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Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy 2/2015

01-06-2015

A Case Series of Individual Six-Week Cognitive Behavioral Therapy With Individually Tailored Manual-Based Treatment Delivery for Depressed College Students With or Without Suicidal Ideation

Auteurs: Maren B. Nyer, Clair Cassiello-Robbins, Matthew K. Nock, Samuel R. Petrie, Daphne J. Holt, Lauren B. Fisher, Adrienne Jaeger, Paola Pedrelli, Lee Baer, Amy Farabaugh

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 2/2015

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Abstract

Despite their prevalence, depression and suicidal ideation (SI) are relatively unaddressed problems in the college student population. There are limited individual treatment studies targeting this population. Nine students (M = 19.33 years of age; SD ± .87) with depressive symptoms and/or SI were enrolled in 6-weeks of individual cognitive behavioral therapy (CBT) with a individually tailored manual-based treatment delivery. Measures were given before and after treatment. Primary results, presented as a case series, suggested decreases in depression across students and an overall downward trend in SI. As a secondary analysis, paired samples t tests showed significant decreases in both depression and SI. In summary, short-term, individually tailored manual-based CBT may be beneficial for reducing depressive symptoms and SI among college students. More research is needed to determine the best clinical interventions and targeted treatments for this vulnerable population.
Literatuur
go back to reference American College Health Association. (2000). National college health assessment: Reference group executive summary, fall 2000. Baltimore: Author. American College Health Association. (2000). National college health assessment: Reference group executive summary, fall 2000. Baltimore: Author.
go back to reference American College Health Association. (2007). American college health association national college health assessment Spring 2006 reference group data report. Journal of American College of Health, 55(4), 195–206.CrossRef American College Health Association. (2007). American college health association national college health assessment Spring 2006 reference group data report. Journal of American College of Health, 55(4), 195–206.CrossRef
go back to reference American College Health Association. (2008). National college health assessment: Reference group data report, spring 2008. Baltimore: Author. American College Health Association. (2008). National college health assessment: Reference group data report, spring 2008. Baltimore: Author.
go back to reference American College Health Association. (2008). National college health assessment: Reference group executive summary fall 2008. Baltimore: Author. American College Health Association. (2008). National college health assessment: Reference group executive summary fall 2008. Baltimore: Author.
go back to reference American College Health Association. (2011). ACHS-National health assessment II: Reference group executive summary spring 2011. Hanover: Author. American College Health Association. (2011). ACHS-National health assessment II: Reference group executive summary spring 2011. Hanover: Author.
go back to reference Barrios, L. C., Everett, S. A., Simon, T. R., & Brener, N. D. (2000). Suicide ideation among US college students: associations with other injury risk behaviors. Journal of American College Health, 48(5), 229–233.CrossRefPubMed Barrios, L. C., Everett, S. A., Simon, T. R., & Brener, N. D. (2000). Suicide ideation among US college students: associations with other injury risk behaviors. Journal of American College Health, 48(5), 229–233.CrossRefPubMed
