Argiros Alexandra, Venanzi Lisa, Dao Anh, Dickey Lindsay, Herman Nicole, Pegg Samantha, Hill Kaylin, Stewart Jennifer, Kujawa Autumn
Department of Psychology and Human Development, Vanderbilt University, Peabody College #552, 230 Appleton Place, Nashville, TN 37203-5721 USA.
Green Hills Family Psych, Nashville, TN USA.
Int J Cogn Ther. 2023;16(2):202-221. doi: 10.1007/s41811-023-00159-z. Epub 2023 Mar 28.
Group cognitive behavioral therapy (CBT) is an effective treatment for adolescent depression, but outcomes vary. Our goal was to examine interpersonal factors that predict response to group CBT for adolescent depression using a broad range of outcomes, including depressive symptoms, session attendance, treatment completion, engagement, and improvement. Seventy adolescents (age 14-18) with depression completed self-report measures of social support and parental conflict and were offered an established 16-session group CBT program. Correlation and regression analyses were conducted for interpersonal predictors and CBT outcomes. Accounting for pre-treatment depressive symptoms, fewer social supports predicted lower likelihood of finishing treatment and less clinician-rated improvement. Greater pre-treatment parental conflict predicted fewer sessions attended, lower clinician-rated engagement, and less clinician-rated improvement. Results highlight the need to consider interpersonal difficulties in CBT, as they may present a barrier to treatment attendance, engagement, and improvement.
团体认知行为疗法（CBT）是治疗青少年抑郁症的一种有效方法，但治疗效果因人而异。我们的目标是使用一系列广泛的结果指标，包括抑郁症状、疗程出席率、治疗完成情况、参与度和改善情况，来研究预测青少年抑郁症患者对团体CBT治疗反应的人际因素。70名患有抑郁症的青少年（年龄在14 - 18岁之间）完成了社会支持和父母冲突的自我报告测量，并参加了一个既定的为期16节的团体CBT项目。对人际预测因素和CBT结果进行了相关分析和回归分析。在考虑治疗前抑郁症状的情况下，较少的社会支持预示着完成治疗的可能性较低，且临床医生评定的改善程度较小。治疗前父母冲突较大预示着参加的疗程较少、临床医生评定的参与度较低以及临床医生评定的改善程度较小。结果凸显了在CBT中考虑人际困难的必要性，因为它们可能对治疗出席率、参与度和改善情况构成障碍。
