Adolescent girls, independent of their migration background, and adolescent boys, specifically with a migration background, experience more depressive symptoms than boys without a migration background. Adolescent girls also benefit more from depression prevention programs than boys. However, no studies have examined the role of migration background on depression prevention. This cluster-randomized trial included 439 eighth-grade students (43.5% girls, 42.4% with a migration background) in Germany. Adolescents were randomized into either a 10-week universal prevention program or school-as-usual. Following our secondary analyses and as predicted, depressive symptoms decreased in girls in the prevention but not in the control group. Consistent with our hypotheses, boys did not benefit from the prevention program, nor was there a significant interaction between gender and migration background. Independent of condition, depressive symptoms increased in adolescents with a migration background. More research is needed to improve depression prevention for adolescent boys and in adolescents with a migration background.
AndrewsG.IssakidisC.SandersonK.CorryJ.LapsleyH. (2004). Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders. British Journal of Psychiatry, 184(6), 526–533. https://doi.org/10.1192/bjp.184.6.526
Belhadj KouiderE.KoglinU.PetermannF. (2014). Emotional and behavioral problems in migrant children and adolescents in Europe: A systematic review. European Child & Adolescent Psychiatry, 23(6), 373–391. https://doi.org/10.1007/s00787-013-0485-8
4.
BenishS. G.QuintanaS.WampoldB. E. (2011). Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis. Journal of Counseling Psychology, 58(3), 279–289. https://doi.org/10.1037/a0023626
5.
BerthaE. A.BalázsJ. (2013). Subthreshold depression in adolescence: A systematic review. European Child & Adolescent Psychiatry, 22(10), 589–603. https://doi.org/10.1007/s00787-013-0411-0
6.
BeutelM. E.JüngerC.KleinE. M.WildP.LacknerK. J.BlettnerM.BanerjeeM.MichalM.WiltinkJ.BrählerE. (2016). Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants—Results from the gutenberg health study. BMC Psychiatry, 16(1), 288. https://doi.org/10.1186/s12888-016-0995-2
7.
BhatiaS. K.BhatiaS. C. (2007). Childhood and adolescent depression. American Family Physician, 75(1), 73–80.
FandremH.SamD. L.RolandE. (2009). Depressive symptoms among native and immigrant adolescents in Norway: The role of gender and urbanization. Social Indicators Research, 92(1), 91–109. https://doi.org/10.1007/s11205-008-9291-y
González-TejeraG.CaninoG.RamírezR.ChávezL.ShroutP.BirdH.BravoM.Martínez-TaboasA.RiberaJ.BauermeisterJ. (2005). Examining minor and major depression in adolescents. Journal of Child Psychology and Psychiatry, 46(8), 888–899. https://doi.org/10.1111/j.1469-7610.2005.00370.x
13.
GotlibI. H.LewinsohnP. M.SeeleyJ. R. (1995). Symptoms versus a diagnosis of depression: Differences in psychosocial functioning. Journal of Consulting and Clinical Psychology, 63(1), 90–100. https://doi.org/10.1037/0022-006X.63.1.90
14.
GroenG.PösselP.Al-WiswasiS.PetermannF. (2003). Universelle, schulbasierte Prävention der Depression im Jugendalter: Ergebnisse einer Follow-up-Erhebung nach elf Monaten [Universal schoolbased prevention of depression among adolescents. Results of a 11- month follow-up.]. Kindheit und Entwicklung, 12(3), 164–174.
15.
HankinB. L.MermelsteinR.RoeschL. (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 78(1), 279–295. https://doi.org/10.1111/j.1467-8624.2007.00997.x
16.
HeerenM.WittmannL.EhlertU.SchnyderU.MaierT.MüllerJ. (2014). Psychopathology and resident status—Comparing asylum seekers, refugees, illegal migrants, labor migrants, and residents. Comprehensive Psychiatry, 55(4), 818–825. https://doi.org/10.1016/j.comppsych.2014.02.003
17.
HopsH.AlpertA.DavisB. (1997). The development of same- and opposite-sex social relations among adolescents: An analogue study. Social Development, 6(2), 165–183. https://doi.org/10.1111/j.1467-9507.1997.tb00100.x
18.
InderbitzenH. M. (1994). Adolescent peer social competence. A critical review of assessment methodologies and instruments. In OllendickT. H.PrinzR. J. (Eds.), Advances in Clinical Child Psychology (Vol. 16, pp. 227–259). Plenum.
19.
JuradoD.GurpeguiM.AlarcónR. D.Martínez-OrtegaJ. M.Mendieta-MarichalY.Gutiérrez-RojasL. (2017). Factors associated with psychological distress or mental disorders common in migrant populations across the world. Revista de psiquiatrí´a y salud mental, 10(1), 45–58. https://doi.org/10.1016/j.rpsm.2016.04.004
KleinD. N.ShankmanS. A.LewinsohnP. M.SeeleyJ. R. (2009). Subthreshold depressive disorder in adolescents: Predictors of escalation to full-syndrome depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 48(7), 703–710. https://doi.org/10.1097/CHI.0b013e3181a56606
22.
LawrenceD.HafekostJ.JohnsonS. E.SawS.BuckinghamW. J.SawyerM. G.AinleyJ.ZubrickS. R. (2016). Key findings from the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 50(9), 876–886. https://doi.org/10.1177/0004867415617836
23.
