title: Adolescents' Assessments of the Helpfulness of Treatment for Major Depression: Results From a National Survey.
abstract: OBJECTIVE
  The study investigated perceived helpfulness of counseling or medication in a national sample of adolescents with a major depressive episode.
  
  
  METHODS
  Secondary data analysis of the National Survey on Drug Use and Health was conducted. The sample comprised adolescents (ages 12-17) with a past-year major depressive episode who reported receiving either counseling and no medication (N=2,000) or medication and counseling (N=1,300) for depression in the past year. Adolescents who received counseling only evaluated the helpfulness of counseling, and adolescents who received medication and counseling evaluated the helpfulness of medication. Responses were analyzed by using descriptive statistics and ordered logistic regression models.
  
  
  RESULTS
  Among adolescents who received counseling only, 10% reported that counseling was extremely helpful, 22% that it helped a lot, 25% that it helped some, 24% that it helped a little, and 20% that it was not at all helpful. Among adolescents who received medication and counseling, 17% reported that medication was extremely helpful, 30% that it helped a lot, 22% that it helped somewhat, 16% that it helped a little, and 15% that it was not at all helpful. In adjusted models, adolescents with greater parental support and fewer than two delinquent behaviors in the past year were more likely to endorse treatment as helpful.
  
  
  CONCLUSIONS
  About 32% to 47% of adolescents in the general population reported that depression treatment was extremely helpful or helped a lot. This is substantially lower than response rates in clinical trials. The reasons for these divergent findings merit further investigation.
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Edlund
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Adrianne G
authors.initials: AG
authors.lastname: Pettiford
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Joel
authors.initials: J
authors.lastname: Hampton
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Valerie L
authors.initials: VL
authors.lastname: Forman-Hoffman
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Kimberly L
authors.initials: KL
authors.lastname: Ault
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Colpe
authors.affiliation: Dr. Edlund and Dr. Forman-Hoffman are with the Behavioral and Urban Health Program, Dr. Pettiford is with the Children and Families Program, and Mr. Hampton and Dr. Ault are with the Division of Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina (e-mail: medlund@rti.org ). Dr. Colpe is with the Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, Maryland. Dr. Hedden is with the Substance Abuse and Mental Health Services Administration, Rockville, Maryland.
authors.forename: Sarra L
authors.initials: SL
authors.lastname: Hedden
mesh_terms: D000293:Adolescent; D000928:Antidepressive Agents / Q000627:therapeutic use*; D002648:Child; D003376:Counseling / Q000379:methods*; D003865:Major Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010465:Perception; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents