Application and Evaluation of Group Cognitive Intervention for Depressed Adolescents

Sponsor

Taipei Medical University Hospital (Other)

Overall Status

Completed

CT.gov ID

NCT00946413

Collaborator

Department of Health (Other)

Enrollment

Location

Arms

Duration (Months)

1.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Cognitive behavioral therapy (CBT) is effective and CBT with parental involvement has potential in preventing and treating adolescent depression. The purpose of this study was to compare the short- and long-term effectiveness of CBT alone and CBT plus parental education for community-based adolescents at risk for depression and suicide in Taiwan. It is hypothesized that the CBT alone and CBT with parental education group are more effective than the control group.

Condition or Disease	Intervention/Treatment	Phase
Community Adolescents at Risk for Depression and Suicide	Behavioral: CBT plus parent education Behavioral: CBT alone	Early Phase 1

Detailed Description

Cognitive behavioral therapy (CBT) is well known for its active, directive, time-limited, and structured approach. Despite an increasing prevalence of adolescent depression in Taiwan, few studies have been conducted to evaluate the immediate and long-term effectiveness of CBT for community-based adolescents at risk for depression and suicide. Also, little is known about the effectiveness of the involvement of parents in CBT groups. The Adolescent Coping with Depression Course (CWDA) (19) is an effective CBT-oriented group intervention for adolescent depression. However, it has not been tested in specific cultural groups. The primary purpose of this study was therefore to compare the immediate and long-term effectiveness of CBT alone, CBT with parental education, and control groups for community-based adolescents at risk for depression and suicide.A quasi-experimental research design was used in this study. Community-based high school students at risk for depression and suicide were recruited and assigned to one of two experimental groups or a control group. Students in the experimental groups received CBT plus parental education (group A, n = 9) or CBT alone (group B, n = 10). The control group was designed as a waiting list group (group C, n = 12). Both experimental groups received a follow-up session 1 year after the intervention. Several outcome variables (depressive symptoms, suicidal ideation, cognitive triad, learned resourcefulness [LR], and salivary cortisol level) were used to determine the effectiveness of treatment.

Study Design

Study Type:

Interventional

Actual Enrollment :

31 participants

Allocation:

Non-Randomized

Intervention Model:

Parallel Assignment

Masking:

Double (Participant, Care Provider)

Primary Purpose:

Prevention

Official Title:

Application and Evaluation of Group Cognitive Intervention for Depressed Adolescents

Study Start Date :

Jan 1, 2006

Actual Primary Completion Date :

Dec 1, 2007

Actual Study Completion Date :

Dec 1, 2007

Arms and Interventions

Arm	Intervention/Treatment
Experimental: CBT plus parent education	Behavioral: CBT plus parent education The 10-session group CBT with two-session parental education in our study was derived from the CWDA, with some modifications made based on cultural considerations. Skills taught and discussed included mood monitoring, improving social skills, increasing pleasant activities, decreasing anxiety, reducing depressogenic cognitions, improving communication, and conflict resolution. The issues taught and discussed included an introduction to adolescent depression and suicide, their etiology, symptoms, treatment, and prognosis, as well as stress management. A 1-year individual follow-up program was used to maintain the effect of the experimental intervention and to provide necessary individual interventions for students such as CBT, support, and counseling.
Experimental: CBT alone	Behavioral: CBT alone The 10-session group CBT with two-session parental education in our study was derived from the CWDA, with some modifications made based on cultural considerations. Skills taught and discussed included mood monitoring, improving social skills, increasing pleasant activities, decreasing anxiety, reducing depressogenic cognitions, improving communication, and conflict resolution.A 1-year individual follow-up program was used to maintain the effect of the experimental intervention and to provide necessary individual interventions for students such as CBT, support, and counseling.

Arm

Intervention/Treatment

Experimental: CBT plus parent education

Behavioral: CBT plus parent education

The 10-session group CBT with two-session parental education in our study was derived from the CWDA, with some modifications made based on cultural considerations. Skills taught and discussed included mood monitoring, improving social skills, increasing pleasant activities, decreasing anxiety, reducing depressogenic cognitions, improving communication, and conflict resolution. The issues taught and discussed included an introduction to adolescent depression and suicide, their etiology, symptoms, treatment, and prognosis, as well as stress management. A 1-year individual follow-up program was used to maintain the effect of the experimental intervention and to provide necessary individual interventions for students such as CBT, support, and counseling.

Experimental: CBT alone

Behavioral: CBT alone

The 10-session group CBT with two-session parental education in our study was derived from the CWDA, with some modifications made based on cultural considerations. Skills taught and discussed included mood monitoring, improving social skills, increasing pleasant activities, decreasing anxiety, reducing depressogenic cognitions, improving communication, and conflict resolution.A 1-year individual follow-up program was used to maintain the effect of the experimental intervention and to provide necessary individual interventions for students such as CBT, support, and counseling.

Outcome Measures

Primary Outcome Measures

depressive symptoms, suicidal ideation, cognitive triad, learned resourcefulness (LR), and salivary cortisol [6]

Eligibility Criteria

Criteria

Ages Eligible for Study:

14 Years to 19 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

willing to participate group assignment and grant consents

Exclusion Criteria:

unwilling to participate potential group activity and grant consents
severe physical or psychiatric disorders

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	School of Nursing, Taipei Medical University	Taipei		Taiwan	110

Sponsors and Collaborators

Taipei Medical University Hospital
Department of Health

Investigators

Principal Investigator: Hsiu-Ju Chang, phD, School of Nursing, Taipei Meidcal University

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Related Info

Publications

None provided.

Responsible Party:

, ,

ClinicalTrials.gov Identifier:

NCT00946413

Other Study ID Numbers:

DOH95-TD-M-113-058

First Posted:

Jul 27, 2009

Last Update Posted:

Jul 27, 2009

Last Verified:

Jul 1, 2009

Keywords provided by , ,

CBT, Depressed and suicidal adolescents

Additional relevant MeSH terms:

Depression

Suicide

Study Results

No Results Posted as of Jul 27, 2009