A step too far?

Kerfoot, Michael; Harrington, Richard; Harrington, Val; Rogers, Julia; Verduyn, Chrissie

doi:10.1007/s00787-004-0362-6

Cited by 44 publications

(20 citation statements)

References 0 publications

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“…Because PTSD often co–occurs with other disorders, this is an important finding for clinicians. The reduction in depression is particularly interesting to note, as some evidence–based treatments for depression reported in other studies do not outperform treatment as usual (Kerfoot, Harrington, Harrington, Rogers, & Verduyn, 2004; Weisz et al, 2009). Although we did not specifically examine which components may have been particularly beneficial for treatment outcomes in this study, teaching skills with which to regulate emotions and correct maladaptive appraisals appears to be fundamental for many effective interventions (Berliner, 2005).…”

Section: Discussionmentioning

confidence: 98%

A Randomized Effectiveness Study Comparing Trauma-Focused Cognitive Behavioral Therapy With Therapy as Usual for Youth

Jensen

Holt

Ormhaug

et al. 2013

Journal of Clinical Child & Adolescent Psychology

171

182

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The efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) has been shown in several randomized controlled trials. However, few trials have been conducted in community clinics, few have used therapy as usual (TAU) as a comparison group, and none have been conducted outside of the United States. The objective of this study was to evaluate the effectiveness of TF-CBT in regular community settings compared with TAU. One hundred fifty-six traumatized youth (M age = 15.1 years, range = 10–18; 79.5% girls) were randomly assigned to TF-CBT or TAU. Intent-to-treat analysis using mixed effects models showed that youth receiving TF-CBT reported significantly lower levels of posttraumatic stress symptoms (est. = 5.78, d = 0.51), 95% CI [2.32, 9.23]; depression (est. = 7.00, d = 0.54), 95% CI [2.04, 11.96]; and general mental health symptoms (est. = 2.54, d = 0.45), 95% CI [0.50, 4.58], compared with youth in the TAU group. Youth assigned to TF-CBT showed significantly greater improvements in functional impairment (est. = −1.05, d = −0.55), 95% CI [−1.67, −0.42]. Although the same trend was found for anxiety reduction, this difference was not statistically significant (est. = 4.34, d = 0.30), 95% CI [−1.50, 10.19]. Significantly fewer youths in the TF-CBT condition were diagnosed with posttraumatic stress disorder compared to youths in the TAU condition, χ2(1, N = 116) = 4.61, p = .031, Phi = .20). Findings indicate that TF-CBT is effective in treating traumatized youth in community mental health clinics and that the program may also be successfully implemented in countries outside the United States.

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Section: Discussionmentioning

confidence: 98%

A Randomized Effectiveness Study Comparing Trauma-Focused Cognitive Behavioral Therapy With Therapy as Usual for Youth

Jensen

Holt

Ormhaug

et al. 2013

Journal of Clinical Child & Adolescent Psychology

171

182

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“…While no trial found a significantly negative effect of CBT relative to control, in seven studies CBT did fail to statistically separate from comparison conditions (Clarke et al, 2005; Goodyer et al, 2007; Kerfoot et al, 2004; Rosselló et al, 2008; Shirk et al, 2014; Szigethy et al, 2014; TADS Team, 2004). In general, trials with null findings also tested CBT against stringent controls.…”

Section: Status Of Treatmentsmentioning

confidence: 90%

“…We do not re-review these six trials in detail here but do consider their results when evaluating the summary status of treatment in the current report. However, two trials (Vostanis, Feehan, Grattan, & Bickerton, 1996a; Kerfoot, Harrington, Harrington, Rogers, & Verduyn, 2004) were omitted entirely from prior descriptive review and, for completeness, are included in the current report as if they were new trials published within our window. Citations for all primary outcome studies included in the current review are indicated in the reference list with an asterisk (*).…”

Section: Methodsmentioning

confidence: 99%

“…Kerfoot et al (2004) examined the effectiveness of training community mental health workers in CBT. Therapists randomized to CBT, versus routine care, attended a 1-week training that covered general information about adolescent depression, general CBT concepts (e.g., goal setting), and specific strategies in this CBT intervention for depression in adolescents (e.g., pleasant activity scheduling, problem solving).…”

Section: Update Of the Psychosocial Treatment Literaturementioning

confidence: 99%

“…Included in this evidence base are six trials included in the previous reviews (Asarnow et al, 2005; Brent et al, 1997; Melvin et al, 2006; Rosselló & Bernal, 1999; TADS Team, 2004; Wood et al, 1996), five new trials published since 2007 (Brent et al, 2008; Richardson et al, 2014; Rosselló et al, 2008; Shirk, DePrince, Crisostomo, & Labus, 2014; Szigethy, Bujoreanu, et al, 2014), and three trials published prior to 2008 but not included in previous reviews due to null findings or misclassification as an open trial (Clarke et al, 2005; Goodyer et al, 2007; Kerfoot et al, 2004). …”

Section: Status Of Treatmentsmentioning

confidence: 99%

See 2 more Smart Citations

Evidence Base Update of Psychosocial Treatments for Child and Adolescent Depression

Weersing

Jeffreys

Minh-Chau

et al. 2016

Journal of Clinical Child & Adolescent Psychology

351

208

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Depression in youth is prevalent and disabling and tends to presage a chronic and recurrent course of illness and impairment in adulthood. Clinical trial research in youth depression has a 30 year history, and evidence-based treatment reviews appeared in 1998 and 2008. The current review of 42 randomized controlled trials (RCTs) updates these reviews to include RCTs published between 2008 and 2014 (N = 14) and re-evaluates previously reviewed literature. Given the growing maturity of the field, this review utilized a stringent set of methodological criteria for trial inclusion, most notable for excluding trials based in sub-clinical samples of youth that had been included in previous reviews (N = 12) and including well-designed RCTs with null and negative findings (N = 8). Findings from the current review suggest that evidence for child treatments is notably weaker than for adolescent interventions, with no child treatments achieving well-established status and the evidentiary basis of treatments downgraded from previous reports. Cognitive behavioral therapy (CBT) for clinically depressed children appears to be possibly efficacious, with mixed findings across trials. For depressed adolescents, both CBT and Interpersonal Psychotherapy (IPT) are well-established interventions, with evidence of efficacy in multiple trials by independent investigative teams. This positive conclusion is tempered by the small size of the IPT literature (N = 6) and concern that CBT effects may be attenuated in clinically complicated samples and when compared against active control conditions. In conclusion, data on predictors, moderators, and mediators are examined and priorities for future research discussed.

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