Cognitive-behavioral treatment of adolescent depression: Efficacy of acute group treatment and booster sessions

被引:307
作者
Clarke, GN
Rohde, P
Lewinsohn, PM
Hops, H
Seeley, JR
机构
[1] Kaiser Permanente Ctr Hlth Res, Portland, OR 97227 USA
[2] Oregon Res Inst, Eugene, OR 97403 USA
关键词
adolescent; depression; treatment; recurrence; maintenance;
D O I
10.1097/00004583-199903000-00014
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: This trial examined the effects of both acute and maintenance cognitive-behavioral therapy (CBT) for depressed adolescents. Method: Adolescents with major depression or dysthymia (N = 123) were randomly assigned to 1 of 3 eight-week acute conditions: adolescent group CBT (16 two-hour sessions); adolescent group CBT with a separate parent group; or waitlist control. Subsequently, participants completing the acute CBT groups were randomly reassigned to 1 of 3 conditions for the 24-month follow-up period: assessments every 4 months with booster sessions; assessments only every 4 months; or assessments only every 12 months. Results: Acute CBT groups yielded higher depression recovery rates (66.7%) than the waitlist (48.1%), and greater reduction in self-reported depression, Outcomes for the adolescent-only and adolescent + parent conditions were not significantly different. Rates of recurrence during the 2-year follow-up were lower than found with treated adult depression. The booster sessions did not reduce the rate of recurrence in the follow-up period but appeared to accelerate recovery among participants who were still depressed at the end of the acute phase. Conclusions: The findings, which replicate and expand upon a previous study, support the growing evidence that CBT is an effective intervention for adolescent depression.
引用
收藏
页码:272 / 279
页数:8
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