go back to reference Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.CrossRef Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.CrossRef
go back to reference Brown, G. K., Have, T. T., Henriques, G. R., Xie, S., Hollander, J., & Beck, A. T. (2005). Cognitive therapy for the prevention of suicide attempts. Journal of the American Medical Association, 294(5), 563–570.CrossRefPubMed Brown, G. K., Have, T. T., Henriques, G. R., Xie, S., Hollander, J., & Beck, A. T. (2005). Cognitive therapy for the prevention of suicide attempts. Journal of the American Medical Association, 294(5), 563–570.CrossRefPubMed
go back to reference Church, D., De Asis, M. A., & Brooks, A. J. (2012). Brief group intervention using emotional freedom techniques for depression in college students: A randomized controlled trial. Depression Research and Treatment, 2012, 1–7.CrossRef Church, D., De Asis, M. A., & Brooks, A. J. (2012). Brief group intervention using emotional freedom techniques for depression in college students: A randomized controlled trial. Depression Research and Treatment, 2012, 1–7.CrossRef
go back to reference Comtois, K. A., & Linehan, M. M. (2006). Psychosocial treatments of suicidal behaviors: A practice-friendly review. Journal of Clinical Psychology, 62(2), 161–170.CrossRefPubMed Comtois, K. A., & Linehan, M. M. (2006). Psychosocial treatments of suicidal behaviors: A practice-friendly review. Journal of Clinical Psychology, 62(2), 161–170.CrossRefPubMed
go back to reference Cotton, C. R., Peters, D. K., & Range, L. M. (1995). Psychometric properties of the suicidal behaviors questionnaire. Death Studies, 19, 391–397.CrossRefPubMed Cotton, C. R., Peters, D. K., & Range, L. M. (1995). Psychometric properties of the suicidal behaviors questionnaire. Death Studies, 19, 391–397.CrossRefPubMed
go back to reference Davis, L., Barlow, D. H., & Smith, L. (2010). Comorbidity and the treatment of principal anxiety disorders in a naturalistic sample. Behavior Therapy, 41(3), 296–305.CrossRefPubMed Davis, L., Barlow, D. H., & Smith, L. (2010). Comorbidity and the treatment of principal anxiety disorders in a naturalistic sample. Behavior Therapy, 41(3), 296–305.CrossRefPubMed
go back to reference Eisenberg, D., Hunt, J., Speer, N., & Zivin, K. (2011). Mental health service utilization among college students in the United States. The Journal of Nervous and Mental Disease, 199(5), 301.CrossRefPubMed Eisenberg, D., Hunt, J., Speer, N., & Zivin, K. (2011). Mental health service utilization among college students in the United States. The Journal of Nervous and Mental Disease, 199(5), 301.CrossRefPubMed
go back to reference Farabaugh, A., Alpert, J., Wisniewski, S. R., Otto, M. W., Fava, M., Baer, L., & Thase, M. E. (2012a). Cognitive therapy for anxious depression in STAR*D: What have we learned? Journal of Affective Disorders, 142(1), 213–218.CrossRefPubMedCentralPubMed Farabaugh, A., Alpert, J., Wisniewski, S. R., Otto, M. W., Fava, M., Baer, L., & Thase, M. E. (2012a). Cognitive therapy for anxious depression in STAR*D: What have we learned? Journal of Affective Disorders, 142(1), 213–218.CrossRefPubMedCentralPubMed
go back to reference Farabaugh, A., Bitran, S., Nyer, M., Holt, D. J., Pedrelli, P., Shyu, I., & Fava, M. (2012b). Depression and suicidal ideation in college students. Psychopathology, 45(4), 228–234.CrossRefPubMed Farabaugh, A., Bitran, S., Nyer, M., Holt, D. J., Pedrelli, P., Shyu, I., & Fava, M. (2012b). Depression and suicidal ideation in college students. Psychopathology, 45(4), 228–234.CrossRefPubMed
go back to reference Goldsmith, S. K., Pellar, T. C., Kleinman, A. M., & Bunney, W. E. (2002). Reducing suicide: A national imperative. Washington, DC: The National Academies Press. Goldsmith, S. K., Pellar, T. C., Kleinman, A. M., & Bunney, W. E. (2002). Reducing suicide: A national imperative. Washington, DC: The National Academies Press.
