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NCJ Number: 211089 Find in a Library
Title: Randomized Effectiveness Trial of Brief Cognitive-Behavioral Therapy for Depressed Adolescents Receiving Antidepressant Medication
Journal: Journal of the American Academy of Child & Adolescent Psychiatry  Volume:44  Issue:9  Dated:September 2005  Pages:888-898
Author(s): Gregory Clarke Ph.D.; Lynn Debar Ph.D.; Frances Lynch Ph.D.; James Powell M.D.; John Gale M.D.; Elizabeth O'Connor Ph.D.; Evette Ludman Ph.D.; Terry Bush Ph.D.; Elizabeth H.B. Lin M.D.; Michael Von Korff Sc.D.; Stephanie Herthert M.S.
Date Published: September 2005
Page Count: 11
Sponsoring Agency: Agency for Healthcare Research and Quality
Rockville, MD 20850
Grant Number: R01-HS10535;HS13854
Document: HTML
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study evaluated the effectiveness of a collaborative care, cognitive-behavioral therapy (CBT) program for depressed adolescents receiving antidepressant medication.
Abstract: Much of the previous research on treatments for depressed youth has focused on monotherapies that deliver only one type of therapy in isolation from others. Evaluation findings of these therapies have reported that only between 35 to 65 percent of depressed youth recover fully at the conclusion of monotherapy treatments, strongly indicating the need for more potent treatments. The current study investigated the effectiveness of a collaborative care treatment program that combined cognitive-behavioral therapy with medication for the treatment of depressed adolescents. The evaluation involved a randomized effectiveness trial that compared a treatment-as-usual (TAU) control group (N=75) with a TAU group that also incorporated the use of CBT (N=77). Control and treatment participants were prescribed selective serotonergic reuptake inhibitor (SSRI) medication outside of the experimental protocol and all had a diagnosis of major depressive disorder. Results indicated a weak CBT effect that may have shown up as less significant due to the small sample size and the unexpected reduction in SSRI therapy in the CBT group. Despite the minimal support found in this evaluation, collaborative therapies still offer improvements over monotherapies and represent the new norm in adolescent mental health treatment. Figures, tables, references
Main Term(s): Juvenile mental health services; Juvenile treatment evaluation
Index Term(s): Cognitive therapy; Psychiatric services
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