Abstract:
:In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Kennard BD,Clarke GN,Weersing VR,Asarnow JR,Shamseddeen W,Porta G,Berk M,Hughes JL,Spirito A,Emslie GJ,Keller MB,Wagner KD,Brent DAdoi
10.1037/a0017411subject
Has Abstractpub_date
2009-12-01 00:00:00pages
1033-41issue
6eissn
0022-006Xissn
1939-2117pii
2009-22711-003journal_volume
77pub_type
杂志文章,随机对照试验abstract::This randomized group experiment compared the efficacy of 2 communication interventions (Responsive Education and Prelinguistic Milieu Teaching [RPMT] and the Picture Exchange Communication System [PECS]) in 36 preschoolers with autism spectrum disorders. Each treatment was delivered 3 times per week, in 20-min sessio...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.74.3.426
更新日期:2006-06-01 00:00:00
abstract::Escalating reinforcement for sustained abstinence has been effective in treating cocaine abuse. Under this schedule, patients receive vouchers for cocaine-free urine samples; vouchers have monetary values that increase with the number of consecutive cocaine-free urine samples. Cocaine-abusing methadone patients were r...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.66.5.811
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:The primary purpose of this study was to test a relatively efficient strategy for enhancing the capacity of juvenile drug courts (JDC) to reduce youth substance use and criminal behavior by incorporating components of evidence-based treatments into their existing services. METHOD:Six JDCs were randomized to ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0027147
更新日期:2012-04-01 00:00:00
abstract::A population-based, randomized universal classroom intervention trial for the prevention of disruptive behavior (i.e., attention-deficit/hyperactivity problems, oppositional defiant problems, and conduct problems) is described. Impact on developmental trajectories in young elementary schoolchildren was studied. Three ...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037/0022-006X.72.3.467
更新日期:2004-06-01 00:00:00
abstract::Families of 54 behaviorally disturbed preschool-aged children (3 to 5 years) were randomly assigned to 1 of 3 treatment conditions: standard parent-child interaction therapy (PCIT; STD); modified PCIT that used didactic videotapes, telephone consultations, and face-to-face sessions to abbreviate treatment; and a no-tr...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037/0022-006x.71.2.251
更新日期:2003-04-01 00:00:00
abstract::The development of a measure of coping and involuntary stress responses in adolescence is described. The Responses to Stress Questionnaire (RSQ) reflects a conceptual model that includes volitional coping efforts and involuntary responses to specific stressful events or specified domains of stress. The psychometric ch...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract::The present research evaluated patients from 2 previous studies (1 conducted in Peoria, the other at Dartmouth) during a 2- to 5-year posttreatment period. Results showed that 75% of the Peoria sample and 76% of the Dartmouth sample were able to discontinue alprazolam therapy, remain abstinent of any type of treatment...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章
doi:10.1037//0022-006x.67.1.151
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To examine whether there are latent trajectory classes in response to treatment and whether they moderate the effects of medication versus psychotherapy. METHOD:Data come from a 1-year randomized controlled trial of 267 low-income, young (M = 29 years), minority (44% Black, 50% Latina, 6% White) women with c...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0030452
更新日期:2012-12-01 00:00:00
abstract::Recent theoretical models of social phobia suggest that targeting several specific cognitive factors in treatment should enhance treatment efficacy over that of more traditional skills-based treatment programs. In the current study, 195 people with social phobia were randomly allocated to 1 of 3 treatments: standard c...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0014800
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:Although both patients with schizophrenia and their caregivers report elevated levels of depression, anxiety, and stress (DASS), affective symptoms in patients and family members seldom constitute a primary treatment focus. The present study tested whether a culturally informed family therapy for schizophreni...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000257
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:This study tested whether use of family therapy (FT) techniques predicted long-term clinical outcomes in usual care for adolescents enrolled in either family-based or non-family-based treatment for conduct and substance use problems. METHOD:Participants included 70 adolescents (53% female; mean age 15.4 year...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000376
更新日期:2019-03-01 00:00:00
abstract::The authors evaluated hospitalization cost offset of hostility management group therapy for patients with coronary heart disease (CHD) from a previously published randomized controlled trial (Y. Gidron, K. Davidson, & I. Bata, 1999). Twenty-six male patients with myocardial infarction or unstable angina were randomize...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.75.4.657
更新日期:2007-08-01 00:00:00
abstract::This study evaluated secondary prevention approaches for young adults (N = 36, mean age 23 years) at risk for alcohol problems. Subjects were randomly assigned to cognitive-behavioral alcohol skills training, a didactic alcohol information program, or assessment only. The skills program included training in blood alco...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.58.6.805
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVE:To extend the sparse literature on moderators, we used time-varying effect modeling (TVEM; Tan, Shiyko, Li, Li, & Dierker, 2012) to examine how depressive symptoms and duration of generalized anxiety disorder (GAD) moderated effects of 3 treatments for GAD (applied relaxation [AR], cognitive-behavioral therap...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000385
