青少年期抑郁症及抑郁症状的认知行为疗法：一项综述与荟萃分析
Cognitive-behavioral therapy of depression and depressive symptoms during adolescence: a review and meta-analysis.
作者信息
Reinecke M A, Ryan N E, DuBois D L
机构信息
Department of Psychiatry, University of Chicago, IL 60637, USA.
出版信息
J Am Acad Child Adolesc Psychiatry. 1998 Jan;37(1):26-34. doi: 10.1097/00004583-199801000-00013.
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.
目的
结果研究支持认知行为疗法对治疗成年人抑郁症的有效性。然而，这些方法对青少年的有效性较少受到实证关注。本文对有关抑郁和烦躁不安青少年的认知行为疗法的文献进行了批判性综述。
方法
进行了一项荟萃分析，以评估这些方法的有效性和治疗效果的稳定性。
结果
六项研究（共217名受试者）得出了14项治疗后与对照组的比较以及10项随访与对照组的比较。治疗后的总体效应量为-1.02，而随访时的总体效应量为-0.61。这两项分析中的效应量都是同质的，并得到了失效安全数计算的支持。
结论
结果表明认知行为疗法对该人群治疗抑郁症状具有短期和长期有效性。
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