Cited by 612Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsChild and Adolescent Psychosocial and Emotional Development

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Cognitive-behavioral treatment for depressed adolescents

Lewinsohn, Peter M., Clarke, Gregory N., Hops, Hyman, Andrews, Judy·1990·Behavior Therapy

DOI 10.1016/s0005-7894(05)80353-3

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“The Adolescent Coping With Depression (CWD-A) course (Clarke, Lewinsohn, & Hops, 1990), a Group CBT treatment, has been evaluated most extensively (Clarke, Rohde, Lewinsohn, Hops, & Seeley, 1999; Lewinsohn, Clarke, Hops, & Andrews, 1990 ) and has been classified as probably efficacious (Kaslow & Thompson, 1998).”
MethodSelf-citation
Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders
Weisz, J. R., Hawley, K. M., & Doss, A. J. (2004) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2004.05.006 · Cited by 166
“[44] 16 39 87% Caucasian 13% other No None Coping with Depression”
BackgroundMethodInfluential
Impact of Comorbidity on a Cognitive-Behavioral Group Treatment for Adolescent Depression
Rohde, P., Clarke, G. N., Lewinsohn, P. M., Seeley, J. R., & Kaufman, N. K. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200107000-00014 · Cited by 155
“Diagnostic interviewers demonstrated goodto-excellent reliability (see Clarke et al., 1999; Lewinsohn et al., 1990).”
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Family‐Based Interventions for Child and Adolescent Disorders
Kaslow, N. J., Broth, M. R., Smith, C. O., & Collins, M. H. (2012) · Journal of Marital and Family Therapy · doi:10.1111/j.1752-0606.2011.00257.x · Cited by 153
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“Group CBT has repeatedly resulted in positive outcomes for treating depression in predominantly white adolescent populations (Clarke et al., 2002, 1999; Lewinsohn et al., 1990; Rohde et al., 2004).”
Background
Comorbidity of unipolar depression: I. Major depression with dysthymia.
Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Hops, H. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.2.205 · Cited by 146
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“…demonstrated as an efficacious treatment for various childhood problems (e.g., Kazdin et al. 1992) and is a major component in cognitive-behavioral interventions for depressed adolescents and targeted preventions for youth at risk for depression (e.g., Clarke et al. 1995; Lewinsohn et al. 1990).”
Background
Rapid Response to Psychosocial Treatment for Adolescent Depression: A Two-Year Follow-up
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“Little has been examined with respect to early response in psychosocial treatment, with no discussion of this issue in several reported clinical trials for adolescent depression (Kahn and Kehle, 1990; Lewinsohn et al., 1990; Reynolds and Coats, 1986; Stark et al., 1987).”
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Evidence‐based practice in family therapy and systemic consultation
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“However , problem-solving training is an integral component of cognitive-behavioral treatments for youth depression (e.g., Lewinsohn et al. 1990).”
THE EFFECTIVENESS OF BOOSTER SESSIONS IN CBT TREATMENT FOR CHILD AND ADOLESCENT MOOD AND ANXIETY DISORDERS
Gearing, R. E., Schwalbe, C. S. J., Lee, R., & Hoagwood, K. (2013) · Depression and Anxiety · doi:10.1002/da.22118 · Cited by 155
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The Context of Depression in Clinic-Referred Youth: Neglected Areas in Treatment
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A psychoeducational approach to the treatment of depression: A meta-analysis of lewinsohn's “coping with depression” course
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Control-related beliefs and depressive symptoms in clinic-referred children and adolscents: Developmental differences and model specificity.
Weisz, J. R., Southam‐Gerow, M. A., & McCarty, C. A. (2001) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.110.1.97 · Cited by 133
Disorder-specific Effects of CBT for Anxious and Depressed Youth: A Meta-analysis of Candidate Mediators of Change
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“…listed as a ‘‘probably efficacious’’ according to APA Task Force criteria (Kaslow and Thompson 1998; Ollendick and King 2000): Stark’s self-control treatment (Stark et al. 1987) for child depression and Lewinsohn and colleagues’ Coping with Depression course for adolescents (Lewinsohn et al. 1990).”
