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Six- and Twelve-Month Follow-up Results of a Cluster Randomized Controlled Trial of a CBT-Based Group Course

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Abstract

In the current study, we examined the durability of intervention gains over a 6- and 12-month follow-up period after the implementation of a CBT-based group intervention “Adolescent Coping with Depression Course” (ACDC) for adolescents with subclinical or mild-to-moderate depression. Data were collected from 228 youth, 133 of whom were allocated to the 14-week ACDC intervention and 95 to the usual care (UC) control condition. Analyses for the main outcome variable of depressive symptoms were performed using a random effects repeated measures piecewise growth model to estimate trajectory shape over time on an intention-to-treat basis. Results revealed that the reduction in depressive symptoms achieved during the intervention phase continued across the follow-up period for both ACDC and UC (i.e., depressive symptoms showed a significantly decreasing trend in both groups in intervention and follow-up phases); however, no differential effects between conditions were found during the follow-up phase. The direct and indirect effects of the intervention on the other outcome variables’ follow-up results were also presented. ISRCTN registry ISRCTN19700389. Registered 6 October 2015. https://doi.org/10.1186/ISRCTN19700389. Full Protocol: https://doi.org/10.1186/s12888-016-0954-y

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Notes

  1. The immediate intervention effect on each of these variables was reported in the original trial.

  2. Since bootstrapping estimation cannot be employed either with MLR or with auxiliary variables in Mplus, we used ML estimation without auxiliary variables in bootstrapping.

References

  • Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. In G. A. Marcoulides & R. E. Schumacker (Eds.), Advanced structural equation modeling: Issues and techniques (pp. 243–277). Mahwah: Lawrence Erlbaum Associates, Inc..

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F. H., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.

    Article  Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  CAS  Google Scholar 

  • Børve, T. (2010). Manual for Depresjonsmestring for ungdom [Manual for adolescent coping with depression course]. Oslo: Rådet for psykisk helse (The Norwegian Council for Mental Health - NCMH).

    Google Scholar 

  • Chou, C.-P., Yang, D., Pentz, M. A., & Hser, Y.-I. (2004). Piecewise growth curve modeling approach for longitudinal prevention study. Computational Statistics & Data Analysis, 46, 213–225.

    Article  Google Scholar 

  • David-Ferdon, C., & Kaslow, N. J. (2008). Evidence-based psychosocial treatments for child and adolescent depression. Journal of Clinical Child and Adolescent Psychology, 37, 62–104.

    Article  Google Scholar 

  • De Graaf, L. E., Roelofs, J., & Huibers, M. J. (2009). Measuring dysfunctional attitudes in the general population: The dysfunctional attitude scale (form A) revised. Cognitive Therapy and Research, 33, 345–355.

    Article  Google Scholar 

  • Derdikman-Eiron, R., Hjemdal, O., Lydersen, S., Bratberg, G. H., & Indredavik, M. S. (2013). Adolescent predictors and associates of psychosocial functioning in young men and women: 11 year follow-up findings from the Nord-Trøndelag Health Study. Scandinavian Journal of Psychology, 54, 95–101.

    Article  Google Scholar 

  • Ellis, A., & Grieger, R. (1977). Handbook of rational-emotive therapy. New York: Springer.

    Google Scholar 

  • Engen, H. G., & Friborg, O. (2016). Emotion regulation questionnaire-Norwegian version. Oslo: University of Oslo.

    Google Scholar 

  • Erford, B. T., Erford, B. M., Lattanzi, G., Weller, J., Schein, H., Wolf, E., ... Peacock, E. (2011). Counseling outcomes from 1990 to 2008 for school-age youth with depression: A meta-analysis. Journal of Counseling and Development: JCD, 89(4), 439–457.

  • Flora, D. B. (2008). Specifying piecewise latent trajectory models for longitudinal data. Structural Equation Modeling: A Multidisciplinary Journal, 15, 513–533.

    Article  Google Scholar 

  • Hoenig, J. M., & Heisey, D. M. (2001). The abuse of power: The pervasive fallacy of power calculations for data analysis. The American Statistician, 55, 19–24.

    Article  Google Scholar 

  • Horowitz, J. L., Garber, J., Ciesla, J. A., Young, J. F., & Mufson, L. (2007). Prevention of depressive symptoms in adolescents: A randomized trial of cognitive-behavioral and interpersonal prevention programs. Journal of Consulting and Clinical Psychology, 75, 693–706.