go back to reference Hamdan-Mansour, A. M., Al-Gamal, E., Puskar, K., Yacoub, M., & Marini, A. (2011). Mental health nursing in Jordan: An investigation into experience, work stress and organizational support. International Journal of Mental Health Nursing, 20(2), 86–94.CrossRefPubMed Hamdan-Mansour, A. M., Al-Gamal, E., Puskar, K., Yacoub, M., & Marini, A. (2011). Mental health nursing in Jordan: An investigation into experience, work stress and organizational support. International Journal of Mental Health Nursing, 20(2), 86–94.CrossRefPubMed
go back to reference Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10.CrossRefPubMed Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10.CrossRefPubMed
go back to reference Jobes, D. A. (2000). Collaborating to prevent suicide: A clinical research perspective. Suicide and Life Threatening Behavior, 30(1), 8–17.PubMed Jobes, D. A. (2000). Collaborating to prevent suicide: A clinical research perspective. Suicide and Life Threatening Behavior, 30(1), 8–17.PubMed
go back to reference Joffe, P. (2008). An empirically supported program to prevent suicide in a college student population. Suicide and Life Threatening Behavior, 38(1), 87–103.CrossRefPubMed Joffe, P. (2008). An empirically supported program to prevent suicide in a college student population. Suicide and Life Threatening Behavior, 38(1), 87–103.CrossRefPubMed
go back to reference Kisch, J., Leino, V., & Silverman, M. (2005). Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey. Suicide and Life Threatening Behavior, 35(1), 3–12.CrossRefPubMed Kisch, J., Leino, V., & Silverman, M. (2005). Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey. Suicide and Life Threatening Behavior, 35(1), 3–12.CrossRefPubMed
go back to reference Lerner, M. S., & Clum, G. A. (1990). Treatment of suicide ideators: A problem-solving approach. Behavior Therapy, 21(4), 403–411.CrossRef Lerner, M. S., & Clum, G. A. (1990). Treatment of suicide ideators: A problem-solving approach. Behavior Therapy, 21(4), 403–411.CrossRef
go back to reference Levitt, J. T., Malta, L. S., Martin, A., Davis, L., & Cloitre, M. (2007). The flexible application of a manualized treatment for PTSD symptoms and functional impairment related to the 9/11 World Trade Center attack. Behaviour Research and Therapy, 45(7), 1419–1433.CrossRefPubMed Levitt, J. T., Malta, L. S., Martin, A., Davis, L., & Cloitre, M. (2007). The flexible application of a manualized treatment for PTSD symptoms and functional impairment related to the 9/11 World Trade Center attack. Behaviour Research and Therapy, 45(7), 1419–1433.CrossRefPubMed
go back to reference Linehan, M. M. (2008). Suicide intervention research: A field in desperate need of development. Suicide and Life-Threatening Behavior, 38(5), 483–485.CrossRefPubMed Linehan, M. M. (2008). Suicide intervention research: A field in desperate need of development. Suicide and Life-Threatening Behavior, 38(5), 483–485.CrossRefPubMed
go back to reference Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., & Hendin, H. (2005). Suicide prevention strategies: A systematic review. Journal of the American Medical Association, 294(16), 2064–2074.CrossRefPubMed Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., & Hendin, H. (2005). Suicide prevention strategies: A systematic review. Journal of the American Medical Association, 294(16), 2064–2074.CrossRefPubMed
go back to reference Nock, M. K., Deming, C. A., Chiu, W. T., Hwang, I., Angermeyer, M., Borges, G., et al. (2012). Mental disorders, comorbidity, and suicidal behavior. In M. K. Nock, G. Borges, & Y. Ono (Eds.), Suicide: Global Perspectives from the WHO World Mental Health Surveys (pp. 148–163). New York: Cambridge University Press. Nock, M. K., Deming, C. A., Chiu, W. T., Hwang, I., Angermeyer, M., Borges, G., et al. (2012). Mental disorders, comorbidity, and suicidal behavior. In M. K. Nock, G. Borges, & Y. Ono (Eds.), Suicide: Global Perspectives from the WHO World Mental Health Surveys (pp. 148–163). New York: Cambridge University Press.
