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Social problem solving among depressed adolescents is enhanced by structured psychotherapies

Identifieur interne : 001253 ( Main/Exploration ); précédent : 001252; suivant : 001254

Social problem solving among depressed adolescents is enhanced by structured psychotherapies

Auteurs : Laura J. Dietz ; Michael P. Marshal ; Chad M. Burton ; Jeffrey A. Bridge ; Boris Birmaher ; David Kolko ; Jamira N. Duffy ; David A. Brent

Source :

Journal of consulting and clinical psychology [ 0022-006X ] ; 2014.

RBID : PMC:3966937

Descripteurs français

KwdFr :
- Adolescent, Comportement de l'adolescent (psychologie), Femelle, Humains, Mâle, Psychothérapie (), Relations mère-enfant, Résolution de problème, Résultat thérapeutique, Trouble dépressif majeur (psychologie).
MESH :
- psychologie : Comportement de l'adolescent, Trouble dépressif majeur.
- Adolescent, Femelle, Humains, Mâle, Psychothérapie, Relations mère-enfant, Résolution de problème, Résultat thérapeutique.

English descriptors

KwdEn :
- Adolescent, Adolescent Behavior (psychology), Depressive Disorder, Major (psychology), Female, Humans, Male, Mother-Child Relations, Problem Solving, Psychotherapy (methods), Treatment Outcome.
MESH :
- methods : Psychotherapy.
- psychology : Adolescent Behavior, Depressive Disorder, Major.
- Adolescent, Female, Humans, Male, Mother-Child Relations, Problem Solving, Treatment Outcome.

Abstract

Objective

Changes in adolescent interpersonal behavior before and after an acute course of psychotherapy were investigated as outcomes and mediators of remission status in a previously described treatment study of depressed adolescents. Maternal depressive symptoms were examined as moderators of the association between psychotherapy condition and changes in adolescents’ interpersonal behavior.

Method

Adolescents (n = 63, mean age = 15.6 years, 77.8% female, 84.1% Caucasian) engaged in videotaped interactions with their mothers before randomization to cognitive behavior therapy (CBT), systemic behavior family therapy (SBFT), or nondirective supportive therapy (NST), and after 12–16 weeks of treatment. Adolescent involvement, problem solving and dyadic conflict were examined.

Results

Improvements in adolescent problem solving were significantly associated with CBT and SBFT. Maternal depressive symptoms moderated the effect of CBT, but not SBFT, on adolescents’ problem solving; adolescents experienced increases in problem solving only when their mothers had low or moderate levels of depressive symptoms. Improvements in adolescents’ problem solving were associated with higher rates of remission across treatment conditions, but there were no significant indirect effects of SBFT on remission status through problem solving. Exploratory analyses revealed a significant indirect effect of CBT on remission status through changes in adolescent problem solving, but only when maternal depressive symptoms at study entry were low.

Conclusions

Findings provide preliminary support for problem solving as an active treatment component of structured psychotherapies for depressed adolescents and suggest one Pathway by which maternal depression may disrupt treatment efficacy for depressed adolescents treated with CBT.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966937

DOI: 10.1037/a0035718
PubMed: 24491077
PubMed Central: 3966937

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
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</sec>
<sec id="S2"><title>Method</title>
<p id="P2">Adolescents (n = 63, mean age = 15.6 years, 77.8% female, 84.1% Caucasian) engaged in videotaped interactions with their mothers before randomization to cognitive behavior therapy (CBT), systemic behavior family therapy (SBFT), or nondirective supportive therapy (NST), and after 12–16 weeks of treatment. Adolescent involvement, problem solving and dyadic conflict were examined.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Improvements in adolescent problem solving were significantly associated with CBT and SBFT. Maternal depressive symptoms moderated the effect of CBT, but not SBFT, on adolescents’ problem solving; adolescents experienced increases in problem solving only when their mothers had low or moderate levels of depressive symptoms. Improvements in adolescents’ problem solving were associated with higher rates of remission across treatment conditions, but there were no significant indirect effects of SBFT on remission status through problem solving. Exploratory analyses revealed a significant indirect effect of CBT on remission status through changes in adolescent problem solving, but only when maternal depressive symptoms at study entry were low.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Findings provide preliminary support for problem solving as an active treatment component of structured psychotherapies for depressed adolescents and suggest one Pathway by which maternal depression may disrupt treatment efficacy for depressed adolescents treated with CBT.</p>
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<name sortKey="Bridge, Jeffrey A" sort="Bridge, Jeffrey A" uniqKey="Bridge J" first="Jeffrey A." last="Bridge">Jeffrey A. Bridge</name>
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Social problem solving among depressed adolescents is enhanced by structured psychotherapies

Social problem solving among depressed adolescents is enhanced by structured psychotherapies

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

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