Pilot study of continuation cognitive-behavioral therapy for major depression in adolescent psychiatric patients
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Objective To determine whether continuation of cognitive-behavioral therapy (CBT-C) could prevent relapse in adolescent psychiatric patients who had remitted from major depressive disorder (MDD). Method Seventeen patients who continued to have CBT-C for 6 months after remission from MDD were compared with a historical control group of 12 cases who had no further treatment after remission. Results Only 1 of the 17 cases who continued with CBT-C dropped out. The cumulative relapse risk during CBT-C was significantly lower (0.2) than it had been in the historical control group (0.5). Conclusions CBT-C warrants further investigation in a randomized, controlled trial.
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In one small study, booster CBT sessions resulted in relapse rates of 6% compared to 50% in a comparison group who had no continued therapy.
“However, in another small study, booster CBT sessions resulted in relapse rates of 6% compared to 50% in a comparison group who had no continued therapy (Kroll 1996).”
From Interventions for preventing relapse and recurrence of a depressive disorder in children and adolescents (2012) · cites this paper as Kroll 1996
The Results passage reports one relapse among 17 continuation-CBT patients (about 6%) versus six among 12 historical controls (50%) during the first three months. The claim does not specify that time window: the paper reports a six-month cumulative relapse risk of 20%, not 6%, for the CBT group. The controls received no further treatment after remission. (LLM, conf=0.89)
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Kennard, B. D., Stewart, S. M., Hughes, J. L., Jarrett, R., & Emslie, G. (2008) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2008.02.006 · Cited by 2 · see citing works
Depression in Children and Adolescents: Optimizing Treatment
Tao, R., Moore, J., Mayes, T. L., & Emslie, G. J. (2007) · Pediatric Health · doi:10.2217/17455111.1.2.217 · Cited by 4 · see citing works
“A small continuation therapy study treated 17 adolescents with 6 months of monthly CBT after they remitted with 10 weeks (5–8 sessions) of acute CBT treatment and found that this group of adolescents had a lower relapse rate than 26 historical control youths who discontinued treatment after acute-phase CBT treatment […”
BackgroundResistant Depression in Childhood and Adolescence
James, A. (1999) · doi:10.1177/1359104599004004005 · Cited by 2
Management of Depressive Disorder in Adolescents
Harrington, R. (1996) · Advances in Psychiatric Treatment · doi:10.1192/apt.2.6.271 · Cited by 2 · see citing works
“Continuation CBTis feasiblein clinicalsamples and seem to be associated with a reduced risk of recurrence (Kroll et al, 1996,in press).”
BackgroundSelf-citationCognitive behavioral treatment of depression in youth.
Mahoney, J. R., Kennard, B., & Mayes, T. (2011) · Pediatric annals · doi:10.3928/00904481-20110512-06 · Cited by 1 · see citing works
Guidelines for the Treatment of Depression in Young People
Rey, J. (1997) · doi:10.3109/10398569709082108 · Cited by 1
Evidence-Based Interventions for Depressive Disorders in Childhood
Salem, T., Cummings, C. M., & Fristad, M. A. (2020) · Issues in clinical child psychology · doi:10.1007/978-3-030-44226-2_8
Somers, J., Querée, M., Broderick, J., Leung, B., Bilsker, D., & Cohen, K. (2019) · CBT for Depression: An Integrated Approach · doi:10.4135/9781526452351.n2
“Many of these disorders (including depression, anxiety, and alcohol problems) have been shown to respond well to CBT.”
InfluentialEffectiveness of Cognitive Behavioural Therapy in Adolescents
Sagar, R., Mehta, M., & Sahu, A. (2015) · Springer eBooks · doi:10.1007/978-81-322-2241-5_19 · Cited by 1 · see citing works
What Works for Whom? Differential Indications for Treatment/Intervention
Fonagy, P., & Target, M. (2004) · Springer eBooks · doi:10.1007/978-3-642-18611-0_11
Cognitive Behaviour Therapy for Children and Families: Depressive disorders
Harrington, R. A. (2004) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543845.016
Self-citation
- Authors
- KROLL, L., HARRINGTON, R., JAYSON, D., FRASER, J., & GOWERS, S.
- Affiliations
- University of Manchester (GB)
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1996-09
- Volume
- 35
- Issue
- 9
- Pages
- 1156-1161
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2078486166
- Cited by
- 106
- References
- 54
- Citations by year
- 2022: 1 · 2021: 2 · 2020: 1 · 2018: 1 · 2017: 2 · 2015: 4 · 2014: 4 · 2013: 7 · 2012: 7
- FWCI
- 14.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Research Council
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- major depressive disorder, adolescents, relapse prevention, remission, maintenance therapy, treatment discontinuation
- MeSH terms
- Depressive Disorder, Female, Humans, Male, Pilot Projects, Recurrence, Cognitive Behavioral Therapy
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