Journal of Abnormal Child Psychology

, Volume 15, Issue 1, pp 91–113 | Cite as

A comparison of the relative efficacy of self-control therapy and a behavioral problem-solving therapy for depression in children

  • Kevin D. Stark
  • William M. Reynolds
  • Nadine J. Kaslow


Twenty-nine children 9 to 12 years old who were identified as moderately to severely depressed using the Children's Depression Inventory were randomly assigned to either a self-control, behavioral problem-solving, or waiting list condition. The self-control treatment focused on teaching children self-management skills. The behavioral problem-solving therapy consisted of education, self-monitoring of pleasant events, and group problem solving directed toward improving social behavior. Subjects were assessed pre-and posttreatment and at 8-week follow-up with multiple assessment procedures and from multiple perspectives. At posttreatment, subjects in both active treatments reported significant improvement on self-report and interview measures of depression while subjects in the waiting list condition reported minimal change. Results were maintained at follow-up. The general success of the experimental treatments was discussed and recommendations for further treatment components were provided.


Active Treatment Social Behavior Experimental Treatment General Success Minimal Change 
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  1. Achenbach, T. M. (1978). The Child Behavior Profile: I. Boys ages 6–11.Journal of Consulting and Clinical Psychology, 46, 478–488.Google Scholar
  2. Achenbach, T. M., & Edelbrock, C. S. (1979). The Child Behavior Profile: II. Boys ages 12–16 and girls aged 6–11 and 12–16.Journal of Consulting and Clinical Psychology, 47, 223–233.Google Scholar
  3. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford Press.Google Scholar
  4. Bryant, J. L., & Paulson, A. S. (1976). An extension of Tukey's method of multiple comparisons to experimental designs with random concomitant variables.Biometrica, 63, 631–638.Google Scholar
  5. Butler, L., Miezitis, S., Friedman, R., & Cole, E. (1980). The effect of two school-based intervention programs on depressive symptoms in preadolescents.American Educational Research Journal, 17, 110–119.Google Scholar
  6. Carlson, G. A. (1983). Depression and suicidal behavior in children and adolescents. In D. P. Cantwell & G. A. Carlson (Eds.),Affective disorders in childhood and adolescence: An update (pp. 335–352). Jamaica, New York: Spectrum.Google Scholar
  7. Coopersmith, S. (1967).The antecedents of self-esteem. San Francisco: W. H. Freeman.Google Scholar
  8. Coopersmith, S. (1975).Self-Esteem Inventory-Form B. Lafayette, California: Self-Esteem Institute.Google Scholar
  9. Cytryn, L., McKnew, D. H., & Bunney, W. E. (1980). Diagnosis of depression in children: A reassessment.American Journal of Psychiatry, 137, 22–25.Google Scholar
  10. Dweck, C. S. (1975). The role of expectations and attributions in the alleviation of learned helplessness.Journal of Personality and Social Psychology, 82, 10–16.Google Scholar
  11. Frame, C., Matson, J., Sonis, W. A., Fialkov, M. J., & Kazdin, A. E. (1982). Behavioral treatment of depression in a prepubertal child.Journal of Behavior Therapy and Experimental Psychiatry, 3, 239–243.Google Scholar
  12. Fuchs, C. Z., & Rehm, L. P. (1977). A self-control behavior therapy program for depression.Journal of Consulting and Clinical Psychology, 45, 206–215.Google Scholar
  13. Gottman, J., Gonso, J., & Schuler, P. (1976). Teaching social skills to isolated children.Journal of Abnormal Child Psychology, 41, 179–197.Google Scholar
  14. Grosscup, S. J., & Lewinsohn, P. M. (1980). Unpleasant and pleasant events, and mood.Journal of Clinical Psychology, 36, 252–259.Google Scholar
  15. Hersen, M., Bellack, A. S., & Himmelhock, J. M. (1980). Treatment of unipolar depression with social skills training.Behavior Modification, 4, 547–557.Google Scholar
  16. Kazdin, A. E. (1980).Research design in clinical psychology. New York: Harper & Row.Google Scholar
  17. Kazdin, A. E. (1981). Assessment techniques for childhood depression: A critical appraisal.Journal of the American Academy of Child Psychiatry, 20, 358–375.Google Scholar
  18. Kazdin, A. E., French, N. H., Unis, A. S., & Esveldt-Dawson, D. K. (1983). Assessment of childhood depression: Correspondence of child and parent ratings.Journal of the American Academy of Child Psychiatry, 22, 157–164.Google Scholar
  19. Kendall, P. C., & Braswell, L. (1982). Cognitive-behavioral self-control therapy for children: A component analysis.Journal of Consulting and Clinical Psychology, 50, 672–689.Google Scholar
  20. Kovacs, M. (1981). Rating scales to assess depression in school-aged children.Acta Paedopsychiatrica, 46, 305–315.Google Scholar
  21. Kovacs, M. (1983).The Children's Depression Inventory: A self-rated depression scale for school-aged youngsters. Unpublished manuscript, University of Pittsburgh School of Medicine.Google Scholar
  22. Kovacs, M. (1985). The natural history and course of depressive disorders in childhood.Psychiatric Annals, 15, 387–389.Google Scholar
