Skip to main content
Log in

Treating depression in adolescence: A review of the effectiveness of cognitive-behavioral treatments

  • Published:
Journal of Youth and Adolescence Aims and scope Submit manuscript

Abstract

The literature of the last decade reveals a renewed interest in treating adolescent depression. Several treatments have been proposed that are derived from adult models, but few studies have evaluated their efficiency. Those that have been done, have typically used a cognitive-behavioral approach. This article reviews studies published from 1980 to 1994 on the efficacy of these programs. Groups of 6–10 adolescents were treated in these programs. Some programs also included treatment for parents. Treatments were multimodal, utilizing intervention strategies from cognitive and/or behavioral models of depression. Treatment components included relaxation, cognitive restructuring, self-control skills, and communication and problem-solving skills. Studies were most often done in school settings but only rarely in a clinical milieux. Depression measures included self-report questionnaires and semistructured interviews. Results suggest that short-term group cognitive-behavioral interventions are effective with early and late adolescents. Futhermore, depressive symptoms remained improved at follow-up. No single strategy, however, seemed to be clearly more effective than the others.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • American Psychological Association. (1980). DSM-III: Diagnostic and Statistical Manual of Mental Disorders (3rd ed.). Author, Washington, D.C.

    Google Scholar 

  • Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.

    Google Scholar 

  • Bernard, M. E., and Joyce, M. R. (1986). Rational-Emotive Therapy with Children and Adolescents: Theory, Treatment Strategies, Preventative Methods. John Wiley and Sons, New York.

    Google Scholar 

  • Butler, I, Miezitis, S., Friedman, F., and Cole, E. (1980). The effect of two school-based intervention programs of depressive symptoms in preadolescents. Am. Educat. Res. J. 17: 111–119.

    Google Scholar 

  • Cicchetti, D., Nurcombe, B. and Garber, J. (1992). Developmental approaches to depression. Develop. Psychopathol. 4: 1–3.

    Google Scholar 

  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd). Lawrence Erlbaum Associates, Hillsdale, New Jersey.

    Google Scholar 

  • Ellis, A. (1962). Reason and Emotion in Psychotherapy. Lyle Stuart, New York.

    Google Scholar 

  • Fine, S., Forth, A., Gilbert, M., and Haley, G. (1991). Group therapy for adolescent depressive disorder: A comparison or social skills and therapeutic support. J. Am. Acad. Child Adoles. Psychiat. 30: 79–85.

    CAS  Google Scholar 

  • Goldstein, A. P., Sprafkin, F. P., Gershaw, M. J., and Klein, P. (1980). Skill Streaming the Adolescent: A Structured Learning Approach to Teaching Prosocial Stills. Research Press, Champaign, IL.

    Google Scholar 

  • Hopkins, K. D., Glass, G. V., and Hopkins, B. R. (1987). Basic Statistics for the Behavioral Sciences. Prentice-Hall, Englewood Cliffs, New Jersey.

    Google Scholar 

  • Jacobsen, E. (1938). Progressive Relaxation. University of Chicago Press, Chicago.

    Google Scholar 

  • Kahn, J. S., Kehle, T. J., Jenson, W. R., and Clark, E. (1990). Comparison of cognitive-behavioral, relaxation, and self-modeling interventions for depression among middle-school students. School Psychol. Rev. 19: 196–211.

    Google Scholar 

  • Kandel, D. B., and Davis, M. (1986). Adult sequelae of adolescent depressive symptoms. Arch. Gen. Psychiat. 43: 255–262.

    CAS  PubMed  Google Scholar 

  • Klerman, G. L., Weissman, M. M. Rounsaville, B. J., and Chevron, E. S. (1984). Interpersonal Psychotherapy of Depression. Basic Books, New York.

    Google Scholar 

  • Knaus, W. (1974). Rational-Emotive Education: A Manual for Elementary School Teachers. Institute for Rational Living, New York.

    Google Scholar 

  • Kovacs, M., Feinberg, T. L., Crouse-Novak, M. C, Paulauskas, S. L, Pollock, M., and Finkelstein, R. (1984). Depressive disorders in childhood. Arch. Gen. Psychiat. 41: 643–649.

    CAS  PubMed  Google Scholar 

  • Lewinsohn, P. M., Antonuccio, D. O., Steinmetz, J., and Teri, L. (1984). The Coping With Depression Course: A Psychoeducational Intervention for Unipolar Depression. Castalia Press, Eugene, OR.

    Google Scholar 

  • Lewinsohn, P. M., Clarke, G. N., Hops, H., and Andrews, J. (1990). Cognitive-behavioral treatment for depressed adolescents. Behav. Ther. 21: 385–401.

    Google Scholar 

  • Mann, B. J., and Borduin, C. M. (1991). A critical review of psychotherapy outcome studies with adolescents: 1978–1988. Adolescence. 26: 505–541.

    CAS  PubMed  Google Scholar 

  • Marcotte, D., and Baron, P. (1993). L’efficacité d’une stratégie d’intervention é motivo-rationnelle auprès d’adolescents dépressifs du milieu scolaire. Rev. canad. counsel. 27: 77–92

    Google Scholar 

  • Moreau, D., Mufson, L., Weissman, M. M., and Klerman, G. L. (1991). Interpersonal psychotherapy for adolescent depression: Description of modification and preliminary application. J. Amer. Acad. Adoles. Psychiat. 30: 4, 642–651.

    CAS  Google Scholar 

  • Mufson, L., Moreau, D., Weissman, M. M., and Klerman, G. L. (1993). Interpersonal Psychotherapy for Depressed Adolescents. Guilford Press, New York.

    Google Scholar 

  • Petersen, A. C., Compas, B. E., Brooks-Gunn, J., Stemmler, M., Ey, S., and Grant, K. E. (1993). Depression in adolescence. Am. Psychol. 48: 155–168.

    Article  CAS  PubMed  Google Scholar 

  • Reed, M. K. (1994). Social skills training to reduce depression in adolescents. Adolescence. 29: 293–301.

    CAS  PubMed  Google Scholar 

  • Rehm, L. P. (1977). A self-control model of depression. Behav. Ther. 8: 787–804.

    Google Scholar 

  • Reynolds, W. M. (1992). Depression in children and adolescents. In Reynolds, W. M. (ed.), Internalizing Disorders in Children and Adolescents. Wiley and Sons, New York.

    Google Scholar 

  • Reynolds, W. M., and Coats, K. I. (1986). A comparison of cognitive-behavioral therapy and relaxation training for the treatment of depression in adolescents. J. Consult. Clin. Psychol. 54: 653–60.

    Article  CAS  PubMed  Google Scholar 

  • Rutter, M. (1986). The developmental psychopathology of depression: Issues and perspectives. In Rutter, M., Izard, C. E., and Read, P. B. (eds.), Depression in Young People: Clinical and Developmental Perspectives. Guilford, New York.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Financial support for this work was provided by the Fonds institutionnel de recherche of the Université du Québec à Trois-Rivières.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Marcotte, D. Treating depression in adolescence: A review of the effectiveness of cognitive-behavioral treatments. J Youth Adolescence 26, 273–283 (1997). https://doi.org/10.1007/s10964-005-0002-6

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10964-005-0002-6

Keywords

Navigation