Predicting time to recovery among depressed adolescents treated in two psychosocial group interventions.
Aims were to identify the demographic, psychopathology, and psychosocial factors predicting time to major depressive disorder (MDD) recovery and moderators of treatment among 114 depressed adolescents recruited from a juvenile justice center and randomized to a cognitive behavioral treatment (CBT) condition or a life skills-tutoring control condition. Nine variables predicted time to recovery over 1-year follow-up (e.g., earlier MDD onset, attention-deficit/hyperactivity disorder, functional impairment, hopelessness, negative thoughts, low family cohesion, coping skills); suicidal ideation and parental report of problem behaviors were the best predictors. CBT resulted in faster recovery time relative to control treatment, specifically among adolescents of White ethnicity, with recurrent MDD, and with good coping skills. Results suggest that psychopathology plays a more prominent role in maintaining adolescent depression than demographic or psychosocial factors.
Oregon Research Institute, Eugene, OR 97403, USA. paulr@ori.org
Paul
P
Rohde
John R
JR
Seeley
Noah K
NK
Kaufman
Gregory N
GN
Clarke
Eric
E
Stice
D000293:Adolescent; D000987:Antisocial Personality Disorder / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000706:statistics & numerical data*; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D010552:Personality Assessment / Q000706:statistics & numerical data; D011594:Psychometrics; D011615:Psychotherapy, Group / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000331:legislation & jurisprudence*; D012951:Socialization; D013997:Time Factors; D016896:Treatment Outcome