Therapy For Adolescent Depression Research Articles

Music Therapy for Depression in Adolescents: A Systematic Review of Randomized Controlled Trial

Objective: The purpose of this systematic review is to examine the evidence of music therapy for depression in adolescents in order to answer the following questions: (1) What types of music therapy are being employed to target symptoms of depression in adolescents? (2) What is the effect of music therapy on depressive symptoms of depression in adolescents? Methods: PRISMA guidelines were followed in performing this systematic review. Studies published in the last 25 years from January 1996 to December 2020 were identified through the use of the PubMed database, using the keywords: ‘music’ AND ‘depres*’ OR ‘anx*’. Two authors independently conducted a focused analysis and reached a final consensus on 8 studies that met the specific selection criteria and passed the study quality checks. Results: Eight randomized controlled trials were selected in this review including 8 music therapy interventions for depression: musical negative mood induction procedures (NMIP), Health RHYTHMS drumming protocol, group music therapy (GMT), musical improvisation, Chinese 5-element music therapy, percussion exercises, and cognitive behavioral therapy combined with music therapy. Overall, music therapy interventions appear to significantly reduce depressive symptoms in adolescents. Conclusion: The findings of this systematic review indicate that music therapy may be an effective tool for reducing symptoms of depression in adolescents. There is a need for large sample studies examining this area, along with those that address symptoms of anxiety. Future research incorporating music therapy into clinical practice is necessary.

Brief behavioural activation therapy for adolescent depression in schools: two case examples

ABSTRACT Symptoms of depression are common in adolescents and have negative impacts on academic engagement and achievement, as well as on future mental health and functioning. A number of psychological therapies are effective for the treatment of adolescent depression but there are barriers to young people accessing treatment promptly. Providing treatment in school may help improve access to mental health care; school-based mental health care is routinely provided in some parts of the world and is currently a policy priority in the UK. However, introducing mental health services into schools will require services to adapt. This paper illustrates how a short-term psychological therapy can be delivered successfully in schools. It describes the treatment and outcomes for two young people with symptoms of depression. Both received Brief Behavioural Activation (Brief BA) which has been adapted specifically for adolescents. Brief BA focuses on helping young people engage with valued activities in different areas of their life, thus increasing rewards and reducing symptoms of depression. The two cases highlight a range of educational and clinical benefits of Brief BA for young people with depression symptoms and illustrate how the treatment and service delivery were adapted for schools.

Computerised cognitive-behavioural therapy for depression in adolescents: 12-month outcomes of a UK randomised controlled trial pilot study.

Computerised cognitive-behavioural therapy (CCBT) in the care pathway has the potential to improve access to psychological therapies and reduce waiting lists within Child and Adolescent Mental Health Services, however, more randomised controlled trials (RCTs) are needed to assess this. This single-centre RCT pilot study compared a CCBT program (Stressbusters) with an attention control (self-help websites) for adolescent depression at referral to evaluate the clinical and cost-effectiveness of CCBT (trial registration: ISRCTN31219579). The trial ran within community and clinical settings. Adolescents (aged 12-18) presenting to their primary mental health worker service for low mood/depression support were assessed for eligibility at their initial appointment, 139 met inclusion criteria (a 33-item Mood and Feelings Questionnaire score of ≥20) and were randomised to Stressbusters (n = 70) or self-help websites (n = 69) using remote computerised single allocation. Participants completed mood, quality of life (QoL) and resource-use measures at intervention completion, and 4 and 12 months post-intervention. Changes in self-reported measures and completion rates were assessed by group. There was no significant difference between CCBT and the website group at 12 months. Both showed improvements on all measures. QoL measures in the intervention group showed earlier improvement compared with the website group. Costs were lower in the intervention group but the difference was not statistically significant. The cost-effectiveness analysis found just over a 65% chance of Stressbusters being cost-effective compared with websites. The 4-month follow-up results from the initial feasibility study are reported separately. CCBT and self-help websites may both have a place in the care pathway for adolescents with depression.

Computerised cognitive–behavioural therapy for depression in adolescents: feasibility results and 4-month outcomes of a UK randomised controlled trial

ObjectivesComputer-administered cognitive–behavioural therapy (CCBT) may be a promising treatment for adolescents with depression, particularly due to its increased availability and accessibility. The feasibility of delivering a randomised controlled trial (RCT)...

