The brief cognitive-behavioral COPE intervention for depressed adolescents: outcomes and feasibility of delivery in 30-minute outpatient visits.
The brief cognitive-behavioral COPE intervention for depressed adolescents: outcomes and feasibility of delivery in 30-minute outpatient visits.
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DOI：
10.1177/1078390311404067
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发表时间：
2011-05-01
影响因子：
2
通讯作者：
Melnyk, Bernadette Mazurek
中科院分区：
文献类型：
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作者：
Lusk, Pamela;Melnyk, Bernadette Mazurek
背景：尽管美国的患病率为 9%，但由于临床实践的时间限制以及缺乏心理健康服务提供者，只有不到 25% 的抑郁青少年接受了治疗。 目的：评估在 30 分钟的常规心理健康药物管理门诊中为 15 名抑郁青少年提供名为 COPE（为个人赋权创造机会）的简短手动七次认知行为技能培养干预措施的可行性和效果。 研究设计：采用实验前一组测试前和测试后设计。结果：青少年报告抑郁、焦虑、愤怒和破坏性行为显着减少，自我概念和管理负面情绪的个人信念增加。评估表明，COPE 对青少年和家长来说是一种积极的体验。 结论：COPE 是一种很有前途的基于认知行为治疗的简短干预措施，可以在 30 分钟的个人门诊就诊内进行。通过这种干预，高级执业护士可以在实践时间限制的情况下工作，并仍然为抑郁青少年提供循证治疗。
BACKGROUND: Despite a U.S. prevalence of 9%, less than 25% of depressed adolescents receive treatment because of time constraints in clinical practice and lack of mental health providers available to deliver it.OBJECTIVE: To assess the feasibility and effects of a brief manualized seven-session cognitive-behavioral skills building intervention entitled COPE (Creating Opportunities for Personal Empowerment) delivered to 15 depressed adolescents in routine 30-minute mental health medication management outpatient visits.STUDY DESIGN: A preexperimental one group pre- and posttest design was used.RESULTS: Adolescents reported significant decreases in depression, anxiety, anger, and destructive behavior as well as increases in self-concept and personal beliefs about managing negative emotions. Evaluations indicated that COPE was a positive experience for teens and parents.CONCLUSION: COPE is a promising brief cognitive-behavior therapy-based intervention that can be delivered within 30-minute individual outpatient visits. With this intervention, advanced practice nurses can work with practice time limitations and still provide evidence-based treatment for depressed teens.