Striving for effectiveness in the treatment of adolescent depression: Cognitive behavior therapy for multisite community intervention
Striving for effectiveness in the treatment of adolescent depression: Cognitive behavior therapy for multisite community intervention
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DOI：
10.1016/s1077-7229(05)80023-9
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发表时间：
2005-03-01
影响因子：
2.9
通讯作者：
Wells, KC
中科院分区：
文献类型：
--
作者：
Curry, JF;Wells, KC
青少年抑郁症治疗研究（TADS）旨在比较认知行为疗法（CBT）和氟西汀的相对有效性和联合有效性，每种疗法都在仔细对照的单中心研究中证明了疗效。来自这些疗效研究的CBT模型作为TADS心理社会干预的基础。1、在其他抑郁症CBT研究的背景下解释TADS治疗的急性和长期结果时，理解形成TADS CBT干预的过程和决策至关重要。TADS CBT委员会审查了儿童和青少年心理治疗的荟萃分析以及儿童和青少年抑郁症的CBT研究，依靠专家顾问，并在可行性研究中评估了治疗过程，以获得TADS CBT的基本组成部分。在本文中，我们描述了TADS CBT的基本原理，治疗设计的过程，以及TADS治疗的直接来源。关键的决定，涉及程度的治疗结构，治疗师的灵活性与跨站点的一致性，治疗的持续时间和强度，参与治疗的家庭成员，和核心与可选的干预因素。
The Treatment for Adolescents With Depression Study (TADS) was designed to compare the relative and combined effectiveness of cognitive behavior therapy (CBT) and fluoxetine, each of which had demonstrated efficacy in carefully controlled single-site studies. Models of CBT from these efficacy studies served as the foundation for the TADS psychosocial intervention. 1,When interpreting the acute and long-term outcomes of TADS treatment in the context of other studies of CBT for major depression, it is critical to understand the process and the decision making that formed the TADS CBT intervention. The TADS CBT Committee reviewed meta-analyses of child and adolescent psychotherapy as well as studies of CBT for childhood and adolescent depression, relied on expert consultants, and evaluated the treatment process in a feasibility study to derive the essential components of TADS CBT In this article we describe the rationale for the TADS CBT, the process of treatment design, and the immediate sources of the TADS treatment. Key decisions were made involving the degree of treatment structure, therapist flexibility versus cross-site consistency, duration and intensity of treatment, the involvement of family members in treatment, and core versus optional elements of the intervention.