Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Child Psychiatry & Human Development 6/2019

18-05-2019 | Original Article

Ready or Not? Transitions of Depressed Adolescents During Acute Phase of Treatment

Auteurs: Natalie Rodriguez-Quintana, Cara C. Lewis

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 6/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Readiness to change has been identified as a predictor, moderator, and mediator of treatment. Individuals may start treatment in one stage and either stay, regress, or progress across stages, but there is little research exploring these transitions within mental health treatment. The present study addressed two aims: characterize the prevalence of stage membership and transitions, and explore predictors of stage membership and transitions. A Treatment for Adolescents with Depression Study sub-sample was used and participants (n = 383) ranged in age from 12 to 17, with a primary diagnosis of Major Depressive Disorder. The 18-item self-report Stages of Change Questionnaire was administered at baseline and week 6 of treatment. A latent transition analysis determined stage membership and transitions. Most adolescents initiated treatment in precontemplation or contemplation, and hopelessness predicted stage membership and stage transitions. This study revealed that readiness to change and hopelessness are related within the first few weeks of treatment, which may have implications for depressed adolescent’s ability to benefit from care.
Literatuur
2.
go back to reference SAMHSA (2014) Results from the 2013 National Survey on Drug Use and Health: mental health findings. Substance Abuse and Mental Health Services Administration, Rockville SAMHSA (2014) Results from the 2013 National Survey on Drug Use and Health: mental health findings. Substance Abuse and Mental Health Services Administration, Rockville
3.
go back to reference Hawton K, Saunders KE, O’Connor RC (2012) Self-harm and suicide in adolescents. Lancet 379(9834):2373–2382 PubMedCrossRef Hawton K, Saunders KE, O’Connor RC (2012) Self-harm and suicide in adolescents. Lancet 379(9834):2373–2382 PubMedCrossRef
4.
go back to reference Angold A, Messer SC, Stangl D, Farmer E, Costello EJ, Burns BJ (1998) Perceived parental burden and service use for child and adolescent psychiatric disorders. Am J Public Health 88(1):75–80 PubMedPubMedCentralCrossRef Angold A, Messer SC, Stangl D, Farmer E, Costello EJ, Burns BJ (1998) Perceived parental burden and service use for child and adolescent psychiatric disorders. Am J Public Health 88(1):75–80 PubMedPubMedCentralCrossRef
5.
go back to reference Weisz JR, McCarty CA, Valeri SM (2006) Effects of psychotherapy for depression in children and adolescents: a meta-analysis. Psychol Bull 132(1):132–149 PubMedPubMedCentralCrossRef Weisz JR, McCarty CA, Valeri SM (2006) Effects of psychotherapy for depression in children and adolescents: a meta-analysis. Psychol Bull 132(1):132–149 PubMedPubMedCentralCrossRef
6.
go back to reference Kennard BD, Silva SG, Tonev S et al (2009) Remission and recovery in the treatment for adolescents with Depression Study (TADS): acute and long-term outcomes. J Am Acad Child Adolesc Psychiatry 48(2):186–195 PubMedPubMedCentralCrossRef Kennard BD, Silva SG, Tonev S et al (2009) Remission and recovery in the treatment for adolescents with Depression Study (TADS): acute and long-term outcomes. J Am Acad Child Adolesc Psychiatry 48(2):186–195 PubMedPubMedCentralCrossRef
7.
go back to reference Curry J, Silva S, Rohde P et al (2011) Recovery and recurrence following treatment for adolescent major depression. Arch Gen Psychiatry 68(3):263–269 PubMedCrossRef Curry J, Silva S, Rohde P et al (2011) Recovery and recurrence following treatment for adolescent major depression. Arch Gen Psychiatry 68(3):263–269 PubMedCrossRef
8.
go back to reference Gordon PL (1967) Strategy of ourcome research in psychotherapy. J Consul Psychol 31(2):109–118 CrossRef Gordon PL (1967) Strategy of ourcome research in psychotherapy. J Consul Psychol 31(2):109–118 CrossRef
9.
