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The moderation of an early intervention program for anxiety and depression by specific psychological symptoms
Author(s) -
Cukrowicz Kelly C.,
Smith Phillip N.,
Hohmeister Holly C.,
Joiner Thomas E.
Publication year - 2009
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20560
Subject(s) - psychology , anxiety , moderation , clinical psychology , suicidal ideation , intervention (counseling) , depression (economics) , distress , psychiatry , affect (linguistics) , poison control , suicide prevention , medicine , environmental health , communication , economics , social psychology , macroeconomics
The current study examined the influence of a number of psychological factors on the effectiveness of an early intervention program targeting anxiety and depression in a non‐clinical sample of college students. The early intervention program comprised elements of the cognitive‐behavioral analysis system of psychotherapy (McCullough, 2000) delivered in a 2‐hour computer‐based educational program. Participants completed measures of depression, anxiety, and general distress prior to the intervention program and then again 8 weeks later. Additionally, participants were assessed for past major depression, sleep related difficulties, a number of anxiety disorders, and suicide ideation. Moderation of the effectiveness of the early intervention program by these factors depended on the dependent variable of interest, specifically: the effectiveness of the intervention program on symptoms of depression was moderated by insomnia; symptoms of anxiety by past post‐traumatic stress disorder (PTSD) and specific phobia as well as sleep problems related to nightmares; and symptoms of general negative affect by social phobia and suicide ideation. Implications are discussed. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65:1–15, 2009.