Effectiveness of Six Sessions CBT for Adolescents With Emotional Problems in Community Clinics

Not Applicable

Completed

• Conditions: Social Phobia; Panic Disorder; Depression; Generalized Anxiety Disorder; Agoraphobia
• Interventions: Behavioral: SMART manual cognitive behavioral therapy

• Registration Number: NCT02150265
• Lead Sponsor: University of Tromso

Brief Summary

Background: There is need for more effectiveness studies concerning treatment of emotional symptom problems indicating anxiety and depression in adolescents. SMART is the only treatment manual for combined emotional disorders developed in Norwegian.

Purpose: To find the best individualized treatment for adolescents with emotional difficulties by: Finding criteria for the selection of appropriate patients for treatment with cognitive-behavior therapy program SMART in an outpatient population (14-18 years). Finding predictors of completion of treatment program SMART. Examining the effects of treatment with the SMART program at 6 months follow-up.

Design: A randomized controlled study in six outpatient clinics in the north of Norway. N= 160 referred adolescents (14-18 years) with score above 6 on the Emotional Problems scale of the Strength and Difficulties Questionnaire (SDQ). Two thirds are treated according to the SMART-manual immediately, while the waiting list control group is treated with SMART after six weeks.

Hypothesis: The SMART treatment is an effective treatment for emotional symptom problems.

Publication: The results sought published internationally and nationally and will be communicated to clinicians.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-01-01
• Study First Submitted: 2014-05-26
• Study First Submitted QC: 2014-05-28
• Study First Posted: 2014-05-29
• Primary Completion: 2017-06-30
• Study Completion: 2018-03-01
• Status Verified: 2019-05
• Last Update Submitted: 2019-05-21
• Last Update Posted: 2019-05-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 163

Inclusion Criteria

Age 14 to 18 years Referred to Community Mental Health Clinic for Children and Adolescents

• Score above 6 on Emotional symptoms scale on the SDQ Fluent Norwegian language

Exclusion Criteria

• Indicators for Pervasive Developmental Disorder (PDD) Acute suicidal symptoms Psycho-active drug treatment start coinciding with start of intervention Symptoms indicating psychotic disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Individual cognitive behavioral therapy with SMART	SMART manual cognitive behavioral therapy	SMART manual cognitive behavioral therapy individual weekly sessions for 6 weeks

Primary Outcome Measures

Name	Time	Method
Status of primary emotional disorder based on theDevelopment and Well-Being Assessment (DAWBA) interview schedule with parents and youths	At recruitment, before treatment start and at 6 months follow up	Diagnostic interview

Secondary Outcome Measures

Name	Time	Method
Life functioning as measured by the rating scale C-GAS rated by clinicians	At recruitment, before treatment start and at 6 months follow up	Measure of functioning
General outcome measured by Clinical Outcomes in Routine Evaluations Outcome Measure (CORE-OM)	At recruitment, before treatment start and at 6 months follow up. The short version (CORE 10) mid-therapy: 3 weeks after starting treatment	Measure of symptoms, risk, functioning and total burden of disorder
SDQ Strengths and Difficulties Questionnaire	At recruitment, before treatment start and at 6 months follow up	Measure of general emotional and behavioral symptoms and strengths
Anxiety symptom score on the Multi-Dimensional Anxiety Scale for Children (MASC)	At recruitment, before treatment start and at 6 months follow up	Measure of anxiety symptoms
Depression symptom status as measured by the self-rating instrument Beck Depression Inventory (BDI-II)	At recruitment, before treatment start and at 6 months follow up	Measure of depressive symptoms

Trial Locations

Locations (1)

University Hospital of North Norway; 🇳🇴 Tromsø, Norway