Background
A Combined Cognitive–Behavioral Family Education Intervention for Depression in Children: A Treatment Development Study
Asarnow, J. R., Scott, C. V., & Mintz, J. (2002) · Cognitive Therapy and Research · doi:10.1023/a:1014573803928 · Cited by 129
“Finally, to address the high rate of comorbid symptoms/disorders and adjustment problems observed among youth with depression, the intervention included generic CBT components such as problem-solving and social skills training as well as depression-specific CBT components similar to those included in other cognitive‐b…”
Method
Using Dissertations to Examine Potential Bias in Child and Adolescent Clinical Trials.
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Adolescent Suicide Risk Screening in the Emergency Department
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Effective components of TORDIA cognitive–behavioral therapy for adolescent depression: Preliminary findings.
Kennard, B. D., Clarke, G. N., Weersing, V. R., Asarnow, J. R., Shamseddeen, W. A., Porta, G., Berk, M. S., Hughes, J. L., Spirito, A., Emslie, G. J., et al. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0017411 · Cited by 121
“ments are common to interpersonal psychotherapy, another efficacious intervention of adolescent depression (Mufson, Weissman, Moreau, & Garfinkel, 1999) as well as other successful CBT protocols, such as the CWD-A course (Lewinsohn et al., 1990).”
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Cost-effectiveness of an Intervention to Prevent Depression in At-Risk Teens
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Response to Desipramine Treatment in Adolescent Depression: A Fixed-Dose, Placebo-Controlled Trial
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Treatment of childhood anxiety disorders: a preliminary comparison between cognitive-behavioral group therapy and a psychological placebo intervention
Muris, P., Meesters, C. M. G., & van Melick, M. (2002) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(02)00025-3 · Cited by 120
Practice Parameters for the Assessment and Treatment of Children and Adolescents With Substance Use Disorders
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The Treatment for Adolescents With Depression Study (TADS): Demographic and Clinical Characteristics
WIT, T. T. F. A. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000145807.09027.82 · Cited by 116
Treatment for Children and Adolescents with Depression: Lessons from a Controlled Trial
Vostanis, P., Feehan, C. J., Grattan, E., & Bickerton, W. (1996) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104596012003 · Cited by 115
Core Components of Therapy in Youth
Weersing, V. R., Rozenman, M. S., & González, A. (2008) · Behavior Modification · doi:10.1177/0145445508322629 · Cited by 113
From Helplessness to Optimism: The Role of Resilience in Treating and Preventing Depression in Youth
Reivich, K. J., Gillham, J. E., Chaplin, T. M., & Seligman, M. E. P. (2012) · Springer eBooks · doi:10.1007/978-1-4614-3661-4_12 · Cited by 118
Group Cognitive-Behavioral Treatment for Depressed Adolescent Offspring of Depressed Parents in a Health Maintenance Organization
CLARKE, G. N., HORNBROOK, M., LYNCH, F., POLEN, M., GALE, J., O’CONNOR, E., SEELEY, J. R., & DEBAR, L. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200203000-00010 · Cited by 110
Self-citation
Effects of Psychotherapy for Depression in Children and Adolescents: What We Can (and Can't) Learn from Meta-Analysis and Component Profiling
McCarty, C. A., & Weisz, J. R. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31805467b3 · Cited by 108
Handbook of Homework Assignments in Psychotherapy
Kazantzis, N., & L’Abate, L. (2006) · Springer eBooks · doi:10.1007/978-0-387-29681-4 · Cited by 108
Depression in Children and Adolescents
Emslie, G. J., & Mayes, T. L. (1999) · CNS Drugs · doi:10.2165/00023210-199911030-00003 · Cited by 106
Depression, suicide and deliberate self-harm in adolescence
Harrington, R. (2001) · British Medical Bulletin · doi:10.1093/bmb/57.1.47 · Cited by 102
A Pilot Study of Adjunctive Family Psychoeducation in Adolescent Major Depression: Feasibility and Treatment Effect
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Asarnow, J., Jaycox, L., & Tompson, M. (2001) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp3001_5 · Cited by 102
“Existing data show that CBT is not more effective among those with more cognitive distortions (Clarke et al., 1992; Brent et al., 1998), and changes in depressogenic cognitions were not related to the treatment effect in a group CBT compared to a waiting list control group (Lewinsohn et al., 1990).”
