Chapter 6 - Childhood Depression

Abstract

This chapter explains various aspects of childhood depression. Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) for depression are remarkably similar. At a general level, both interventions share a problem-focused, time-limited approach in which the depressed child and the therapist work together to identify problems that contribute to depressive symptoms and then develop plans for overcoming the problems. Problem solving is a central component of both treatment programs. In IPT it is used as a means of enhancing interpersonal relationships and for developing plans that deal with problems that are the primary focus of treatment. Within CBT, problem solving is directly taught to the participants as a means of dealing with daily hassles, and more significant interpersonal and impersonal problems. Self-monitoring is also a central component of both treatment programs. In IPT, youngsters are asked to self-monitor their depressive symptoms and feelings. In the CBT program, youngsters are directly taught how to self-monitor thoughts, feelings, behavior, and extra therapy events. Interpersonal relationships are the focus of IPT and CBT. Relationships with peers and family members are considered to be important determinants of depressive symptoms. Research clearly demonstrates that disturbances in interpersonal functioning exist in the families and friendships of depressed youths. It may be more useful to recognize the reciprocal relationship between the cognitive and interpersonal domains.