  23. Kovacs, M., & Beck, A. T.. (1977). An empirical-clinical approach toward a definition of childhood depression. In J. G. Schulterbrandt & A. Raskin (Eds.),Depression in childhood: Diagnosis, treatment and conceptual models (pp. 1–25). New York: Raven Press.Google Scholar
  24. Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., & Finkelstein, R. (1984). Depressive disorders in childhood: I. A longitudinal prospective study of characteristics and recovery.Archives of General Psychiatry, 41, 229–237.Google Scholar
  25. Lewinsohn, P. H. (1974). A behavioral approach to depression. In R. J. Friedman and M. M. Katz (Eds.),The psychology of depression: Contemporary theory and research (pp. 157–184). Washington, D.C.: Winston-Wiley.Google Scholar
  26. Lewinsohn, P. M., Sullivan, J. M., & Grosscup, S. J. (1980). Changing reinforcing events: An approach to the treatment of depression.Psychotherapy: Theory, Research and Practice, 17, 322–334.Google Scholar
  27. Nelson, R. O., Lipinski, D. P., & Boykin, R. A. (1978). The effects of self-recorder's training and the obtrusiveness of the self-recording device on the accuracy and reactivity of self-monitoring.Behavior Therapy, 9, 200–208.Google Scholar
  28. O'Leary, S. G., & Dubey, D. R. (1979). Applications of self-control procedures by children: A review.Journal of Applied Behavior Analysis, 12, 449–465.Google Scholar
  29. Petti, T. A., & Law, W. (1982). Imipramine treatment of depressed children. A double-blind pilot study.Journal of Clinical Psychopharmacology, 2, 107–110.Google Scholar
  30. Poznanski, E. O., Grossman, J. A., Buchsbaum, Y., Banegas, M., Freeman, L., &Gibbons, R. (1984). Preliminary studies of the reliability and validity of the Children's Depression Rating Scale.Journal of the American Academy of Child Psychiatry, 23, 191–197.Google Scholar
  31. Puig-Antich, J., & Chambers, W. (1978).The Schedule for Affective Disorders and Schizophrenia for School Age Children (Kiddie-SADS). New York: New York Psychiatric Institute.Google Scholar
  32. Puig-Antich, J., Lukens, E., Davies, M., Goetz, D., Brennan-Quattrock, J., & Todak, G. (1985). Psychosocial functioning in prepubertal major depressive disorders I. Interpersonal relationships during the depressive episode.Archives of General Psychiatry, 42, 500–507.Google Scholar
  33. Rehm, L. P. (1977). A self-control model of depression.Behavior Therapy, 8, 787–804.Google Scholar
  34. Rehm, L. P., Fuchs, C. Z., Roth, D. M., Kornblith, S. J., & Romano, J. M. (1979). A comparison of self-control and assertion skills treatments of depression.Behavior Therapy, 10, 429–442.Google Scholar
  35. Rehm, L. P., Kaslow, N. J., Rabin, A. S., & Willard, R. (1984).Outcome of self-control behavior therapy programs for depression with cognitive, behavioral and combined targets. Manuscript in preparation.Google Scholar
  36. Rehm, L. P., Kornblith, S. J., O'Hara, M. W., Lamparski, D. M., Romano, J. M., & Volkin, J. I. (1981). An evaluation of major components in a self-control therapy program for depression.Behavior Modification, 5, 459–489.Google Scholar
  37. Reynolds, C. R., & Richmond, B. O. (1978). What I Think and Feel: A revised measure of children's manifest anxiety.Journal of Abnormal Child Psychology, 6, 271–280.Google Scholar
  38. Reynolds, W. M. (in press).Child Depression Scale. Odessa, Florida: Psychological Assessment Resources.Google Scholar
  39. Reynolds, W. M., Anderson, G., & Bartell, N. (1985). Measuring depression in children: A multimethod assessment investigation.Journal of Abnormal Child Psychology, 13, 513–526.Google Scholar
  40. Reynolds, W. M., & Coats, K. I. (1986). A comparison of cognitive-behavioral and relaxation training for the treatment of depression in adolescents.Journal of Consulting and Clinical Psychology, 54, 653–660.Google Scholar
  41. Reynolds, W. M., & Stark, K. D. (1983). Cognitive behavior modification: The clinical application of cognitive strategies. In M. Pressley & J. R. Levin (Eds.),Cognitive strategy research: Psychological foundations (pp. 221–266). New York: Springer-Verlag.Google Scholar
  42. Reynolds, W. M., & Stark, K. D. (in press). School-based intervention strategies for the treatment of depression in children and adolescents.Special Services in the Schools.Google Scholar
  43. Sacks, J. L. (1977). The need for subtlety.Psychotherapy, 14, 434–437.Google Scholar
  44. Stark, K. D., & Reynolds, W. M. (1984).A multi-component cognitive behavioral intervention for developing self-control in impulsive children. Paper presented at the annual meeting of the Midwestern Psychological Association, Chicago.Google Scholar
  45. Switzky, H. N., & Haywood, H. C. (1974). Motivational orientation and the relative efficacy of self-monitored and externally imposed reinforcement systems in children.Journal of Personality and Social Psychology, 30, 360–366.Google Scholar

Copyright information

© Plenum Publishing Corporation 1987

Authors and Affiliations

  • Kevin D. Stark
    • 3
  • William M. Reynolds
    • 1
  • Nadine J. Kaslow
    • 2
  1. 1.Western Psychological ServicesLos Angeles
  2. 2.West Haven Mental Health ClinicWest Haven
  3. 3.Department of Educational PsychologyUniversity of Texas at AustinAustin

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