Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review and meta-analysis

J Am Acad Child Adolesc Psychiatry. 1998 Jan;37(1):26-34. doi: 10.1097/00004583-199801000-00013.

Abstract

Objective: Outcome studies support the effectiveness of cognitive-behavioral approaches for treating depression among adults. The effectiveness of these approaches for adolescents, however, has received less empirical attention. This article critically reviews the literature on cognitive-behavioral therapy with depressed and dysphoric adolescents.

Method: A meta-analysis was conducted to assess the effectiveness of these approaches and the stability of therapeutic gains.

Results: Fourteen posttreatment-control comparisons and 10 follow-up-control comparisons resulted from six studies containing 217 subjects. The overall effect size posttreatment was -1.02, whereas the overall effect size at follow-up was -0.61. The effect sizes in both of these analyses were homogeneous and were supported by Fail-Safe-N calculations.

Conclusion: Results suggest the short- and long-term effectiveness of cognitive-behavioral approaches for treating depressive symptoms with this population.

Publication types

  • Meta-Analysis

MeSH terms

  • Adolescent
  • Adolescent Psychiatry / standards*
  • Adult
  • Chi-Square Distribution
  • Child
  • Cognitive Behavioral Therapy / standards*
  • Confidence Intervals
  • Controlled Clinical Trials as Topic
  • Depression / therapy*
  • Female
  • Humans
  • Male
  • Treatment Outcome