1986
DOI: 10.1037/0022-006x.54.5.653
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A comparison of cognitive-behavioral therapy and relaxation training for the treatment of depression in adolescents.

William M. Reynolds,
Kevin I. Coats

Abstract: This investigation examined the efficacy of cognitive-behavioral therapy and relaxation training for the treatment of depression in adolescents. Thirty moderately depressed adolescents were randomly assigned to either cognitive-behavioral treatment, relaxation training, or a wait-list control condition. Treatment subjects met in small groups for ten 50-min sessions over 5 weeks in a high school setting. Outcome measures included self-report and clinical interviews for depression as well as measures of self-est… Show more

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Cited by 345 publications
(204 citation statements)
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References 26 publications
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“…CBT treatment for adolescent depression has produced significantly greater pre to post reductions in depressive symptoms than alternative active interventions, such as behavior therapy and nondirective therapy (Brent et al, 1997;Shaw, 1977) and a life (Rohde, Clarke, Mace, Jorgensen, & Seeley, 2004). However, other trials found that CBT treatment did not produce significantly greater reductions in depressive symptoms than relaxation training (Reynolds & Coats, 1986), behavior therapy or nondirective supportive therapy (Jacobson et al, 1996;McNamara & Horan, 1986;Taylor & Marshall, 1977), interpersonal therapy (Hogg & Deffenbacher, 1988), or than pill placebo with clinical management (Treatment for Adolescents with Depression Study Team, 2004). The fact that several treatment trials found that CBT did not significantly outperform placebo control groups and alternative interventions suggests it is vital for depression prevention trials to include these types of control conditions.…”
mentioning
confidence: 91%
“…CBT treatment for adolescent depression has produced significantly greater pre to post reductions in depressive symptoms than alternative active interventions, such as behavior therapy and nondirective therapy (Brent et al, 1997;Shaw, 1977) and a life (Rohde, Clarke, Mace, Jorgensen, & Seeley, 2004). However, other trials found that CBT treatment did not produce significantly greater reductions in depressive symptoms than relaxation training (Reynolds & Coats, 1986), behavior therapy or nondirective supportive therapy (Jacobson et al, 1996;McNamara & Horan, 1986;Taylor & Marshall, 1977), interpersonal therapy (Hogg & Deffenbacher, 1988), or than pill placebo with clinical management (Treatment for Adolescents with Depression Study Team, 2004). The fact that several treatment trials found that CBT did not significantly outperform placebo control groups and alternative interventions suggests it is vital for depression prevention trials to include these types of control conditions.…”
mentioning
confidence: 91%
“…For depression in adolescents, CBT was found to be effective compared to wait list control status, systemic family therapy or nondirective supportive therapy (Brent, Holder, Kolko, Birmaher, Baugher, Roth et al, 1997), and relaxation therapy (Wood, Harrington, & Moore, 1996). In adolescents with high depression symptom ratings, Reynolds & Coats (1986) also found that CBT and relaxation therapy were both superior to controls. In addition to CBT, two controlled studies show interpersonal therapy to be effective for depressed adolescents (Mufson, Weissman, Moreau, & Garfinkel, 1999;Rossello & Bernal, 1999).…”
Section: Behavioral Cognitive Behavioral and Interpersonal Therapiesmentioning
confidence: 97%
“…More specific measures of anxiety and depression may also be helpful. Such measures as the Children's Depression Inventory (Kovacs, 1992), the Reynolds Adolescent Depression Scale (W. M. Reynolds & Coats, 1985), and the Revised Children's Manifest Anxiety Scale (C. R. Reynolds & Richmond, 1978) all contain norms for adolescents. Because higher rates of suicidal ideation and behavior are found among this population of adolescents, special attention should be paid to this issue, and the youth should be asked about suicidal thoughts directly, even if they do not endorse the specific items on the measures.…”
Section: Assessment and Diagnosismentioning
confidence: 99%