    Article  Google Scholar 

  • Idsoe, T., & Keles, S. (2016). Study protocol for a randomized controlled trial of a group cognitive-behavioral course for depressed adolescents. BMC Psychiatry, 16, 1–10. https://doi.org/10.1186/s12888-016-0954-y.

    Article  Google Scholar 

  • Idsoe, T., Keles, S., Olseth, A. R., & Ogden, T. (2019). Cognitive behavioral treatment for depressed adolescents: Results from a cluster randomized controlled trial of a group course. BMC Psychiatry, 19, 155.

    Article  Google Scholar 

  • Keles, S., Bringedal, G., & Idsoe, T. (submitted). Assessing fidelity to and satisfaction with the “Adolescent Coping with Depression Course” (ACDC) intervention in a randomized controlled trial.

  • Keles, S., & Idsoe, T. (2018). A meta-analysis of group cognitive behavioral therapy (CBT) interventions for adolescents with depression. Journal of Adolescence, 67, 129–139.

    Article  Google Scholar 

  • Muthén, B. O., & Satorra, A. (1995). Complex sample data in structural equation modeling. Sociological Methodology, 267–316.

  • Muthén, L. K., & Muthén, B. O. (2012). Mplus user’s guide (7th ed.). LA: Muthén & Muthén.

    Google Scholar 

  • Netemeyer, R. G., Williamson, D. A., Burton, S., Biswas, D., Jindal, S., Landreth, S., ... Primeaux, S. (2002). Psychometric properties of shortened versions of the Automatic Thoughts Questionnaire. Educational and Psychological Measurement, 62, 111–129.

  • Oppedal, B., & Idsoe, T. (2011). CES-D: Validation of the factor structure among ethnic minority and majority adolescents in Norway. Oslo: Norwegian Institute of Public Health.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. https://doi.org/10.1177/014662167700100306.

    Article  Google Scholar 

  • Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMC Medicine, 8, 18.

    Article  Google Scholar 

  • Seligman, M. E. P. (2006). Learned optimism: How to change your mind and your life. New York: Vintage Books.

    Google Scholar 

  • Stice, E., Rohde, P., Gau, J. M., & Wade, E. (2010). Efficacy trial of a brief cognitive–behavioral depression prevention program for high-risk adolescents: Effects at 1-and 2-year follow-up. Journal of Consulting and Clinical Psychology, 78, 856.

    Article  Google Scholar 

  • Stice, E., Shaw, H., Bohon, C., Marti, C. N., & Rohde, P. (2009). A meta-analytic review of depression prevention programs for children and adolescents: Factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77, 486–503. https://doi.org/10.1037/a0015168.

    Article  PubMed  PubMed Central  Google Scholar 

  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247–259.

    Article  Google Scholar 

  • Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T., & Brewin, C. R. (2009). Metacognitive therapy in recurrent and persistent depression: A multiple-baseline study of a new treatment. Cognitive Therapy and Research, 33, 291–300.

    Article  Google Scholar 

  • West, S. G., Taylor, A. B., Wu, W., & Hoyle, R. H. (2012). Model fit and model selection in structural equation modeling. In R. H. Hoyle (Ed.), Handbook of structural equation modeling (pp. 209–231). New York: Guilford Press.

    Google Scholar 

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Funding

This study was funded by The Research Council of Norway through the program “Research and Innovation in the Educational Sector” (FINNUT) (project number 238081/H20). Additional funding from Gidske og Peter Jacob Sørensens fond, and the Norwegian Directorate of Health.

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Authors and Affiliations

  1. Norwegian Center for Child Behavioral Development, P.O. Box 7053, Majorstuen, 0306, Oslo, Norway

    Serap Keles & Thormod Idsoe

  2. Knowledge Center for Education, University of Stavanger, Stavanger, Norway

    Serap Keles

Authors
  1. Serap Keles
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  2. Thormod Idsoe
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Correspondence to Serap Keles.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

All participants in this study provided informed consent prior to enrollment. They were also informed that participating in the study was voluntary and that participants could at any time and without any given reason withdraw their consent to participate. This would not affect their further participation on the course or in the usual care treatment. Contact information was provided for these issues.

Research Involving Human Participants and/or Animals

All procedures in this study were has been performed in accordance with the Declaration of Helsinki, and has been approved by The Norwegian Regional Committee for Medical and Health Research Ethics (South East). Approval reference: 2015/1027 Depresjonsmestring for ungdom.

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Keles, S., Idsoe, T. Six- and Twelve-Month Follow-up Results of a Cluster Randomized Controlled Trial of a CBT-Based Group Course. Prev Sci 22, 409–418 (2021). https://doi.org/10.1007/s11121-020-01160-0

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