go back to reference Nock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2009). Mental disorders, comorbidity and suicidal behavior: Results from the National Comorbidity Survey Replication. Molecular Psychiatry, 15(8), 868–876.CrossRefPubMedCentralPubMed Nock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2009). Mental disorders, comorbidity and suicidal behavior: Results from the National Comorbidity Survey Replication. Molecular Psychiatry, 15(8), 868–876.CrossRefPubMedCentralPubMed
go back to reference Osman, A., Bagge, C. L., Guitierrez, P. M., Konick, L. C., Kooper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 5, 443–454.CrossRef Osman, A., Bagge, C. L., Guitierrez, P. M., Konick, L. C., Kooper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 5, 443–454.CrossRef
go back to reference Peden, A. R., Rayens, M. K., Hall, L. A., & Beebe, L. H. (2001). Preventing depression in high-risk college women: A report of an 18-month follow-up. Journal of American College Health, 49(6), 299–306.CrossRefPubMed Peden, A. R., Rayens, M. K., Hall, L. A., & Beebe, L. H. (2001). Preventing depression in high-risk college women: A report of an 18-month follow-up. Journal of American College Health, 49(6), 299–306.CrossRefPubMed
go back to reference Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 80(6), 982–994.CrossRefPubMedCentralPubMed Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 80(6), 982–994.CrossRefPubMedCentralPubMed
go back to reference Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: A review and meta-analysis. Journal of Affective Disorders, 148(1), 1–11.CrossRefPubMed Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: A review and meta-analysis. Journal of Affective Disorders, 148(1), 1–11.CrossRefPubMed
go back to reference Reynolds, W. M., & Gould, J. W. (1981). A psychometric investigation of the standard and short form Beck Depression Inventory. Journal of Consulting and Clinical Psychology, 49(2), 306.CrossRefPubMed Reynolds, W. M., & Gould, J. W. (1981). A psychometric investigation of the standard and short form Beck Depression Inventory. Journal of Consulting and Clinical Psychology, 49(2), 306.CrossRefPubMed
go back to reference Seligman, M. E., Schulman, P., & Tryon, A. M. (2007). Group prevention of depression and anxiety symptoms. Behaviour Research and Therapy, 45(6), 1111–1126.CrossRefPubMed Seligman, M. E., Schulman, P., & Tryon, A. M. (2007). Group prevention of depression and anxiety symptoms. Behaviour Research and Therapy, 45(6), 1111–1126.CrossRefPubMed
go back to reference Shaw, B. F. (1984). Specification of the training and evaluation of cognitive therapists for outcome studies. In J. B. W. Williams & R. L. Spitzer (Eds.), Psychotherapy Research: Where we are and where we should go?: Proceedings of the 73rd Annual Meeting of the American Psychopathological Association, New York City, March 3–5, 1983 (pp. 173–189). New York: Guilford Press. Shaw, B. F. (1984). Specification of the training and evaluation of cognitive therapists for outcome studies. In J. B. W. Williams & R. L. Spitzer (Eds.), Psychotherapy Research: Where we are and where we should go?: Proceedings of the 73rd Annual Meeting of the American Psychopathological Association, New York City, March 3–5, 1983 (pp. 173–189). New York: Guilford Press.
go back to reference Stewart, C. D., Health, M., Quinn, A., Plever, S., Clin, M., & Emmerson, B. (2009). Comparing cognitive behavior therapy, problem solving therapy, and treatment as usual in a high risk population. Suicide and Life Threatening Behavior, 39(5), 538–547.CrossRefPubMed Stewart, C. D., Health, M., Quinn, A., Plever, S., Clin, M., & Emmerson, B. (2009). Comparing cognitive behavior therapy, problem solving therapy, and treatment as usual in a high risk population. Suicide and Life Threatening Behavior, 39(5), 538–547.CrossRefPubMed
go back to reference Tarrier, N., Taylor, K., & Gooding, P. (2008). Cognitive behavioral interventions to reduce suicide behavior: A systematic review and meta-analysis. Behavior Modification, 32(1), 77–108.CrossRefPubMed Tarrier, N., Taylor, K., & Gooding, P. (2008). Cognitive behavioral interventions to reduce suicide behavior: A systematic review and meta-analysis. Behavior Modification, 32(1), 77–108.CrossRefPubMed
go back to reference Thase, M., Friedman, E., Biggs, M., Wisniewski, S., Trivedi, M., Luther, J., & Rush, A. (2007). Cognitive therapy versus medication in augmentation and switch strategies as second-step treatments: A STAR* D report. American Journal of Psychiatry, 164(5), 739–752.CrossRefPubMed Thase, M., Friedman, E., Biggs, M., Wisniewski, S., Trivedi, M., Luther, J., & Rush, A. (2007). Cognitive therapy versus medication in augmentation and switch strategies as second-step treatments: A STAR* D report. American Journal of Psychiatry, 164(5), 739–752.CrossRefPubMed
go back to reference Trockel, M., Manber, R., Chang, V., Thurston, A., & Tailor, C. B. (2011). An e-mail delivered CBT for sleep-health program for college students: effects on sleep quality and depression symptoms. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 7(3), 276. Trockel, M., Manber, R., Chang, V., Thurston, A., & Tailor, C. B. (2011). An e-mail delivered CBT for sleep-health program for college students: effects on sleep quality and depression symptoms. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 7(3), 276.
