Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression: Preliminary Findings

Autor/inn/en	Kennard, Betsy D.; Clarke, Greg N.; Weersing, V. Robin; Asarnow, Joan Rosenbaum; Shamseddeen, Wael; Porta, Giovanna; Berk, Michele; Hughes, Jennifer L.; Spirito, Anthony; Emslie, Graham J.; Keller, Martin B.; Wagner, Karen D.; Brent, David A.
Titel	Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression: Preliminary Findings
Quelle	In: Journal of Consulting and Clinical Psychology, 77 (2009) 6, S.1033-1041 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0017411
Schlagwörter	Therapy; Depression (Psychology); Adolescents; Cognitive Restructuring; Behavior Modification; Outcomes of Treatment; Drug Therapy; Problem Solving; Interpersonal Competence + Suchen Sie Ihr Suchwort? Therapie; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Behaviour modification; Verhaltensänderung; Problemlösen; Interpersonale Kompetenz
Abstract	In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths. (Contains 4 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10