go back to reference Curry J, Rohde P, Simons A et al (2006) Predictors and moderators of acute outcome in the Treatment for Adolescents with Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 45(12):1427–1439 PubMedCrossRef Curry J, Rohde P, Simons A et al (2006) Predictors and moderators of acute outcome in the Treatment for Adolescents with Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 45(12):1427–1439 PubMedCrossRef
10.
go back to reference Lewis CC, Simons AD, Silva SG et al (2009) The role of readiness to change in response to treatment of adolescent depression. J Consult Clin Psychol 77(3):422–428 PubMedPubMedCentralCrossRef Lewis CC, Simons AD, Silva SG et al (2009) The role of readiness to change in response to treatment of adolescent depression. J Consult Clin Psychol 77(3):422–428 PubMedPubMedCentralCrossRef
11.
go back to reference Lewis CC, Simons AD, Nguyen LJ et al (2010) Impact of childhood trauma on treatment outcome in the Treatment for Adolescents with Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 49(2):132–140 PubMed Lewis CC, Simons AD, Nguyen LJ et al (2010) Impact of childhood trauma on treatment outcome in the Treatment for Adolescents with Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 49(2):132–140 PubMed
12.
go back to reference DiClemente CC, Prochaska JO (1982) Self-change and therapy change of smoking behavior: a comparison of processes of change in cessation and maintenance. Addict Behav 7(2):133–142 PubMedCrossRef DiClemente CC, Prochaska JO (1982) Self-change and therapy change of smoking behavior: a comparison of processes of change in cessation and maintenance. Addict Behav 7(2):133–142 PubMedCrossRef
13.
go back to reference Bellis JM (1994) The transtheoretical model of change applied to psychotherapy: a psychometric assessment of related instruments. Doctoral dissertation, The University of Rhode Island, Kingston, RI Bellis JM (1994) The transtheoretical model of change applied to psychotherapy: a psychometric assessment of related instruments. Doctoral dissertation, The University of Rhode Island, Kingston, RI
14.
go back to reference McConnaughy EA, Prochaska JO, Velicer WF (1983) Stages of change in psychotherapy: measurement and sample profiles. Psychotherapy 20(3):368–375 CrossRef McConnaughy EA, Prochaska JO, Velicer WF (1983) Stages of change in psychotherapy: measurement and sample profiles. Psychotherapy 20(3):368–375 CrossRef
15.
go back to reference Fitzpatrick MR, Irannejad S (2008) Adolescent readiness for change and the working alliance in counseling. J Couns Dev 86(4):438–445 CrossRef Fitzpatrick MR, Irannejad S (2008) Adolescent readiness for change and the working alliance in counseling. J Couns Dev 86(4):438–445 CrossRef
16.
go back to reference Prochaska JO, Norcross JC (2001) Stages of change. Psychotherapy 38(4):443–448 CrossRef Prochaska JO, Norcross JC (2001) Stages of change. Psychotherapy 38(4):443–448 CrossRef
17.
go back to reference Norman GJ, Velicer WF, Fava JL, Prochaska JO (1998) Dynamic typology clustering within the stages of change for smoking cessation. Addict Behav 23(2):139–153 PubMedCrossRef Norman GJ, Velicer WF, Fava JL, Prochaska JO (1998) Dynamic typology clustering within the stages of change for smoking cessation. Addict Behav 23(2):139–153 PubMedCrossRef
18.
go back to reference Martin RA, Velicer WF, Fava JL (1996) Latent transition analysis to the stages of change for smoking cessation. Addict Behav 21(1):67–80 PubMedCrossRef Martin RA, Velicer WF, Fava JL (1996) Latent transition analysis to the stages of change for smoking cessation. Addict Behav 21(1):67–80 PubMedCrossRef
19.