BackgroundMethodResultInfluential
Control-related beliefs and depressive symptoms in clinic-referred children and adolscents: Developmental differences and model specificity.
Weisz, J. R., Southam-Gerow, M. A., & McCarty, C. A. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.1.97 · Cited by 129
Impact of Comorbid Anxiety in an Effectiveness Study of Interpersonal Psychotherapy for Depressed Adolescents
Young, J. F., Mufson, L. H., & Davies, M. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000222791.23927.5f · Cited by 100
The Prevention of Depressive Symptoms in Children: The Immediate and Long-term Outcomes of a School-based Program
Pattison, C., & Lynd‐Stevenson, R. M. (2001) · Behaviour Change · doi:10.1375/bech.18.2.92 · Cited by 98
Cognitive behavioral therapy for depression in youth.
Weersing, V., & Brent, D. A. (2006) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2006.05.008 · Cited by 95
“…youths' dependence on their environment, many CBT protocols include family components, which range in intensity from brief family psychoeducation at the beginning of treatment [23] to complete parent curricula teaching parallel set of CBT skills to those learned by the depressed youth [22] [25].”
Background
Which depressed patients respond to cognitive-behavioral treatment?
Jayson, D., Wood, A., Kroll, L., Fraser, J., & Harrington, R. (1998) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199801000-00014 · Cited by 101
On Buckeyes, Gators, Super Bowl Sunday, and the Miracle on Ice: “Pulling Together” is Associated With Lower Suicide Rates
Joiner, T. E., Hollar, D., & Orden, K. V. (2006) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2006.25.2.179 · Cited by 131
“Statistics compiled by McIntosh (2002) indicate the following suicide rates in the U.”
Preventive Interventions for Youth Suicide: A Risk Factor-Based Approach
Burns, J. M., & Patton, G. C. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00738.x · Cited by 89
Comorbid mental disorders and substance use disorders: epidemiology, prevention and treatment
Proudfoot, M. T. H. (2004) · Cited by 88
Brief treatment of mild-to-moderate child depression using primary and secondary control enhancement training.
Weisz, J. R., Thurber, C. A., Sweeney, L., Proffitt, V. D., & LeGagnoux, G. L. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.4.703 · Cited by 88
From Helplessness to Optimism: The Role of Resilience in Treating and Preventing Depression in Youth
Reivich, K. J., Gillham, J. E., Chaplin, T. M., & Seligman, M. E. P. (2023) · Springer eBooks · doi:10.1007/978-3-031-14728-9_9 · Cited by 94
An Ecological Approach to Child and Family Clinical and Counseling Psychology
Stormshak, E. A., & Dishion, T. J. (2002) · Clinical Child and Family Psychology Review · doi:10.1023/a:1019647131949 · Cited by 97
Interpersonal Psychotherapy for Adolescent Depression: Description of Modification and Preliminary Application
Moreau, D., Mufson, L. H., Weissman, M. M., & Klerman, G. L. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199107000-00018 · Cited by 87
Counselling in UK secondary schools: A comprehensive review of audit and evaluation data
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“Adamson et al, 2006 ; Kowalenko et al, 2005 ; Lewinsohn, Clarke, Hops, & Andrews, 1990 ), and the evidence from the present review suggest that many of the problems that young people bring to counselling have been long-standing.”