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To examine predictors and moderators of response to cognitive behavioral therapy (CBT) and medication treatments for binge-eating disorder (BED). METHOD:108 BED patients in a randomized double-blind placebo-controlled trial testing CBT and fluoxetine treatments were assessed prior, throughout, and posttreatm...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0027001
更新日期:2012-10-01 00:00:00
abstract::This study evaluated the impact of pretreatment depression severity and functional impairment on the response of 2 samples of older depressed adolescents to 2 group cognitive-behavioral treatments. Differences between the 2 active treatments and between active treatment and a waiting-list control condition were expect...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.62.4.851
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:Computer-based interventions aimed at reducing college student drinking have shown positive effects. The authors compare differences in effects of computer-based personalized normative feedback (PNF) interventions based on delivery modality (in-person vs. remotely) across six previously evaluated studies with...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0039030
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:This study focused on whether a brief family-based intervention for toddlers, the Family Check-Up (FCU), designed to address parent management skills and prevent early conduct problems, would have collateral effects on maternal depressive symptoms and subsequent child emotional problems. METHOD:Parents with ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000049
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:Young gay and bisexual men (YGBM) are disproportionally at risk of HIV infection due to sexual risk behaviors, which are often exacerbated by recreational drug use. However, there have been no evidence-based interventions targeting substance-using YGBM. This study was designed to test a brief motivational int...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0035311
更新日期:2014-02-01 00:00:00
abstract::This study compared 2 extended therapy programs for weight management with standard behavioral treatment (BT) without additional therapy contacts. Participants were 80 obese women who completed 20 weekly group sessions of BT and achieved a mean initial weight loss of 8.74 kg. Participants were randomly assigned to a n...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to identify mediators of change in a previously published randomized controlled trial that compared Internet-delivered cognitive behavioral treatment based on exposure exercises (ICBT) with Internet-delivered stress management (ISM) for irritable bowel syndrome (IBS). ICBT and ISM ta...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0033439
更新日期:2013-12-01 00:00:00
abstract::This study examined the impact of social support and HIV-related conditions on depression among 508 gay men participating in the San Francisco Men's Health Study, a population-based prospective study of single men aged 25-54 years. The number of HIV-related symptoms experienced significantly predicted depression cross...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.60.3.463
更新日期:1992-06-01 00:00:00
abstract::Clinical research has demonstrated that large numbers of chemotherapy patients continue to experience nausea in the clinic prior to infusions. A better understanding of the mechanisms responsible for such anticipatory nausea (AN) is likely to provide critical information for identifying intervention targets. In the pr...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.69.5.831
更新日期:2001-10-01 00:00:00
abstract::This study investigated the thoughts and feelings that young adults from violent (VPA) and nonviolent (NPA) interparental-conflict backgrounds reported while listening to simulated marital conflicts and after a delay for reflection. While listening to conflicts, VPAs were more likely than NPAs to predict negative outc...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.69.1.13
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVE:Self-injurious thoughts and behaviors (SITBs) are a major public health problem that traditional interventions have been unable to address on a large scale. The goal of this series of studies was to take initial steps toward developing an effective SITB treatment that can be easily delivered on a very large s...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000093
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:Military couples need and desire relationship interventions. Online interventions improve access; however, their effectiveness within the military population is untested. Using a subsample from a larger randomized controlled trial of OurRelationship and ePREP online relationship programs for low-income couple...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000606
更新日期:2020-10-01 00:00:00
abstract::Forty experienced mental health providers were asked to diagnose 4 case histories, each involving an aspect of difficult grief embedded in a larger psychopathology context. Half used the full Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev,; DSM-III-R; American Psychiatric Association, 1987); half ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.3.563
更新日期:1996-06-01 00:00:00
abstract::Diagnosis of life-threatening illness now meets Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) criteria for traumatic stressor exposure for posttraumatic stress disorder (PTSD). Quality of life (QOL) and PTSD-like symptoms were assessed in 55 women postt...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.63.6.981
更新日期:1995-12-01 00:00:00
abstract::Experimental studies of prevention programs often randomize clusters of individuals rather than individuals to treatment conditions. When the correlation among individuals within clusters is not accounted for in statistical analysis, the standard errors are biased, potentially resulting in misleading conclusions about...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.64.5.919
更新日期:1996-10-01 00:00:00
abstract::Previous research established that 78% of a sample of motor vehicle accident survivors initially diagnosed with acute stress disorder (ASD) were subsequently diagnosed with posttraumatic stress disorder (PTSD) at 6 months posttrauma. Although the previous study provided initial evidence for the utility of the ASD diag...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.67.6.985
更新日期:1999-12-01 00:00:00