LindertJ.von EhrensteinO. S.PriebeS.MielckA.BrählerE. (2009). Depression and anxiety in labor migrants and refugees—A systematic review and meta-analysis. Social Science & Medicine, 69(2), 246–257. https://doi.org/10.1016/j.socscimed.2009.04.032
24.
LuW. (2019). Adolescent depression: National trends, risk factors, and healthcare disparities. American Journal of Health Behavior, 43(1), 181–194. https://doi.org/10.5993/AJHB.43.1.15
25.
MalmusiD.PalènciaL.IkramU. Z.KunstA. E.BorrellC. (2017). Inequalities by immigrant status in depressive symptoms in Europe: The role of integration policy regimes. Social Psychiatry and Psychiatric Epidemiology, 52(4), 391–398. https://doi.org/10.1007/s00127-017-1348-2
26.
MerryS. N.HetrickS. E.CoxG. R.Brudevold-IversenT.BirJ. J.McDowellH. (2011). Psychological and educational interventions for preventing depression in children and adolescents. Cochrane Database of Systematic Reviews, 7(5), 1409–1685. https://doi.org/10.1002/ebch.1867
27.
MeyerT. D.HautzingerM. (2001). Allgemeine Depressions-Skala (ADS). Normierung an Minderjährigen und Erweiterung zur Erfassung manischer Symptome (ADMS) [Center for Epidemiological Studies—Depression Scale (CES-D). Norms for adolescents and extension for the assessment of manic symptoms]. Diagnostica, 47(4), 208–215. https://doi.org/10.1026/0012-1924.47.4.208
28.
OppedalB.RøysambE. (2004). Mental health, life stress and social support among young Norwegian adolescents with immigrant and host national background. Scandinavian Journal of Psychology, 45(2), 131–144. https://doi.org/10.1111/j.1467-9450.2004.00388.x
29.
PösselP.AdelsonJ. L.HautzingerM. (2011). A randomized trial to evaluate the course of effects of a program to prevent adolescent depressive symptoms over 12 months. Behaviour Research and Therapy, 49(12), 838–851. https://doi.org/doi:10.1016/j.brat.2011.09.010
30.
PösselP.HornA. B.GroenG.HautzingerM. (2004). School-based prevention of depressive symptoms in adolescents: A 6-month follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 1003–1010. https://doi.org/10.1097/01.chi.0000126975.56955.98
31.
PösselP.HornA. B.HautzingerM. (2003). Erste Ergebnisse eines Programms zur schulbasierten Prävention von depressiven Symptomen bei Jugendlichen [Preliminary results of a school-based depression prevention program for adolescents]. Zeitschrift für Gesundheitspsychologie, 11(1), 10–20. https://doi.org/10.1026/0943-8149.11.1.10
32.
PösselP.HornA. B.SeemannS.HautzingerM. (2004). Trainingsprogramm zur prävention von depressionen bei jugendlichen. LARS&LISA: Lust an realistischer sicht & leichtigkeit im sozialen alltag. Hogrefe.
33.
PösselP.SeemannS.HautzingerM. (2008). Impact of comorbidity in prevention of adolescent depressive symptoms. Journal of Counseling Psychology, 55(1), 106–117. https://doi.org/10.1037/0022-0167.55.1.106
34.
PösselP.SmithE.AlexanderO. (2018). LARS&LISA: A universal school-based cognitive-behavioral program to prevent adolescent depression. Psychology: Research and Review, 31, 1–21. https://doi.org/10.1186/s41155-018-0104-1
35.
R Core Team. (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing.
36.
RadloffL. S. (1977). The CES-D Scale: A self-report symptom scale to detect depression in the general population, Applied Psychological Measures, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
37.
RanneyM. L.WaltonM.WhitesideL.Epstein-NgoQ.PattonR.ChermackS.BlowF.CunninghamR. M. (2013). Correlates of depressive symptoms among at-risk youth presenting to the emergency department. General Hospital Psychiatry, 35(5), 537–544. https://doi.org/10.1016/j.genhosppsych.2013.05.007
38.
SalkR. H.HydeJ. S.AbramsonL. Y. (2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin, 143(8), 783–822. https://doi.org/10.1037/bul0000102
SticeE.ShawH.BohonC.MartiC. N.RohdeP. (2009). A meta-analytic review of depression prevention programs for children and adolescents: Factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77(3), 486–503. https://doi.org/10.1037/a0015168
41.
StuartJ.WardC. (2018). The relationships between religiosity, stress, and mental health for Muslim immigrant youth. Mental Health, Religion & Culture, 21(3), 246–261. https://doi.org/10.1080/13674676.2018.1462781
42.
WahlM. S.AdelsonJ. L.PatakM. A.PösselP.HautzingerM. (2014). Teachers or psychologists: Who should facilitate depression prevention programs in schools?International Journal of Environmental Researchand Public Health, 11(5), 5294–5316. DOI:10.3390/ijerph11-5-5294
43.
WillA.-K. (2019). The German statistical category “migration background:” Historical roots, revisions and shortcomings. Ethnicities, 19(3), 535–557. https://doi.org/10.1177/1468796819833437
44.
XuS.BlozisS. A. (2011). Sensitivity analysis of mixed models for incomplete longitudinal data. Journal of Educational and Behavioral Statistics, 36(2), 237–256. https://doi.org/10.3102/1076998610375836
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