COGNITIVE-BEHAVIORAL TREATMENT FOR DEPRESSED ADOLESCENTS
COGNITIVE-BEHAVIORAL TREATMENT FOR DEPRESSED ADOLESCENTS
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DOI：
10.1016/s0005-7894(05)80353-3
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发表时间：
1990-09-01
期刊：
影响因子：
3.7
通讯作者：
ANDREWS, J
中科院分区：
文献类型：
--
作者：
LEWINSOHN, PM;CLARKE, GN;ANDREWS, J
本研究的目的是检验两种认知行为干预对抑郁青少年的有效性。59名高中生，年龄在14-18岁之间，符合DSM-III和RDC诊断抑郁症的标准，被随机分配到三种情况之一：青少年和父母，青少年只有，和等待名单。治疗包括：a）适应“应对抑郁课程”，这是一种认知行为小组干预教学技能，旨在增加愉快活动、放松、控制抑郁思想、改善社会互动以及沟通、谈判和解决冲突的技能;以及B）对父母的干预。结果表明，与候补受试者相比，接受治疗的受试者在抑郁量表上有显著改善。这些增益在治疗后两年保持不变。有一个强烈的趋势，有利于青少年和父母的条件下，只有青少年的条件，但只有一个众多的比较达到统计学意义。
The purpose of this study was to test the efficacy of two versions of a cognitive-behavioral intervention of depressed adolescents. Fifty-nine high school students, aged 14-18, meeting DSM-III and RDC criteria for a diagnosis of depression were randomly assigned to one of three conditions: Adolescent-and-Parent, Adolescent-Only, and Wait-List. The treatments were: a) an adaptation of the Coping with Depression Course (CWD), a cognitive-behavioral group intervention teaching skills for increasing pleasant activities, relaxation, controlling depressive thoughts, improving social interaction, and communication, negotiation and conflict resolution skills; and b) an intervention for the parents. The results showed that, compared to the wait-list subjects, treated subjects improved significantly on the depression measures. These gains were maintained at two years posttreatment. There was a strong trend for the results to favor the Adolescent-and-Parent condition over the Adolescent-Only condition, but only one of numerous comparisons attained statistical significance.