UNANTICIPATED EFFECT OF A RANDOMIZED PEER NETWORK INTERVENTION ON DEPRESSIVE SYMPTOMS AMONG YOUNG METHAMPHETAMINE USERS IN THAILAND.

Autor: German, D., Sutcliffe, C. G., Sirirojn, B., Sherman, S. G., Latkin, C. A., Aramrattana, A., Celentano, D. D.
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Zdroj: Journal of Community Psychology; Sep2012, Vol. 40 Issue 7, p799-813, 15p, 3 Charts, 1 Graph
Abstrakt: We examined the effect on depressive symptoms of a peer network-oriented intervention effective in reducing sexual risk behavior and methamphetamine (MA) use. Current Thai MA users aged 18-25 years and their drug and/or sex network members enrolled in a randomized controlled trial with 4 follow-ups over 12 months. A total of 415 index participants recruited 568 network members. Linear repeated measures models were fit with depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) as the outcome. Among indexes in the intervention condition, mean CES-D decreased from 20.0 to 15.7 (p < 0.0001) over follow-up. Controlling for covariates and changes in MA and alcohol use, CES-D in this group decreased by 0.35 points per month (95% confidence interval, 0.45, -0.25). All other groups showed minimal changes in CES-D score. The peer-oriented, community-based intervention designed to reduce MA use and sexual risk behavior also resulted in substantial reduction in depressive symptoms, independent of changes in MA use. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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