attitude toward help-seeking were measured using the ADAP Depression Knowledge Questionnaire (ADKQ). Results There was a significant positive change in ADKQ score for students receiving the intervention but not in the control group. The intervention group also demonstrated a significant difference in willingness to “tell someone” if concerned about depression in a peer, which was not present in the control group. Limitations The students were not randomized to the intervention and control groups. The ADKQ evaluates attitudes about help-seeking but not behavior. Conclusions A school-based educational intervention improved knowledge about depression and attitudes toward help-seeking in adolescents. Future studies should investigate if such change in knowledge results in help-seeking behaviors.