Controlled Trial of a Brief Cognitive–Behavioural Intervention in Adolescent Patients with Depressive Disorders

Abstract

Fifty-three child and adolescent psychiatric patients with depressive disorders were randomly allocated to brief cognitive-behaviour therapy (CBT) or to a control treatment, relaxation training. Forty-eight patients completed the treatment phase of the trial, which comprised 5-8 treatment sessions. Post-treatment assessments showed a clear advantage of CBT over relaxation on measures of both depression and overall outcome. However, there were no significant differences between the treatments on comorbid anxiety and conduct symptoms. At follow-up, the differences between the groups were reduced, partly because of a high relapse rate in the DTP group and partly because subjects in the relaxation group continued to recover.

Randomized Trial of a Home-Based Family Intervention for Children Who Have Deliberately Poisoned Themselves

“…Secondary outcome measures were the Generation of Alternative Solutions subscale of the Social Problem Solving Inventory (Sadowski and Kelley, 1991) [24], which was completed by the child; the 28-item version of the General Health Questionnaire (Goldberg, 1978) [6], a measure of stress completed by the parent(s); and 8-point Likert scales of satisfaction with treatment completed by the child and parent(s) (Wood et al, 1996) [27]. The children's and parents' expectancies of treatment were also assessed on a 0 to 8 Likert scale.…”

“…[ We have previously found in a randomized trial (Wood et al, 1996) [27] that children and adolescents with major depression improve with individual cognitive-behavioral therapy. We were therefore particularly interested in whether the family intervention would help overdose cases who were not depressed, because no intervention has yet been proven to help this group.…”

Community clinic treatment of depressed youth: Benchmarking usual care against CBT clinical trials.

“…These outpatient samples are likely to have higher means on the MFQ-C than would a sample of nonclinic, community youth. Thus, z scores for studies using the MFQ-C (Vostanis, Feehan, Grattan, & Bickerton, 1996a, 1996bWood, Harrington, & Moore, 1996) may be artificially lowered in comparison with studies using other depression symptom measures. However, removal of studies including the MFQ-C from benchmarking outcome analyses did not alter our conclusions.…”

Moving ahead: Five essential elements for working effectively with girls

“…The primary basis for supporting the use of cognitive-behavioral approaches with girls is the research suggesting that cognitive distortions and processing deficits contributes to a range of maladaptive behaviors among girls (see Bennett, Farrington, & Huesman, 2005;Owens & Chard, 2001;Simourd & Andrews, 1994;Young, Martin, Young, & Ting, 2001). Additionally, there is evidence to suggest that cognitive-behavioral approaches have been effective in treating depression and eating disorders among adolescent girls (Schapman-Williams, Lock, & Couturier, 2006;Wood, Harrington, & Moore, 1996).…”