Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression

Preliminary Findings

Betsy D. Kennard, Greg N. Clarke, V. Robin Weersing, Joan Rosenbaum Asarnow, Wael Shamseddeen, Giovanna Porta, Michele Berk, Jennifer L. Hughes, Anthony Spirito, Graham J. Emslie, Martin B. Keller, Karen Wagner, David A. Brent

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths.

Original languageEnglish (US)
Pages (from-to)1033-1041
Number of pages9
JournalJournal of Consulting and Clinical Psychology
Volume77
Issue number6
DOIs
StatePublished - Dec 2009

Fingerprint

Treatment-Resistant Depressive Disorder
Cognitive Therapy
Depression
Serotonin Uptake Inhibitors
Therapeutics
Confounding Factors (Epidemiology)
Social Problems
Major Depressive Disorder

Keywords

  • adolescent depression
  • cognitive-behavioral therapy
  • treatment components

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Kennard, B. D., Clarke, G. N., Weersing, V. R., Asarnow, J. R., Shamseddeen, W., Porta, G., ... Brent, D. A. (2009). Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression: Preliminary Findings. Journal of Consulting and Clinical Psychology, 77(6), 1033-1041. https://doi.org/10.1037/a0017411

Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression : Preliminary Findings. / Kennard, Betsy D.; Clarke, Greg N.; Weersing, V. Robin; Asarnow, Joan Rosenbaum; Shamseddeen, Wael; Porta, Giovanna; Berk, Michele; Hughes, Jennifer L.; Spirito, Anthony; Emslie, Graham J.; Keller, Martin B.; Wagner, Karen; Brent, David A.

In: Journal of Consulting and Clinical Psychology, Vol. 77, No. 6, 12.2009, p. 1033-1041.

Research output: Contribution to journalArticle

Kennard, BD, Clarke, GN, Weersing, VR, Asarnow, JR, Shamseddeen, W, Porta, G, Berk, M, Hughes, JL, Spirito, A, Emslie, GJ, Keller, MB, Wagner, K & Brent, DA 2009, 'Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression: Preliminary Findings', Journal of Consulting and Clinical Psychology, vol. 77, no. 6, pp. 1033-1041. https://doi.org/10.1037/a0017411
Kennard, Betsy D. ; Clarke, Greg N. ; Weersing, V. Robin ; Asarnow, Joan Rosenbaum ; Shamseddeen, Wael ; Porta, Giovanna ; Berk, Michele ; Hughes, Jennifer L. ; Spirito, Anthony ; Emslie, Graham J. ; Keller, Martin B. ; Wagner, Karen ; Brent, David A. / Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression : Preliminary Findings. In: Journal of Consulting and Clinical Psychology. 2009 ; Vol. 77, No. 6. pp. 1033-1041.
@article{834a531baeb64d8ab341256bc11d0b67,
title = "Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression: Preliminary Findings",
abstract = "In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths.",
keywords = "adolescent depression, cognitive-behavioral therapy, treatment components",
author = "Kennard, {Betsy D.} and Clarke, {Greg N.} and Weersing, {V. Robin} and Asarnow, {Joan Rosenbaum} and Wael Shamseddeen and Giovanna Porta and Michele Berk and Hughes, {Jennifer L.} and Anthony Spirito and Emslie, {Graham J.} and Keller, {Martin B.} and Karen Wagner and Brent, {David A.}",
year = "2009",
month = "12",
doi = "10.1037/a0017411",
language = "English (US)",
volume = "77",
pages = "1033--1041",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association Inc.",
number = "6",

}

TY - JOUR

T1 - Effective Components of TORDIA Cognitive-Behavioral Therapy for Adolescent Depression

T2 - Preliminary Findings

AU - Kennard, Betsy D.

AU - Clarke, Greg N.

AU - Weersing, V. Robin

AU - Asarnow, Joan Rosenbaum

AU - Shamseddeen, Wael

AU - Porta, Giovanna

AU - Berk, Michele

AU - Hughes, Jennifer L.

AU - Spirito, Anthony

AU - Emslie, Graham J.

AU - Keller, Martin B.

AU - Wagner, Karen

AU - Brent, David A.

PY - 2009/12

Y1 - 2009/12

N2 - In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths.

AB - In this report, we conducted a secondary analysis of the Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) study to explore the impact of specific cognitive-behavioral therapy (CBT) treatment components on outcome. In TORDIA, 334 youths (ages 12 to 18 years) with major depressive disorder who had failed to respond to an adequate course of selective serotonin reuptake inhibitor (SSRI) medication were randomized to a medication switch (either to an alternative SSRI or venlafaxine) with or without 12 weeks of adjunctive CBT. Participants who had more than 9 CBT sessions were 2.5 times more likely to have adequate treatment response than those who had 9 or fewer sessions. CBT participants who received problem-solving and social skills treatment components, controlling for number of sessions and other confounding variables, were 2.3 and 2.6 times, respectively, more likely to have a positive response. These preliminary findings underscore the importance of receiving an adequate number of sessions to attain an adequate clinical response. Finally, social skills and problem solving may be active elements in CBT for adolescent depression and should be considered in treatment by those working with seriously depressed youths.

KW - adolescent depression

KW - cognitive-behavioral therapy

KW - treatment components

UR - http://www.scopus.com/inward/record.url?scp=72449180021&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=72449180021&partnerID=8YFLogxK

U2 - 10.1037/a0017411

DO - 10.1037/a0017411

M3 - Article

VL - 77

SP - 1033

EP - 1041

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 6

ER -