Brief CBT for Pediatric Anxiety and Depression in Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 185
- 试验地点
- 4
- 主要终点
- Clinical Global Impression
研究概览
简要总结
The purpose of this study is to determine whether a brief (12 week) psychological treatment program, based in primary care, can help youths struggling with anxiety and/or depression. This brief cognitive behavioral therapy program will be compared to enhanced referral to specialty mental health care.
详细描述
Mood and anxiety disorders in childhood and adolescence are disabling, distressing, and prevalent and produce added costs to health systems. This two-site randomized controlled trial will test the effects of a brief cognitive behavioral therapy (BCBT) protocol (8-12 sessions) in a large sample (N=210) of children and adolescents (age 8-16) presenting with anxiety and/or depression in primary care. Clinical and cost-effectiveness of BCBT will be compared to a plausible public health alternative - enhanced referral to specialty mental health care (SMHC). This investigation is noteworthy in adopting a deployment-focused model and testing this intervention early in its development within a real world context (primary care) and against a plausible public health comparison condition (SMHC) relevant for future treatment dissemination.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 8 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •meet full or probable diagnostic criteria for Separation Anxiety Disorder, Generalized Anxiety Disorder, Social Phobia, Major Depression, Dysthymic Disorder, or Minor Depression
- •age 8.0 to 16.9
- •live with legal, consenting guardian for at least 6 months
排除标准
- •youths requiring alternate intervention (e.g., youths with bipolar disorder, psychosis, active suicidal ideation with plan, PTSD, substance dependence, current physical or sexual abuse, or mental retardation
- •suffer from serious or unstable physical illness (e.g., uncontrolled diabetes)
- •currently in active, alternate intervention for anxiety or depression (e.g., antidepressant use)
结局指标
主要结局
Clinical Global Impression
时间窗: measured at 8 month follow-up (week 32)
次要结局
- Health Utilities Index(measured at 8 month follow-up (week 32))
- Pediatric Anxiety Rating Scale(measured at 8 month follow-up (week 32))
- Children's Depression Rating Scale - Revised(measured at 8 month follow-up (week 32))
研究者
V. Robin Weersing
Associate Professor
San Diego State University