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A randomized controlled trial of a six-session cognitive behavioral treatment of emotional disorders in adolescents 14–17 years old in child and adolescent mental health services (CAMHS)

Permanent lenke
https://hdl.handle.net/10037/18518
DOI
https://doi.org/10.1186/s40359-020-0393-x
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article.pdf (846.2Kb)
Publisert versjon (PDF)
Dato
2020-03-14
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Lorentzen, Veronica; Fagermo, Kenneth; Handegård, Bjørn Helge; Skre, Ingunn; Neumer, Simon-Peter
Sammendrag
Background - This study aims to investigate effectiveness of a 6-week, transdiagnostic cognitive behavioral therapy (CBT) for anxiety and depression in adolescents, the Structured Material for Therapy (SMART), in naturalistic settings of child and adolescent mental health outpatient services (CAMHS).

Methods - A randomized controlled trial with waiting list control (WLC) was performed at three community CAMHS in Norway. Referred adolescents (N = 163, age = 15.72, 90.3% girls) scoring 6 or more on the emotional disorders subscale of the Strengths and Difficulties Questionnaire (SDQ) were randomly assigned to SMART or to WLC.

Results - In the treatment group (CBT), 32.9% improved in the main outcome measure (SDQ), compared to 11.6% in the WLC. Clinically significant and reliable change was experienced by 17.7% in the CBT condition, compared to 5.8% in the WLC. No patients deteriorated. Statistically significant treatment effects were achieved for internalization symptoms, anxiety symptoms and general functioning.

Conclusions - These promising findings indicate that SMART may be considered as a first step in a stepped care model for anxiety and/or depression treatment in CAMHS. The recovery rates imply that further investigations into the effectiveness of brief treatments should be made. Furthermore, there is a need for more comprehensive second-stage treatments for some of these patients.

Er en del av
Lorentzen, V. (2022). Providing a short and effective transdiagnostic treatment intervention and a valid outcome measure for adolescent with anxiety and depression. A randomized controlled trial of the SMART intervention and validation of the CORE-OM in adolescents aged 14 to 17. (Doctoral thesis). https://hdl.handle.net/10037/27462
Forlag
BMC
Sitering
Lorentzen V, Fagermo K, Handegård BHH, Skre IB, Neumer S. A randomized controlled trial of a six-session cognitive behavioral treatment of emotional disorders in adolescents 14–17 years old in child and adolescent mental health services (CAMHS) . BMC Psychology. 2020;8(1):1-12
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  • Artikler, rapporter og annet (psykologi) [561]
Copyright 2020 The Author(s)

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