la eficacia de la prevención indicada de la depresión: Una revisión

Abstract

This paper reviewed the research on the effectiveness of psychological and psychoeducational interventions to prevent depression in subjects with symptoms of depression,but that did not meet criteria for a current major depressive episode(indicated prevention).Forty-two randomized controlled trials, evaluating thirty-six preventive programs identified through theMedline, PsycINFO, ERIC and EMBASE databases and the Cochrane Collaboration of Depression, Anxiety and Neurosis Group Controlled Trials Register, in Spanish and English, between 1990 and 2013,were selected. Most indicated prevention programs showed positive effects on depressive symptoms. However, they have been found toproduce small effect sizes, and many of them had no effect on the incidence of depressivedisorders. In addition, many of these studies had methodological weaknesses. Current findings supportthe need todevelop preventive interventionsfollowing one model of indicated prevention, and assessing their efficacythrough randomized controlled trials with adequate methodological quality. © 2014: Servicio de Publicaciones de la Universidad de Murcia.