title: The complex role of sleep in adolescent depression.
abstract: Psychological and pharmacologic treatments for youth depression yield post-acute response and remission rates that are modest at best. Improving these outcomes is an important long-term goal. The authors examine the possibility that a youth cognitive behavioral therapy insomnia intervention may be an adjunct to traditional depression-focused treatment with the aim of improving depression outcomes. This “indirect route” to improving youth depression treatment outcomes is based on research indicating that the risk of depression is increased by primary insomnia and that sleep problems interfere with depression treatment success and on emerging adult depression randomized controlled trial results. The authors describe the protocol they developed.
authors.affiliation: Kaiser Permanente Center for Health Research, 3800 North Interstate Avenue, Portland, OR 97227, USA. Greg.Clarke@kpchr.org
authors.forename: Greg
authors.initials: G
authors.lastname: Clarke
authors.forename: Allison G
authors.initials: AG
authors.lastname: Harvey
mesh_terms: D000293:Adolescent; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D001294:Attitude to Health; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003866:Depressive Disorder / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents