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Issues in Portability of Evidence-based Treatment for Adolescent Depression

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Abstract

Depression is one of the most commonly diagnosed psychiatric disorders among school-aged youth, with high prevalence and far-reaching consequences. However, even though there are two evidence-based practices for treating adolescent depression (Cognitive-Behavioral Therapy and Interpersonal Therapy), most adolescents referred for treatment are unlikely to receive either. In part, this is due to the difficulty of transporting an evidence-based practice from laboratory to real-world setting, and determining how to transport an empirically validated treatment has thus become a focus of concern for social work researchers and practitioners. A host of client, clinician, setting, and treatment delivery variables can influence portability. Taking all these factors into consideration is a daunting task—but less daunting if done at the onset, during the initial process of efficacy research, rather than afterward as a separate stage. The thesis of this paper is that the only solution to the problem of portability is a combined, rather than sequential, approach to treatment development in which effectiveness and application concerns are included in the original research design. A review of suggested approaches, as well as discussion of factors that contribute to variance in outcome, is followed by recommendations for future research.

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References

  • Breland-Noble, A. M., Bell, C., & Nicolas, G. (2006). Family first: The development of an evidence-based family intervention for increasing participation in psychiatric clinical care and research in depressed African American adolescents. Family Process, 45(2), 153–169.

    Article  PubMed  Google Scholar 

  • Clarke, G. N. (1995). Improving the transition from basic efficacy research to effectiveness studies: Methodological issues and procedures. Journal of Consulting and Clinical Psychology, 63(5), 718–715.

    Article  PubMed  Google Scholar 

  • Crisp, H. L., Gudmundsen, G. R., & Shirk, S. R. (2006). Transporting evidence-based therapy for adolescent depression to the school setting. Education and Treatment of Children, 29(2), 287–309.

    Google Scholar 

  • Denton, W. H., Walsh, S. R., & Daniel, S. S. (2002). Evidence-based practice in family therapy: Adolescent depression as an example. Journal of Marital and Family Therapy, 28(1), 39–45.

    Article  PubMed  Google Scholar 

  • Dopheide, J. (2006). Recognizing and treating depression in children and adolescents. American Journal of Health System Pharmacy, 63(3), 233–243.

    Article  PubMed  Google Scholar 

  • Eley, T. C. (2004). Parental familial vulnerability, family environment, and their interactions as predictors of depressive symptoms in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 43(3), 298–306.

    Article  PubMed  Google Scholar 

  • Hammen, C., Brennan, P. A., & Shih, J. A. (2004). Family discord and stress predictors of depression and other disorders in adolescent children of depressed and nondepressed women. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 994–1002.

    Article  PubMed  Google Scholar 

  • Hamrin, V., & Pachler, M. C. (2005). Child and adolescent depression: Review of the latest evidence-based treatments. Journal of Psychosocial Nursing & Mental Health Services, 43(1), 54–63.

    Google Scholar 

  • Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52, 1179–1189.

    Article  PubMed  Google Scholar 

  • Hoagwood, K., Hibbs, E., & Brent, D. (1995). Introduction to the special section: Efficacy and effectiveness studies of child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63(5), 683–687.

    Article  PubMed  Google Scholar 

  • Jayson, D., Wood, A., Kroll, L., Fraser, J., & Harrington, R. (1998). Which depressed patients respond to cognitive-behavior treatment? Journal of the American Academy of Child and Adolescent Psychiatry, 37(1), 35–40.

    Article  PubMed  Google Scholar 

  • Joyce, A. S., Wolfaardt, U., Sribney, C., & Aylwin, A. S. (2006). Psychotherapy research at the start of the 21st century: the persistence of the art versus science controversy. Canadian Journal of Psychiatry, 51(13), 797–809.

    Google Scholar 

  • Karasu, T. B. (1990a). Toward a clinical model of psychotherapy for depression, I: Systematic comparison of three psychotherapies. American Journal of Psychiatry, 147(2), 133–147.

    PubMed  Google Scholar 

  • Karasu, T. B. (1990b). Toward a clinical model of psychotherapy for depression, II. American Journal of Psychiatry, 147(3), 269–278.

