Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care

Weersing, V. Robin; Brent, David A.; Rozenman, Michelle; González, Araceli; Jeffreys, Megan; Dickerson, John F.; Lynch, Frances L.; Porta, Giovanna; Iyengar, Satish

doi:10.1001/jamapsychiatry.2017.0429

Cited by 111 publications

(71 citation statements)

References 49 publications

(84 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The 19 relevant studies included 12 case studies/case series [ 45 – 56 ], three uncontrolled pre–post designs [ 57 – 59 ], and four RCTs [ 60 – 63 ].…”

Section: Resultsmentioning

confidence: 99%

“…All three papers were consulted for novel details for data extraction. Weersing and colleagues reported their RCT in two publications [ 37 , 63 ]: data from 2017 were extracted only as these covered details from the 2016 publication. The data reported across from individuals in the case studies by Pass and colleagues [ 54 – 56 ] are also included in the pre/post study [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…5 individual sessions with doctoral research fellow with CBT experience Control—inactive, no therapy or contact, n = 56 BDI-II, Japanese version Japan. University (first year students) Pre–post [ 63 ] RCT 185 (107 female) youths aged 8–16 meeting criteria for at least one of depression, separation anxiety, generalized anxiety disorder, social phobia, major/minor depression or dysthymic disorder using CGI-S n = 95. 8–12 individual sessions with master’s level therapist Assisted referral to care, n = 90 CGI USA.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Behavioral activation for children and adolescents: a systematic review of progress and promise

Martin

Oliver

2018

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

Behavioral activation (BA) effectively treats depression in adults, and shows promise in treating anxiety. Research into its application to children and adolescents is emerging. This review aimed to explore the scope of studies, current evidence of effectiveness and how the intervention has been delivered and adapted, to inform future research. A systematic review was undertaken searching PsycInfo, PubMed including Medline, EMBASE, and Scopus for terms relating to BA and children and adolescents. Two researchers scored abstracts for inclusion. Data extraction was completed by one researcher and checked by another. 19 studies were identified, across 21 published articles. 12 were case studies, with three pre-post pilot designs and four randomized-controlled trials. Case studies found early support for the feasibility and potential effectiveness of BA to address both anxiety and depression. The RCTs reported largely positive outcomes. Meta-analysis of depression scores indicated that BA may be effective; however, high heterogeneity was observed. Sample sizes to date have been small. BA has been delivered by trained therapists, doctoral trainee psychologists, social workers, or psychology graduates. Studies are uniquely in high-income settings. Adaptations include flexibility in content delivery, youth friendly materials, and parental involvement. There is some limited evidence to support BA as effective for young people. Feasibility and acceptability are supported. Fully powered trials are now required, with expansion to delivery in low- and middle-income settings, and detailed consideration of implementation issues that consider culture and environment.

show abstract

“…The 19 relevant studies included 12 case studies/case series [ 45 – 56 ], three uncontrolled pre–post designs [ 57 – 59 ], and four RCTs [ 60 – 63 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Behavioral activation for children and adolescents: a systematic review of progress and promise

Martin

Oliver

2018

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…The sample consisted of mostly non-Latino White (69%) adolescents. Most recently, Weersing et al (2017) conducted a study of brief behavior therapy (BBT) compared to assisted referral to outpatient care for youth anxiety and depression treatment in primary care settings. They found that BBT was superior to assisted referral for treatment outcomes for anxiety and particularly for Hispanic youth.…”

Section: Introductionmentioning

confidence: 99%

Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics

Mufson

Rynn

Yanes‐Lukin

et al. 2017

Adm Policy Ment Health

View full text Add to dashboard Cite

Adolescents with depression are at risk for negative long-term consequences and recurrence of depression. Many do not receive nor access treatment, especially Latino youth. New treatment approaches are needed. This study examined the feasibility and acceptability of a stepped collaborative care treatment model (SCIPT-A) for adolescents with depression utilizing interpersonal psychotherapy for adolescents (IPT-A) and antidepressant medication (if needed) compared to Enhanced Treatment as Usual (E-TAU) in urban pediatric primary care clinics serving primarily Latino youth. Results suggest the SCIPT-A model is feasible, acceptable and potentially beneficial for urban Latino adolescents. Clinicians delivered the SCIPT-A model with fidelity using supervision successfully implemented in a community setting.

show abstract

“…Evidence also supports the efficacy of more intensive interventions for emotional and behavioral problems among pediatric patients in primary care [68•], suggesting that high-quality behavioral health services can be provided in this setting. Weersing and colleagues [72] found support for a brief behavior therapy intervention for youth anxiety and depressive disorders. Children and adolescents who participated in treatment exhibited greater and faster depression and anxiety symptom reduction and functional improvements than those referred for outpatient care.…”

Section: Special Considerations For Treating Depression In the Pcmh: mentioning

confidence: 99%

The Role of the Patient-Centered Medical Home in Treating Depression

Bogucki

Williams

Solberg

et al. 2020

Curr Psychiatry Rep

View full text Add to dashboard Cite

Purpose of Review This review discusses the role of the patient-centered medical home (PCMH) in treating depression, focusing on findings from primary care-based studies and their implications for the PCMH. Recent Findings Pharmacotherapy, psychotherapy, and collaborative care are evidence-based treatments for depression that can be delivered in primary care and extended to diverse populations. Recent research aligns with the core components of the PCMH model. Summary The core components of the PCMH are critical elements of depression treatment. Comprehensive care within the PCMH addresses medical and behavioral health concerns, including depression. Psychiatric and psychological care must be flexibly delivered so services remain accessible yet patient-centered. To ensure the quality and safety of treatment, depression symptoms must be consistently monitored. Coordination within and occasionally outside of the PCMH is needed to ensure patients receive the appropriate level of care. More research is needed to empirically evaluate depression treatment within the PCMH.

show abstract

Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care

Abstract: clinicaltrials.gov Identifier: NCT01147614.

Cited by 111 publications

References 49 publications

Behavioral activation for children and adolescents: a systematic review of progress and promise

Behavioral activation for children and adolescents: a systematic review of progress and promise

Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics

The Role of the Patient-Centered Medical Home in Treating Depression

Contact Info

Product

Resources

About