OBJECTIVES: To develop a cognitive-behavioral treatment for depressed, substance-abusing adolescents, determine its feasibility, and test its association with symptomatic improvement. METHOD: Based on the efficacy of cognitive-behavioral interventions for either adolescent depression or substance abuse, an integrated group and family therapy intervention was developed for adolescents with both problems. The developers treated a group of six adolescents and families, and then trained experienced therapists to deliver the treatment to a second group of seven. Adolescents were 14 to 18 years of age. Measures of depression and substance abuse were collected before, during, and after treatment. RESULTS: High retention in treatment and attendance at sessions supported feasibility. Parent interviews demonstrated significant improvement in adolescent substance abuse, and adolescent measures demonstrated significant improvement in both domains. CONCLUSIONS: Integrated outpatient cognitive-behavioral intervention is feasible and associated with improvement for depressed, substance-abusing adolescents. Controlled efficacy studies are needed. Additional treatment modalities will be required for a proportion of these adolescents.
OBJECTIVES: To develop a cognitive-behavioral treatment for depressed, substance-abusing adolescents, determine its feasibility, and test its association with symptomatic improvement. METHOD: Based on the efficacy of cognitive-behavioral interventions for either adolescent depression or substance abuse, an integrated group and family therapy intervention was developed for adolescents with both problems. The developers treated a group of six adolescents and families, and then trained experienced therapists to deliver the treatment to a second group of seven. Adolescents were 14 to 18 years of age. Measures of depression and substance abuse were collected before, during, and after treatment. RESULTS: High retention in treatment and attendance at sessions supported feasibility. Parent interviews demonstrated significant improvement in adolescent substance abuse, and adolescent measures demonstrated significant improvement in both domains. CONCLUSIONS: Integrated outpatient cognitive-behavioral intervention is feasible and associated with improvement for depressed, substance-abusing adolescents. Controlled efficacy studies are needed. Additional treatment modalities will be required for a proportion of these adolescents.
Authors: Benjamin I Goldstein; Tina R Goldstein; Katelyn A Collinger; David A Axelson; Oscar G Bukstein; Boris Birmaher; David J Miklowitz Journal: J Psychiatr Pract Date: 2014-05 Impact factor: 1.325
Authors: Ricardo Eiraldi; Thomas J Power; Billie S Schwartz; Jackie N Keiffer; Barry L McCurdy; Manju Mathen; Abbas F Jawad Journal: Behav Modif Date: 2016-02-11
Authors: Christianne Esposito-Smythers; Adam Walsh; Anthony Spirito; Christie Rizzo; David B Goldston; Yifrah Kaminer Journal: Cogn Behav Pract Date: 2012-05
Authors: Ricardo Eiraldi; Jennifer A Mautone; Muniya S Khanna; Thomas J Power; Andrew Orapallo; Jaclyn Cacia; Billie S Schwartz; Barry McCurdy; Jacqueline Keiffer; Cynthia Paidipati; Rebecca Kanine; Manju Abraham; Shelby Tulio; Lauren Swift; Shannon N Bressler; Beatriz Cabello; Abbas F Jawad Journal: Behav Ther Date: 2018-01-06