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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Social problem solving among depressed adolescents is enhanced by structured psychotherapies</title><author><name sortKey="Dietz, Laura J" sort="Dietz, Laura J" uniqKey="Dietz L" first="Laura J." last="Dietz">Laura J. Dietz</name></author><author><name sortKey="Marshal, Michael P" sort="Marshal, Michael P" uniqKey="Marshal M" first="Michael P." last="Marshal">Michael P. Marshal</name></author><author><name sortKey="Burton, Chad M" sort="Burton, Chad M" uniqKey="Burton C" first="Chad M." last="Burton">Chad M. Burton</name></author><author><name sortKey="Bridge, Jeffrey A" sort="Bridge, Jeffrey A" uniqKey="Bridge J" first="Jeffrey A." last="Bridge">Jeffrey A. Bridge</name></author><author><name sortKey="Birmaher, Boris" sort="Birmaher, Boris" uniqKey="Birmaher B" first="Boris" last="Birmaher">Boris Birmaher</name></author><author><name sortKey="Kolko, David" sort="Kolko, David" uniqKey="Kolko D" first="David" last="Kolko">David Kolko</name></author><author><name sortKey="Duffy, Jamira N" sort="Duffy, Jamira N" uniqKey="Duffy J" first="Jamira N." last="Duffy">Jamira N. Duffy</name></author><author><name sortKey="Brent, David A" sort="Brent, David A" uniqKey="Brent D" first="David A." last="Brent">David A. Brent</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24491077</idno><idno type="pmc">3966937</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966937</idno><idno type="RBID">PMC:3966937</idno><idno type="doi">10.1037/a0035718</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000D14</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Social problem solving among depressed adolescents is enhanced by structured psychotherapies</title><author><name sortKey="Dietz, Laura J" sort="Dietz, Laura J" uniqKey="Dietz L" first="Laura J." last="Dietz">Laura J. Dietz</name></author><author><name sortKey="Marshal, Michael P" sort="Marshal, Michael P" uniqKey="Marshal M" first="Michael P." last="Marshal">Michael P. Marshal</name></author><author><name sortKey="Burton, Chad M" sort="Burton, Chad M" uniqKey="Burton C" first="Chad M." last="Burton">Chad M. Burton</name></author><author><name sortKey="Bridge, Jeffrey A" sort="Bridge, Jeffrey A" uniqKey="Bridge J" first="Jeffrey A." last="Bridge">Jeffrey A. Bridge</name></author><author><name sortKey="Birmaher, Boris" sort="Birmaher, Boris" uniqKey="Birmaher B" first="Boris" last="Birmaher">Boris Birmaher</name></author><author><name sortKey="Kolko, David" sort="Kolko, David" uniqKey="Kolko D" first="David" last="Kolko">David Kolko</name></author><author><name sortKey="Duffy, Jamira N" sort="Duffy, Jamira N" uniqKey="Duffy J" first="Jamira N." last="Duffy">Jamira N. Duffy</name></author><author><name sortKey="Brent, David A" sort="Brent, David A" uniqKey="Brent D" first="David A." last="Brent">David A. Brent</name></author></analytic><series><title level="j">Journal of consulting and clinical psychology</title><idno type="ISSN">0022-006X</idno><idno type="eISSN">1939-2117</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">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.</p></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></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0136553</journal-id><journal-id journal-id-type="pubmed-jr-id">4676</journal-id><journal-id journal-id-type="nlm-ta">J Consult Clin Psychol</journal-id><journal-id journal-id-type="iso-abbrev">J Consult Clin Psychol</journal-id><journal-title-group><journal-title>Journal of consulting and clinical psychology</journal-title></journal-title-group><issn pub-type="ppub">0022-006X</issn><issn pub-type="epub">1939-2117</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24491077</article-id><article-id pub-id-type="pmc">3966937</article-id><article-id pub-id-type="doi">10.1037/a0035718</article-id><article-id pub-id-type="manuscript">NIHMS556185</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Social problem solving among depressed adolescents is enhanced by structured psychotherapies</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Dietz</surname><given-names>Laura J.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Marshal</surname><given-names>Michael P.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Burton</surname><given-names>Chad M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bridge</surname><given-names>Jeffrey A.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Birmaher</surname><given-names>Boris</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kolko</surname><given-names>David</given-names></name></contrib><contrib contrib-type="author"><name><surname>Duffy</surname><given-names>Jamira N.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Brent</surname><given-names>David A.</given-names></name></contrib><aff id="A1">Western Psychiatric Institute & Clinic, University of Pittsburgh</aff></contrib-group><author-notes><corresp id="FN1">Correspondence concerning this article should be addressed to Laura J. Dietz, Western Psychiatric Institute & Clinic, 3811 O’Hara Street, Pittsburgh, PA, 15213. <email>dietzlj@upmc.edu</email></corresp><fn id="FN2"><p>Laura J. Dietz, Michael P. Marshal, Chad M. Burton, Boris Birmaher, David Kolko, and David A. Brent, Department of Psychiatry, Western Psychiatric Institute & Clinic, University of Pittsburgh; Jeffrey A. Bridge, Department of Psychiatry, Children’s Nationwide, Ohio State University; Jamira N. Duffy, Tullahoma, TN.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>24</day><month>2</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>03</day><month>2</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>4</month><year>2015</year></pub-date><volume>82</volume><issue>2</issue><fpage>202</fpage><lpage>211</lpage><pmc-comment>elocation-id from pubmed: 10.1037/a0035718</pmc-comment>
<abstract><sec id="S1"><title>Objective</title><p id="P1">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.</p></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></sec></abstract><kwd-group><kwd>Adolescents</kwd><kwd>Depression</kwd><kwd>Psychotherapy</kwd><kwd>Parent-child Interactions</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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