Application and Evaluation of Group Cognitive Intervention for Depressed Adolescents
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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 |
- 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 |
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| Taiwan | |
| School of Nursing, Taipei Medical University | |
| Taipei, Taiwan, 110 | |
| Principal Investigator: | Hsiu-Ju Chang, phD | School of Nursing, Taipei Meidcal University |
More Information
Additional 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 May 16, 2013