A feasibility and pilot trial of computerised cognitive behaviour therapy for depression in adolescents: lessons learned from planning and conducting a randomised controlled trial

Purpose The purpose of this paper is to focus upon the challenges faced by a research team when conducting a computerised cognitive behaviour therapy (CCBT) trial for adolescents with low mood/depression and how solutions were sought to eliminate these difficulties in future child and adolescent mental health clinical research. Design/methodology/approach The authors have presented a number of problems faced by the research team when conducting a randomised controlled trial (RCT) concerning adolescents with low mood/depression. Findings From examining the problems faced by the research team, the authors have provided key pieces of advice for prospective adolescent mental health RCTs. This advice includes developing clear project plans, setting strategies to encourage and maintain study information in the community and support recruitment, and keeping your organisation appraised of study needs and network and involve governance departments, IT and finance departments in these discussions early. Originality/value RCTs, particularly those focusing on child and adolescent mental health, can face a number of difficulties throughout its stages of completion (from protocol development to follow-up analysis). Studies involving the use of technologies add a layer of complexity to this. This review will be of value to researchers aiming to run a high-quality RCT concerning child and adolescent mental health.

Computerised cognitive behaviour therapy for depression in adolescents: study protocol for a feasibility randomised controlled trial

IntroductionThe 1 year prevalence of depression in adolescents is about 2%. Treatment with antidepressant medication is not recommended for initial treatment in young people due to concerns over high side...

Mindfulness-based cognitive therapy for depression in adolescents.

Mindfulness-Based Cognitive Therapy (MBCT) has been shown to be effective in preventing relapse of depression in adults, but has not previously been applied to adolescents who have residual symptoms of depression following treatment. An 8-week MBCT group was adapted for adolescents, and evaluated using qualitative and quantitative measures. Participants report high levels of satisfaction with the group intervention. Qualitative analysis of semi-structured interviews provides areas for future development of this intervention. Pilot data indicate reductions in depressive symptoms, alongside positive change in mindfulness skills, quality of life and rumination. Preliminary evidence for the use of MBCT with this group of adolescents is provided.

Repetitive Transcranial Magnetic Stimulation in the Treatment of Depression in Adolescents

This open-label pilot study examined repetitive transcranial magnetic stimulation as a possible treatment of adolescent resistant depression. Nine adolescents (aged 16-18 years) with severe resistant depression (determined by SCID) were recruited, and their depression, suicidality, and cognitive functions were evaluated before, during, and after a course of twenty 10-Hz, 2-second trains (intertrain intervals of 58 seconds) given over 20 min/d over 14 working days. Lower levels of depression with progression in therapy were recorded by both the Beck Depression Inventory and Child Depression Rating Scale measures (F1.7,14.01 = 4.52, P < 0.05; F4,32 = 6.645, P < 0.01, respectively). Three patients reached the primary outcome measure of less than 30% reduction in their Child Depression Rating Scale. The effect on suicidality was not significant. Side effects were considered mild. Repetitive transcranial magnetic stimulation might be a possible therapy for adolescent depression. Our preliminary findings warrant double-blind, controlled studies.

First-session pathways to the working alliance in cognitive–behavioral therapy for adolescent depression

In the current study of cognitive‐behavioral therapy for 54 depressed adolescents, chained p‐technique was applied to 14 therapist behaviors that were rated in each 10‐min segment of Session 1 provided by eight female therapists. Four underlying factors were identified: experiential socialization, therapist responsiveness, therapist lapse, and remoralization. Analysis of changes in the prominence of these factors revealed significant Factor X Session Segment trends. Therapist responsiveness and remoralization growth curves across Session 1 accounted for significant variance in Session 3 therapist‐rated alliance. Experiential socialization growth curves across Session 1 also accounted for significant variance in Session 3 adolescent‐rated alliance. Results are discussed in terms of the importance of Session 1 therapist behaviors for adolescent alliance formation.

Cognitive behavioral therapy for adolescent depression: implications for Asian immigrants in the United States of America

Many interventions are available for treating adolescent depression. This paper attempts to present a summary of cognitive behavioral therapies/techniques that might be useful for treating depression in Asian immigrant adolescents. Articles were selected by conducting a literature search on Psyc-Info. Prevalence, symptoms and measures of adolescent depression are discussed. Summary of popular therapies like PASCET, CWD-A, Beck's CBT are provided. A rationale for the use of these with Asian immigrants is hypothesized. There is no empirical evidence for the efficacy of CBT with this population. A need to validate the use of CBT with this population is asserted.

Therapy for Depression in Adolescents

Therapy for Depression in Adolescents

Group and family cognitive behavior therapy for adolescent depression and substance abuse: A case study

Cognitive behavior therapy (CBT) has been demonstrated to be an effective acute intervention for adolescent depression. However, studies to date of CBT with depressed adolescents have excluded those with comorbid substance abuse. Treatment of comorbid substance abuse requires that the targets of CBT be expanded to include social cognitive and family factors associated with the substance use disorder. We developed an integrated group and family therapy model of intervention for adolescents with both depression and substance abuse. The case of R.P. illustrates the application of this treatment model. Treatment includes skills training in the context of a closed, mixed-gender, twice-weekly adolescent group and weekly family therapy sessions to apply new skills in the family context. Central clinical issues and core cognitive and behavioral correlates of R.P.'s depression and substance abuse are delineated as they occurred during the course of treatment. Treatment was associated with improvements in mood and reductions in substance use.