Components Analyses of a School-Based Cognitive Behavioral Treatment for Youth Depression.
Components Analyses of a School-Based Cognitive Behavioral Treatment for Youth Depression.
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DOI：
10.1080/15374416.2017.1280800
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Stark KD
中科院分区：
文献类型：
--
作者：
Arora PG;Baker CN;Marchette LK;Stark KD
本研究旨在通过调查CBT治疗的各个组成部分对年轻女性抑郁症状变化的影响，将CBT作为抑郁青年的一线治疗方法。本研究纳入了9至14岁的女性（n = 40; M年龄= 10.58岁），在一项大型随机临床试验中仅接受CBT治疗，诊断为抑郁症。参与者参与了为期11周、为期20次的基于学校的CBT团体干预（ACTION Treatment）。在治疗前后对抑郁症状进行评估，并根据对治疗过程录音的回顾对干预成分进行编码。使用分层线性模型和完全最大似然估计的两水平混合效应模型检查数据。结果表明，更高质量的行为干预成分与治疗后抑郁评分的更大改善相关，更高质量的认知干预成分与治疗后抑郁评分的恶化轻微相关，关系干预成分与抑郁结局无关。年龄显着缓和干预组件和抑郁症的结果之间的关系，年轻女性受益最高质量的行为和关系干预组件。这些研究结果提供了初步的证据，CBT组件对抑郁症的治疗结果的差异性影响的年轻女性，考虑到年龄作为一个主持人。这项研究强调了继续拆除青少年抑郁症CBT治疗成分的重要性，因为这些发现可以用来设计更有效的，针对发展的干预措施。
The current study sought to build upon research on CBT as the first-line treatment for depressed youth by investigating the effects of the various components of a CBT treatment on changes in depressive symptoms in young females. Females aged 9 to 14 years (n = 40; M age = 10.58 years) with a diagnosis of a depressive disorder from the CBT-only treatment condition of a larger randomized clinical trial were included in the current study. Participants engaged in a 20-session, 11-week, school-based CBT group intervention (ACTION Treatment). Depressive symptoms were assessed pre- and post-treatment and intervention components were coded based on review of audio recordings of treatment sessions. Data were examined using two-level mixed effects models using hierarchical linear modeling with full maximum likelihood estimation. Results indicated that higher quality behavioral intervention components were associated with greater improvement in post-treatment depression scores, higher quality cognitive intervention components were marginally associated with worsening post-treatment depression scores, and relational intervention components were not associated with depression outcome. Age significantly moderated the relationships between intervention components and depression outcome, with younger females benefiting most from higher quality behavioral and relational intervention components. These findings provide preliminary evidence about the differential impact of CBT components on depression treatment outcome for young females, with consideration of age as a moderator. This study highlights the importance of continuing to dismantle CBT treatment components for youth depression, as such findings can be used to design more potent, developmentally-tailored interventions.
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DOI：
10.1097/01.chi.0000240838.78984.e2
发表时间：
2006-12-01
影响因子：
13.3
作者：
Curry, John;Rohde, Paul;March, John
通讯作者：
March, John
影响因子：
3.7
作者：
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通讯作者：
Barker, E
影响因子：
5.9
作者：
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通讯作者：
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影响因子：
5.9
作者：
Dobson, Keith S.;Dimidjian, Sona;Gollan, Jackie K.
通讯作者：
Gollan, Jackie K.
影响因子：
5.9
作者：
Coffman, Sandra J.;Martell, Christopher R.;Hollon, Steven D.
通讯作者：
Hollon, Steven D.