Early intervention with cognitive behavioral therapy reduces sick leave duration in people with adjustment, anxiety and depressive disorders

2018 ◽  
Vol 29 (3) ◽  
pp. 247-255 ◽  
Author(s):  
José H. Marco ◽  
Sandra Alonso ◽  
Joaquín Andani
Keyword(s):  
Early Intervention ◽  
Cognitive Behavioral Therapy ◽  
Sick Leave ◽  
Depressive Disorders ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Integrated Cognitive Behavioral Therapy Versus Twelve-Step Facilitation Therapy for Substance-Dependent Adults with Depressive Disorders

2006 ◽  
Vol 38 (4) ◽  
pp. 449-460 ◽  
Author(s):  
Sandra A. Brown ◽  
Suzette V. Glasner-Edwards ◽  
Susan R. Tate ◽  
John R. McQuaid ◽  
John Chalekian ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Depressive Disorders ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Twelve Step ◽  
Substance Dependent

scholarly journals Effectiveness of Usual-Care Cognitive-Behavioral Therapy for Adolescents with Depressive Disorders Rated by Parents and Patients

2020 ◽  
Author(s):  
Daniel Walter ◽  
Jana Buschsieweke ◽  
Lydia Dachs ◽  
Hildegard Goletz ◽  
Anja Goertz-Dorten ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Depressive Disorders ◽  
Behavioral Therapy ◽  
Routine Care ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Effect Sizes ◽  
Control Group ◽  
Parent Rating ◽  
Wide Range

Abstract BackgroundDepressive disorders are common in adolescence and are associated with a wide range of negative long-term outcomes. Highly controlled randomized controlled trials (RCT) provide considerable evidence for the efficacy of cognitive-behavioral therapy (CBT) as a treatment for depression, but the effectiveness of CBT under routine care conditions remains unproven.MethodsIn the present observational study, the changes achieved through routine CBT in adolescents with depressive disorders treated in a university outpatient clinic were analyzed, and compared to a historical control group of adolescents with depressive disorders who had received treatment as usual. At the start and end of treatment (pre- and post-assessment), parent and self-ratings of the German versions of the Youth Self-Report (YSR), the Child Behavior Checklist (CBCL) and rating scales for depressive symptoms (FBB-DES, SBB-DES) were assessed. A total of 331 adolescents aged 11–18 years with complete data were assessed for the main analysis.ResultsThe analysis yielded small to large pre-post effect sizes (Cohen’s d) for the total sample (d = 0.33 to d = 0.82) and large effect sizes for adolescents who were rated in the clinical range on each (sub)scale at the start of treatment (d = 0.85 to d = 1.30). When comparing patients in the clinical range with historical controls, medium to large net effect sizes (d = 0.53 to d = 2.09) emerged for the total scores in self- and parent rating. However, a substantial proportion of the sample remained in the clinical range at the end of treatment.ConclusionsThese findings suggest that CBT is effective for adolescents with depressive disorders when administered under routine care conditions, but the results must be interpreted with caution due to the lack of a direct control condition.Trial registrationDRKS, DRKS00021518. Registered 27 April 2020 - Retrospectively registered, http://drks.de

scholarly journals Effectiveness of usual-care cognitive-behavioral therapy for adolescents with depressive disorders rated by parents and patients – an observational study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel Walter ◽  
Jana Buschsieweke ◽  
Lydia Dachs ◽  
Hildegard Goletz ◽  
Anja Goertz-Dorten ◽  
...  
Keyword(s):  
Observational Study ◽  
Cognitive Behavioral Therapy ◽  
Depressive Disorders ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Effect Sizes ◽  
Parent Rating ◽  
Link Type ◽  
End Of Treatment ◽  
Wide Range

Abstract Background Depressive disorders are common in adolescence and are associated with a wide range of negative long-term outcomes. Highly controlled randomized controlled trials (RCT) provide considerable evidence for the efficacy of cognitive-behavioral therapy (CBT) as a treatment for depression, but studies examining the effectiveness of CBT in clinical settings are very rare . Methods In the present observational study, the changes achieved through routine CBT in adolescents with depressive disorders treated in a clinical setting in terms of a university outpatient clinic were analyzed, and compared to a historical control group of adolescents with depressive disorders who had received treatment as usual. At the start and end of treatment (pre- and post-assessment), parent and self-ratings of the German versions of the Youth Self-Report (YSR), the Child Behavior Checklist (CBCL) and rating scales for depressive symptoms (FBB-DES, SBB-DES) were assessed. A total of 331 adolescents aged 11–18 years with complete data were assessed for the main analysis. Results The analysis yielded small to large pre-post effect sizes (Cohen’s d) for the total sample (d = 0.33 to d = 0.82) and large effect sizes for adolescents who were rated in the clinical range on each (sub) scale at the start of treatment (d = 0.85 to d = 1.30). When comparing patients in the clinical range with historical controls, medium to large net effect sizes (d = 0.53 to d = 2.09) emerged for the total scores in self- and parent rating. However, a substantial proportion of the sample remained in the clinical range at the end of treatment. Conclusions These findings suggest that CBT is effective for adolescents with depressive disorders when administered under routine care conditions, but the results must be interpreted with caution due to the lack of a direct control condition. Trial registration DRKS, DRKS00021518. Registered 27 April 2020 - Retrospectively registered, http://drks.de

Treatment of Depressive Disorders

2021 ◽  
pp. 89-100
Author(s):  
Kirstin Painter ◽  
Maria Scannapieco
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Children And Adolescents ◽  
Case Studies ◽  
Depressive Disorders ◽  
Behavioral Therapy ◽  
Antidepressant Medication ◽  
Interpersonal Psychotherapy ◽  
Cognitive Behavioral ◽  
Treatment Interventions ◽  
The Brain

The two most common treatments for depression are antidepressant medication and psychotherapy, provided together or individually. This chapter provides an overview of the classes of antidepressant medications and addresses how they regulate neurotransmitters in the brain. The chapter addresses the use of antidepressants in children and adolescents and the risk of suicide related to antidepressants. Several models of psychotherapy treatments, including treatment interventions extensively tested and found effective in treating children and adolescents with depressive disorders (e.g., cognitive-behavioral therapy, interpersonal psychotherapy) are described. Links are provided to access further information on these interventions. This chapter returns to the two case studies from Chapter 5 and discloses the actual outcomes that occurred.

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