go back to reference Westra HA, Arkowitz H, Dozois DJA (2009) Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: a preliminary randomized controlled trial. J Anxiety Disord 23(8):1106–1117 PubMedPubMedCentralCrossRef Westra HA, Arkowitz H, Dozois DJA (2009) Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: a preliminary randomized controlled trial. J Anxiety Disord 23(8):1106–1117 PubMedPubMedCentralCrossRef
20.
go back to reference Arkowitz H, Westra HA (2004) Integrating motivational interviewing and cognitive behavioral therapy in the treatment of depression and anxiety. J Cognitive Psychother 18(4):337–350 CrossRef Arkowitz H, Westra HA (2004) Integrating motivational interviewing and cognitive behavioral therapy in the treatment of depression and anxiety. J Cognitive Psychother 18(4):337–350 CrossRef
21.
go back to reference March J, Silva S, Petrycki S et al (2004) Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA 292(7):807–820 PubMedCrossRef March J, Silva S, Petrycki S et al (2004) Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA 292(7):807–820 PubMedCrossRef
22.
go back to reference Stalker CA, Horton S, Cait C-A (2012) Single-session therapy in a walk-in counseling clinic: a pilot study. J Syst Ther 31(1):38–52 CrossRef Stalker CA, Horton S, Cait C-A (2012) Single-session therapy in a walk-in counseling clinic: a pilot study. J Syst Ther 31(1):38–52 CrossRef
23.
go back to reference O’Connor SS, Comtois KA, Wang J et al (2015) The development and implementation of a brief intervention for medically admitted suicide attempt survivors. Gen Hosp Psychiatry 37(5):427–433 PubMedPubMedCentralCrossRef O’Connor SS, Comtois KA, Wang J et al (2015) The development and implementation of a brief intervention for medically admitted suicide attempt survivors. Gen Hosp Psychiatry 37(5):427–433 PubMedPubMedCentralCrossRef
24.
go back to reference May DE, Kratochvil CJ, Puumala SE et al (2007) A manual-based intervention to address clinical crises and retain patients in the Treatment of Adolescents With Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 46(5):573–581 PubMedCrossRef May DE, Kratochvil CJ, Puumala SE et al (2007) A manual-based intervention to address clinical crises and retain patients in the Treatment of Adolescents With Depression Study (TADS). J Am Acad Child Adolesc Psychiatry 46(5):573–581 PubMedCrossRef
25.
go back to reference Stevens J, McGeehan J, Kelleher KJ (2010) Readiness to change in adolescents screening positive for substance use in urban primary care clinics. J Child Adolesc Subst Abuse 19(2):99–107 PubMedPubMedCentralCrossRef Stevens J, McGeehan J, Kelleher KJ (2010) Readiness to change in adolescents screening positive for substance use in urban primary care clinics. J Child Adolesc Subst Abuse 19(2):99–107 PubMedPubMedCentralCrossRef
26.
go back to reference Pauli D, Aebi M, Metzke CW, Steinhausen H-C (2017) Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ). J Eat Disord 5(1):11 PubMedPubMedCentralCrossRef Pauli D, Aebi M, Metzke CW, Steinhausen H-C (2017) Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ). J Eat Disord 5(1):11 PubMedPubMedCentralCrossRef
27.
go back to reference Gusella J, Butler G, Nichols L, Bird D (2003) A brief questionnaire to assess readiness to change in adolescents with eating disorders: its applications to group therapy. Eur Eat Disord Rev 11(1):58–71 CrossRef Gusella J, Butler G, Nichols L, Bird D (2003) A brief questionnaire to assess readiness to change in adolescents with eating disorders: its applications to group therapy. Eur Eat Disord Rev 11(1):58–71 CrossRef
28.
go back to reference Brick LAD (2015) Undestanding stage of change transitions across multiple behaviors. Doctoral disseration, The University of Rhose Island, Kingston, RI Brick LAD (2015) Undestanding stage of change transitions across multiple behaviors. Doctoral disseration, The University of Rhose Island, Kingston, RI
29.
