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Effectiveness of a school-based universal prevention program on self-efficacy and mental health problems in Japanese children: differences between universal- and indicated-level effects.

Child Adolesc Psychiatry Ment Health · 2026 · PMC13130433 · PMID 41865011

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At the indicated level, a Time × Group interaction was observed for depressive symptoms among children with elevated baseline depression; however, the group effect at Time 4 did not reach statistical significance after covariate adjustment.

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