Relapse and recurrence prevention in the treatment for adolescents with depression study
Relapse and recurrence prevention in the treatment for adolescents with depression study
复制标题
DOI：
10.1016/s1077-7229(05)80029-x
复制
发表时间：
2005-03-01
影响因子：
2.9
通讯作者：
Robins, M
中科院分区：
文献类型：
--
作者：
Simons, AD;Rohde, P;Robins, M
青少年抑郁症的复发是一个重要的问题。与青少年抑郁症的急性治疗相比，对复发预防的了解要少得多。基于先前的研究、理论预测和临床经验，设计了青少年抑郁症治疗研究（TADS）方案，以确定是否可以通过延长急性治疗的形式来降低通常的高复发率和复发率，强化治疗包括(a)关于抑郁症本质的全面教育，包括其纵向病程；(b)实现症状的完全缓解，(c)将治疗师的技能分级转移给青少年（即教青少年成为自己的治疗师）；(d)关注已知的复发风险因素，如认知因素、家庭批评等；(e)根据需要和发展水平将家庭纳入其中。本文回顾了有关复发和复发的危险因素的文献，然后描述了如何在认知行为治疗中处理这些问题。
Relapse and recurrence in adolescent depression are important problems. Much less is known about relapse prevention compared to the acute treatment of depression in adolescents. Based on previous research, theoretical predictions, and clinical experience, the Treatment for Adolescents With Depression Study (TADS) protocol was designed to determine whether the usual high rates of relapse and recurrence could be decreased by extending acute treatment in the form of booster sessions that included (a) thorough education about the nature of depression, including its longitudinal course; (b) achievement of full symptom remission, (c) graded transfer of skills from therapist to adolescent (i.e., teaching the teen to be his or her own therapist); (d) focus on known risk factors for relapse, such as cognitive factors, family criticism, etc.; and (e) inclusion of the family as a function of need and developmental Level. This article reviews the literature on risk factors for relapse and recurrence and then describes how these issues were approached in the cogs nitive behavioral treatment in TADS.