Background
Effectiveness of Cognitive-Behavioral Therapy for Adolescent Depression: A Benchmarking Investigation
Weersing, V. R., Iyengar, S., Kolko, D. J., Birmaher, B. B., & Brent, D. A. (2006) · Behavior Therapy · doi:10.1016/j.beth.2005.03.003 · Cited by 87
“…and linear time models; however, there were insufficient data to include the youth in models predicting symptom slope. against the outcomes of the Brent RCT and of several other depression clinical trials (Clarke et al., 1999, 2002; Lewinsohn et al., 1990; Rosselló & Bernal, 1999; TADS, 2004).”
Result
Pilot study of continuation cognitive-behavioral therapy for major depression in adolescent psychiatric patients
KROLL, L., HARRINGTON, R., JAYSON, D., FRASER, J., & GOWERS, S. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199609000-00013 · Cited by 106
A Clinical Trial for Adolescent Depression: Predictors of Additional Treatment in the Acute and Follow-up Phases of the Trial
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Can cognitive-behavioral therapy increase self-esteem among depressed adolescents? A systematic review
Salisbury, T. T., & Montgomery, P. (2007) · Children and Youth Services Review · doi:10.1016/j.childyouth.2007.01.010 · Cited by 86
Effects of School-Wide Positive Behavioral Interventions and Supports on Internalizing Problems
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A Group Adaptation of Interpersonal Psychotherapy for Depressed Adolescents
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Psychological therapies versus antidepressant medication, alone and in combination for depression in children and adolescents
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Interpersonal Psychotherapy for Depressed Adolescents (IPT-A)
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Current Status of Family-Based Outcome and Process Research
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Evidence for the Management of Adolescent Depression
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Self-citation
Cognitive vulnerability in remitted depressed children and adolescents
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Measuring Homework Compliance in Cognitive-Behavioral Therapy for Adolescent Depression
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“The therapist completed a measure of CWD-A treatment compliance, developed by Lewinsohn, Clarke, and colleagues (Clarke, 1998; Clarke et al., 1995, 1999; Lewinsohn et al., 1990), immediately following each session.”
BackgroundMethodInfluential
The role of readiness to change in response to treatment of adolescent depression.
Lewis, C. C., Simons, A. D., Silva, S. G., Rohde, P., Small, D. M., Murakami, J. L., High, R., & March, J. S. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0014154 · Cited by 79
Treatment of Bipolar Disorder in Children and Adolescents
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The Effectiveness of Assertiveness Training on the Levels of Stress, Anxiety, and Depression of High School Students
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A meta‐analysis of group Cognitive Behavioral Therapy (CBT) interventions for adolescents with depression
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Patterns of parent-child communication: Relationship to depression
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Social Behavior and Skills in Children
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The development of the inventory of countertransference behavior
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Short-Term Psychotherapy of Depressive Disorders.
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Predicting time to recovery among depressed adolescents treated in two psychosocial group interventions.
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“Regarding inter-rater reliability of weekly LIFE ratings, we previously obtained a mean k = .81 for weekly ratings of psychiatric symptoms (Lewinsohn et al., 1990).”
MethodSelf-citation

Authors: Lewinsohn, P. M., Clarke, G. N., Hops, H., & Andrews, J.
Affiliations: Oregon Research Institute (US)
Oregon Health & Science University (US)
Corresponding author: Lewinsohn, Peter M.
ORCID: Clarke, Gregory N.
Andrews, Judy
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 1990
Volume: 21
Issue: 4
Pages: 385-401
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/s0005-7894(05)80353-3
OpenAlex: W2020772819
Cited by: 612
References: 49
Citations by year: 2026: 1 · 2025: 3 · 2024: 7 · 2023: 10 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 10 · 2018: 8 · 2017: 12 · 2016: 11 · 2015: 18 · 2014: 22 · 2013: 19 · 2012: 23
FWCI: 9.83
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behavior Therapy (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: cognitive behavioral therapy, adolescent depression, parent intervention, group intervention, treatment efficacy, maintenance of treatment effects, social skills training, relaxation training, high school students

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