go back to reference Turner, D. P., Thompson, M. E., Huber, L. R. B., & Arif, A. A. (2012). Depressive symptoms and academic performance of North Carolina college students. Mental Health, 73(3), 169–175. Turner, D. P., Thompson, M. E., Huber, L. R. B., & Arif, A. A. (2012). Depressive symptoms and academic performance of North Carolina college students. Mental Health, 73(3), 169–175.
go back to reference US Department of Health & Human Services. (2010). Mental health and mental disorders Healthy People 2010. Washington, DC: Government Printing Office. US Department of Health & Human Services. (2010). Mental health and mental disorders Healthy People 2010. Washington, DC: Government Printing Office.
go back to reference Watkins, D. C., Hunt, J. B., & Eisenberg, D. (2012). Increased demand for mental health services on college campuses: Perspectives from administrators. Qualitative Social Work, 11(3), 319–337.CrossRef Watkins, D. C., Hunt, J. B., & Eisenberg, D. (2012). Increased demand for mental health services on college campuses: Perspectives from administrators. Qualitative Social Work, 11(3), 319–337.CrossRef
go back to reference Westfall, J. M., Mold, J., & Fagnan, L. (2007). Practice-based research—“Blue Highways” on the NIH roadmap. JAMA, 297(4), 403–406.CrossRefPubMed Westfall, J. M., Mold, J., & Fagnan, L. (2007). Practice-based research—“Blue Highways” on the NIH roadmap. JAMA, 297(4), 403–406.CrossRefPubMed
go back to reference Wingo, J., Kalkut, E., Tuminello, E., Asconape, J., & Han, S. D. (2013). Executive functions, depressive symptoms, and college adjustment in women. Applied Neuropsychology Adult, 20(2), 136–144.CrossRefPubMed Wingo, J., Kalkut, E., Tuminello, E., Asconape, J., & Han, S. D. (2013). Executive functions, depressive symptoms, and college adjustment in women. Applied Neuropsychology Adult, 20(2), 136–144.CrossRefPubMed
go back to reference Wisniewski, S., Fava, M., Trivedi, M., Thase, M., Warden, D., Niederehe, G., & Rush, A. (2007). Acceptability of second-step treatments to depressed outpatients: a STAR* D report. American Journal of Psychiatry, 164(5), 753–760.CrossRefPubMed Wisniewski, S., Fava, M., Trivedi, M., Thase, M., Warden, D., Niederehe, G., & Rush, A. (2007). Acceptability of second-step treatments to depressed outpatients: a STAR* D report. American Journal of Psychiatry, 164(5), 753–760.CrossRefPubMed
Metagegevens
Titel
A Case Series of Individual Six-Week Cognitive Behavioral Therapy With Individually Tailored Manual-Based Treatment Delivery for Depressed College Students With or Without Suicidal Ideation
Auteurs
Maren B. Nyer
Clair Cassiello-Robbins
Matthew K. Nock
Samuel R. Petrie
Daphne J. Holt
Lauren B. Fisher
Adrienne Jaeger
Paola Pedrelli
Lee Baer
Amy Farabaugh
Publicatiedatum
01-06-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 2/2015
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI
https://doi.org/10.1007/s10942-015-0206-y

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