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Tool Information
Title Coping with Stress Course (CWS)
Settings Education
MHP Steps Implementation
URL http://www.kpchr.org/public/acwd/acwd.html
Publication Information

The "Coping with Stress Course" was an adaptation of the Adolescent Coping with Depression Course in 1995. (Reference: Clarke, Hawkins, Murphy, Sheeber, Lewinsohn, & Seeley (1995)).

Country of Origin United States
Languages English
Tool Description

The Coping with Stress Course (CWS), targeted at adolescents elevating depressive symptoms, or „demoralization“, is a group-based prevention programme to prevent mood disorders, unipolar depression later in life. The program involves cognitive-restructuring techniques in which participants learn to identify and challenge negative or irrational thoughts.

Application in the Field Applied internationally
Tool mainly used in United States
Stage of Development Well established
Evaluation and Research Studies/Technical Data available
Beneficiary Involvement in Design No information found
Evaluation Yes
Evaluation Description

The study by Clarke et al. (1995) reported: 1) On the K-SADS-E and LIFE interviews, a significant advantage was found for the CWS group at 12 months, with incidence rates for affective disorder of 15 percent compared with 26 percent for the control group. No significant differences were detected on the HAM-D, or for disruptive behavior, anxiety, or substance abuse. 2) Analyses of the GAF score found a significant effect favoring the treatment group from pretest to initial posttest, but no significant effects when the entire study period was examined (pretest to 12-month follow-up). 3)Outcomes on the self-reported CES-D showed significantly fewer cases of either major depression and/or dysthymia (a more minor form of depression) for the treatment group compared with the control group from pretest to initial posttest. No significant differences were detected when outcomes were measured from pretest to 12-month follow-up. Clarke et al. (2001) found: 1)The CWS group scored significantly better than the control group on the CES-D, the HAM-D, the K-SADS-E suicide symptom total, and the GAF. 2) Analyses of major depressive episodes during a 14-month follow-up (on average) found a significant advantage for the treatment group (9 percent incidence) compared with the control group (29 percent incidence). 3)No significant effects were found for parent reports of child depression, or behavior problems on the CBCL externalizing or internalizing scales.

Available Formats Paper Based | Soft Copy
Free Yes
Restrictions on Use Yes
Tool Focus Individual
Tool Type Educational/Training
Contact Details
Contact Name Gregory N. Clarke, Ph.D.
Organisation Name Kaiser Permanente Center for Health Research
Email greg.clarke@kpchr.org
Telephone (503) 335-6673
Address 3800 N. Kaiser Center Dr. , OR 97227
Country United States