Long-term Treatment of Pediatric Depression With Psychotherapies

Major depressive disorder in children and adolescents is associated with significant morbidity and mortality, and benefits from intervention. However, studies have focused on acute treatment. Thus, data are limited on long-term treatment (ie, both continuation and maintenance treatment). This article discusses the naturalistic course of depression following acute treatment with psychotherapy and the efficacy of long-term psychotherapy for the prevention of relapse and recurrence in depressed children and adolescents.

[1]  M. Fava,et al.  Effects of Adding Cognitive Therapy to Fluoxetine Dose Increase on Risk of Relapse and Residual Depressive Symptoms in Continuation Treatment of Major Depressive Disorder , 2002, Journal of clinical psychopharmacology.

[2]  B. Vitiello,et al.  The Treatment for Adolescents with Depression Study (TADS): methods and message at 12 weeks. , 2006, Journal of the American Academy of Child and Adolescent Psychiatry.

[3]  Golda S. Ginsburg,et al.  Treatment for Adolescents With Depression Study (TADS): rationale, design, and methods. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  S. Patten,et al.  Canadian Network for Mood and Anxiety Treatments (CANMAT) clinical guidelines for the management of major depressive disorder in adults. Introduction. , 2009, Journal of affective disorders.

[5]  M B Keller,et al.  The Time Course of Nonchronic Major Depressive Disorder: Uniformity Across Episodes and Samples , 1994 .

[6]  W. Beardslee,et al.  The Prevention of Depression in Children and Adolescents: A Review , 2009, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[7]  Mark D. Miller,et al.  Combined pharmacotherapy and psychotherapy as maintenance treatment for late-life depression: effects on social adjustment. , 2002, The American journal of psychiatry.

[8]  Benedetto Vitiello,et al.  Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. , 2004, JAMA.

[9]  I. Goodyer,et al.  A randomised controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors. The ADAPT trial. , 2008, Health technology assessment.

[10]  P. Vostanis,et al.  Two-year outcome of children treated for depression , 1998, European Child & Adolescent Psychiatry.

[11]  Golda S. Ginsburg,et al.  The Treatment for Adolescents With Depression Study (TADS): demographic and clinical characteristics. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[12]  Lydia White,et al.  Selective serotonin reuptake inhibitors (SSRIs) and routine specialist care with and without cognitive behaviour therapy in adolescents with major depression: randomised controlled trial , 2007, British medical journal.

[13]  P. Lewinsohn,et al.  Cognitive-behavioral treatment of adolescent depression: efficacy of acute group treatment and booster sessions. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[14]  R. Harrington,et al.  Pilot study of continuation cognitive-behavioral therapy for major depression in adolescent psychiatric patients. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[15]  K. Denton Liquid based cytology in cervical cancer screening , 2007, BMJ : British Medical Journal.

[16]  J. Alpert,et al.  Continuation cognitive-behavioural therapy maintains attributional style improvement in depressed patients responding acutely to fluoxetine , 2004, Psychological Medicine.

[17]  G. Emslie,et al.  Continuation and Maintenance Therapy of Early-Onset Major Depressive Disorder , 2005, Paediatric drugs.

[18]  M. Kovács,et al.  Depressive disorders in childhood. II. A longitudinal study of the risk for a subsequent major depression. , 1984, Archives of general psychiatry.

[19]  J. Teasdale,et al.  Prevention of relapse in residual depression by cognitive therapy: a controlled trial. , 1999, Archives of general psychiatry.

[20]  S Iyengar,et al.  Clinical outcome after short-term psychotherapy for adolescents with major depressive disorder. , 2000, Archives of general psychiatry.

[21]  L. Clark,et al.  Continuation-phase cognitive therapy's effects on remission and recovery from depression. , 2009, Journal of consulting and clinical psychology.

[22]  L. Mufson,et al.  Interpersonal psychotherapy for depressed adolescents: a one-year naturalistic follow-up study. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  G. Emslie,et al.  Relapse and recurrence in pediatric depression. , 2006, Child and adolescent psychiatric clinics of North America.

[24]  R. Harrington,et al.  Controlled trial of a brief cognitive-behavioural intervention in adolescent patients with depressive disorders. , 1996, Journal of child psychology and psychiatry, and allied disciplines.

[25]  T. Vos,et al.  The burden of major depression avoidable by longer-term treatment strategies. , 2004, Archives of general psychiatry.

[26]  J. Markowitz,et al.  Cognitive-behavioral analysis system of psychotherapy as a maintenance treatment for chronic depression. , 2004, Journal of consulting and clinical psychology.

[27]  K. Myers,et al.  Depression in young people: initial presentation and clinical course. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  M. Weissman,et al.  Efficacy of interpersonal psychotherapy for depressed adolescents. , 1999, Archives of general psychiatry.

[29]  E. Paykel,et al.  Continuation and maintenance therapy in depression. , 2001, British medical bulletin.

[30]  T. Carmody,et al.  Fluoxetine in child and adolescent depression: Acute and maintenance treatment , 1998, Depression and anxiety.

[31]  P. Lewinsohn,et al.  Cognitive-behavioral treatment for depressed adolescents* , 1990 .

[32]  Randomized trial of weekly, twice-monthly, and monthly interpersonal psychotherapy as maintenance treatment for women with recurrent depression. , 2007, The American journal of psychiatry.

[33]  L. Greenberg,et al.  Maintenance of gains following experiential therapies for depression. , 2009, Journal of consulting and clinical psychology.

[34]  P. Lewinsohn,et al.  A family study of major depressive disorder in a community sample of adolescents. , 2001, Archives of general psychiatry.

[35]  Z. Segal,et al.  Canadian Network for Mood and Anxiety Treatments (CANMAT) clinical guidelines for the management of major depressive disorder in adults. II. Psychotherapy alone or in combination with antidepressant medication. , 2009, Journal of affective disorders.

[36]  Z. Segal,et al.  Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. , 2000, Journal of consulting and clinical psychology.

[37]  I. Goodyer,et al.  Clinical guidelines for depressive disorders in childhood and adolescence , 2000, European Child & Adolescent Psychiatry.

[38]  C. North The toll of refugee status and the state of trauma research. , 2001, Archives of General Psychiatry.

[39]  A. Rush,et al.  Recurrence of major depressive disorder in hospitalized children and adolescents. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[40]  B. Birmaher,et al.  Practice Parameters for the Assessment and Treatment of Children and Adolescents With Depressive Disorders , 1998 .

[41]  A. Rush,et al.  Treating Depression to Remission , 1995 .

[42]  S. Tonev,et al.  Achievement and maintenance of sustained response during the Treatment for Adolescents With Depression Study continuation and maintenance therapy. , 2008, Archives of general psychiatry.

[43]  S. Tonev,et al.  Remission and recovery in the Treatment for Adolescents with Depression Study (TADS): acute and long-term outcomes. , 2009, Journal of the American Academy of Child and Adolescent Psychiatry.

[44]  P. Lavori,et al.  Time to recovery, chronicity, and levels of psychopathology in major depression. A 5-year prospective follow-up of 431 subjects. , 1992, Archives of general psychiatry.

[45]  Mark D. Miller Using interpersonal therapy (IPT) with older adults today and tomorrow: A review of the literature and new developments , 2008, Current psychiatry reports.

[46]  W. Bickerton,et al.  A randomised controlled out-patient trial of cognitive-behavioural treatment for children and adolescents with depression: 9-month follow-up. , 1996, Journal of affective disorders.