Universität zu Köln

Walter, Daniel, Buschsieweke, Jana, Dachs, Lydia, Goletz, Hildegard, Goertz-Dorten, Anja, Kinnen, Claudia, Perri, Daniela, Rademacher, Christiane, Schuermann, Stephanie, Viefhaus, Paula, Woitecki, Katrin, Metternich-Kaizman, Tanja Wolff, von Wirth, Elena ORCID: 0000-0003-2461-4966 and Doepfner, Manfred (2021). Effectiveness of usual-care cognitive-behavioral therapy for adolescents with depressive disorders rated by parents and patients - an observational study. BMC Psychiatry, 21 (1). LONDON: BMC. ISSN 1471-244X

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Abstract

Background Depressive disorders are common in adolescence and are associated with a wide range of negative long-term outcomes. Highly controlled randomized controlled trials (RCT) provide considerable evidence for the efficacy of cognitive-behavioral therapy (CBT) as a treatment for depression, but studies examining the effectiveness of CBT in clinical settings are very rare . Methods In the present observational study, the changes achieved through routine CBT in adolescents with depressive disorders treated in a clinical setting in terms of a university outpatient clinic were analyzed, and compared to a historical control group of adolescents with depressive disorders who had received treatment as usual. At the start and end of treatment (pre- and post-assessment), parent and self-ratings of the German versions of the Youth Self-Report (YSR), the Child Behavior Checklist (CBCL) and rating scales for depressive symptoms (FBB-DES, SBB-DES) were assessed. A total of 331 adolescents aged 11-18 years with complete data were assessed for the main analysis. Results The analysis yielded small to large pre-post effect sizes (Cohen's d) for the total sample (d = 0.33 to d = 0.82) and large effect sizes for adolescents who were rated in the clinical range on each (sub) scale at the start of treatment (d = 0.85 to d = 1.30). When comparing patients in the clinical range with historical controls, medium to large net effect sizes (d = 0.53 to d = 2.09) emerged for the total scores in self- and parent rating. However, a substantial proportion of the sample remained in the clinical range at the end of treatment. Conclusions These findings suggest that CBT is effective for adolescents with depressive disorders when administered under routine care conditions, but the results must be interpreted with caution due to the lack of a direct control condition.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Walter, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Buschsieweke, Jana UNSPECIFIED UNSPECIFIED UNSPECIFIED Dachs, Lydia UNSPECIFIED UNSPECIFIED UNSPECIFIED Goletz, Hildegard UNSPECIFIED UNSPECIFIED UNSPECIFIED Goertz-Dorten, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Kinnen, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Perri, Daniela UNSPECIFIED UNSPECIFIED UNSPECIFIED Rademacher, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Schuermann, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Viefhaus, Paula UNSPECIFIED UNSPECIFIED UNSPECIFIED Woitecki, Katrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Metternich-Kaizman, Tanja Wolff UNSPECIFIED UNSPECIFIED UNSPECIFIED von Wirth, Elena UNSPECIFIED orcid.org/0000-0003-2461-4966 UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-561562
DOI:	10.1186/s12888-021-03404-x
Journal or Publication Title:	BMC Psychiatry
Volume:	21
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-244X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PSYCHOSOCIAL TREATMENTS; CHILDRENS DEPRESSION; YOUTH PSYCHOTHERAPY; EMOTIONAL-PROBLEMS; YOUNG-PEOPLE; METAANALYSIS; INVENTORY; OUTCOMES Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56156