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This study examined the effectiveness of a universal depression prevention programme, "The Little Prince is Depressed" (LPD), which adopted the cognitive-behavioural model and aimed to reduce depressive symptoms and enhance protective factors of depression among secondary school students in Hong Kong.
However, a recent review indicated that universal depression prevention could also be effective in preventing depressive symptoms [ 12].
Research shows that universal depression prevention programs can be effective in reducing depressive symptoms in adolescents [ 22, 23].
Subgroup analyses suggested that universal depression prevention programs had smaller effect sizes at post-test relative to targeted programs.
Various universal depression prevention programs exist [ 22], but up till now, no universal depression prevention program has been empirically tested and implemented in the Netherlands.
Fifth, OVK is based on an effective universal depression prevention program [ 28].
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In the present study the effectiveness of Op Volle Kracht, a universal school-based depression prevention program for adolescents, in preventing the increase in depressive symptoms during adolescence will be tested in a large sample (N = 1324) by means of a randomized controlled trial with an intervention and control condition.
All randomized controlled trials (RCT) of universal prevention of depression have been conducted in children and/or adolescentes [ 14, 15].
OVK is a universal school-based depression prevention program for adolescents aged 12 to 14, that targets, among others, cognitive biases, coping skills and social skills.
As for antidepressant drugs and various types of psychotherapy, psychodynamic psychotherapy is unlikely to be a universal therapy for depression and progress depends on identifying its most appropriate ecological niche [ 66].
A universal school-based depression prevention program Op Volle Kracht (OVK) was developed, based on the Penn Resiliency Program, aimed at preventing the increase of depressive symptoms during adolescence and enhancing positive development.
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