Application and Evaluation of Group Cognitive Intervention for Depressed Adolescents

This study has been completed.
Sponsor:
Collaborator:
Department of Health
Information provided by:
Taipei Medical University Hospital
ClinicalTrials.gov Identifier:
NCT00946413
First received: July 24, 2009
Last updated: NA
Last verified: July 2009
History: No changes posted
  Purpose

Cognitive behavioral therapy (CBT) is effective and CBT with parental involvement has potential in preventing and treating adolescent depression. The purpose of this study was to compare the short- and long-term effectiveness of CBT alone and CBT plus parental education for community-based adolescents at risk for depression and suicide in Taiwan. It is hypothesized that the CBT alone and CBT with parental education group are more effective than the control group.


Condition Intervention Phase
Community Adolescents at Risk for Depression and Suicide
Behavioral: CBT plus parent education
Behavioral: CBT alone
Phase 0

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver)
Primary Purpose: Prevention
Official Title: Application and Evaluation of Group Cognitive Intervention for Depressed Adolescents

Resource links provided by NLM:


Further study details as provided by Taipei Medical University Hospital:

Primary Outcome Measures:
  • depressive symptoms, suicidal ideation, cognitive triad, learned resourcefulness (LR), and salivary cortisol [ Time Frame: 6 ] [ Designated as safety issue: No ]

Enrollment: 31
Study Start Date: January 2006
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: CBT plus parent education Behavioral: CBT plus parent education
The 10-session group CBT with two-session parental education in our study was derived from the CWDA, with some modifications made based on cultural considerations. Skills taught and discussed included mood monitoring, improving social skills, increasing pleasant activities, decreasing anxiety, reducing depressogenic cognitions, improving communication, and conflict resolution. The issues taught and discussed included an introduction to adolescent depression and suicide, their etiology, symptoms, treatment, and prognosis, as well as stress management. A 1-year individual follow-up program was used to maintain the effect of the experimental intervention and to provide necessary individual interventions for students such as CBT, support, and counseling.
Experimental: CBT alone Behavioral: CBT alone
The 10-session group CBT with two-session parental education in our study was derived from the CWDA, with some modifications made based on cultural considerations. Skills taught and discussed included mood monitoring, improving social skills, increasing pleasant activities, decreasing anxiety, reducing depressogenic cognitions, improving communication, and conflict resolution.A 1-year individual follow-up program was used to maintain the effect of the experimental intervention and to provide necessary individual interventions for students such as CBT, support, and counseling.

Detailed Description:

Cognitive behavioral therapy (CBT) is well known for its active, directive, time-limited, and structured approach. Despite an increasing prevalence of adolescent depression in Taiwan, few studies have been conducted to evaluate the immediate and long-term effectiveness of CBT for community-based adolescents at risk for depression and suicide. Also, little is known about the effectiveness of the involvement of parents in CBT groups. The Adolescent Coping with Depression Course (CWDA) (19) is an effective CBT-oriented group intervention for adolescent depression. However, it has not been tested in specific cultural groups. The primary purpose of this study was therefore to compare the immediate and long-term effectiveness of CBT alone, CBT with parental education, and control groups for community-based adolescents at risk for depression and suicide.A quasi-experimental research design was used in this study. Community-based high school students at risk for depression and suicide were recruited and assigned to one of two experimental groups or a control group. Students in the experimental groups received CBT plus parental education (group A, n = 9) or CBT alone (group B, n = 10). The control group was designed as a waiting list group (group C, n = 12). Both experimental groups received a follow-up session 1 year after the intervention. Several outcome variables (depressive symptoms, suicidal ideation, cognitive triad, learned resourcefulness [LR], and salivary cortisol level) were used to determine the effectiveness of treatment.

  Eligibility

Ages Eligible for Study:   14 Years to 19 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • willing to participate group assignment and grant consents

Exclusion Criteria:

  • unwilling to participate potential group activity and grant consents
  • severe physical or psychiatric disorders
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00946413

Locations
Taiwan
School of Nursing, Taipei Medical University
Taipei, Taiwan, 110
Sponsors and Collaborators
Taipei Medical University Hospital
Department of Health
Investigators
Principal Investigator: Hsiu-Ju Chang, phD School of Nursing, Taipei Meidcal University
  More Information

No publications provided

Responsible Party: Hsiu-Ju Chang, Taipei Medical University
ClinicalTrials.gov Identifier: NCT00946413     History of Changes
Other Study ID Numbers: DOH95-TD-M-113-058
Study First Received: July 24, 2009
Last Updated: July 24, 2009
Health Authority: Taiwan: Department of Health

Keywords provided by Taipei Medical University Hospital:
CBT, Depressed and suicidal adolescents

Additional relevant MeSH terms:
Depression
Depressive Disorder
Suicide
Behavioral Symptoms
Mood Disorders
Mental Disorders
Self-Injurious Behavior

ClinicalTrials.gov processed this record on July 28, 2014