Potential mediators of cognitive-behavioral therapy for adolescents with comorbid major depression and conduct disorder.

Abstract:

:Several possible mediators of a group cognitive-behavioral therapy (CBT) for depressed adolescents were examined. Six measures specific to CBT (e.g., negative cognitions, engagement in pleasurable activities) and 2 nonspecific measures (therapeutic alliance, group cohesion) were examined in 93 adolescents with comorbid major depressive disorder and conduct disorder who were randomly assigned to the Adolescent Coping With Depression (CWD-A) course or a life skills control condition. Change on the Automatic Thoughts Questionnaire (S. D. Hollon & P. C. Kendall, 1980) appeared to mediate treatment effects on depressive symptoms. Therapeutic alliance by the 3rd session was higher among the CWD-A participants but did not predict reductions in depressive symptoms. Findings suggest that reducing negative thinking may be the primary mechanism through which the CWD-A intervention reduces depression.

journal_name

J Consult Clin Psychol

authors

Kaufman NK,Rohde P,Seeley JR,Clarke GN,Stice E

doi

10.1037/0022-006X.73.1.38

keywords:

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

38-46

issue

1

eissn

0022-006X

issn

1939-2117

pii

2005-01321-005

journal_volume

73

pub_type

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