Cognitive-behavioral intervention for depressed, substance-abusing adolescents: development and pilot testing.

John F Curry; Karen C Wells; John E Lochman; W Edward Craighead; Paul D Nagy

doi:10.1097/01.chi.0000046861.56865.6c

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Cognitive-behavioral intervention for depressed, substance-abusing adolescents: development and pilot testing.

John F Curry·Karen C Wells·John E Lochman·W Edward Craighead·Paul D Nagy

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Abstract

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.

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Adolescent Cognitive Behavioral Therapy Depressive Disorder Family Therapy Feasibility Studies Female Humans Male Substance-Related Disorders Journal Article Research Support, U.S. Gov't, P.H.S.

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John F Curry, Karen C Wells, John E Lochman, W Edward Craighead, Paul D Nagy. 2003. Cognitive-behavioral intervention for depressed, substance-abusing adolescents: development and pilot testing.. https://doi.org/10.1097/01.chi.0000046861.56865.6c

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