Cognitive-Behavioural Therapy Reduces Rumination in Depressed Adolescents
Author Information
Author(s): Paul O Wilkinson, Ian M Goodyer
Primary Institution: University of Cambridge
Hypothesis
Adding CBT to SSRI plus psychosocial treatment as usual would cause greater reduction in rumination.
Conclusion
Adding CBT to SSRI medication in the presence of active clinical care causes a greater reduction in mood-related ruminative response style in depressed adolescents.
Supporting Evidence
- CBT group showed significantly greater reductions in rumination compared to the non-CBT group.
- Rumination levels in the CBT group were reduced to levels similar to never-depressed controls.
- CBT was particularly effective in reducing the 'brooding' factor of rumination.
Takeaway
This study found that teaching kids with depression to think differently can help them stop worrying so much about their problems.
Methodology
26 depressed adolescents were randomized to receive either SSRI plus treatment as usual or SSRI plus treatment as usual plus CBT, with assessments at baseline and after 30 weeks.
Potential Biases
Participants and assessors were not blinded to treatment group, which may have introduced bias.
Limitations
The study had a small sample size, which limits the power and generalizability of the findings.
Participant Demographics
Participants were adolescents aged 11-17 with current DSM-IV major depressive disorder.
Statistical Information
P-Value
0.002
Statistical Significance
p = .002
Digital Object Identifier (DOI)
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