Samenvatting

THE EFFECTIVENESS OF THE UNIVERSAL SCHOOL-BASED DEPRESSION PREVENTION PROGRAM ‘OP VOLLE KRACHT’ IN THE NETHERLANDS Y.R. TAK, A. LICHTWARCK-ASCHOFF & R.C.M.E. ENGELS
OVK as universal depression prevention was neither effective in preventing depressive symptoms nor in promoting resilience in Dutch adolescents. OVK as indicated depression prevention can be effective for girls. The implications of these findings are discussed. Future studies should test whether implementing OVK as indicated depression prevention as part of a stepped prevention approach is an effective way to prevent depressive symptoms in adolescent boys and girls. In addition, future studies should focus on mediating mechanisms of prevention programs.


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Het programma Op Volle Kracht (OVK), aangeboden als universele of selectieve depressiepreventie voor adolescenten in Nederland, is niet effectief in het voorkomen van depressieve symptomen of in het bevorderen van weerbaarheid. Yuli Tak, Anna Lichtwarck-Aschoff en Rutger Engels bespreken implicaties van deze resultaten en suggesties voor vervolgonderzoek in het licht van recente bevindingen dat geïndiceerde depressiepreventie – inclusief OVK -  effectief kan zijn.

Sascha zie ik voor het eerst tijdens deze intake. Ze zit stil en staart voor zich uit. Ze lijkt niets te zien of te voelen. Op mijn vragen geeft ze geen antwoord. Zou ze me wel horen? Of dringt niets meer tot haar door? Dan opeens kijkt ze me aan, knikt nee en kijkt weer weg. Haar ouders beschrijven dat ze alleen nog maar op bed ligt. Sascha praat bijna niet, en als ze haar iets vragen wordt ze uit het niets boos of heel verdrietig. Ze spreekt niet meer af met vriendinnen en wil niet meer naar school. Haar ouders maken zich grote zorgen om Sascha.

Sascha is niet de enige jongere in Nederland die kampt met een depressie. Alhoewel er geen recente gegevens zijn over de prevalentie van een depressieve stoornis bij Nederlandse jeugd, geven sommige studies aan dat een fors deel van de jeugd, zo’n zestien tot dertig procent, met subklinische vormen kampt (

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