go back to reference Schumann A, John U, Rumpf H-J, Hapke U, Meyer C (2006) Changes in the “stages of change” as outcome measures of a smoking cessation intervention: a randomized controlled trial. Prev Med 43(2):101–106 PubMedCrossRef Schumann A, John U, Rumpf H-J, Hapke U, Meyer C (2006) Changes in the “stages of change” as outcome measures of a smoking cessation intervention: a randomized controlled trial. Prev Med 43(2):101–106 PubMedCrossRef
30.
go back to reference Velicer WF, Martin RA, Collins LM (1996) Latent transition analysis for longitudinal data. Addiction 91(12s1):197–210 CrossRef Velicer WF, Martin RA, Collins LM (1996) Latent transition analysis for longitudinal data. Addiction 91(12s1):197–210 CrossRef
31.
go back to reference Collins LM, Lanza ST (2013) Latent class and latent transition analysis: with applications in the social, behavioral, and health sciences. Wiley, Hoboken Collins LM, Lanza ST (2013) Latent class and latent transition analysis: with applications in the social, behavioral, and health sciences. Wiley, Hoboken
32.
go back to reference Team TTfAwDST (2005) The treatment for adolescents with depression study (TADS): demographic and clinical characteristics. J Am Acad Child Adolesc Psychiatry 44(1):28–40 CrossRef Team TTfAwDST (2005) The treatment for adolescents with depression study (TADS): demographic and clinical characteristics. J Am Acad Child Adolesc Psychiatry 44(1):28–40 CrossRef
33.
go back to reference TfAWDS Team (2003) Treatment for Adolescents With Depression Study (TADS): rationale, design, and methods. J Am Acad Child Adolesc Psychiatry 42(5):531–542 CrossRef TfAWDS Team (2003) Treatment for Adolescents With Depression Study (TADS): rationale, design, and methods. J Am Acad Child Adolesc Psychiatry 42(5):531–542 CrossRef
34.
go back to reference Ni Y, Tein J-Y, Zhang M, Yang Y, Wu G (2017) Changes in depression among older adults in China: a latent transition analysis. J Affect Disord 209:3–9 PubMedCrossRef Ni Y, Tein J-Y, Zhang M, Yang Y, Wu G (2017) Changes in depression among older adults in China: a latent transition analysis. J Affect Disord 209:3–9 PubMedCrossRef
35.
go back to reference Brent DA, Poling K (1997) Cognitive therapy treatment manual for depressed and suicidal youth. University of Pittsburgh Health System Services for Teens At Risk, Pittsburgh Brent DA, Poling K (1997) Cognitive therapy treatment manual for depressed and suicidal youth. University of Pittsburgh Health System Services for Teens At Risk, Pittsburgh
36.
go back to reference Lewinsohn PM, Clarke GN, Hops H, Andrews J (1990) Cognitive-behavioral treatment for depressed adolescents. Behav Ther 21(4):385–401 CrossRef Lewinsohn PM, Clarke GN, Hops H, Andrews J (1990) Cognitive-behavioral treatment for depressed adolescents. Behav Ther 21(4):385–401 CrossRef
37.
go back to reference Poznanski EO, Mokros HB (1996) Children’s depression rating scale, revised (CDRS-R). Western Psychological Services, Los Angeles Poznanski EO, Mokros HB (1996) Children’s depression rating scale, revised (CDRS-R). Western Psychological Services, Los Angeles
38.
go back to reference Beck AT, Steer RA (1993) Beck Hopelessness Scale manual. The Psychological Coorporation, San Antonio Beck AT, Steer RA (1993) Beck Hopelessness Scale manual. The Psychological Coorporation, San Antonio
39.
go back to reference Kaufman J, Birmaher B, Brent D et al (1997) Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36(7):980–988 PubMedCrossRef Kaufman J, Birmaher B, Brent D et al (1997) Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36(7):980–988 PubMedCrossRef
40.
go back to reference Everitt BS (2006) The Cambridge dictionary of statistics. Cambridge University Press, Cambridge Everitt BS (2006) The Cambridge dictionary of statistics. Cambridge University Press, Cambridge
41.
