© 1998 Evidence-Based Mental Health
Review: cognitive behaviour therapy facilitates recovery from depressive disorders in children and adolescents
Harrington R, Whittaker J, Shoebridge P, et al. Systematic review of efficacy of cognitive behaviour therapies in childhood and adolescent depressive disorder. BMJ 1998 May 23;316:1559-63.
Question In children and adolescents with a depressive disorder, is cognitive behaviour therapy (CBT) effective?
Studies were identified by searching Medline (196697), PsycLit, and the Cochrane Library; by manually searching all journals that publish randomised controlled trials (RCTs) in the field; by reviewing conference proceedings and the reference lists from reviews and book chapters; and by contacting authors and investigators working in this specialty.
Studies were selected if they were RCTs that investigated the effectiveness of CBT in young people between the age of 6 and 18 years with depressive disorders diagnosed using standardised criteria. Studies of family therapy or interpersonal therapy were excluded.
Data were extracted on patient characteristics, type of CBT, type of comparative condition, and rate of remission from depressive disorder. The quality of each study was also rated by the authors using a set of predefined dimensions.
6 trials were selected involving young people between 8 and 19 years of age that compared CBT with a heterogenous set of mostly inactive
University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania, USA
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