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Increasing Positive Outlook Partially Mediates the Effect of Empirically Supported Treatments on Depression Symptoms Among Adolescents.

Publication ,  Journal Article
Jacobs, RH; Becker, SJ; Curry, JF; Silva, SG; Ginsburg, GS; Henry, DB; Reinecke, MA
Published in: J Cogn Psychother
2014
Published version (DOI) Link to item

Among adolescents there is evidence that cognitive change partially mediates the effect of cognitive behavioral therapy (CBT) on depression outcome. However, prior studies have been limited by small samples, narrow measures of cognition, and failure to compare cognitive change following CBT to cognitive change following antidepressant medication. This study examined whether change in four cognitive constructs (cognitive distortions, cognitive avoidance, positive outlook, and solution-focused thinking) mediated change in depression severity in a sample of 291 adolescents who participated in the Treatment for Adolescents with Depression Study (TADS). TADS assessed the effects of CBT, fluoxetine, and their combination on depression severity. All three treatments were associated with change in the cognitive constructs and combination treatment produced the greatest change. Furthermore, change in the cognitive constructs partially mediated change in depression severity within all three treatments. Results implicated positive outlook as the construct most associated with change in depression severity over 36 weeks.

Duke Scholars

John F. Curry
Author John F. Curry Psychiatry, Child & Family Mental Health & Community Psychia ...
Susan Gray Silva
Author Susan Gray Silva School of Nursing
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Published In

J Cogn Psychother

DOI

10.1891/0889-8391.28.1.3

ISSN

0889-8391

Publication Date

2014

Volume

28

Issue

1

Start / End Page

3 / 19

Location

United States

Related Subject Headings

  • Clinical Psychology
  • 5205 Social and personality psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1702 Cognitive Sciences
  • 1701 Psychology
 

Citation

APA
Chicago
ICMJE
MLA
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Jacobs, R. H., Becker, S. J., Curry, J. F., Silva, S. G., Ginsburg, G. S., Henry, D. B., & Reinecke, M. A. (2014). Increasing Positive Outlook Partially Mediates the Effect of Empirically Supported Treatments on Depression Symptoms Among Adolescents. J Cogn Psychother, 28(1), 3–19. https://doi.org/10.1891/0889-8391.28.1.3
Jacobs, Rachel H., Sara J. Becker, John F. Curry, Susan G. Silva, Golda S. Ginsburg, David B. Henry, and Mark A. Reinecke. “Increasing Positive Outlook Partially Mediates the Effect of Empirically Supported Treatments on Depression Symptoms Among Adolescents.” J Cogn Psychother 28, no. 1 (2014): 3–19. https://doi.org/10.1891/0889-8391.28.1.3.
Jacobs RH, Becker SJ, Curry JF, Silva SG, Ginsburg GS, Henry DB, et al. Increasing Positive Outlook Partially Mediates the Effect of Empirically Supported Treatments on Depression Symptoms Among Adolescents. J Cogn Psychother. 2014;28(1):3–19.
Jacobs, Rachel H., et al. “Increasing Positive Outlook Partially Mediates the Effect of Empirically Supported Treatments on Depression Symptoms Among Adolescents.” J Cogn Psychother, vol. 28, no. 1, 2014, pp. 3–19. Pubmed, doi:10.1891/0889-8391.28.1.3.
Jacobs RH, Becker SJ, Curry JF, Silva SG, Ginsburg GS, Henry DB, Reinecke MA. Increasing Positive Outlook Partially Mediates the Effect of Empirically Supported Treatments on Depression Symptoms Among Adolescents. J Cogn Psychother. 2014;28(1):3–19.

Published In

J Cogn Psychother

DOI

10.1891/0889-8391.28.1.3

ISSN

0889-8391

Publication Date

2014

Volume

28

Issue

1

Start / End Page

3 / 19

Location

United States

Related Subject Headings

  • Clinical Psychology
  • 5205 Social and personality psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1702 Cognitive Sciences
  • 1701 Psychology