go back to reference Lanza ST, Dziak JJ, Huang L, Wagner A, Collins LM (2015) PROC LCA & PROC LTA users’ guide (Version 1.3.2). University Park, The Methodology Center, Penn State Lanza ST, Dziak JJ, Huang L, Wagner A, Collins LM (2015) PROC LCA & PROC LTA users’ guide (Version 1.3.2). University Park, The Methodology Center, Penn State
42.
go back to reference Petrocelli JV (2002) Processes and stages of change: counseling with the transtheoretical model of change. J Couns Dev 80(1):22–30 CrossRef Petrocelli JV (2002) Processes and stages of change: counseling with the transtheoretical model of change. J Couns Dev 80(1):22–30 CrossRef
43.
go back to reference DiClemente CC, Velasquez MM (2002) Motivational interviewing and the stages of change. In: Miller WR, Rollnick S (eds) Motivational interviewing: Preparing people for change, 2nd edn. The Guildford Press, New York, pp 201–216 DiClemente CC, Velasquez MM (2002) Motivational interviewing and the stages of change. In: Miller WR, Rollnick S (eds) Motivational interviewing: Preparing people for change, 2nd edn. The Guildford Press, New York, pp 201–216
44.
go back to reference Miller WR, Rollnick S (2004) Talking oneself into change: motivational interviewing, stages of change, and therapeutic process. J Cognitive Psychother 18(4):299–308 CrossRef Miller WR, Rollnick S (2004) Talking oneself into change: motivational interviewing, stages of change, and therapeutic process. J Cognitive Psychother 18(4):299–308 CrossRef
45.
go back to reference Callaghan RC, Hathaway A, Cunningham JA, Vettese LC, Wyatt S, Taylor L (2005) Does stage-of-change predict dropout in a culturally diverse sample of adolescents admitted to inpatient substance-abuse treatment? A test of the Transtheoretical Model. Addict Behav 30(9):1834–1847 PubMedCrossRef Callaghan RC, Hathaway A, Cunningham JA, Vettese LC, Wyatt S, Taylor L (2005) Does stage-of-change predict dropout in a culturally diverse sample of adolescents admitted to inpatient substance-abuse treatment? A test of the Transtheoretical Model. Addict Behav 30(9):1834–1847 PubMedCrossRef
46.
go back to reference Zachrisson HD, Rödje K, Mykletun A (2006) Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC Public Health 6(1):34 PubMedPubMedCentralCrossRef Zachrisson HD, Rödje K, Mykletun A (2006) Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC Public Health 6(1):34 PubMedPubMedCentralCrossRef
47.
go back to reference Levesque DA, Van Marter DF, Schneider RJ et al (2011) Randomized trial of a computer-tailored intervention for patients with depression. Am J Health Promot 26(2):77–89 PubMedCrossRef Levesque DA, Van Marter DF, Schneider RJ et al (2011) Randomized trial of a computer-tailored intervention for patients with depression. Am J Health Promot 26(2):77–89 PubMedCrossRef
48.
go back to reference Jungbluth NJ, Shirk SR (2009) Therapist strategies for building involvement in cognitive–behavioral therapy for adolescent depression. J Consult Clin Psychol 77(6):1179 PubMedCrossRef Jungbluth NJ, Shirk SR (2009) Therapist strategies for building involvement in cognitive–behavioral therapy for adolescent depression. J Consult Clin Psychol 77(6):1179 PubMedCrossRef
49.
go back to reference Naar-King S (2011) Motivational interviewing in adolescent treatment. Can J Psychiatry 56(11):651–657 PubMedCrossRef Naar-King S (2011) Motivational interviewing in adolescent treatment. Can J Psychiatry 56(11):651–657 PubMedCrossRef
Metagegevens
Titel
Ready or Not? Transitions of Depressed Adolescents During Acute Phase of Treatment
Auteurs
Natalie Rodriguez-Quintana
Cara C. Lewis
Publicatiedatum
18-05-2019
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 6/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-019-00895-4