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

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Curry, JF; Wells, KC; Lochman, JE; Craighead, WE; Nagy, PD

Published Date

  • June 2003

Published In

Volume / Issue

  • 42 / 6

Start / End Page

  • 656 - 665

PubMed ID

  • 12921473

International Standard Serial Number (ISSN)

  • 0890-8567

Digital Object Identifier (DOI)

  • 10.1097/01.CHI.0000046861.56865.6C

Language

  • eng

Conference Location

  • United States