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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Volume 29, Issue 3

Issues

Effectiveness of group CBT in treating adolescents with depression symptoms: a critical review

Bernardo Nardi
  • Psychiatric Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy
  • Other articles by this author:
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/ Micaela Massei
  • Psychiatric Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy
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/ Emidio Arimatea
  • Corresponding author
  • Psychiatric Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy
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  • Other articles by this author:
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/ Andrés Moltedo-Perfetti
Published Online: 2016-01-20 | DOI: https://doi.org/10.1515/ijamh-2015-0080

Abstract

Depression is among the most common psychological disorders of adolescents. Its management is based on pharmacological treatment, psychological therapy, or a combination thereof. Cognitive behavioral therapy (CBT) is the most extensively tested intervention for adolescent depression. A PubMed search was conducted for randomized controlled trials (RCT) of the efficacy of CBT in treating adolescents with depressive symptoms published in 2005–2015. Keywords were “cognitive behavioral therapy”, “group therapy”, “depression” and “adolescent”. Of the 23 papers that were retrieved, only six met all inclusion criteria. Three of them reported a significant reduction in depressive symptom severity after either individual or group (G)-CBT compared with the control group, even with a small number of CBT sessions (six rather than 10–12), with a medium or medium-to-large effect size. One study reported improved self-awareness and a significantly greater increase in perceived friend social support compared with bibliotherapy and check with brochure. Two studies reported clinical symptom reduction without significant differences compared with the control group (activity contrast). This review highlighted primarily that very few RCT have applied CBT in adolescents; moreover, it confirmed the effectiveness of G-CBT, especially as psychotherapy, although it was not always superior to other interventions (e.g. other activities in prevention programs). Comparison showed that G-CBT and group interpersonal psychotherapy were both effective in reducing depressive symptoms. Successful G-CBT outcomes were related to the presence of peers, who were an important source of feedback and support to observe, learn, and practice new skills to manage depressive symptoms and improve social-relational skills.

Keywords: adolescent; cognitive behavioral therapy; depression; group therapy

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About the article

Corresponding author: Dr. Emidio Arimatea, Dipartimento di Medicina Clinica e Sperimentale, Sezione di Psichiatria, Facoltà di Medicina e Chirurgia dell’Università Politecnica delle Marche, Via Tronto 10/A, 60121 Torrette-Ancona (Italy); and Psychiatric Unit, Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy


Received: 2015-08-06

Accepted: 2015-11-19

Published Online: 2016-01-20


Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 3, 20150080, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0080.

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