Kaslow N J, Thompson M P
Department of Psychiatry, Grady Health System, Emory University, Atlanta, GA 30335-380, USA.
J Clin Child Psychol. 1998 Jun;27(2):146-55. doi: 10.1207/s15374424jccp2702_2.
Reviews the psychosocial treatment outcome studies for depressed children and adolescents and concludes that psychosocial interventions are effective at posttreatment and follow-up in reducing depressive symptoms/disorders in clinical and nonclinical samples of youth, regardless of treatment modality or extent of parental involvement. The article then examines the extent to which each study conforms to the guidelines set forth by the Task Force on Promotion and Dissemination of Psychological Procedures (1996) for well-established and probably efficacious interventions. Results of this analysis indicate only 2 series of studies that meet criteria for probably efficacious interventions and no studies that meet criteria for well-established treatments. Finally, the advantages and disadvantages of applying criteria for empirically supported treatments to identify good treatments for depressed youth are discussed, the importance of devising developmentally and culturally sensitive interventions targeted to the unique needs of each child is highlighted, and recommendations for future research that is informed by clinical practice and empirical findings are offered.
回顾了针对抑郁儿童和青少年的心理社会治疗结果研究，并得出结论：无论治疗方式或父母参与程度如何，心理社会干预在治疗后及随访时均能有效减轻青年临床和非临床样本中的抑郁症状/障碍。文章随后考察了每项研究符合心理程序推广与传播特别工作组（1996年）针对已确立和可能有效的干预措施所制定指南的程度。该分析结果表明，只有2系列研究符合可能有效干预措施的标准，没有研究符合已确立治疗方法的标准。最后，讨论了应用实证支持治疗标准来确定针对抑郁青年的良好治疗方法的优缺点，强调了设计针对每个孩子独特需求的具有发展和文化敏感性的干预措施的重要性，并提供了基于临床实践和实证结果的未来研究建议。
