CBT Delivered in a Specialized Depression Clinic for College Students with Depressive Symptoms
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Depression is highly prevalent in college students with a lack of access to care on college campuses. This study utilized a novel recruitment strategy and examined the efficacy of CBT provided by specialists in a depression clinical research center. We conducted depression screenings at four universities in the Boston area. 30 college students (ages 18–24 between 2009 and 2013) who were experiencing symptoms of depression and/or suicidal ideation were offered 12-weeks of a flexible manualized form of CBT. CBT resulted in a significant reduction in depression, anxiety, suicidality, and some forms of negative cognition. CBT was effective for reducing depression and related symptoms, including suicidality. Larger-scale, controlled trials, utilizing novel recruitment strategies joining academic medical centers with college campuses in desperate need of services, are needed to confirm whether this treatment and methodology would be feasible and effective for this vulnerable population.
KeywordsDepression Suicidal ideation Cognitive behavioral therapy (CBT) Short-term psychotherapy Undergraduate mental health
We would like to acknowledge the Jed Foundation and the Chirag Foundation for their support for this study.
- Beck, A. T., & Steer, R. A. (1990). Manual for the beck anxiety inventory. San Antonio, TX: Psychological Corporation.Google Scholar
- Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004.CrossRefGoogle Scholar
- Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford Press.Google Scholar
- Cukrowicz, K. C., Schlegel, E. F., Smith, P. N., Jacobs, M. P., Van Orden, K. A., Paukert, A. L., et al. (2011). Suicide ideation among college students evidencing subclinical depression. Journal of American College Health, 59(7), 575–581. https://doi.org/10.1080/07448481.2010.483710.CrossRefGoogle Scholar
- Dozois, D. J. A., Bieling, P. J., Patelis-Siotis, I., Hoar, L., Chudzik, S., McCabe, K., et al. (2009). Changes in self-schema structure in cognitive therapy for major depressive disorder: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(6), 1078–1088. https://doi.org/10.1037/a0016886.CrossRefGoogle Scholar
- Eisenberg, D., & Chung, H. (2012). Adequacy of depression treatment among college students in the United States. General Hospital Psychiatry, 34(3), 213–220. https://doi.org/10.1016/j.genhosppsych.2012.01.002.CrossRefGoogle Scholar
- Farabaugh, A. H., Bitran, S., Witte, J., Alpert, J., Chuzi, S., Clain, A. J., et al. (2010). Anxious depression and early changes in the HAMD-17 anxiety-somatization factor items and antidepressant treatment outcome. International Clinical Psychopharmacology, 25(4), 214–217. https://doi.org/10.1097/YIC.0b013e328339fbbd.CrossRefGoogle Scholar
- Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R., et al. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: A randomized controlled trial. Behavior Therapy, 43(3), 666–678. https://doi.org/10.1016/j.beth.2012.01.001.CrossRefGoogle Scholar
- Gelenberg, A. J., Freeman, M. P., Markowitz, J. C., Rosenbaum, J. F., Thase, M. E., Trivedi, M. H., et al. (2010). Practice guideline for the treatment of patients with major depressive disorder third edition. The American Journal of Psychiatry, 167(10), 1.Google Scholar
- Haddock, S. A., Weiler, L. M., Trump, L. J., & Henry, K. L. (2017). The efficacy of internal family systems therapy in the treatment of depression among female college students: A pilot study. Journal of Marital and Family Therapy, 43(1), 131–144. https://doi.org/10.1111/jmft.12184.CrossRefGoogle Scholar
- McIndoo, C. C., File, A. A., Preddy, T., Clark, C. G., & Hopko, D. R. (2016). Mindfulness-based therapy and behavioral activation: A randomized controlled trial with depressed college students. Behavior Research and Therapy, 77, 118–128. https://doi.org/10.1016/j.brat.2015.12.012.CrossRefGoogle Scholar
- Nyer, M. B., Cassiello-Robbins, C., Nock, M. K., Petrie, S. R., Holt, D. J., Fisher, L. B., et al. (2015). A case series of individual six-week cognitive behavioral therapy with individually tailored manual-based treatment delivery for depressed college students with or without suicidal ideation. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 33(2), 134–147. https://doi.org/10.1007/s10942-015-0206-y.CrossRefGoogle Scholar
- Radhu, N., Daskalakis, Z. J., Arpin-Cribbie, C. A., Irvine, J., & Ritvo, P. (2012). Evaluating a web-based cognitive-behavioral therapy for maladaptive perfectionism in university students. Journal of American College Health, 60(5), 357–366. https://doi.org/10.1080/07448481.2011.630703.CrossRefGoogle Scholar
- Shaw, B. F. (1984). Specification of the training and evaluation of cognitive therapists for outcome studies. In J. B. Williams & R. L. Spitzer (Eds.), Psychotherapy research: Where are we and where should we go?: Proceedings of the 73rd Annual Meeting of the American Psychopathological Association, New York City, March 3–5, 1983. Guilford Press.Google Scholar
- Sonawalla, S. B., Kelly, K. E., Neault, N. B., Mischoulon, D., Farabaugh, A. H., Pava, J. A., et al. (2001). Predictors of suicidal ideation in a college population. In 154th annual meeting of the american psychiatric association, New Orleans, LA.Google Scholar
- Weissman, A. N., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. Retrieved from https://eric.ed.gov/?id=ED167619.