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Titolo:
Clinical outcome after short-term psychotherapy for adolescents with majordepressive disorder
Autore:
Birmaher, B; Brent, DA; Kolko, D; Baugher, M; Bridge, J; Holder, D; Iyengar, S; Ulloa, RE;
Indirizzi:
Univ Pittsburgh, Western Psychiat Inst & Clin, Dept Psychiat, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 sychiat, Pittsburgh, PA 15213 USA
Titolo Testata:
ARCHIVES OF GENERAL PSYCHIATRY
fascicolo: 1, volume: 57, anno: 2000,
pagine: 29 - 36
SICI:
0003-990X(200001)57:1<29:COASPF>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
COGNITIVE-BEHAVIORAL TREATMENT; MENTAL-HEALTH-TREATMENT; FOLLOW-UP; INTERPERSONAL RELATIONSHIPS; DIFFERENTIAL RELAPSE; EXPRESSED EMOTION; YOUNG-PEOPLE; LIFE EVENTS; THERAPY; RECOVERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
66
Recensione:
Indirizzi per estratti:
Indirizzo: Birmaher, B Univ Pittsburgh, Western Psychiat Inst & Clin, Dept Psychiat, 3811 OHara St, Pittsburgh, PA 15213 USA Univ Pittsburgh 3811 OHara St Pittsburgh PA USA 15213 5213 USA
Citazione:
B. Birmaher et al., "Clinical outcome after short-term psychotherapy for adolescents with majordepressive disorder", ARCH G PSYC, 57(1), 2000, pp. 29-36

Abstract

Background: Cognitive behavioral therapy has been shown to be more efficacious than alternative psychosocial interventions for the acute treatment ofadolescents with major depressive disorder. However, the long-term impact of brief psychosocial interventions on the course of adolescent depression is not well established. Methods: One hundred seven adolescents with major depressive disorder randomly assigned to 12 to 16 weeks of cognitive behavioral therapy, systemic behavioral family therapy, or nondirective supportive therapy were evaluatedfor 2 years after the psychotherapy trial to document the subsequent course and predictors of major depressive disorder. Results: There were no long-term differential effects of the 3 psychotherapies. Most participants (80%) recovered (median time, 8.2 months from baseline), and 30% had a recurrence (median time, 4.2 months from recovery). Twenty-one percent were depressed during at least 80% of the follow-up period. Severity of depression (at baseline) and presence of self-reported parent-child conflict (at baseline and during the follow-up period) predicted lackof recovery, chronicity, and recurrence. Despite the similarity to clinically referred patients at baseline, patients recruited via advertisement were less likely to experience a recurrence. Conclusions: There were no significant differences in long-term outcome among cognitive behavioral therapy, systematic behavioral family therapy, andnondirective supportive therapy. While most participants in this study eventually recovered, those with severe depression and self-perceived parent-child conflict are at greater risk for chronic depression and recurrences.

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Documento generato il 29/03/20 alle ore 15:39:22