Cognitive behavioral therapy for depressed adolescents exposed to interpersonal trauma: an initial effectiveness trial.
Cognitive behavioral therapy for depressed adolescents exposed to interpersonal trauma: an initial effectiveness trial.
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针对遭受人际创伤的抑郁青少年的认知行为疗法：初步有效性试验。
DOI：
10.1037/a0034845
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Labus,Jennifer
中科院分区：
文献类型：
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作者：
Shirk,StephenR;Deprince,AnneP;Crisostomo,PatriceS;Labus,Jennifer
四项临床试验表明，人际创伤史与认知行为疗法（CBT）治疗青少年抑郁症的反应减弱有关。一个有效的治疗青少年抑郁症的CBT方案被修改，以解决与人际创伤相关的认知缺陷和扭曲。在社区诊所进行的一项随机有效性试验中评估了改良治疗（m-CBT）的初步可行性、可接受性和治疗效果。研究对象为43名有抑郁症和人际创伤史的青少年。青少年接受混合cbt或常规护理（UC）治疗。结果表明，社区临床医生提供的m-CBT具有良好的保真度，但在m-CBT和UC中完成的会话数量都有所减少。青少年报告了高水平的治疗满意度和对新治疗的可接受性。随着时间的推移，抑郁症状显著减轻，但两组之间的结果没有差异。虽然新的治疗方法产生了令人鼓舞的结果，但它并没有优于UC。考虑对治疗发展的影响。
Four clinical trials have shown that a history of interpersonal trauma is associated with diminished response to cognitive–behavioral therapy (CBT) for adolescent depression. An efficacious CBT protocol for adolescent depression was modified to address cognitive deficits and distortions associated with interpersonal trauma. Initial feasibility, acceptability, and treatment impact of the modified treatment (m-CBT) were evaluated in a randomized effectiveness trial conducted in community clinics. Clients were 43 referred adolescents with a depressive disorder and a history of interpersonal trauma. Adolescents either received m-CBT or usual care (UC) therapy. Results indicated that m-CBT was delivered with good fidelity by community clinicians, but that number of sessions completed was attenuated in both m-CBT and UC. Adolescents reported high levels of treatment satisfaction and acceptability for the new treatment. There were significant reductions in depressive symptoms over time, but no differences in outcomes between groups. Although the new treatment produced promising results, it did not outperform UC. Implications for treatment development are considered.