Treating depression in adolescence: A review of the effectiveness of cognitive-behavioral treatments

Abstract

The literature of the last decade reveals a renewed interest in treating adolescent depression. Several treatments have been proposed that are derived from adult models, but few studies have evaluated their efficiency. Those that have been done, have typically used a cognitive-behavioral approach. This article reviews studies published from 1980 to 1994 on the efficacy of these programs. Groups of 6-10 adolescents were treated in these programs. Some programs also included treatment for parents. Treatments were multimodal, utilizing intervention strategies from cognitive and/or behavioral models of depression. Treatment components included relaxation, cognitive restructuring, self-control skills, and communication and problem-solving skills. Studies were most often done in school settings but only rarely in a clinical milieux. Depression measures included self-report questionnaires and semistructured interviews. Results suggest that short-term group cognitive-behavioral interventions are effective with early and late adolescents. Futhermore, depressive symptoms remained improved at follow-up. No single strategy, however, seemed to be clearly more effective than the others.