Empirically Supported Psychotherapies for Adolescent Depression and Mood Disorders

Empirically Supported Psychotherapies for Adolescent Depression and Mood Disorders
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DOI:
10.1007/978-0-387-73691-4_10
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发表时间:
2008-01-01
期刊:
HANDBOOK OF EVIDENCE-BASED THERAPIES FOR CHILDREN AND ADOLESCENTS: BRIDGING SCIENCE AND PRACTICE
影响因子:
--
通讯作者:
Becker, Sara J.
Becker, Sara J.
中科院分区:
其他
文献类型:
--
作者:
Curry, John F.;Becker, Sara J.

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情绪障碍是青少年中最普遍的精神障碍之一(Lewinsohn等人,1993年)。当未治疗或治疗不足时,青少年情绪障碍与严重的短期和长期后果相关,例如学校、家庭和社会功能受损以及自杀企图和自杀完成的风险升高(参见Weisz等人,2006年)。与青少年心境障碍相关的大量的、持续的和经常性的费用突出了有效干预的必要性,在本章中,我们将使用Chambless和Hollon(1998)开发的标准,尽可能地回顾和比较青少年心境障碍的经验支持治疗(EST)。我们通过考虑两个关键的方法学问题来增加这组标准:是否相对于被动或主动比较条件对治疗进行了评价,以及是否使用完成者或意向治疗(ITT)分析对治疗进行了分析。根据Weisz及其同事(2006年)最近的荟萃分析,我们认为与活性药物相比,
Mood disorders are among the most prevalent psychiatric disorders among adolescents (Lewinsohn et al., 1993). When untreated or undertreated, adolescent mood disorders are associated with serious shortand long-term consequences such as impaired school, family, and social functioning and elevated risk of suicide attempts and completions (see Weisz et al., 2006). The substantial, persistent, and recurring costs associated with adolescent mood disorders highlight the need for effective interventions.In this chapter we will review and, to the extent possible, compare empirically supported treatments (ESTs) for adolescent mood disorders, using the criteria developed by Chambless and Hollon (1998). We augment this set of criteria with the consideration of two key methodological issues: whether the treatment has been evaluated relative to a passive or active comparison condition and whether the treatment was analyzed using completer or intent-to-treat (ITT) analyses. In line with a recent metaanalysis by Weisz and colleagues (2006), we view comparison to an active