Er kognitiv atferdsterapi en effektiv tilleggsbehandling til antidepressiva hos ungdom? Metaanalyse

Is cognitive behavioural therapy an effective complement to antidepressants in adolescents? A meta-analysis

Forfattere
Calati, R. Pedrini, L. Alighieri, S. Alvarez, M. I. Desideri, L. Durante, D. Favero, F. Iero, L. Magnani, G. Pericoli, V. Polmonari, A. Raggini, R. Raimondi, E. Riboni, V. Scaduto, M. C. Serretti, A. De Girolamo, G.
Årstall
2011
Tidsskrift
Acta Neuropsychiatrica
Volum
23
Sider
263-271
Objective: Evidence on effectiveness of combined treatments versus antidepressants alone in adolescents consists on a few studies in both major depressive and anxiety disorders. A meta-analysis of randomised 12-week follow-up studies in which antidepressant treatment was compared to combined treatment consisting of the same antidepressant with cognitive behavioural therapy has been performed. Methods: Data were entered into the Cochrane Collaboration Review Manager software and were analysed within a random effect framework. A quality assessment has been performed through Jadad Scale. Results: Higher global functioning at the Children's Global Assessment Scale was found in the combined treatment group (p < 0.0001) as well as higher improvement at the Clinical Global Impressions Improvement Scale (p = 0.04). No benefit of combined treatment was found on depressive symptomatology at the Children's Depression Rating Scale-Revised. Conclusion: Combined treatment seems to be more effective than antidepressant alone on global functioning and general improvement in adolescents with major depressive and anxiety disorders. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract).

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Tiltaksnivå

Behandling og hjelpetiltak

Tema

Psykiske vansker og lidelser

Følelsesmessige problemer

Depresjon og nedstemthet (inkl. både vansker og lidelse)

Angstproblematikk

Angst og engstelighet (inkl. både vansker og lidelse)

Tiltak

Psykologiske behandlingsmetoder

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi

Medikamentell behandling

Antidepressiva

Aldersgruppe

Ungdom (13-18 år)

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