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Long Term Outcomes of Blended CBT Compared to Face-to-Face CBT and Treatment as Usual for Adolescents with Depressive Disorders: Analyses at 12 Months Post-Treatment

Author

Listed:
  • Sanne P. A. Rasing

    (Child and Adolescent Psychiatry, GGZ Oost Brabant, P.O. Box 3, 5427 ZG Boekel, The Netherlands
    Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands)

  • Yvonne A. J. Stikkelbroek

    (Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands
    Clinical Child and Family Studies, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands)

  • Wouter den Hollander

    (Trimbos Institute, P.O. Box 725, 3500 AS Utrecht, The Netherlands)

  • Ana Okorn

    (Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands)

  • Denise H. M. Bodden

    (Clinical Child and Family Studies, Utrecht University, P.O. Box 80140, 3508 TC Utrecht, The Netherlands
    Child and Youth Psychiatry, Altrecht GGZ, P.O. Box 85314, 3508 AH Utrecht, The Netherlands)

Abstract

Depression is a major problem in youth mental health and identified as the leading cause of disability worldwide. There is ample research on the acute effects of treatment, with estimated small-to-moderate effect sizes. However, there is a lack of research on long-term outcomes. A total of 129 adolescents with clinical depression (82.2% female), aged 13–22 ( M = 16.60, SD = 2.03), received blended CBT, face-to-face CBT or treatment as usual. Data were collected at 12 months after the intervention and compared between treatment conditions. Clinical diagnosis, depressive symptoms, suicide risk, internalizing symptoms and externalizing symptoms decreased significantly over time, from baseline to the 12-month follow-up, and also from post-treatment to the 12-month follow-up in all three conditions. Changes were not significantly different between conditions. At the long-term, improvements following the treatment continued. Due to the large amount of missing data and use of history control condition, our findings need to be interpreted with caution. However, we consider these findings as a clinical imperative. More evidence might contribute to convincing adolescents to start with therapy, knowing it has lasting effects. Further, especially for adolescents for whom it is not possible to receive face-to-face treatment, blended treatment might be a valuable alternative. Our findings might contribute to the implementation of blended CBT.

Suggested Citation

  • Sanne P. A. Rasing & Yvonne A. J. Stikkelbroek & Wouter den Hollander & Ana Okorn & Denise H. M. Bodden, 2021. "Long Term Outcomes of Blended CBT Compared to Face-to-Face CBT and Treatment as Usual for Adolescents with Depressive Disorders: Analyses at 12 Months Post-Treatment," Social Sciences, MDPI, vol. 10(10), pages 1-13, October.
    • Handle: RePEc:gam:jscscx:v:10:y:2021:i:10:p:373-:d:649192
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    2. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
    3. Bates, Douglas & Mächler, Martin & Bolker, Ben & Walker, Steve, 2015. "Fitting Linear Mixed-Effects Models Using lme4," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 67(i01).
    4. Gavin Andrews & Pim Cuijpers & Michelle G Craske & Peter McEvoy & Nickolai Titov, 2010. "Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-6, October.
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    Cited by:

    1. Marta Brás & Ana Margarida Cunha & Cláudia Carmo & Cristina Nunes, 2022. "Inventory of Attitudes toward Seeking Mental Health Services: Psychometric Properties among Adolescents," Social Sciences, MDPI, vol. 11(7), pages 1-12, June.

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