    PubMed  Google Scholar 

  • Kendall, P. C., & Gerow, M. A. (1995). Issues in the transportability of treatment: The case of anxiety disorders in youths. Journal of Consulting and Clinical Psychology, 63(5), 702–708.

    Article  PubMed  Google Scholar 

  • Maag, J. W., & Swearer, S. M. (2005). Cognitive-behavioral interventions for depression: Review and implications for school personnel. Behavioral Disorders, 30(3), 259–276.

    Google Scholar 

  • Marcotte, D. (1997). Treating depression in adolescence: A review of the effectiveness of cognitive-behavioral treatments. Journal of Youth and Adolescence, 26(3), 273–282.

    Article  Google Scholar 

  • Merrill, K. A., & Tolbert, V. E. (2003). Effectiveness of cognitive therapy for depression in a community mental health center: A benchmarking study. Journal of Consulting and Clinical Psychology, 71(2), 404–409.

    Article  PubMed  Google Scholar 

  • Mufson, L., Gallagher, T., Dorta, K. P., & Young, J. F. (2004). A group adaptation of interpersonal psychotherapy for depressed adolescents. American Journal of Psychotherapy, 58(2), 220–237.

    PubMed  Google Scholar 

  • Mufson, L., Weissman, M. M., Moreau, D., & Garfinkel, R. (1999). Efficacy of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 56(6), 573–579.

    Article  PubMed  Google Scholar 

  • Nathan, P. E., Stuart, S. P., & Dolan, S. L. (2000). Research on psychotherapy efficacy and effectiveness: Between Scylla and Charybodis? Psychological Bulletin, 126(6), 964–981.

    Article  PubMed  Google Scholar 

  • Pollio, D. E. (2006). The art of evidence-based practice. Research on Social Work Practice, 16(2), 224–232.

    Article  Google Scholar 

  • Proctor, E. K., & Rosen, A. (2003). The structure and function of social work practice guidelines. In A. Rosen & E. K. Proctor (Eds.), Developing practice guidelines for social work intervention (pp. 108–127). New York: Columbia University Press.

    Google Scholar 

  • Reay, R., Stuart, S., & Owen, C. (2003). Implementation and effectiveness of interpersonal psychotherapy in a community mental health service. Australasian Psychiatry, 11(3), 284–289.

    Article  Google Scholar 

  • Rossello, J., & Bernal, G. (1999). The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. Journal of Consulting and Clinical Psychology, 67(5), 734–745.

    Article  PubMed  Google Scholar 

  • Videka, L. (2003). Accounting for variability in client, population, setting characteristics: Moderators of intervention effectiveness. In A. Rosen & E. K. Proctor (Eds.), Developing practice guidelines for social work intervention (pp. 169–192). New York: Columbia University Press.

    Google Scholar 

  • Weersing, V. R., Iyengar, S., Kolko, D. J., Birmaher, B., & Brent, D. A. (2006). Effectiveness of cognitive-behavioral therapy for adolescent depression: A benchmarking investigation. Behavior Therapy, 37, 36–48.

    Article  PubMed  Google Scholar 

  • Weersing, V. R., & Weisz, J. R. (2002). Community clinic treatment of depressed youth: Benchmarking usual care against CBT clinical trials. Journal of Consulting and Clinical Psychology, 70(2), 299–310.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Donenberg, G. R., Han, S. S., & Weiss, B. (1995). Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63(5), 688–701.

    Article  PubMed  Google Scholar 

  • Zayas, L. H. (2003). Service-delivery factors in the development of practice guidelines. In A. Rosen & E. K. Proctor (Eds.), Developing practice guidelines for social work intervention (pp. 193–206). New York: Columbia University Press.

    Google Scholar 

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Correspondence to Barbara Probst.

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Probst, B. Issues in Portability of Evidence-based Treatment for Adolescent Depression. Child Adolesc Soc Work J 25, 111–123 (2008). https://doi.org/10.1007/s10560-008-0115-3

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  • DOI: https://doi.org/10.1007/s10560-008-0115-3

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