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Cognitive-behavioral intervention for depressed, substance-abusing adolescents: development and pilot testing.

John F Curry1, Karen C Wells, John E Lochman

  • 1Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA. curry005@mc.duke.edu

Journal of the American Academy of Child and Adolescent Psychiatry
|August 19, 2003
PubMed
Summary

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This study developed an integrated cognitive-behavioral treatment for adolescents with depression and substance abuse, finding it feasible and effective. The intervention showed significant improvements in both conditions for the young participants.

Area of Science:

  • Psychiatry
  • Adolescent Psychology
  • Addiction Medicine

Background:

  • Adolescent depression and substance abuse are significant co-occurring issues.
  • Integrated treatment approaches are needed for comorbid conditions in adolescents.
  • Cognitive-behavioral therapy (CBT) has shown efficacy for individual conditions.

Purpose of the Study:

  • To develop and assess the feasibility of an integrated cognitive-behavioral treatment for depressed, substance-abusing adolescents.
  • To evaluate the association of this novel intervention with symptomatic improvement in both depression and substance abuse.
  • To identify potential needs for additional treatment modalities.

Main Methods:

  • An integrated group and family therapy intervention was developed based on existing CBT principles.

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  • The treatment was delivered to two groups of adolescents (ages 14-18) and their families.
  • Measures of depression and substance abuse were collected pre-, during, and post-treatment.

    • Main Results:

    • High treatment retention and session attendance indicated feasibility.
    • Parent interviews showed significant reductions in adolescent substance abuse.
    • Adolescent self-report measures indicated significant improvements in both depression and substance abuse domains.

    Conclusions:

    • Integrated outpatient cognitive-behavioral intervention is a feasible approach for adolescents with comorbid depression and substance abuse.
    • The intervention demonstrated an association with symptomatic improvement in both conditions.
    • Further controlled efficacy studies are warranted, and some adolescents may require additional treatment options.