Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESA Pilot Study of Adjunctive Family Psychoeducation in Adolescent Major Depression: Feasibility and Treatment Effect
Section snippets
Participants
The study was undertaken with review and monitoring by the Ethics Review Committees of Hamilton Health Sciences and of the London Health Sciences Centre. Participants were drawn from outpatient clinics serving depressed adolescents in Hamilton and London, Ontario, Canada. In Hamilton, participants were from a child and adolescent mood disorders clinic that was the main provider of outpatient services for this region (population 500,000). In London, referrals were sought from four inpatient and
Sampling, Randomization, Adherence to Treatment
In London, there were 10 referrals, but because of poor adherence, baseline data were complete for four subjects and only two were followed beyond the mid-treatment assessment. Therefore, this site has been dropped from the study and the description that follows refers to the Hamilton site alone. This decision was made because none of the London participants received more than one FPE session; in this small study, including data from these subjects would have rendered the findings impossible to
DISCUSSION
The first objective was to explore the feasibility of FPE in adolescent MDD. In Hamilton, depressed adolescents were recruited from recent clinic referrals and more than half of eligible referrals agreed to participate. Once involved in the study, no families dropped out and FPE participation rates were high. The participants had moderate to severe depression, as evidenced by low CGAS scores, high rates of comorbid disorders, and a long duration of the index MDD episode. In FPE families, the
REFERENCES (31)
- et al.
Childhood and adolescent depression: a review of the past 10 years: II
J Am Acad Child Adolesc Psychiatry
(1996) - et al.
Subsyndromal depression in adolescents after a brief psychotherapy trial: course and outcome
J Affect Disord
(2001) - et al.
Predictors of treatment efficacy in a clinical trial of three psychosocial treatments for adolescent depression
J Am Acad Child Adolesc Psychiatry
(1998) - et al.
Deliberate self-poisoning in adolescence: why does a brief family intervention work in some cases and not others?
J Adolesc
(2000) - et al.
The Social Adjustment Inventory for Children and Adolescents (SAICA): testing of a new semi-structured interview
J Am Acad Child Adolesc Psychiatry
(1987) Presentation and course of major depressive disorder during childhood and later years of the life span
J Am Acad Child Adolesc Psychiatry
(1996)- et al.
Assessment of client/patient satisfaction: development of a general scale
Eval Program Plann
(1979) - et al.
Cognitive-behavioral treatment for depressed adolescents
Behav Ther
(1990) - et al.
Family-focused treatment for adolescents with bipolar disorder
J Affect Disord
(2004) - et al.
Family-focused treatment for bipolar disorder: 1-year effects of a psychoeducational program in conjunction with pharmacotherapy
Biol Psychiatry
(2000)
Diagnostic and Statistical Manual of Mental Disorders
Ontario Child Health Study: methodology
Arch Gen Psychiatry
A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy
Arch Gen Psychiatry
Hierarchical Linear Models
The assessment of affective disorders in children and adolescents by semi-structured interview: test-retest reliability of the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Present Episode version
Arch Gen Psychiatry
Cited by (78)
Problem Solving as an Active Ingredient in Indicated Prevention and Treatment of Youth Depression and Anxiety: An Integrative Review
2022, Journal of Adolescent HealthSystematic Review and Meta-analysis: Outcomes of Routine Specialist Mental Health Care for Young People With Depression and/or Anxiety
2020, Journal of the American Academy of Child and Adolescent PsychiatryCitation Excerpt :A total of 12 publications were excluded because they reported on the same study sample as a publication(s) already included. For example, six publications55-68 were based on only one study sample; therefore, data from the original paper55 were included in the final meta-analysis. Seven studies were excluded because additional information was not provided by the corresponding authors on request.28,29,69-73
Meta-Analysis: 13-Year Follow-up of Psychotherapy Effects on Youth Depression
2020, Journal of the American Academy of Child and Adolescent PsychiatryPsychoeducational interventions in adolescent depression: A systematic review
2018, Patient Education and CounselingCitation Excerpt :The outcomes of interest included understanding, attitude, behaviour change, (family) communication and support, and mental health outcomes (depression, anxiety, aggression). Sanford et al. [17] carried out a pilot RCT of a programme, comparing the effectiveness of twelve structured sessions conducted at home, with usual treatment for adolescents meeting DSM-IV criteria for major depressive disorder. Sessions aimed to increase family knowledge about depression, understand effects and improve communication and coping strategies.
Diagnosis and management of depression in adolescents
2023, CMAJ. Canadian Medical Association Journal
The study was supported by a grant from The Hospital for Sick Children Foundation, Toronto, Ontario.
Article Plus (online only) materials for this article appear on the Journal's Web site: www.jaacap.com.
Disclosure: Dr. Sanford received a stipend for presenting on bipolar disorder at a drug company-sponsored continuing education event in 2004 (Abbott). Dr. Steele receives research funding, participates in national advisory board meetings, receives unrestricted educational grants, or serves on speakers' bureaus for Janssen, Eli Lilly, and Shire; she is also a consultant for CMED, a division of Omnicon Canada Inc. The other authors have no financial relationships to disclose.
- †
Deceased