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Group CBT prevents depression in at-risk adolescents

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Question

Question:

What is the effect of a group cognitive behavioural programme in preventing depression in at-risk adolescents?

Patients:

316 adolescents (aged 13–17 years; mean age 14.8 years; 58.5% female) with current subsyndromal depressive symptoms, identified by a score of >20 on the Center for Epidemiological Studies Depression Scale or a prior episode of depression (DSM-IV) from which they were in remission for a minimum of 2 months, or both, plus at least one parent or carer with current or prior depressive episodes (either a major depressive episode within the previous 3 years or three or more major depressive episodes within the adolescent's lifetime). Exclusions: diagnosis of bipolar 1 or schizophrenia (adolescent or parent); current mood disorder (DSM-IV); currently taking antidepressant medication or having received more than eight sessions of cognitive behavioural therapy (CBT).

Setting:

four US cities; August 2003–February 2006.

Intervention:

The group CBT prevention programme comprised eight weekly 90 min sessions for mixed sex groups of adolescents (mean group size 6.6). Sessions included cognitive restructuring techniques to challenge negative …

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