Cognitive and family therapies for adolescent depression: Treatment specificity, mediation, and moderation
Cognitive and family therapies for adolescent depression: Treatment specificity, mediation, and moderation
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DOI：
10.1037//0022-006x.68.4.603
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发表时间：
2000-08-01
影响因子：
5.9
通讯作者：
Birmaher, B
中科院分区：
文献类型：
--
作者：
Kolko, DJ;Brent, DA;Birmaher, B
在一项针对青少年抑郁症的随机临床试验中，研究了认知疗法和家庭疗法的特异性，以及潜在的治疗介质和调节因子。急性治疗后，认知行为疗法（CBT）对认知扭曲的治疗效果优于系统行为家庭疗法（SBFT）或非指导性支持疗法（NST）。在2年的随访中，SBFT对家庭冲突和亲子关系问题的影响大于CBT；NST和CBT倾向于比SBFT更能减轻焦虑症状。非特异性治疗师变量对结果分析的影响很小。没有测量认知扭曲或家庭功能障碍介导或调节治疗结果。与成人研究一样，确定的治疗特异性或调解领域相对较少。这些发现对青少年抑郁症的临床治疗和研究的意义进行了讨论。
The specificity of cognitive and family therapies, and potential treatment mediators and moderators, was examined in a randomized clinical trial for adolescent depression. After acute treatment, cognitive behavioral therapy (CBT) exerted specific effects on cognitive distortions relative to either systemic-behavioral family therapy (SBFT) or nondirective supportive therapy (NST). At 2-year follow-up, SBFT was found to impact family conflict and parent-child relationship problems more than CBT; NST and CBT tended to show a greater reduction in anxiety symptoms than SBFT. Nonspecific therapist variables qualified few outcome analyses. No measures of cognitive distortion or family dysfunction mediated or moderated treatment outcome. As in adult studies, relatively few areas of treatment specificity or mediation were identified. The implications of these findings for clinical treatment and research in adolescent depression are discussed.