The prevalence and impact of large sudden improvements during adolescent therapy for depression: A comparison across cognitive-behavioral, family, and supportive therapy

被引：106

作者：

Gaynor, ST ^{[1
]}

Weersing, VR ^{[1
]}

Kolko, DJ ^{[1
]}

Birmaher, B ^{[1
]}

Heo, J ^{[1
]}

Brent, DA ^{[1
]}

机构：

[1] Univ Pittsburgh, Western Psychiat Inst & Clin, Sch Med, Pittsburgh, PA 15213 USA

来源：

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY | 2003年 / 71卷 / 02期

关键词：

D O I：

10.1037/0022-006X.71.2.386

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study assessed the treatment specificity and impact on outcome of large, abrupt symptomatic improvements occurring prior to and during cognitive-behavioral, family, and supportive therapy. Eighty-seven depressed adolescents receiving at least 8 therapy sessions were included. Abrupt large decreases in depressive symptoms were identified by changes in weekly Beck Depression Inventory scores. Overall, 28% experienced a pretreatment gain and 39% a sudden within-treatment gain. Both types of gains were associated with superior outcome on self-report and interviewer ratings of depression. Among those participants failing to experience a pretreatment or sudden within-treatment gain, cognitive-behavioral therapy produced the superior outcomes. These findings suggest pretreatment and sudden within-treatment gains are important therapeutic events worthy of further investigation.

引用

页码：386 / 393

页数：8

共 27 条

[1]

Alexander J.F., 1982, Functional family therapy, DOI DOI 10.1037/11621-000

[2]

[Anonymous], 1986, SCHEDULE AFFECTIVE D

[3] PSYCHOLOGICAL INTERVENTIONS IN THE ERA OF MANAGED COMPETITION [J].

BARLOW, DH .

CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 1994, 1 (02) :109-122

[4] PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].

BECK, AT ;

STEER, RA ;

GARBIN, MG .

CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100

[5] MEASUREMENT OF PESSIMISM - HOPELESSNESS SCALE [J].

BECK, AT ;

WEISSMAN, A ;

LESTER, D ;

TREXLER, L .

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1974, 42 (06) :861-865

[6]

Beck AT., 1979, Cognitive Therapy of Depression

[7] The efficacy of 2 different dosages of methylphenidate in treating adults with attention-deficit hyperactivity disorder [J].

Bouffard, R ;

Hechtman, L ;

Minde, K ;

Iaboni-Kassab, F .

CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2003, 48 (08) :546-554

[8]

Brent D. A., 1996, Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice, P187, DOI [DOI 10.1037/10196-008, 10.1037/10196-008]

[9]

Brent DA, 1997, ARCH GEN PSYCHIAT, V54, P877

[10] A POWER PRIMER [J].

COHEN, J .

PSYCHOLOGICAL BULLETIN, 1992, 112 (01) :155-159

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