دانلود رایگان مقاله بهبود پیشگیری از افسردگی و اختلالات اضطرابی

Abstract

Prevention of depression and anxiety disorders is widely acknowledged as an important health care investment. However, existing preventive interventions have only shown modest effects. In order to improve the efficacy of prevention of depression and anxiety disorders, a number of authors have suggested that it is promising to focus on selective prevention programs that are offered to individuals scoring high on clearly established risk factors, whereby the preventive intervention then specifically targets these risk variables. This review presents repetitive negative thinking (worry and rumination) as a promising target for the prevention of depression and anxiety disorders.

6. Conclusion

Although prevention has been described as a key strategy to reduce the burden of depression and anxiety disorders at the level of the individual as well as society (National Research Council & Institute of Medicine, 2009), preventive interventions currently do not appear to live up to these high expectations. In order to improve the efficacy and effectiveness of prevention, a large number of experts agree that a focus on targeted prevention appears promising, whereby participants are selected who score high on a known risk factor, and whereby the intervention directly targets this risk factor using interventions deducted from clear theoretical models (see Bieling & Grant, 2007; Bienvenu & Ginsburg, 2007; Craske & Zucker, 2001; Dozois et al., 2009; Feldner, Zvolensky, & Schmidt, 2004; Garber, 2006; Horowitz & Garber, 2006; Nehmy, 2010; Reynolds, 2009; Vitiello, 2011; Zvolensky et al., 2006). Despite the apparent consensus in a large group of prevention researchers, these ideas have hardly been put into practice to date.