The primary objective of this study is to assess acquisition and retention of a Cognitive Behavioral Therapy (CBT)-based "cognitive restructuring" skill, among young adolescents (12-15 years of age) with elevated depression symptoms and with population-level variability in lifetime exposure to adverse childhood experiences. This study uses a repeated-measures, longitudinal design to investigate associations between adversity exposure and learning-related cognitive control processes in the context of elevated depression (Aim 1). Adversity exposure and cognitive control will be examined as direct predictors of cognitive restructuring skill acquisition and skill retention over six-months; an indirect pathway from adversity to skill acquisition through cognitive control will also be examined (Aim 2). The study also includes exploration of key characteristics of adversity, namely the type (threat of harm versus deprivation of resources) and developmental timing of exposure, as distinct predictors of skill acquisition (exploratory Aim 3).
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Cognitive Restructuring Skill Acquisition
Timeframe: Immediately post-intervention
Cognitive Restructuring Skill Retention up to 6-months
Timeframe: Pre-intervention up to 6-months follow-up
Cognitive Restructuring Knowledge Test
Timeframe: Immediately post-intervention
Biobehavioral sympathetic recovery
Timeframe: Immediately post-intervention