The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents.
The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents.
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DOI：
10.1037//0022-006x.67.5.734
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发表时间：
1999-10
影响因子：
5.9
通讯作者：
J. Rosselló;G. Bernal
中科院分区：
文献类型：
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作者：
J. Rosselló;G. Bernal
本研究评估认知行为疗法（CBT）和人际心理疗法（IPT）对波多黎各青少年抑郁症的疗效。71名青少年符合精神障碍诊断和统计手册（第3版，rev.;美国精神病学协会，1987）抑郁症的诊断标准被随机分配到3个条件之一：CBT，IPT，或等待名单（WL）。治疗前、治疗后和3个月的随访测量抑郁症状、自尊、社会适应、家庭情感参与和批评以及行为问题。结果表明，IPT和CBT显着减少抑郁症状相比，WL条件。IPT在提高自尊和社会适应能力方面优于WL条件，且有上级效果。临床显著性检验表明，接受IPT治疗的青少年中有82%的人和接受CBT治疗的青少年中有59%的人在治疗后有功能。结果表明，IPT和CBT都是有效的治疗抑郁症的波多黎各青少年。IPT在其他层面的成果的影响进行了讨论，在其与波多黎各的文化价值观的一致性。
This study evaluated the efficacy of cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT) with depressed adolescents in Puerto Rico. Seventy-one adolescents meeting Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) criteria for a diagnosis of depression were randomly assigned to 1 of 3 conditions: CBT, IPT, or wait list (WL). Pretreatment, posttreatment, and 3-month follow-up measures of depression symptoms, self-esteem, social adjustment, family emotional involvement and criticism, and behavioral problems were completed. Results suggest that IPT and CBT significantly reduced depressive symptoms when compared with the WL condition. IPT was superior to the WL condition in increasing self-esteem and social adaptation. Clinical significance tests suggested that 82% of adolescents in IPT and 59% of those in CBT were functional after treatment. The results suggest that both IPT and CBT are efficacious treatments for depressed Puerto Rican adolescents. IPT's impact in other levels of outcome is discussed in terms of its consonance with Puerto Rican cultural values.