Group Cognitive-Behavioral Treatment for Depressed Adolescent Offspring of Depressed Parents in a Health Maintenance Organization
Abstract
Objective A randomized, controlled effectiveness trial of group cognitive-behavioral therapy (CBT) for depressed adolescent offspring of depressed parents in a health maintenance organization (HMO) was conducted.Method Potential adult cases were found by reviewing antidepressant medication prescriptions, mental health appointments, and medical charts. Introductory study letters signed by each parent's treating physician were mailed to the appropriate adults. Eligible offspring aged 13 to 18 who met current DSM-III-R criteria for major depression and/or dysthymia were randomly assigned to either usual HMO care (n = 47) or usual care plus a 16-session group CBT program (n = 41). Assessments were conducted at baseline, after treatment, and at 12- and 24-month follow-up.Results Using intent-to-treat analyses, the authors were unable to detect any significant advantage of the CBT program over usual care, either for depression diagnoses, continuous depression measures, nonaffective measures, or functioning outcomes.Conclusions Group CBT does not appear to be incrementally beneficial for depressed offspring of depressed parents who are receiving other mental health care. However, given that many other studies have found positive effects of CBT for youth depression, this single study should not be viewed as evidence that CBT is ineffective overall.
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Much of the Internet site content was adapted from group CBT psychotherapy manuals that have been successfully employed in several face-to-face randomized trials.
“Much of the Internet site content was adapted from group CBT psychotherapy manuals [28,29] that have been successfully employed in several face-to-face randomized trials [30-34].”
From Overcoming Depression on the Internet (ODIN): A Randomized Controlled Trial of an Internet Depression Skills Intervention Program (2002) · cites this paper as [31]
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- Authors
- CLARKE, G. N., HORNBROOK, M., LYNCH, F., POLEN, M., GALE, J., O’CONNOR, E., SEELEY, J. R., & DEBAR, L.
- Affiliations
- Oregon Research Institute (US)
- Corresponding author
- CLARKE, GREGORY N.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2002-03
- Volume
- 41
- Issue
- 3
- Pages
- 305-313
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2056965636
- Cited by
- 110
- References
- 48
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 4 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 7 · 2012: 7
- FWCI
- 6.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH (grant 1R01-MH51318-01A1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- group cognitive behavioral therapy, adolescent depression, offspring of depressed parents, intergenerational transmission of depression, major depressive disorder, dysthymia, health maintenance organizations, usual care comparison, treatment effectiveness
- MeSH terms
- Adolescent, Adult, Major Depressive Disorder, Follow-Up Studies, Health Maintenance Organizations, Humans, Parents, Psychiatric Status Rating Scales, Severity of Illness Index, Cognitive Behavioral Therapy, Child of Impaired Parents
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