Essential Components of Cognitive–Behavior Therapy for Depression

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Intended for both trainees and practitioners in the mental health professions, the book details the five basic components of the therapy in practice: A thorough case study is included to illustrate how the therapist uses the case formulation to plan and carry out treatment. Examples of each major intervention are also provided as well as a demonstration of how the assessment and intervention strategies are woven together over the course of treatment. CBT dose number of sessions as well as specific module exposure are associated with treatment outcomes, and we cannot separate dose from receipt of module.

Similarly, the infrequency of certain components e. Moreover, whereas we have ratings of overall quality of treatment, we do not have module-specific ratings of quality. In addition, all participants who were receiving CBT were also receiving medication; the results may have been different if this were a monotherapy CBT trial. We believe that these findings generate tangible hypotheses that can be tested in future experimental design. Finally, recent years have witnessed increased emphasis on disseminating and exporting evidence-based treatments to community practice settings.

Given the apparent preference for psychosocial treatment versus medication Asarnow et al.

Essential Components of Cognitive-Behavior Therapy for Depression by Jacqueline B. Persons

In addition, the strong relationship between dose of psychotherapy and outcome highlights the need to engage adolescents in treatment to increase attendance and continued participation in therapy, whether in research or community settings. Future research is needed to clarify the degree to which the findings in this report are specific to our more treatment-resistant population, characteristics of TORDIA CBT, or other factors.

Over the past 24 months, Graham J. Joan Rosenbaum Asarnow has received unrestricted research funding from Phillip Morris and has consulted regarding cognitive— behavioral therapy and quality improvement. National Center for Biotechnology Information , U. J Consult Clin Psychol. Author manuscript; available in PMC Jul 9. Kennard , Greg N. Hughes , Anthony Spirito , Graham J. Emslie , Martin B. Keller , Karen D. Wagner , and David A. Correspondence concerning this article should be addressed to: The publisher's final edited version of this article is available at J Consult Clin Psychol.

See other articles in PMC that cite the published article. Cognitive—behavioral therapy taxonomy A total of 22 separate CBT modules were included in the TORDIA manual; however, many of these modules were based on similar theoretical principles. Open in a separate window.

Implementation delivery covariates We also planned to statistically control for several potentially important covariates: Intervention delivery As a first step, we began by examining descriptive statistics on intervention delivery, including the frequency of use of each of the nine CBT core components.

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Treatment response We conducted a Pearson chi-square analysis, using a median split, to examine whether number of session, was associated with response to treatment. Results Details regarding the participants are outlined in Table 2. Table 2 Baseline Characteristics. Intervention Delivery We began by exploring receipt of CBT components over treatment and examining important covariates of intervention delivery.

Cognitive—Behavioral Therapy Components and Response to Treatment In an unadjusted analysis, receipt of general therapy process, behavioral activation, emotion regulation, or the family-oriented component was not associated with response to treatment Table 4. Discussion The TORDIA randomized controlled trial demonstrated favorable outcomes for depressed adolescents who received CBT in combination with medication compared with youths who received medication switch alone Brent et al. Acknowledgments Over the past 24 months, Graham J.

Contributor Information Betsy D. Diagnostic and statistical manual for mental disorders. Treatment of selective serotonin reuptake inhibitor—resistant depression in adolescents: Predictors and moderators of treatment response.

Essential Components of Cognitive-Behavior Therapy for Depression

Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: A randomized controlled trial. Journal of the American Medical Association. Improving care for depression: Integrating evidence-based depression treatment within primary care services. Treatment of adolescent depression. Oxford University Press; b. A combined cognitive—behavioral family education intervention for depression in children: A treatment development study. Cognitive Therapy and Research. Manual for the Beck Hopelessness Scale. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders.

Cognitive therapy treatment manual for depressed and suicidal youth. A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Archives of General Psychiatry. Federal, state, and foundation initiatives around evidence-based practices for child and adolescent mental health. CBT intensity and outcome for panic disorder in a primary care setting.

Cognitive behavior therapy manual for TADS.

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Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression.

Dose—response effects of cognitive—behavioral insomnia therapy: A randomized clinical trial. Government Printing Office; ECDEU assessment manual for psychopharmacology. A component analysis of cognitive-behavioral treatment for depression. Administration and Policy in Mental Health. Initial reliability and validity data. A comparison of nefazodone, the cognitive behavioral-analysis system of psychotherapy, and their combination for the treatment of chronic depression.

Cognitive and Behavioral Techniques in the Treatment of Depression

The New England Journal of Medicine. Therapy for youths with anxiety disorders: A second randomized clinical trial.

Norms and sensitivity of the adolescent version of the drug use screening inventory. Cognitive—behavioral treatment for depressed adolescents. Diana Jones added it Dec 08, Geeta Ramsoondar marked it as to-read Mar 20, Ekaterina added it May 20, Ignatius added it Jul 03, Jennifer marked it as to-read Sep 08, Ahmed Jah marked it as to-read Apr 29, Eleftheria marked it as to-read Jul 18, Angela M Schwanke added it Nov 23, Orishedere Loreen marked it as to-read Jun 13, Stephen marked it as to-read Aug 19, Meagan Dembitzky marked it as to-read Apr 14, Ryan marked it as to-read Jul 12, Adrijana marked it as to-read Jul 22, Daniel Mendoza added it Feb 27, Schahub marked it as to-read Apr 20, Rachel marked it as to-read Jul 01, Tabitha Marie added it Aug 24,